Pediatrics Lecture 1

1. T/F It is important to screen any child for hearing that has ANY LANGUAGE DELAY

True

False

2. Obese is greater than ______ th percentile

90

95

99

100

0

3. T/F A child that is twirling, not social, and makes grunting noises exhibits signs of autism

True

False

4. T/F Birth weight should triple by 12 months of age

True

False

5. T/F Screening is a formal test ans surveillance is an observation

True

False

6. Which disease is characterized by fever, maculopapular rash, encephalitis, and the 3 Cs (3Cs and a K): Cough, coryza, conjunctivits and Koplik spots?

Measles

Mumps

Rubella

Diptheria

Pertussis

7. T/F Surveillance of vision starts during newborn period of life and universal vision screening starts at 3 years of age

True

False

8. T/F Tertiary prevention includes measures taken to reduce the negative impact by an already established disease. An example of this is eye exams to detect abnormalities in diabetic patients

True

False

9. T/F It is normal for a newborn to weigh 7pounds, lose 4-7% of their body weight within the first week, then gain their body weight by 2 weeks. It is abnormal for the newborn to lose more than 8% of his/her body weight.

True

False

10. What vaccines are given at 4 years of age (48mos) and 5 years (60months)?

Boosters for Dtap, IPV, MMR, and Varicella

Hep A, Dtap, Hib, PCV

11. Which immunization has an adverse effect of intussusception?

Rota

Hep B

Hib

MMR

D Tap

12. What vaccines are given during the ages of >11 yrs and 18 yrs?

Tdap, MCV4, Varicella

Hep B, Dtap, Hib, PCV

Varicella, HPV, seasonal flu and H1N1

13. T/F Stage 1 hypertension in children is between the 95th and 99th percentile

True

False

14. T/F Children with tonsillar hypertrophy and sleep apnea are at high risk for high blood pressure

True

False

15. T/F Most kids that die from pneumonia die from a pneumococcal infection. This type of infection is also the most common complication of H1N1.

True

False

16. Why should you not give an MMR vaccine to a 14 year old female who is pregnant?

Because the baby will be attacked by the inoculated virus

Because it is a live vaccination

Because it is contraindicated to give ANY vaccines to a pregnant person

Because she will already have had her shots during early childhood

17. What vaccines are required at 11 years of age?

Dtap, MCV4, Varicella, HPV

Tdap, MCV4, Varicella (2nd dose if needed), HPV

MMR, Varicella

18. With regards to infants, what age does weight double?

3 months

4 months

6 months

12 months

19. What is the definition of primary prevention?

Measure to reduce the negative impact by an already established diesase

Measure for early disease detection and screeing

Measure to avoid the development of a disease or injury by giving immunizations

Measure to screen the population for a disease

Measure to eradicate a disease by giving vaccinations

20. Which disease is characterized by inflammatory salivary glands and orchitis that is commonly vaccinated for at ages 12-15 months and 4-6 years?

Measles

Mumps

Rubella

H. Influenza

Polliovirus

21. How many doses is the varicella vaccine given in? What ages?

1 dose, 6-9 mos

1 dose, 12-18 mos

2 doses, 12-18 mos and 4-18 years old

2 doses, 4 years to 18 years old

22. What does MCV4 stand for?

Meningococcal vaccine against 4 serotypes A,C,Y, W-135

Meningitis vaccine against 4 serotypes A,B, C, D

Measles vaccine 4 series

23. T/F The Influenza vaccine is a live attenuated vaccine that children should get yearly started for 6 months.

True

False

24. What age should we screen for iron deficiency in infants?

9-12 months, recheck in 6 if abnormal, annual every 2-5 years after that

18-24 months, recheck in 12 months if abnormal, annual every 2-5 years after that

24-48 months, recheck in 6 months, annual every 2-5 years after that

25. T/F Screening tests have a high sensitivity but a low specificity. Therefore, if the screening test is negative you should still get a throat culture.

