Pediatric Growth and Development Quiz
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Questions and Answers

What clinical manifestation is commonly observed in infants with hydrocephalus?

  • Headache
  • Vomiting
  • Irritation
  • Bulging fontanels (correct)
  • Which of the following is a common intervention for bacterial meningitis?

  • Oral antibiotics
  • Corticosteroids (correct)
  • Surgical drainage
  • Physical therapy
  • Which symptom would NOT typically be associated with Reye syndrome?

  • Confusion
  • Chronic cough (correct)
  • Hyperreflexia
  • Severe and continual vomiting
  • What does the pediatric Glasgow Coma Scale primarily assess?

    <p>Level of consciousness (B)</p> Signup and view all the answers

    Which diagnostic tool is most commonly used to evaluate a concussion?

    <p>CT or MRI (B)</p> Signup and view all the answers

    What condition is most likely indicated by the presence of altered consciousness, headache, and paralysis?

    <p>Epidural hematoma (A)</p> Signup and view all the answers

    In pediatric patients, which sign often indicates increased intracranial pressure?

    <p>Bulging fontanelle (A)</p> Signup and view all the answers

    Which factor is a known risk for developing Reye syndrome in children?

    <p>Use of aspirin (C)</p> Signup and view all the answers

    What is the fluid loss percentage that defines severe dehydration?

    <p>10% (D)</p> Signup and view all the answers

    What is a common assessment finding in a patient with atrial septal defect (ASD)?

    <p>Murmur (A)</p> Signup and view all the answers

    Which of the following symptoms is most associated with sickle cell crisis?

    <p>Tachycardia (A)</p> Signup and view all the answers

    What is the first-line treatment for a patient diagnosed with coarctation of the aorta?

    <p>Balloon angioplasty/stent placement (B)</p> Signup and view all the answers

    What characterizes the pathophysiology of hypoplastic left heart syndrome?

    <p>Failing development of the left side of the heart (A)</p> Signup and view all the answers

    What type of intervention is appropriate for a newborn with transposition of the great vessels?

    <p>Surgical correction (D)</p> Signup and view all the answers

    Which complication is associated with Kawasaki disease?

    <p>Coronary artery aneurysm (A)</p> Signup and view all the answers

    What degree of blood loss is considered moderate dehydration?

    <p>6-9% (A)</p> Signup and view all the answers

    Which diagnostic test is used for bacterial meningitis?

    <p>Lumbar puncture (A)</p> Signup and view all the answers

    What is a major precipitating factor for a sickle cell crisis?

    <p>Hypoxia (C)</p> Signup and view all the answers

    What is the primary cause of Down syndrome?

    <p>Trisomy 21 (A)</p> Signup and view all the answers

    Which of the following is NOT a common complication of Down syndrome?

    <p>Throat infections (C)</p> Signup and view all the answers

    What is a characteristic assessment finding in a child with epiglottitis?

    <p>Drooling (C)</p> Signup and view all the answers

    What is the most appropriate immediate intervention for a child presenting with suspected epiglottitis?

    <p>Provide 100% oxygen (A)</p> Signup and view all the answers

    Which assessment finding is typical for a child with croup?

    <p>Barky cough (C)</p> Signup and view all the answers

    Which diagnostic test is primarily used to confirm cystic fibrosis?

    <p>Sweat chloride test (C)</p> Signup and view all the answers

    What symptom can indicate a potentially severe complication of tonsillectomy

    <p>Continuous swallowing (D)</p> Signup and view all the answers

    What developmental characteristic is commonly assessed in children with an unaltered level of consciousness?

    <p>Eye-opening response (B)</p> Signup and view all the answers

    Which condition is primarily caused by RSV in infants?

    <p>Bronchiolitis (A)</p> Signup and view all the answers

    Which statement reflects a misconception about the management of tonsillectomy post-operative care?

    <p>Coughing is encouraged to clear throat. (A), Red fluids can be given immediately. (C)</p> Signup and view all the answers

    Which statement about spina bifida is true?

    <p>Hydrocephalus often accompanies more severe forms of spina bifida. (B)</p> Signup and view all the answers

    What is a typical clinical finding in a child with scoliosis?

    <p>Uneven hips or shoulders. (A)</p> Signup and view all the answers

    Which treatment is commonly used for juvenile idiopathic arthritis?

    <p>Combination of NSAIDs and corticosteroids. (B)</p> Signup and view all the answers

    Which type of fracture is characterized by not penetrating the skin?

    <p>Simple (closed) fracture. (B)</p> Signup and view all the answers

    What complication is associated with major burns?

