Exam Questions and Correct Answers
2024
2 month development - ANSWERS-Follows objects past
midline, coos, lifts head, smiles
6 month development - ANSWERS-Palmar grasp, reaches,
bring things to mouth, pass things from one hand to another,
sits up on own, turns belly-back-belly
9 month development - ANSWERS-pincer grasp, pulls to
stand, peek a boo, report absence of babble or inabilty to sit
alone. Follows simple one-step command (9-11mo)
12 month development - ANSWERS-Bye bye, walks, mama,
dada, check for anemia,
lead poisoning. Report inability to transfer, or weight bearing.
,15 month development - ANSWERS-Spoon, cup, walk,
follows 2-step commands, knows 4-6 words, up stairs
w/help
18 month development - ANSWERS-Walk up steps, turns pages,
body parts.
Pathologic jaundice - ANSWERS-At birth or within first
day,soles of feet bright yello.
Caused by ABO incompatibility. R/o kernicterus
Coarctation of aorta signs - ANSWERS-Compare brachial
and femoral pulse. Normal finding BP higher in legs than
arms.
Wilm's Tumor - ANSWERS-Abdominal mass that extends
from flank to midline. Rarely crosses midline. Abdominal
pain, hematuria, HTN.
Epiglottitis signs - ANSWERS-Rapid onset of fever, chills,
severe sore throat, "hot
potato voice", drooling. Usu. between age 2-6.
Tanner Stage 2 - ANSWERS-Increased rugae of scrotum, testes
enlarge. Breast bud.
Straight sparse hair.
,Tanner Stage 3 - ANSWERS-Penis elongates. Pencil penis.
Scrotal color darkens.
Breast tissue and areola are one mound. Darkened hair, starts to
curl.
Tanner 4 - ANSWERS-Penis thickens and increases in size.
Areola/nipple separate for secondary mound. Curly hair, not
on medial thigh.
When does menarche begin? - ANSWERS-After Tanner stage 2,
within 1-2 years.
Delayed puberty if no secondary sexual characteristics by 12-13
in girls and 14 in boys.
Trisomy 21 - ANSWERS-Down Syndrome. Risk with advanced
maternal age.
Microcephaly, flat nose, hypotonia, simian crease.
Marfan's Syndrome - ANSWERS-Pectus excavatum. Tall,
wide arm span. Risk of MVP, aneurysm, aortic
regurgitation. Do not clear for sports.
Turner's Syndrome - ANSWERS-FEMALE. Lymphedema in
utero, webbed neck, LD, widely spaced nipples, HTN
coarctation of aorta.
, Klienfelter's Syndrome - ANSWERS-Extra X in males. More
feminine. Will see in puberty. Infertile, hypogonadism, low
testosterone. Tall, lanky, underdeveloped sexually.
Caput succadeum - ANSWERS-Sutures cross midline, spreads.
Caphalohematoma - ANSWERS-Sutures do not cross midline,
more significant.
When does anterior fontanelle close? - ANSWERS-18 months
When does posterior fontanelle close? - ANSWERS-2-3 months
Abrnomal red reflex - ANSWERS-Black or white.
Retinoblastoma, cataracts, osteogenesis perfecta. White
specks in down syndrome.
Edward's Syndrome - ANSWERS-Trisomy 18. Small mouth.
High pitched cry.
Newborn screening tests - ANSWERS-PKU (phenylalanine),
can lead to hyperactivity and mental retardation. Hypothyroid.
If not treated, mental retardation. Sickle cell.
Galactessemia, maple smell to urine, septic.
Hordeolum - ANSWERS-Stye. Pain, edema. Bacitracin
ophthalmic ointment.