True

False

26. What are the immunizations for a newborn?

Hep A

Hep B

Hep C

All of the above

27. T/F The immunizations required for a 4 month old and a 6 month old are the same as a 2 month old?

True

False

28. What immunizations are given at 15 months of age?

First shots of Hep A, D tap, Hib, PCV, and catch up on others

Final shots of Hep A, D tap, Hib, PCV, and catch up on others

MMR, Varicella, Hep A

Dtap, IPV, MMR, Varicella

29. Which growth chart do you use while assessing a child that is between 0-36 months? Which growth chart do you use while assessing a child that is between the ages of 3 years to 18 years?

Child to adolescent Growth chart and Normal Gestation Growth Chart

Child growth chart and adolescent growth chart

Normal Gestation Growth Chart and Child to adolescent Growth Chart

30. T/F Measurements for obesity in adults are recorded in percentiles and measurements for children are recorded in whole numbers

True

False

31. The HPV Vaccine protects children from serotypes _ and . _ and ___ are the names of the vaccine. This vaccine is intended for both boys and girls at 9 years of age.

15 and 18. Gardasil and HPVarix

17 and 19. Cervarix and Wartrix

16 and 18. Gardasil and Cervarix.

32. Waardenburg syndrome and alport syndrome are both autosomal _________

Recessive

Dominant

Neither

33. What does the aconym M-CHAT stand for?

Modified Category for Autism in Toddlers

Moderate Children Autism Template

Methodological Checklist for Autism in Toddlers

Modified CHecklist for Autism in Toddlers

34. What time period does the most rapid growth occur in a person's life?

First 6 months

First 9 months

First 12 months

First 24 months

First 60 months

35. What is the calorie requirement for infants during the first year of life?

50-100 kcal/kg/day

80-100 kcal/kg/day

100-120 kcal/kg/day

120-150 kcal/kg/day

36. What is the equation for BMI?

Weight (kg)/height (in)/height (in) x 1000

Weight (lb)/height (in)/height (in) x 703

Weight (kg)/height (in)/height (in) x 1000

Weight (lb)/height (in)/ width (inches) x 703

37. What percentile in children is considered obese?

84th percentile

90th percentile

95th percentile

99th percentile

38. What does DTap stand for?

Diptheria

Tetanus

Hep B titer

Pertussis (acellular)

Pertussis (cellular)

Submit

39. Which of the following describes secondary prevention?

Measure to avoid the development of a disease or injury- immunizations

Measure to increase the negative impact by an already established disease

Measure to decrease the negative impact by an already established disease

Measure for early disease detection and screening

Measure to eradicate a disease by giving vaccinations

40. During the first 6 months of life, an infant should gain between ______ grams of weight per day

15-30

20-30

10-45

45-55

41. What are the 4 Cs of Measles?

Cough, cool, clammy, koplik spots

Cough, coryza, cool, koplik spots

Cough, conjunctivitis, croup, koplik spots

Cough, coryza, conjunctivitis, koplik spots

Cough, congestion, conjunctivitis, koplik spots

42. What immunizations are required for a 9 month old?

Catch up if needed

MMR and Varicella

Same as a 2 month old

43. Who is considered high risk children for TB? (select 2 options)

Those living in college dorms, boarding schools, and those with complement deficiency

Those with previous TB exposure, emigrating children, adopted children, suspicious CXR finding,

Those with lung cancer, PUD, and psych disorders

Children living in group homes, homeless, incarcerated, boarding school, live in highly prevalent population, HIV infected

Submit

44. Which vaccines are live vaccines?

T dap

Varicella

D tap

MMR

Hepatitis B

Submit

45. What vaccines are required for a 2 month old? (6 total- select 2 answers)

MMR, varicella, Hep A

MMR, varicella, Hep B

Dtap, IPV, Hep B (pediatrix)

Hib, PCV, Rotavirus

Submit

46. Due to the shortage of Hib vaccines, the re- emergence of the H influenzae virus has caused type of infection to become more common?

Hib meningitis

Hib epiglottis

Hib pneumonia

Hib AOM

47. When measuring child growth and development, the clinician needs to take head circumference measurements until what age? Weight and length are needed during this time period.

