Pediatrics CLIPP

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#1 cause of gastroenteritis in the US

is:

rotavirus

Acrocyanosis usually resolves in

hands or feet first?

hands

3.

Age group for croup:

2-5yo

4.

Air bronchograms suggest:

pneumonia

Albumin level in Kawasaki disease is:

low

27.

5.

Apgar, how many points: blue or pale

all over

28.

Apgar, how many points: body pink,

extremities blue

29.

Apgar, how many points: good cry,

active withdrawal

30.

Apgar, how many points: grimace,

weak cry

Apgar, how many points: Heart rate

<100

Apgar, how many points: Heart rate

>100

Apgar, how many points: Heart rate

absent

33.

Apgar, how many points: Muscle tone

flaccid

34.

Apgar, how many points: no irritable

response to stimulation

35.

Apgar, how many points: pink all over

36.

Apgar, how many points: Respiratory

effort absent

Apgar, how many points: Respiratory

effort good, crying

Apgar, how many points: Respiratory

effort weak, irregular, gasping

Apgar, how many points: Some flexion

of extremities

Apgar, how many points: Well flexed,

active movements of extremities

Aspirin is given for how long in

Kawasaki disease?

6 weeks

At what RR will most infants have

difficulty with both oral and
nasogastric feedings?

>80

Audiology test appropriate for ages 630 months:

visual
reinforcement
audiometry
(VRA)

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2.

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41.

Ballard assessment
should be performed
when?

12-24 hours of life

Ballard score describes:

gestational age of infant

Barking cough suggests

(3):

croup, subglottic disease,

foreign body

Barky cough suggests:

croup

Brassy, honking cough

suggests:

habitual cough, tracheitis

Breast-feeding jaundice
begins when?

early in first week of life

Breast-feeding reduces
the following risk for
mothers:

hip fractures in postmenopausal period

Breast-feeding reduces
the following risks for
infants (5)

otitis media, respiratory

infections, diarrhea, SIDS,
allergies

Breast-milk jaundice
begins and peaks at what
ages?

4-7 days, 10-14 days

CAH lab results should

show:

low serum sodium, high serum

potassium

Catarrhal stage of
whooping cough lasts:

1-2 weeks

Cat-scratche disease:
pathogen

bartonella henselae

A certain diagnosis of
AOM is treated with
antibiotics if:

patient is <2 years, or >2 years

and severe illness (fever>39 C
or moderate-severe ear pain)

Children on long-term
inhaled corticosteroids
should be monitored for
(4):

cataracts, growth delay,

elevated blood pressure,
elevated blood sugar

Child with stridor, severe

respiratory distress,
drooling, dysphonia,
dysphagia: consider

epiglottitis

Classic presentation of
erythema infectiosum:

low-grade fever 7-10 days then

slapped cheek rash spreading
to trunk and extremities, lacy
reticular appearance

CNS causes of neonatal

cyanosis (3):

HIE, IVH, sepsis/meningitis

Cobble-stoning of
posterior pharynx
suggests:

allergic rhinitis with postnasal drip

42.

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55.

Cold skin,
slowness, fatigue,
cold intolerance,
poor school
performance:

hypothyroidism

Colostrum is
produced for how
many days
postpartum?

Complications of
AOM (3):

mastoiditis, meningitis, intracranial

spread

Components of the
Apgar score:

heart rate, respiratory effort, muscle

tone, reflex irritability, color

COMPT for ear

exam findings:

Color, Other (bubbles, scarring,

perforation), Motion, Position,
Translucency

Conventional
audiometry is
used in what age
group?

4yo and up

Cough
precipitated by
cold or activity
suggests:

asthma

Cough that
disappears at
night suggests:

habitual cough

Cough with
dysphonia or
hoarseness:

chronic rhinitis, GER

Cough with
gagging/choking
suggests:

GER

Cough worse at
night suggests:

asthma, allergies, sinusitis

Creases under
lower eyelids
typical in atopic
children:

Dennie-Morgan lines

Crigler-Najjar
syndrome is a
deficiency of
which enzyme?