    <p>Fluid loss. (C)</p> Signup and view all the answers

    What is a key characteristic of atopic dermatitis?

    <p>It involves intense itching and skin inflammation. (A)</p> Signup and view all the answers

    Diabetic ketoacidosis (DKA) is characterized by which of the following symptoms?

    <p>Fruity or acetone breath odor. (C)</p> Signup and view all the answers

    Which method is used to assess the severity of a burn?

    <p>Lund-Browder chart or rule of nines. (A)</p> Signup and view all the answers

    What is the best intervention for managing contact dermatitis?

    <p>Avoiding contact with identified triggers. (D)</p> Signup and view all the answers

    What’s a typical treatment strategy for otitis media?

    <p>Myringotomy with tympanoplasty if necessary. (D)</p> Signup and view all the answers

    Which of the following is a common symptom of a burn?

    <p>Redness and swelling. (D)</p> Signup and view all the answers

    What is the main treatment for a child diagnosed with Wilms tumor?

    <p>Surgical removal of the kidney (C)</p> Signup and view all the answers

    Which dietary recommendation is suggested for a child with cystic fibrosis?

    <p>High-protein, high-sodium diet. (B)</p> Signup and view all the answers

    What is the primary challenge faced by a child with spina bifida?

    <p>Impaired mobility and possible hydrocephalus. (D)</p> Signup and view all the answers

    Which condition is characterized by the inability to retract the foreskin?

    <p>Phimosis (C)</p> Signup and view all the answers

    What typical sign indicates a serious complication in fractures?

    <p>Feeling cold and numbness in limbs. (A)</p> Signup and view all the answers

    What is a common risk factor for urinary tract infections in children?

    <p>Urine retention (B)</p> Signup and view all the answers

    Which phase of the menstrual cycle follows ovulation?

    <p>Luteal phase (C)</p> Signup and view all the answers

    What is the primary intervention for a child with Hirschsprung disease?

    <p>Surgical removal of impaired bowel (A)</p> Signup and view all the answers

    What type of pain is commonly associated with endometriosis?

    <p>Dysmenorrhea (B)</p> Signup and view all the answers

    In the assessment of intussusception, which stool characteristic may be observed?

    <p>Currant jelly stools (A)</p> Signup and view all the answers

    Which is a common factor associated with primary amenorrhea?

    <p>Turner's syndrome (A)</p> Signup and view all the answers

    What is the most common assessment finding in appendicitis?

    <p>Rebound pain at McBurney's point (C)</p> Signup and view all the answers

    Which of the following is a characteristic of pyloric stenosis?

    <p>Non-bilious projectile vomiting (D)</p> Signup and view all the answers

    What is the recommended intervention for managing dehydration in children?

    <p>Oral rehydration solutions (B)</p> Signup and view all the answers

    Which is a key assessment finding for glomerulonephritis?

    <p>Tea-colored urine (A)</p> Signup and view all the answers

    What surgical procedure is indicated in children with cryptorchidism?

    <p>Orchiopexy (C)</p> Signup and view all the answers

    What is the first-line treatment for a urinary tract infection in children?

    <p>Antibiotics (D)</p> Signup and view all the answers

    Flashcards

    Moderate Dehydration

    Fluid loss of 6-9% of body weight.

    Severe Dehydration

    Fluid loss of 10% or more of body weight, a medical emergency.

    Sickle Cell Crisis Symptoms

    Shortness of breath, activity intolerance, pain, acute chest syndrome (chest pain/fever/difficulty breathing).

    Atrial Septal Defect (ASD)

    Hole between the atria (heart chambers) .

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    Ventricular Septal Defect (VSD)

    Hole between the ventricles (heart chambers) .

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    Patent Ductus Arteriosus (PDA)

    Failure of a fetal blood vessel to close after birth.

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    Tetralogy of Fallot

    Four heart defects: pulmonary stenosis, right ventricular hypertrophy, overriding aorta, and ventricular septal defect.

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    Kawasaki Disease

    Acute systemic vasculitis primarily affecting children. High fever, rash, and other symptoms.

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    Bacterial Meningitis

    Infection of the meninges (membranes around the brain and spinal cord).

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    Coarctation of Aorta

    Narrowing of the aorta, most commonly linked to closure of ductus arteriosus.

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    Hydrocephalus

    A condition where there's too much cerebrospinal fluid (CSF) in the brain, causing increased pressure.

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    Reye Syndrome

    A serious illness affecting the brain and liver, often triggered by viral infections or aspirin use in children.

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    Shaken Baby Syndrome

    A type of abusive head trauma in infants caused by forceful shaking.