9 months

12 months

18 months

24 months

48. At what age do you start measuring a child's BMI?

12 months

18 months

2 years

3 years

5 years

49. What are common vaccination concerns for parents regarding the Rotavirus immunization

Autism

Insussception

Multiple immunizations

Guillain-Barre syndrome

50. What is the treatment suggestion for a child that has high blood pressure that is not improving despite TLC and has a blood pressure in the 95th percentile?

More TLC

Medications

Restricted diet

Diabetes testing

51. Boostrix and Adacel are the pediatrics and adult brands of what vaccine?

Tdap

D Tap

Hepatitis A

MCV-4

HPV

52. What growth parameters do you measure for children ages 2 years and older?

Weight, height, head circumference

Weight, height, BMI

BMI, weight, height, screening annually for overweight and obesity

Lipid screening, BMI, and head circumference

53. What is the function of the Tdap?

To reimmunize for Measles

To reimmunize for Rubella

To reimmunize for pertussis and give a tetanus shot

To reimmunize for MMR

To reimmunize for diptheria, tetanus and pertussis

54. What vaccines are required at 12 months?

MMR, Varicella, and Hep B

MMR, Varicella, and Hep A

IPV, Hep A, PCV, Hib, rotavirus

IPV, Hep B, Hib, Rotavirus

55. When should we screen for lead poisoning? Remember to do the questionnaire at 6 months

9-12 months and 48 months

6-10 months and 48 months

9-12 months and 24 months

6-10 months and 24 months

56. What 3 things make up the pediatric assessment triangle?

Appearance

Conciousness

Work of breathing

Circulation to brain

Circulation to skin

Submit

57. What ages should children be screened for autism?

9 and 18 months

12 and 24 months

18 and 24 months

24 and 48 months

2 years and 5 years old

58. What shots will you give an 11 year old?

Tdap

D tap

Hib

MMR

Heb B

59. Jervell Lange-Neilsen syndrome is an autosomal ______ syndrome that includes what 4 symptoms?

Recessive; syncope/seizure/hyperthyroidism/retinitis pigmentosa

Recessive; syncope/seizures/sudden death/prolonged QT-interval

Dominant; syncope/seizures/sudden death/prolonged QT-interval

Dominant; syncope/seizure/hyperthyroidism/retinitis pigmentosa

60. Which vaccinations are live vaccinations or live attenuated?

MME

MMR

Hib

Trivalent inactivated vaccine (TIV)-IM Flu

Tdap

Submit

61. When do children get their developmental screening exams?

6 months

8months

9 months

18 months

30 months

Submit

62. Which of the following groups are considered to be at high risk for a Nesseria meningitidis infection? (3)

Those with CHD

Those with diabetes

Those who live in college dorms

Those who go to boarding school

Those with a complement deficiency

Submit

63. What are the three autosomal recessive hearing syndromes?

Pendred Syndrome

Jervell Lange-Nielsen Syndrome

Sevall Lambert-Nielsen Syndrome

Usher Syndrome

Submit

64. When do we start screening for high blood pressure in children?

2 years

3 years

4 years

5 years

65. What age do we start to screen for obesity?

2 years

3 years

4 years

5 years

6 years

Pediatrics Lecture 1

1. T/F It is important to screen any child for hearing that has ANY LANGUAGE DELAY

2.

What first name or nickname would you like us to use?

2. Obese is greater than ______ th percentile

3. T/F A child that is twirling, not social, and makes grunting noises exhibits signs of autism

4. T/F Birth weight should triple by 12 months of age

5. T/F Screening is a formal test ans surveillance is an observation

6. Which disease is characterized by fever, maculopapular rash, encephalitis, and the 3 Cs (3Cs and a K): Cough, coryza, conjunctivits and Koplik spots?

7. T/F Surveillance of vision starts during newborn period of life and universal vision screening starts at 3 years of age

8. T/F Tertiary prevention includes measures taken to reduce the negative impact by an already established disease. An example of this is eye exams to detect abnormalities in diabetic patients

9. T/F It is normal for a newborn to weigh 7pounds, lose 4-7% of their body weight within the first week, then gain their body weight by 2 weeks. It is abnormal for the newborn to lose more than 8% of his/her body weight.