UDPGT

Cyanotic
congenital cardiac
defects (6):

Tetralogy of Fallot, transposition of the

great arteries, truncus arteriosus,
tricuspid atresia, total anomalous
pulmonary venous return, pulmonary
atresia

Denver development
assessment is for what age
group:

birth to 6yo

DiffDx of respiratory distress in

the newborn (6)

RDS, TTN,
sepsis/pneumonia,
pneumothorax, CHF,
hypothermia

Differential diagnosis for chest

pain in adolescent (5)

precordial catch
syndrome,
costochondritis, GERD,
asthma, cardiac pain

Diphtheria: physical exam

classic finding

gray pharyngeal
pseudomembrane

Dizziness, visual disturbance,

syncope:

hypotensive syncope

61.

Dry cough suggests (3):

environmental irritant,
asthma, fungal
infection

62.

DTaP: adult or pediatric?

pediatric

Early feeding problems,

hypotonia, hypothermia,
decreased activity, large
fontanels, jaundice,
constipation, skin mottling,
umbilical hernia in a newborn:

hypothyroidism

Ecchymoses, epistaxis,
menorrhagia, bleeding posttonsillectomy or post-dental
extraction, gingival bleeds,
abnormal bruising in nonexposed areas (buttocks, back,
trunk):

vWD

ECG can catch what important

causes of syncope:

WPW, long QT, HCM

Edematous turbinates suggest:

allergic rhinitis

Empiric IV treatment of UTI in

infant or young child: 3 good
options

ampicillin and
gentamicin,
ceftriaxone,
piperacillin/tazobactam
(Zosyn)

Empiric PO treatment of UTI in

infant or young child: 3 good
options

Bactrim, cephalexin,
Augmentin

Enterovirus characteristic rash

morphology

maculopapular
erythematous rash
affecting palms and
soles

Enzyme that unconjugates

bilirubin in neonatal bowel for
enterohepatic recirculation:

beta glucuronidase

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76.

Epiglottitis: pathogen

haemophilus influenza type B

Erythema infectiosum:
pathogen

parvovirus B19

Ethnicities at higher risk

for congenital
hypothyroidism:

Hispanic, Native American

Exanthem subitum =

roseola infantum, sixth disease

Exanthem subitum:
pathogen

HHV-6

93.

Fever of unknown origin

defined as:

Temperature > 38.3 C (101 F)

for at least 2 weeks with failure
to reach diagnosis after 1 week
of evaluation

94.

77.

Fifth disease =

erythema infectiosum

78.

Fifth disease: pathogen

parvovirus B19

Fine, erythematous,
blanching, papular,
sandpaper-like rash

Scarlet fever

First-line antibiotic for

AOM and dose:

amoxicillin 80-90 mg/kg/day

For moderate-severe
dehydration, start fluid
therapy with:

IVF bolus 20cc/kg NS over

20min-1hr, repeat until urine
output and heart rate improved

For the 4-year-old, what

audiology test is
appropriate?

conventional audiometry

Frequency of nursing in
normal breastfeeding
infants

every 2-3 hours

Goal of treatment with

levothyroxine for the
hypothyroid child?

Maintain TSH at 1 mU/mL

and T4 in upper half of normal
range for age

Goal serum glucose for

neonate is _______
mg/dL.

41-50

Good test to differentiate

between cardiac and
pulmonary etiology in
cyanotic infants?

hyperoxia test

Gray pharyngeal
pseudomembrane:
pathogen

Corynebacterium diphtheria

GU exam in male athletes

is important to check for:

inguinal hernia, undescended

testicle

GU exam is necessary as
part of preparticipation
physical exam for:

males

Hand-foot-and-mouth
disease: pathogen

Coxsackievirus

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104.

105.

