Community

Question 1

First line therapy for:

a) Lice
b) Scabies

Answer 1

a) 1% Premethrin cream

b) 5% Premethrin cream

Question 2

What is the most specific combination of findings on UA?

Answer 2

Leukocyte + nitrites

Question 3

UTI first line antibiotic plan in non-toxic >3 month old

Answer 3

Oral cefixime 10-14 days

Question 4

What makes a child high risk for introduction of allergenic solids?

Answer 4

Personal history of atopy

First degree relative with atopy

Question 5

Risk factors for SNHL

Answer 5

• Family history
• Craniofacial abnormalities
• Congenital infections (meningitis, CMV, toxo, syphilis, rubella)
• PEx consistent with underlying syndrome associated with hearing loss
• NICU >2 days OR any of the following: mech ventilation, ototoxic meds, ECMO, hyperbili with exchange tx

Question 6

Most common infectious cause of SNHL

Answer 6

CMV

Question 7

Age when infant should be able to fix + follow

Answer 7

By 3 months of age

Question 8

Most common childhood chronic disease

Answer 8

Tooth decay

Question 9

What amount of fluoride in water would you recommend additional supplementation?

Answer 9

0.3

Question 10

Rome criteria for colic

Answer 10

• Paroxysms of irritability, fussiness, or crying that starts/stops without obvious cause
• Episodes last >3 hours/day for >3 days a week for at least 1 week
• No FTT

Question 11

First line for disruptive behaviours

Answer 11

Parenting program

Question 12

After what age should we be more concerned regarding NEW onset of head banging

Answer 12

> 5 years

Question 13

Difference between GDD and ID

Answer 13

GDD applies to children <5 years of age

Question 14

Genetic testing to do for GDD - first line

Answer 14

• Chromosomal microarray
• Fragile X testing
• MECP2 - for girls

Question 15

What test is important to send for severe hyperbili?

Answer 15

G6PD

Question 16

Recommendations for screen time for:

a) <2 years old
b) 2-5 years old

Answer 16

a) None

b) <1 hour/day

Question 17

Potential complications for infants of mothers smoking cigarettes

Answer 17

Preterm birth, AOM, gastrochisis, increased behav problems, decreased academic achievement, preterm, low BW, SIDS, shorter duration of BF

Question 18

5 A’s of prevention

Answer 18

Ask
Assess
Advise
Assist
Arrange

Question 19

Adequate intra-partum antibiotics

Answer 19

At least 1 dose given at least 4 hours before birth of:

- IV Pen G, ampicillin, or cefazolin

Question 20

Rome IV Criteria for Colic

Answer 20

• <5 months when symptoms start and stop
• Recurrent and prolonged periods of crying, fussing, or irritability that occur without an obvious cause
• No FTT, fever, or illness

Question 21

Infants on Neocate are at risk for what?

Answer 21

Hypophosphatemia

Question 22

What is FPIAP? What is the presentation and required Ix/Tx?

Answer 22

= Food protein-induced allergic proctocolitis

• Presentation: intermittent/slow onset hematochezia, normal growth, within first 6 months of life
• No Ix
• Tx: Change to hydrolyzed formula and/or maternal elimination diet

Question 23

Trigger foods for FPIES as well as acute/chronic management

Answer 23

Foods = milk, soy, grains, egg, meat/fish, veg/fruit, peanuts

• Acute: fluids, ondans, CC’s
• Chronic: elimination diet, growth/nutrition, allergist

Question 24

Does child with FPIES require an epi-pen?

Do they need to avoid “may contain” products?

Answer 24

• No x2

Question 25

Age range for FPIES

Answer 25

2-7 months

Question 26

Acute and chronic presentations of FPIES

Answer 26

- Acute: Emesis, diarrhea, pallor, lethargy | - Chronic: FTT, anemia, chronic diarrhea/emesis, malabsorption

Question 27

Timing of first dental visit

Answer 27

Within 6 months of first tooth eruption or by 12 months of age

Question 28

Age of consent for sexual activity in Canada

Answer 28

``` 12-13 = 2 year difference 14-15 = 5 year difference 16> = no age restriction, no authority or exploitation ```

Question 29

Definitions for FTT (x4)

Answer 29

- Weight <3rd percentile - <3rd percentile with weight-for-length - Weight <80th percentile for ideal weight for age - Crossing x2 or more percentiles

Question 30

Why should we worry about an infant on exclusive goat milk?

Answer 30

Folic acid deficiency --> megaloblastic anemia

Question 31

4th leading cause of injury in children

Answer 31

FB ingestion + aspiration

Question 32

What age range would you expect to potentially see appetite decrease for a healthy child?

Answer 32

2-5 years

Question 33

Placement of ear in positional plagiocephaly

Answer 33

- Unilateral occipital flattening | - Ipsilateral anterior displacement of ear

Question 34

First line for lice

Answer 34

1% permethrin - 2 treatments 7 days apart

Question 35

If ?refractory lice - what x2 things to consider and if indeed refractory what is the next tx step?

Answer 35

- Mis-diagnosis or reinfestation after initial treatment | - Resultz - non-insecticidal agent

Question 36

Goal amount of iron in formula

Answer 36

6.5-13 mg/L

Question 37

For low BW infants who are primarily BF, what are the iron recommendations?

Answer 37

- If BW <2.0kg = 2-3 mg/kg/day x12 months | - If BW 2.0-2.5kg = 1-2 mg/kg/day x6 months

Question 38

For low BW infants who are primarily formula fed, what are the iron recommendations?

Answer 38

- If at least 10-12 mg/L of iron, then no supplementation required. - Otherwise, same as if BF.

Question 39

Prevention of iron deficiency anemia for newborns/infants

Answer 39

- Delayed cord clamping - Iron rich food introduction at 6 months of age - Cow's milk not until 12 months and only 500 mL/day

Question 40

Risk factors for iron deficiency anemia

Answer 40

- Mother with iron deficiency or obesity - No delayed cord clamping - Preterm - Low BW <2500g - Male - Low SES, indigenous - Chronic infection - Lead exposure

Question 41

Nutritional deficiencies associated with a vegan diet

Answer 41

- Iron - Zinc - Vitamin D - Vitamin B12 - Protein - Omega fatty acids - Calcium

Question 42

Side effects of septra

Answer 42

- Renal + hepatic toxicity - BM suppression - Anaphylaxis - Urticaria - Drug eruption (SJS/TENS) - Hyperbili (neonates) - Photosensitivity