10. What vaccines are given at 4 years of age (48mos) and 5 years (60months)?

11. Which immunization has an adverse effect of intussusception?

12. What vaccines are given during the ages of >11 yrs and 18 yrs?

13. T/F Stage 1 hypertension in children is between the 95th and 99th percentile

14. T/F Children with tonsillar hypertrophy and sleep apnea are at high risk for high blood pressure

15. T/F Most kids that die from pneumonia die from a pneumococcal infection. This type of infection is also the most common complication of H1N1.

16. Why should you not give an MMR vaccine to a 14 year old female who is pregnant?

17. What vaccines are required at 11 years of age?

18. With regards to infants, what age does weight double?

19. What is the definition of primary prevention?

20. Which disease is characterized by inflammatory salivary glands and orchitis that is commonly vaccinated for at ages 12-15 months and 4-6 years?

21. How many doses is the varicella vaccine given in? What ages?

22. What does MCV4 stand for?

23. T/F The Influenza vaccine is a live attenuated vaccine that children should get yearly started for 6 months.

24. What age should we screen for iron deficiency in infants?

25. T/F Screening tests have a high sensitivity but a low specificity. Therefore, if the screening test is negative you should still get a throat culture.

26. What are the immunizations for a newborn?

27. T/F The immunizations required for a 4 month old and a 6 month old are the same as a 2 month old?

28. What immunizations are given at 15 months of age?

29. Which growth chart do you use while assessing a child that is between 0-36 months? Which growth chart do you use while assessing a child that is between the ages of 3 years to 18 years?

30. T/F Measurements for obesity in adults are recorded in percentiles and measurements for children are recorded in whole numbers

31. The HPV Vaccine protects children from serotypes ___ and ____. _______ and _______ are the names of the vaccine. This vaccine is intended for both boys and girls at 9 years of age.

32. Waardenburg syndrome and alport syndrome are both autosomal _________

33. What does the aconym M-CHAT stand for?

34. What time period does the most rapid growth occur in a person's life?

35. What is the calorie requirement for infants during the first year of life?

36. What is the equation for BMI?

37. What percentile in children is considered obese?

38. What does DTap stand for?

39. Which of the following describes secondary prevention?

40. During the first 6 months of life, an infant should gain between ______ grams of weight per day

41. What are the 4 Cs of Measles?

42. What immunizations are required for a 9 month old?

43. Who is considered high risk children for TB? (select 2 options)

44. Which vaccines are live vaccines?

45. What vaccines are required for a 2 month old? (6 total- select 2 answers)

46. Due to the shortage of Hib vaccines, the re- emergence of the H influenzae virus has caused type of infection to become more common?

47. When measuring child growth and development, the clinician needs to take head circumference measurements until what age? Weight and length are needed during this time period.

48. At what age do you start measuring a child's BMI?

49. What are common vaccination concerns for parents regarding the Rotavirus immunization

50. What is the treatment suggestion for a child that has high blood pressure that is not improving despite TLC and has a blood pressure in the 95th percentile?

51. Boostrix and Adacel are the pediatrics and adult brands of what vaccine?

52. What growth parameters do you measure for children ages 2 years and older?

53. What is the function of the Tdap?

54. What vaccines are required at 12 months?

55. When should we screen for lead poisoning? Remember to do the questionnaire at 6 months

56. What 3 things make up the pediatric assessment triangle?

57. What ages should children be screened for autism?

58. What shots will you give an 11 year old?

59. Jervell Lange-Neilsen syndrome is an autosomal ______ syndrome that includes what 4 symptoms?

60. Which vaccinations are live vaccinations or live attenuated?

61. When do children get their developmental screening exams?

62. Which of the following groups are considered to be at high risk for a Nesseria meningitidis infection? (3)

63. What are the three autosomal recessive hearing syndromes?

64. When do we start screening for high blood pressure in children?

65. What age do we start to screen for obesity?

31. The HPV Vaccine protects children from serotypes _ and . _ and ___ are the names of the vaccine. This vaccine is intended for both boys and girls at 9 years of age.