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Questions and Answers
What is the typical volume of a one-year-old child's stomach?
What is the typical volume of a one-year-old child's stomach?
- 1 liter
- 40-50 ml
- 250 ml (correct)
- 100-120 ml
What is the pH of gastric juice in older children?
What is the pH of gastric juice in older children?
- 4.5-5.5
- 7.0
- 6.0-7.0
- 1.5-2.0 (correct)
What is the role of chymosin (renin) in infants?
What is the role of chymosin (renin) in infants?
- Digestion of fats
- Digestion of carbohydrates
- Regulation of blood pressure
- Digestion of protein (correct)
What is the average lifespan of red blood cells in children?
What is the average lifespan of red blood cells in children?
What is the typical diameter of red blood cells in older children?
What is the typical diameter of red blood cells in older children?
What does the Price-Jones curve reflect?
What does the Price-Jones curve reflect?
What type of breathing is heard when auscultating young children?
What type of breathing is heard when auscultating young children?
What does a shift of the top of the Price-Jones curve to the left indicate?
What does a shift of the top of the Price-Jones curve to the left indicate?
What is the typical hemoglobin level in newborns?
What is the typical hemoglobin level in newborns?
When does false croup most often occur?
When does false croup most often occur?
When does the structure of the renal glomerulus in a child differ from its structure in adults?
When does the structure of the renal glomerulus in a child differ from its structure in adults?
At what age are the maxillary sinuses in children well developed?
At what age are the maxillary sinuses in children well developed?
What is the ratio of respiratory rate to pulse rate in healthy children over 1 year old?
What is the ratio of respiratory rate to pulse rate in healthy children over 1 year old?
What is the average color index up to 1 month of age?
What is the average color index up to 1 month of age?
What occurs during the first and second 'crossovers' of leukocytes?
What occurs during the first and second 'crossovers' of leukocytes?
When does the period of first extension (growth acceleration) occur in boys and girls?
When does the period of first extension (growth acceleration) occur in boys and girls?
At what age is the lower edge of the liver along the right midclavicular line not palpable?
At what age is the lower edge of the liver along the right midclavicular line not palpable?
Where is the best place to listen to systolic murmur with a high ventricular septal defect?
Where is the best place to listen to systolic murmur with a high ventricular septal defect?
What are the characteristics of the urine in a child with a diagnosis of De Toni-Debre-Fanconi disease?
What are the characteristics of the urine in a child with a diagnosis of De Toni-Debre-Fanconi disease?
What is the typical age for the closure of a large fontanel in a child with rickets?
What is the typical age for the closure of a large fontanel in a child with rickets?
What is the role of the kidneys in the body's use of vitamin D?
What is the role of the kidneys in the body's use of vitamin D?
What is the typical course of rickets?
What is the typical course of rickets?
What is a characteristic symptom of the acute course of rickets?
What is a characteristic symptom of the acute course of rickets?
What is the typical age for the prescription of specific prevention of rickets for full-term infants?
What is the typical age for the prescription of specific prevention of rickets for full-term infants?
What is an endogenous cause of malnutrition?
What is an endogenous cause of malnutrition?
What degree of malnutrition is characterized by hungry stool?
What degree of malnutrition is characterized by hungry stool?
What is lactostasis?
What is lactostasis?
At what age should a child receive a food volume equal to 1/5 of their body weight?
At what age should a child receive a food volume equal to 1/5 of their body weight?
What type of bacteria proliferation is suppressed in the intestines of breastfed children?
What type of bacteria proliferation is suppressed in the intestines of breastfed children?
What is a significant factor in reducing the development of hypogalactia?
What is a significant factor in reducing the development of hypogalactia?
When is breastfeeding absolutely contraindicated?
When is breastfeeding absolutely contraindicated?
What is the recommended ratio of proteins, fats, and carbohydrates when breastfeeding with the introduction of complementary foods?