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    Concussion

    Injury to the brain caused by a blow to the head or body, often resulting in temporary neurological problems.

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    Contusion/Laceration

    Injury involving ruptured blood vessels and hemorrhaging in the brain; potentially causing permanent disability.

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    Hematoma (Epidural/Subdural)

    Collection of blood within the brain due to ruptured blood vessels.

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    Pediatric Glasgow Coma Scale

    A three-part assessment (eye opening, verbal response, motor response) using a numerical scale (1-5) to evaluate a child's level of consciousness.

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    Wilm's Tumor Patho

    Fast-growing kidney tumor, often diagnosed late with large tumor and metastasis.

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    Wilm's Tumor Assessment

    Palpable mass (don't palpate), pain, high blood pressure (hypertension) and fluid buildup in the lungs (crackles).

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    Wilm's Tumor Tx

    Removing the kidney and possibly radiation or chemotherapy, depending on the stage.

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    Cryptorchidism Patho

    Undescended testicles, leads to infertility and increased risk of testicular cancer.

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    Cryptorchidism Assessment

    Palpate the testicles for proper descent, especially before 12 months.

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    Cryptorchidism Tx

    Surgical correction (orchiopexy) to place the testicle.

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    Phimosis/Paraphimosis Patho

    Phimosis: foreskin can't retract (normal for newborns); Paraphimosis: EMERGENCY, retracted foreskin causes swelling and potential damage.

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    Menstrual Cycle (Ovarian)

    Follicular, ovulatory, and luteal phases, each impacting ovarian hormone levels.

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    Menstrual Cycle (Endometrial)

    Proliferative, secretory, and ischemic/menstrual phases of the uterine lining.

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    Amenorrhea (Primary)

    Never having a period, caused by conditions like Turner's syndrome, low weight, or stress.

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    Amenorrhea (Secondary)

    Stopped menstruating after having periods before, often due to low weight, stress, or hormonal imbalances (including PCOS).

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    Abnormal Bleeding Tx

    Treatment involves progestin/estrogen combinations, pregnancy tests, ultrasounds, surgery if needed, and iron supplementation (for potential anemia).

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    Appendicitis Assessment

    Vague pain in the beginning, then moving to the lower right side (RLQ); nausea and vomiting. Feeling unwell.

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    Appendicitis Dx

    A CT scan and a high white blood cell count (WBC) are common tests.

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    Down Syndrome Pathophysiology

    Trisomy 21; an extra copy of chromosome 21.

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    Down Syndrome Assessment

    Intellectual disability, specific facial features (e.g., slanted eyes), and health problems (e.g., cardiac defects).

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    Down Syndrome Diagnosis

    Genetic testing to confirm the extra chromosome 21.

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    Tonsillectomy Pathophysiology

    Inflammation or infection of tonsils, often bacterial (GAS).

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    Tonsillectomy Complications

    Infection spreading to surrounding areas (peritonsillar abscess).

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    Croup Pathophysiology

    Airway swelling (can be viral, bacterial, or spasmodic), causing restricted airflow; usually self-limiting.

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    Croup Assessment

    Nasal congestion, fever, barky cough, hoarseness. Respiratory distress possible.

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    Epiglottitis Pathophysiology

    Serious, life-threatening inflammation of the epiglottis; typically affects ages 2-8.

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    Epiglottitis Assessment

    Severe respiratory distress, drooling, agitation, difficulty swallowing; no spontaneous cough.

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    Bronchiolitis Pathophysiology

    Inflammation of the bronchioles, often caused by RSV; characterized by mucus production and edema.

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    Cystic Fibrosis

    A genetic disorder affecting the lungs and other organs, causing thick mucus buildup.

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    CFTR meds

    Medication that helps regulate the function of the cystic fibrosis transmembrane conductance regulator protein.

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    Spina Bifida

    A neural tube defect causing incomplete closure of the spine.

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    Plagiocephaly

    A condition characterized by an abnormally flat head.

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    Scoliosis

    A sideways curvature of the spine.

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    Juvenile Idiopathic Arthritis

    A chronic autoimmune disorder targeting joints.

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    Complete Fracture

    A break in a bone that separates into two or more distinct pieces.

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    Incomplete Fracture

    A break in a bone that doesn't separate it into two or more distinct pieces.

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    Open Fracture

    A bone fracture that breaks the skin.

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    Burns (Full Thickness)

    Severe burns that affect all layers of skin, needing immediate medical attention.

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    Diaper Dermatitis

    Skin irritation or inflammation in the diaper area often caused by moisture.

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    Atopic Dermatitis

    Chronic, itchy skin rash often starting in infancy.

