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Exam (elaborations)

Advanced Pediatric Assessment

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Advanced Pediatric Assessment

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  • September 6, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Advanced Pediatric Assessment, 3rd Edition by Ellen M.
Chiocca, TEST BANK

When does the posterior fontanelle close? - ANSWER: 2 months

When does the anterior lateral fontanelle close? - ANSWER: 3 months

When does the posterior lateral fontanelle close? - ANSWER: 1 year

When does the anterior fontanelle close? - ANSWER: 2 years

cranyiosynostosis - ANSWER: when one or more sutures closes early restricting
growth of skull

elongated head in infant - ANSWER: scaphocephaly
caused by closure of sagittal suture

flattened infant head, uniformly, causing a wider and shorter shape and increased
head height - ANSWER: brachycephaly from lying supine too long

when you look down on infants head, it is parallelogram shaped, ears are misaligned
- ANSWER: Plagiocephaly
get helmet to correct shape

acute and recurrent childhood headache could be from? - ANSWER: migraine
cluster

chronic and non-progressive childhood headache could be from? - ANSWER: tension
psychiatric
post-injury
medication overuse

chronic and progressive childhood headache could be from? - ANSWER: idiopathic
intracranial HTN
space-occupying lesion
post-injury

acute localized childhood headache could be from? - ANSWER: associated with URI
or influenza
post-injury
related to oral cavity (TMJ, dental abscess)
Brain abscess
First migraine

acute generalized childhood headache could be from? - ANSWER: fever/illness

, CNS infection
HTN, hypertensive encephalopathy
Intracranial hemorrhage
Exertional
First migraine
Trauma
Toxins, medications, illicit substances

flick in movement of the eye noticed during eye exam indicates - ANSWER:
strabismus

in-toeing with patella turned inward - ANSWER: internal femoral torsion
*resolves by age 2 when they learn how to walk

in-toeing present but patella and feet point directly forward - ANSWER: Internal Tibia
Torsion
*resolves by age 2 when they learn how to walk

Noticedwhen toddler starts to walk, eversion of legs and external rotation of hips -
ANSWER: Toeing out
Spontaneously corrects 6-12 months

At rest, stands flat footed, but when starts to walk favor their toes
What is this? What is it associated wtih? - ANSWER: Toe Walking
associated with cerebral palsy, tethered spinal cord, muscular dystrophy

Genu Varnum = - ANSWER: Bow Legged

Genu Varnum - treatment? - ANSWER: spontaneously corrects by age 2 if physiologic

What can Genu Varnum be caused by? - ANSWER: Blount disease
Rickets
Skeletal dysplasia
Asymmetric growth

Genu Valgum = - ANSWER: Knock knees
occurs after genu varnum after age 2

What is Genu Valgum associated with and what can cause it? - ANSWER: Associated
with obesity
Causes: Rickets, post-traumatic, skeletal dysplasia

How do you test for developmental dysplasia of the hip in someone younger than 3
months? - ANSWER: Ortolani and Barlow Test

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