42 Questions
What is the most frequently broken bone in childhood?
Distal forearm
Which type of fracture does not produce a break in the skin?
Simple or closed fracture
What is the purpose of traction in fracture management?
To prevent deformity
What is the weakest point of the bone according to the text?
Epiphyseal plate
How is a comminuted fracture characterized?
Small bone fragments broken from the fractures shaft
What is the main goal of bone healing and remodeling in children?
Achieve rapid healing
What is the primary purpose of a Holter monitor?
To record continuous heart electrical activity and respirations
What is an important consideration when interpreting monitor data?
Assess the patient's physical condition, not just the monitor readings
What is a potential pitfall when monitoring a child's heart rate and respirations?
A child pulling off or shaking the leads can mimic a life-threatening arrhythmia
What is the purpose of an event recorder?
To record the heartbeat when certain events or symptoms are felt or noted
What does the abbreviation 'PEA' stand for, and what does it indicate?
Pulseless Electrical Activity - electrical activity without a pulse or perfusion
What is the difference between a transthoracic echocardiogram (TTE) and a Holter monitor?
A TTE is an ultrasound that shows the heart structure, size, and blood flow, while a Holter monitor continuously records heart electrical activity and respirations
What is a major risk factor for developing Type 2 Diabetes in children?
Genetics
Which symptom is typically associated with hypoglycemia in children?
Mood changes
What should be administered for hypoglycemia in a child who is conscious?
High-sugar drink followed by a complex carb + protein
Which hormone deficiency can affect growth and development in children?
Growth hormone deficiency
What is the primary treatment for congenital hypothyroidism in newborns?
Levothyroxine (Synthroid)
What is the purpose of wearing a Medic-Alert Bracelet for a child with diabetes?
To alert others about their condition
Which symptom is associated with hyperglycemia in children?
Dry mouth and thirst
What can adolescents with diabetes have trouble with according to the text?
Accepting and complying with their condition
What is the most appropriate action for a child showing signs of hypoglycemia and is unconscious?
Squeeze cake frosting or glucose paste onto gums.
What is the primary goal of self-monitoring blood glucose levels before meals and at bedtime in children with diabetes?
To adjust insulin dosage based on current glucose levels.
What is the primary treatment for sickle cell anemia to prevent complications?
Monthly blood transfusions
Which complication of sickle cell anemia requires immediate medical attention?
Acute chest syndrome
What is the primary treatment for thalassemia major (beta thalassemia)?
Chronic blood transfusions
Which of the following is a potential complication of chronic blood transfusions in thalassemia patients?
All of the above
What is the most common form of hemophilia?
Factor VIII deficiency (Hemophilia A)
Which of the following is a potential complication of hemophilia?
All of the above
What is the primary treatment for hemophilia?
Factor replacement therapy
Which of the following is a recommended preventive measure for children with hemophilia?
Using a soft-bristled toothbrush
What is the goal of primary prophylaxis in severe hemophilia?
Factor VIII infusions three times per week or every other day
Which of the following is recommended for children with hemophilia to prevent injury?
Receiving subcutaneous injections instead of intramuscular injections
Which of the following is used to determine if a hip is unstable in a newborn?
Ortolani sign
What is the initial treatment for developmental dysplasia of the hip (DDH) in infants under 6 months?
Pavlik harness
At what age does the treatment for clubfoot typically involve surgery if casting fails?
6 months - 1 year
Which of the following is a symptom of slipped capital femoral epiphysis?
Limp and altered gait
What is the recommended treatment for scoliosis curves of 40 degrees or more?
Surgery
Which of the following is NOT a common postoperative complication of scoliosis surgery?
Avascular necrosis of the femoral head
Which of the following is used to assess the flexibility of a scoliosis curve during diagnosis?
Adams forward bend test
What is the most common surgical approach for scoliosis correction?
Posterior approach
Which of the following is a potential complication of osteomyelitis?
Fracture
What is the purpose of the VEPTR (Vertical Expandable Prosthetic Titanium Rib) procedure in scoliosis treatment?
To lengthen the ribs as the child grows
This quiz covers the use of a Holter monitor and event recorder for continuous monitoring of heart electrical activity and respirations. Topics include the placement of electrodes, duration of monitoring, reporting activities, and correlation of log to events.
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