Hand-foot-and-mouth disease:
rash morphology

vesicular rash on
hands and feet, ulcers
in mouth

Heavy menses, bleeding

disorder, iron deficiency: list in
order of decreasing likelihood
to cause clinically significant
fatigue in female patient.

Bleeding disorder,
heavy menses, iron
deficiency

HEEADSSS is:

home,
education/employment,
eating, activities,
drugs, sexuality,
suicide, safety

Hemolysis in the antibodynegative neonate: 4 etiologies

hereditary
spherocytosis,
hereditary
elliptocytosis, G6PD
deficiency, pyruvate
kinase deficiency

Hemolysis in the antibodypositive neonate: 3 etiologies

Rh incompatibility,
ABO incompatibility,
minor blood group
antigen incompatibility

Hepatitis A vaccination is given

at what ages:

12 and 18 months

Hip dysplasia: ratio of female

to male cases

9:1

How does a beta agonist aid in

diagnosis of asthma?

Decreases wheezing,
increases peak flow

How does breathing affect the

pain of precordial catch
syndrome?

Deep inspiration
aggravates pain, forced
deep inspiration breaks
pain.

How does DTaP differ from

Tdap in formulation?

DTaP has 3-5 times

more diphtheria toxoid.

How long can breast-milk

jaundice persist?

12 weeks

How to diagnose neonatal

hypoglycemia?

serum/plasma glucose
level

How to screen for neonatal

hypoglycemia?

glucometer test

How to treat Kawasaki disease:

1. Hospitalize 2. IVIG
3. High-dose aspirin
for 6 weeks 4.
Echocardiogram

HPV2 is approved for what

group and indications:

women for prevention

of cervical cancer

106.

HPV4 is approved for what group and

indications:

men ages 926 to reduce

risk of genital
warts, anal
cancer, anal
intraepithelial
neoplasia

HPV vaccines are given at what age and

intervals:

11-12, 2
months after
1st dose, 6
months after
1st dose

108.

HR by two hours of life:

120-160

109.

HR in first hour of life:

160-180

Hyperinflation, increased interstitial

markings, and patchy atelectasis on
CXR suggests:

asthma

Hyperoxia test improves oxygenation in

what group of cyanotic infants?

respiratory

Hypertrophic pyloric stenosis usually

presents with _________ at ____.

projectile
vomiting at 3
weeks

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Hypocalcemia and hypomagnesemia

associated with anorexia nervosa can
cause these symptoms:

Hypothyroidism affects menses in what

way?

If acrocyanosis does not resolve within

8 hours or with warming, consider:

neurologic
changes,
hyperreflexia,
compromised
cardiac
function
menorrhagia
and shorter
menstrual
cycles
cyanotic
congenital
heart disease

If pt is 21yo+ and has never gotten the

MCV4 and is not at increased risk for
exposure to Neisseria meningitidis, is
vaccination recommended?

no

If TTN does not improve, suspect

______ and order _________.

pneumonia,
CXR and
antibiotics

In an adolescent patient, sporadic,

sharp chest pain lasting seconds to a
few minutes unrelated to exercise or
meals, made worse by deep inspiration,
broken with forced deep inspiration,
reproducible with palpation, physical
exam otherwise normal:

precordial
catch
syndrome

In a neonate, loss of suck reflex,

lethargy, hyperirritability,
seizures result from what
complication of
hyperbilirubinemia?

kernicterus

In asymptomatic child, how is TB

diagnosed?

Mantoux skin test

Infant of diabetic mother: quantify

association between maternal Hgb
A1c levels and major fetal
malformations.

If A1c>12 in first
trimester, 12-fold
increase in risk of
major
malformations

Inheritance of Duchenne muscular

dystrophy.

X-linked recessive

123.

Inheritance of neurofibromatosis.

autosomal
dominant

124.

Inheritance of the vWD types:

Types 1 and 2 are

autosomal
dominant. Type 3 is
autosomal
recessive.

In hypernatremic dehydration,
what is the rate at which serum
sodium should be lowered?

