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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