Pediatric primary care burns exam 4
There are many illnesses that are less likely to occur if babe is breastfed, what are these? -
correct answer gastro, NEC, AOM, LRTIs, asthma, atopy, DM, SIDS, leukemia
At what age should birth wt be doubled? - correct answer 5-6 months
At what age should birth wt be tripled? - correct answer 1 yr
First few days, a neonate should void? - correct answer 1-3 times
By day 4 the neonate should void? - correct answer 4-6
Regular urine output of neonate is? - correct answer 4-6 times per day
Stool output of typical neonate? - correct answer 2-3
How much water loss can be life threatening to a child? - correct answer 10%
What does sodium regulate in the body? - correct answer ECF volume, osmolarity, acid-base
balance, membrane potential of cells
How is sodium lost out of body? - correct answer vomiting, diarrhea, perspiration
Role of potassium in the body? - correct answer helps maintain intracellular homeostasis,
muscle contractility, transmission of nerve impulses
Severe deficit of potassium can cause? - correct answer cardiac dysrhythmias/death
,Pediatric primary care burns exam 4
What is the role of chloride in the body? - correct answer function with sodium to maintain
fluid/electrolyte balance
What is advice regarding comfort feeding? - correct answer avoid
How much exercise should a child have? - correct answer 60 minutes mod/high per day
Benefits of vegetarianism - correct answer lower obesity, heart disease, and DM rates
What can be deficient in a vegan diet? What 2 are the highest? - correct answer protein, B12,
iron, Ca++, zinc, riboflavin, vit D; B12, zinc
What can become of fetus with B12 and zinc deficiency? - correct answer possible permanent
neuro damage
What BMI percentile is considered overweight? - correct answer 85-95th
What BMI percentile is considered obese? - correct answer 95th or higher
Primary goal of pediatric wt management? - correct answer normalize, not reduce
Complications of obesity in children? - correct answer Hypertension obstructive sleep apnea ,
OSA, orthopedic issues, depression, suicide
How long should a food recall or diary be kept for assessment? - correct answer 3 days
Children aged 5 to 9 who have contact with same or opposite sexes, play sex games, or idea
about sex - parents should be? - correct answer parents should avoid being overly alarmed if
they witness this play.
,Pediatric primary care burns exam 4
*parents can redirect play*
At around what AGE do children giggle and learn more about SEX and sexuality? - correct
answer Age 8
At what age does self-stimulation as a result of sexual reflexes due to sexual fantasies, behavior
and relationships? - correct answer 10-12 year olds
The biggest reason adolescents do not seek healthcare for sexual education is due to? - correct
answer Confidentiality
How should you ask an adolescent with concrete cognitive abilities about sexual history? -
correct answer "Have you ever had a romantic relationship with a boy or a girl"
"Define Sex"
Early Adolescents (age 12 to 14) are concrete thinkers and cannot get to the abstract thought of
"what if". How should sexual education be given to them? - correct answer Use pictures and
direct questions and statements
Use simple concert terms when counseling
Mid-adolescents (age 15 to 17) are starting to understand abstract concepts, but will often
refresh to concrete thinking in stressful situations. How should the provider speak to them? -
correct answer They need to adjust the approach to mid-adolescents accordingly, help them to
identify the inconsistencies in their thought processes and guide them through to the logical
consequences.
how often should a helmet be replaced? - correct answer every 5 years or sooner
For Preparticipation physical examination (PPE), what should the provider do if the parent
disagrees with the providers advise to refrain from participation? - correct answer obtain a
Signed Informed consent from the pt's guardian.
, Pediatric primary care burns exam 4
Which cardiac conditions may warrant an athlete to seek a cardiologist before performing in
Physical activity/sports? - correct answer Pathologic murmur, EKG dysrhythmias, hypertrophic
cardiomyopathy, Coronary artery abnormalities, carditis, marfans, ehlers-danlos, mitral valve
prolapse.
How should diabetics monitor their glucose with physical activity? - correct answer before,
q30min during, and 15 min after exercise & Before bedtime
What should the Physical exam include? - correct answer The musculoskeletal Examination
General Head to toe (generalized focus on Cardiac and Neuro)
What is the 90-second musculoskeletal exam? - correct answer +Standing Posture & shoulder -
acromioclavicular alignment
+ Cervical ROM
+ Shoulder Shrug/strength
+ Elbow ROM/strength
+ supination/pronation ROM & Hand clench test
+ Stand & bend at knee to chest
+ Squat test
+ Lumbar ROM/Scoliosis
+ Tip/Toe Calf Symmetry
What cardiovascular examinations should be done for sports physical? (4) - correct answer
Auscultate for heart murmur (sitting/lying/standing)
Femoral Pulses
Marfan's Sx's
Bilateral blood pressure