<1 meq/2 hr (<10

meq/24 hr)

In male sprinters and weight

lifters, it is important to check for:

inguinal hernia

In restrictive lung disease,

FEV1/FVC ratio is _______.

normal

In restrictive lung disease,

FEV1/FVC ratio is _______.

low

In symptomatic child, how is TB

diagnosed?

sputum sample,
first morning
gastric aspirate

In what age range does female

puberty begin?

8-13

In what age range does male

puberty begin?

10-15

In what situation is an MCV4

booster unnecessary?

first dose at or after

16yo

IPV is given:

2, 4, 6-18 months,
4-6 years

IV fluid choice for maintenance

and deficit correction:

D5 1/4 NS in pts
<10kg, otherwise
D5 1/2 NS

Jaundice peaking at 3-4 days of

life, resolving by day 4-5:

physiologic
jaundice or breastmilk jaundice

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148.

Kawasaki disease: CBC and

RBC smear shows what?

leukocytosis with
neutrophilia;
normochromic, normocytic
anemia; thrombocytosis in
second week

Kawasaki disease:
complication of greatest
concern

coronary artery aneurysm

Koplik spots: describe

red lesions with central

bluish white spots on buccal
mucosa

149.

MELAS is:

mitochondrial
myopathy,
encephalopathy,
lactic acidosis,
and stroke-like
episodes

150.

Meningococcemia: describe the rash

can be urticarial,
maculopapular,
petechial,
purpuric

151.

MERRF is:

myoclonic
epilepsy with
ragged red
muscle fibers

Metabolic disorders leading to

neonatal hyperbilirubinemia (3):

Crigler-Najjar,
galactosemia,
hypothyroidism

MMR and varicella vaccine fevers

typically present when?

7-10 days after

administration

Most common urea cycle disorder:

ornithine
transcarbamylase
deficiency

Name the disease: prodrome of fever

over 101 F, cough, conjunctivitis,
coryza, then maculopapular rash
starting on neck, behind ears, along
hairline, spreading downwards to
reach feet in 2-3 days

Measles

Neonatal jaundice with

hepatosplenomegaly and elevated
direct AND indirect bilirubin levels?

TORCH infection

Neonatal jaundice with lethargy,

vomiting, seizures, hypotonia,
diarrhea, poor feeding, ascites,
hepatomegaly:

galactosemia,
urea cycle defect

Neonatal respiratory distress CXR:

air bronchograms

RDS

Neonatal respiratory distress CXR:

coarse, fluffy densities

TTN

Neonatal respiratory distress CXR:

diffuse reticulogranular appearance
of lung fields

RDS

Neonatal respiratory distress CXR:

displacement of heart and
mediastinum to contralateral side

diaphragmatic
hernia

Neonatal respiratory distress CXR:

Fluid in pleural space and fissures

TTN

Neonatal respiratory distress CXR:

ground-glass appearance

RDS

Lacy, reticular rash on

extremities: pathogen

parvovirus B19

Large tongue, hoarse cry,

puffy myxedematous facies
develops in the hypothyroid
infant at what time?

two months of life

Large tongue, hoarse cry,

puffy myxedematous facies
that develops at two months
in an infant initially
thought to be normal at
birth:

hypothyroidism

Lesions at various stages of

development, macule to
papule to vesicle to pustule,
then crusting over:
pathogen?

varicella

List substances that can

cause gastric or esophageal
irritation leading to chest
pain:

oral contraceptives, alcohol,

tobacco, stimulants,
cocaine

Lobar, segmental
consolidations and air
bronchograms suggest:

pneumonia

These male athletes are at

risk for inguinal hernia:

sprinters, weight lifters

158.

MCV4 is given at ages:

11-12, 16

159.

Measure electrolytes in
dehydrated child if:

moderate-severe
dehydration, findings
inconsistent with
straightforward diarrheal
episode, risk of
hyponatremia or
hypernatremia

Mechanism by which
maternal diabetes leads to
macrosomia:

152.