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    Diabetes Mellitus (Type 1)

    An autoimmune disorder causing insufficient insulin secretion, often starting in childhood.

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    Diabetic Ketoacidosis (DKA)

    A serious complication of diabetes where the body produces excess ketones, leading to metabolic acidosis.

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    Study Notes

    Normal Growth and Development

    • Includes parenting styles, infant reflexes, immunizations, genetics, pediculosis, and medical evaluations (MEDS).

    Wilm's Tumor

    • Pathology: Renal tumor, fast-growing, unilateral, often late diagnosis with large tumor and metastasis.
    • Assessment: Palpable mass (avoid palpating abdomen or mass), pain, hypertension, and crackles.
    • Treatment (Tx): Surgical removal of kidney, radiation or chemotherapy based on stage.
    • Intervention: Medical home, supportive care.

    Cryptorchidism

    • Pathology: Undescended testicles, infertility, increased risk of testicular cancer.
    • Assessment: Palpate during newborn assessment and again at 12 months.
    • Treatment (Tx): Orchidopexy to release the spermatic cord.
    • Intervention: Consultations and patient education.

    Phimosis/Paraphimosis

    • Phimosis: Foreskin cannot be retracted; common in newborns, gradually changes.
    • Paraphimosis: Emergency; foreskin cannot be retracted, necrosis, swelling, discoloration, dysuria, and pain.
    • Treatment (Tx): Steroid cream, circumcision, incision.
    • Intervention: Hygiene (avoid forceful retraction in newborns), frequent diaper changes, gentle daily cleaning of the gland for older children, ensure proper skin drying and replacement.

    Ovarian Menstrual Cycle

    • Follicular Phase: Begins with day 1, ends with mature ovum development (day 14).
    • Ovulatory Phase: Mature ovum release.
    • Luteal Phase: Corpus luteum maintains hormone levels.

    Endometrial

    • Proliferative Phase: New endometrial epithelium growth.
    • Secretory Phase: Thickness of 5-6mm, preparation for implantation.
    • Ischemic and Menstrual Phase: Necrosis (about 5 days), 40 ml blood loss.
    • Amenorrhea: Absence of menstruation (primary – never had a period; secondary – had, then stopped).
    • Hormonal Imbalance: Low body weight, stress.
    • Possible causes of secondary amenorrhea: Low body weight, stress, hormonal imbalance, polycystic ovarian syndrome (PCOS), high androgen levels.
    • Abnormal bleeding: spontaneous abortion, lesions, and drug-induced.
    • Treatment: Progestin - estrogen combination oral combination, pregnancy test, ultrasound, and surgery.

    Mittelschmerz and Primary Dysmenorrhea

    • Mittelschmerz: Cyclic pain (most commonly in middle of the cycle).
    • Primary Dysmenorrhea: Period pain.
    • Endometriosis: Tissue outside of the uterus resembling endometrial tissue (asymptomatic, dysmenorrhea, infertility).

    Urinary Tract Infection (UTI)

    • Pathology: Cloudy, thick urine, noticeable mucus/pus strands in urine, foul odor.
    • Risk Factors: Alkaline urine and urine retention.
    • Assessment: Infants – Fever, jaundice, vomiting, failure to thrive. Children – Fever, vomiting, dysuria, frequency, hesitancy, urgency, pain.
    • Diagnosis (Dx): Urinalysis (positive for blood, nitrites, leukocytes, esterase), urine culture.
    • Treatment (Tx): Antibiotics (IV/PO), antipyretics, fluids.
    • Intervention: Superficial heat for flank/abdominal pain.

    Hirschsprung Disease

    • Pathology: Lack of motility in the intestine.
    • Risk Factors: Family history and Down syndrome.
    • Assessment: Failure to pass meconium in the first 24 hours, abdominal distention.
    • Diagnosis (Dx): Biopsy.
    • Treatment (Tx): Surgical removal of impaired bowel (temporary ostomy).
    • Intervention: Ostomy care and prevention of enterocolitis.

    Cleft Lip

    • Pathology: Congenital, detectable prenatally.
    • Assessment: Inspect for incomplete lip/palate, gagging, choking, and milk regurgitation.
    • Treatment (Tx): Specialized team.
    • Intervention: Feeding support and consultations.

    ... (Remaining notes will follow the same format, expanding on the topics covering anomalies, pyloric stenosis, intussusception, glomerulonephritis, appendicitis, and so on.)

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    Description

    Test your knowledge on normal growth and development in children, covering topics like parenting styles, infant reflexes, and common medical conditions such as Wilm's tumor and cryptorchidism. This quiz also explores assessment and treatment strategies for various pediatric health issues.

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