What is the recommended ratio of proteins, fats, and carbohydrates when breastfeeding with the introduction of complementary foods?
Where does the breakdown of fat in breastfed infants begin?
Where does the breakdown of fat in breastfed infants begin?
What is not recommended to increase lactation in cases of hypogalactia?
What is not recommended to increase lactation in cases of hypogalactia?
Where is the left border of relative cardiac dullness determined?
Where is the left border of relative cardiac dullness determined?
What is a characteristic of the blood circulation of the fetus that differs from the newborn?
What is a characteristic of the blood circulation of the fetus that differs from the newborn?
Where does the most oxygenated blood flow to in the fetus?
Where does the most oxygenated blood flow to in the fetus?
What is not a property of functional noises?
What is not a property of functional noises?
What is not a characteristic of embryocardia?
What is not a characteristic of embryocardia?
What is a characteristic of the auscultation of a 12-year-old child?
What is a characteristic of the auscultation of a 12-year-old child?
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Study Notes
Month of Extrauterine Life
- The first month of extrauterine life is a period of adaptation to extrauterine life
- The second month of extrauterine life is a period of stabilization
- The fourth month of extrauterine life is a period of active growth and development
- The fifth and sixth months of extrauterine life are periods of rapid growth and development
Blood Pressure
- Diastolic blood pressure is 1/2 to 2/3 of systolic blood pressure
- Blood pressure in the legs is higher than in the arms by 10-20 mmHg
- In a one-year-old child, the volume of the stomach is 250 ml
Digestion
- In the digestion of protein in infants, the greatest importance is chymosin (renin)
- Pepsinogen activator is hydrochloric acid
- Pepsinogen in the stomach is produced in main cells of the body
Health Issues
- Fountain vomiting is a sign of pyloric stenosis
- The lifespan of red blood cells in children is 80-120 days
- The average red blood cell diameter in older children is 7.2 µm
- The Price-Jones curve reflects variations in red blood cell diameter
- In young children, the breathing type heard during auscultation is puerile
Urine and Kidneys
- Urine the color of meat slop in children is observed when there is gross hematuria
- Hemoglobin F from 60-90% (in the neonatal period) decreases to 1-2% to 2-3 years
- The structure of the renal glomerulus in a child does not differ from its structure in adults after 5 years
- The weight of a newborn's kidney triples by the end of the first year of life
- Bladder capacity at 1 year is 35-50 ml and at 12-15 years is 300-400 ml
Heart and Blood
- The best place to listen to systolic murmur in case of atrial septal defect is II intercostal space to the left of the sternum
- Physiological mobility of the kidneys within the body is one vertebra
- In infants, the lower pole of the right kidney is determined at the level of the fourth lumbar vertebra
- The total number of nephrons in the kidneys is approximately 2,000,000
- Cyanosis of the skin, mucous membrane of the lips and tongue appears when arterial blood oxygen saturation is less than 95%
Respiratory System
- True croup is observed with diphtheria of the larynx
- The first crossover in the leukocyte blood count in children is observed at the age of 4-5 days
- False croup most often occurs when there are acute respiratory viral diseases
- The maxillary sinuses in children are well developed by 7 years
- In healthy children over 1 year of age, the ratio between respiratory rate and pulse rate is 1:4
Development and Growth
- The period of first extension (growth acceleration) occurs at the age of 4-6 years for boys and 6-7 years for girls
- The lower edge of the liver along the right midclavicular line is not palpable with 7 years
- The best place to listen to systolic murmur with a high ventricular septal defect is IV intercostal space at the left edge of the sternum
Rickets
- The disease is characterized by the nature of its course as subacute
- Symptoms of the acute course of rickets include osteomalacia of bones
- Vitamin D is activated in the kidneys under the influence of hormones
- Closure of a large fontanel with rickets most often occurs in 20-25 months
- Specific prevention of rickets is prescribed for full-term infants from 2 months
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