153.

154.

155.

156.

157.

High maternal serum

glucose stimulates fetal
pancreatic beta cells,
hyperinsulinemia develops,
primary anabolic hormone
for fetal growth

160.

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179.

Neonatal respiratory
distress CXR:
significant perihilar
streaking due to
interstitial fluid and
engorged lymphatics

TTN

180.

Neonatal respiratory
distress with absent
breath sounds on one
side, suspect:

pneumothorax

181.

Neonatal tachypnea
defined as
RR>____breaths/min.

60

182.

Newborn jaundice
presenting at 3-6 weeks
of age with progressive
jaundice, dark urine,
acholic stools:

biliary atresia

Newborn screening
includes (7):

congenital hypothyroidism,
congenital adrenal hyperplasia,
hemoglobinopathies,
biotinidase deficiency,
galactosemia, phenylketonuria,
cystic fibrosis

183.

Order of female pubertal

changes:

thelarche, pubarche, growth

spurt, menarche

Order of male pubertal

changes:

testicular enlargement,
pubarche, penile growth,
growth spurt

Otoacoustic emissions
(OAE) are used in what
age group?

neonates

Pain during exercise:

differential diagnosis

asthma, cardiac pain

Palmar rash:
differential

enterovirus, Rocky Mountain

spotted fever, Kawasaki
disease, syphilis

184.

185.

186.

187.

188.

189.

Paroxysmal cough
suggests:

pertussis, chlamydia,
mycoplasma, foreign body

Paroxysmal stage of
whooping cough lasts:

4-6 weeks

190.

Parvovirus B19 causes

what pediatric disease?

erythema infectiosum (fifth

disease)

191.

Parvovirus B19: what

disease?

erythema infectiosum, fifth

disease

Peak of physiologic
jaundice:

3-4 days of life

192.

Peribronchial cuffing on
CXR suggests:

bronchiolitis

193.

Potential clinical problems of

LGA infants (6):

c-section,
instrumentation,
clavicular fracture,
brachial plexus injury,
facial nerve palsy,
hypoglycemia

Potential clinical problems of

SGA infants (3):

hypothermia,
hypoglycemia,
polycythemia and
hyperviscosity

Precordial catch pain is

located at:

left sternal border

Prolonged neonatal jaundice,

lethargy, large fontanelles,
macroglossia, umbilical
hernia, constipation,
abdominal distention,
developmental retardation:

hypothyroidism

Pyuria is defined as how

many WBCs per high-power
field in centrifuged urine?

5 or more

Pyuria is defined as how

many WBCs per microliter of
uncentrifuged urine?

10 or more

Questions to assess for eating

disorder:

Have you tried to lose

weight? Are you unhappy
about your weight or
appearance? Do you
worry about eating? Do
you feel obsessed with
food?

RDS more common in which

sex?

male

red lesions with central

bluish white spots on buccal
mucosa: name?

Koplik spots

Regular hip examinations are

recommended by the AAP
until what age?

18 months

Reliable method of
diagnosing UTI in infant:

urine culture from

catheterized specimen

Respiratory etiologies of
cyanosis in the newborn (6)

TTN, RDS,
pneumothorax,
pulmonary hypoplasia,
diaphragmatic hernia,
choanal atresia

Risk factor for transposition

of the great arteries?

IDM

Risk factors for hip dysplasia

in the neonate (3):

breech birth, female,

positive family history

Rocky Mountain spotted

fever: classic rash

petechial rash starting at

wrists and ankles and
progressing centrally

Rocky Mountain spotted

fever: pathogen

Rickettsia rickettsii

Roseola fever: length of

course, relationship to rash

3-4 days, ends as rash

begins

197.

Roseola infantum =

exanthem subitum, sixth

disease

198.

Roseola infantum: pathogen

HHV-6

Roseola rash starts where

and spreads where?

trunk, spreads to arms

and neck

200.

RR by two hours of life:

40-60

201.

RR in first hour of life:

60-80

202.

Sandpaper-like rash

scarlet fever

203.

Scarlet fever: length of course

5-10 days

204.

Scarlet fever: pathogen

Group A strep (strep

pyogenes)

205.

Season for croup:

winter

Second febrile UTI in an

infant is indication for:

voiding cystourethrogram

Second febrile UTI in infant,

must evaluate for what
condition?

vesicoureteral reflux

Sequelae of kernicterus (6)

opisthotonus, rigidity,
oculomotor paralysis,
tremors, hearing loss,
ataxia

Severe AOM can be treated

with:

Augmentin

210.

Sixth disease =

exanthem subitum,
roseola infantum

211.

Sixth disease: pathogen

HHV-6

212.

Slapped cheek: pathogen

parvovirus B19

Stages of whooping cough in

order:

catarrhal, paroxysmal,
convalescent

214.

Sterile pyuria:

Kawasaki disease

215.

Stills disease =

systemic-onset juvenile
idiopathic arthritis

Strawberry tongue:
differential

strep pharyngitis,
Kawasaki disease

Subperiosteal swelling that

does not extend across suture
line on a neonate's head:

cephalohematoma

Swelling overlying periosteum

and crosses suture line on a
neonate's head:

caput succedaneum

194.

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199.

206.

207.

208.

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213.

216.

217.

218.

Tanner, male: Adult scrotum and

phallus, testicular volume > 20 ml.
Adult-type hair extending to medial
surface of thighs.

Tanner, male: childlike phallus,

testicular volume < 1.5 mL, no pubic
hair

Tanner, male: Childlike phallus,

testicular volume 1.6-6 ml, reddened,
thinner and larger scrotum, small
amount of fine hair along the base of
scrotum and phallus.

Tanner, male: Increased phallus

length and circumference, testicular
volume 12-20 ml, further scrotal
enlargement and darkening, and
coarse curly adult-type hair that does
not yet extend to the medial surface of
thighs.

Tanner, male: Increased phallus

length, testicular volume 6-12 ml,
greater scrotal enlargement, and
moderate amount of more curly,
pigmented, coarser hair extending
laterally.

224.

Tdap: adult or pediatric?

adult

225.

Testing for urea cycle disorders:

serum ammonia

226.

Testing of vWD:

bleeding time or
platelet function
analyses, PTT,
vWF antigen,
vWF activity,
factor VIII level
and activity

Threshold for T Bili in physiologic

jaundice:

</=15mg/dL

Threshold values for initial

intervention in hypoglycemic
neonates who are asymptomatic:
______ mg/dL

<35

Threshold values for initial

intervention in hypoglycemic
neonates who are symptomatic:
______ mg/dL

<45

Time course of varicella?

1 week

Time frame for correcting

hypernatremic dehydration?

48 hr

Time frame for correcting mildmoderate dehydration?

24 hrs, replace
1/2 over 1st 8 hr

Time spent nursing at each breast:

10-15 minutes

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245.

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247.

248.

249.

250.

Transient hypothyroidism
in the newborn can be
caused by:

maternal autoimmune
thyroiditis, maternal Grave's
disease treated with
antithyroid medication

Treatment for
menorrhagia:

COCP, IUD

Treatment options for

vWD-related bleeding:

intranasal/intravenous
desmopressin, human
plasma-derived vWF
concentrate

TST positive in high-risk

children if:

>5mm

TST positive in low-risk

children if:

>15mm

TST positive in moderaterisk children if:

>10mm

TTN more common in

which sex?

male

UDPGT deficiency leading

to hyperbilirubinemia is
also called:

Crigler-Najjar syndrome

An uncertain diagnosis of
AOM is treated if:

< 6 months, or 6 months - 2

years and severe illness
(fever>39 C or moderatesevere ear pain)

Unilateral cervical
adenopathy: pathogens?
(4)

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staphylococcus aureus,
streptococcus pyogenes,
bartonella henselae,
mycobacterium tuberculosis

Varicella: rash starts

where, goes where?

trunk, spreads to extremities

and head

Vesicoureteral reflux is
diagnosed by _______ and
followed by periodic
_________.

Voiding cystourethrogram,
radionuclide cystogram.

Visual reinforcement
audiometry is used in what
age group?

6-30 months

Wet, productive, congested

cough suggests:

lower respiratory infection

What are the insulinsensitive fetal organ

systems that are enlarged
in maternal diabetes?

heart, liver, muscle

What audiology test is

appropriate for neonates?

otoacoustic emissions
(OAE)

What group of pediatric

patients should be offered
the HIV test?

All sexually active teens over

age 13

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What if you get your first MCV4

at 13-15yo? When do you get your
booster?

16-18

What kind of dehydration

results from an infant
consuming boiled milk?

hypernatremic
dehydration

What kind of
hyperbilirubinemia in biliary
atresia?

direct

What kind of
hyperbilirubinemia in CriglerNajjar?

indirect

What kind of
hyperbilirubinemia in
hemolysis?

indirect

What kind of
hyperbilirubinemia in TORCH
infection?

direct and indirect

What murmurs in an adolescent

should be worked up?

louder than grade

III/VI, diastolic,
increases with
standing, increases
with Valsalva

What percentage of hip

dysplasia occurs in breech
infants?

30-50%

What percentage of teenagers

have participated in anal sex?

15%

What percentage of teenagers

have participated in oral sex?

50%

What percentage of women with

heavy, prolonged periods has a
bleeding disorder?

20%

What serum abnormalities are

often seen in anorexia nervosa
but tend not to be severe enough
to lead to complications?

hypoalbuminemia,
hypoglycemia,
hyponatremia

What serum abnormalities

associated with anorexia
nervosa tend to lead to severe
complications?

hypocalcemia,
hypomagnesemia

When does congenital

hypothyroidism usually present?

after 6 weeks of age

When does coronary artery

aneurysm typically present in
Kawasaki disease?

1-4 weeks

When does female pubarche

occur?

10-11

When does female thelarche

occur?

10-11

When does growth of penis, scrotum

occur in male puberty?

13-14

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269.

When does male pubarche occur?

12

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270.

When does menarche occur?

12-13

When does rickets occur in strictly

breastfed infants?

6-24 months

When does testicular enlargement begin

during male puberty?

12

When does the female growth spurt

occur?

12

When does the male growth spurt occur?

14

When does transposition of the great

arteries result in respiratory distress
and severe cyanosis?

when PDA
closes

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When do first ejaculations occur?

13-14

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When do girls reach adult height?

15

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When do infants achieve 3-4 stools/day?

day 6-7 of
life

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When do males reach adult height?

17

280.

When is DTaP typically given?

2, 4, 6, 12-18
months, 4-6
years

When is ECG indicated to work up

syncope?

always

When is Tdap typically given?

Ages 11-12

When to initiate fluoride

supplementation if water supply lacking?

6 months

When to initiate vitamin D

supplementation, and how much, in
breastfed newborns?

Within days
of birth, 400
IU daily

Where does the rash of measles start?

neck, behind
ears,
hairline

Where does the rash of scarlet fever

start?

groin,
axillae, neck

Which is the mildest vWD type?

Type 1

Which side does hip dysplasia affect

disproportionately? What ratio?

left 3:1

Which test if jaundiced infant is ill or

has light stools, dark urine, or persistent
jaundice > 3 weeks?

direct
bilirubin

Which tests if infant jaundiced in first

24 hours of life?

total
bilirubin,
CBC, blood
smear

Which type of vWD is most common?

What percentage of all vWD?

Type 1, 70%

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Whooping cough:
pathogen

Bordatella pertussis

Whooping cough:
time course

1-2 weeks URI, 4-6 weeks whooping

cough, months episodic cough