qwertyuiopasdfghjklzxcvbnmqwertyui opasdfghjklzxcvbnmqwertyuiopasdfgh jklzxcvbnmqwertyuiopasdfghjklzxcvb nmqwertyuiopasdfghjklzxcvbnmqwerQuestions de pédiatrie Apprendre la pédiatrie d’une autre façon tyuiopasdfghjklzxcvbnmqwertyuiopas 01/01/2012 dfghjklzxcvbnmqwertyuiopasdfghjklzxProfesseur Oreste Battisti, Faculté de Médecine, Ulg cvbnmqwertyuiopasdfghjklzxcvbnmq wertyuiopasdfghjklzxcvbnmqwertyuio pasdfghjklzxcvbnmqwertyuiopasdfghj klzxcvbnmqwertyuiopasdfghjklzxcvbn mqwertyuiopasdfghjklzxcvbnmqwerty uiopasdfghjklzxcvbnmqwertyuiopasdf ghjklzxcvbnmqwertyuiopasdfghjklzxc vbnmqwertyuiopasdfghjklzxcvbnmrty uiopasdfghjklzxcvbnmqwertyuiopasdf ghjklzxcvbnmqwertyuiopasdfghjklzxc vbnmqwertyuiopasdfghjklzxcvbnmqw [Tapez un texte] Page 1 ertyuiopasdfghjklzxcvbnmqwertyuiop asdfghjklzxcvbnmqwertyuiopasdfghjkl Sommaire Section I. Office Primary Care ..................................................................................................... 3 Section II. Nutrition ................................................................................................................... 11 Section III. Neonatology ............................................................................................................ 15 Section IV. Genetics ................................................................................................................... 23 Section V. Allergy and Immunology ........................................................................................... 27 Section VI. Infectious Disease ...................................................................................................... 33 Section VII. Cardiology .............................................................................................................. 52 Section VIII. Pulmonology ......................................................................................................... 59 Section IX. Gastroenterology .................................................................................................... 66 Section X. Surgery ..................................................................................................................... 73 Section XI. Hematology ............................................................................................................. 79 Section XII. Oncology ............................................................................................................... 84 Section XIII. Nephrology/Urology ............................................................................................. 87 Section XIV. Critical Care and Emergency Medicine ................................................................. 91 Section XV. Endocrinology ...................................................................................................... 100 Section XVI. Rheumatology ..................................................................................................... 103 Section XVII. Ophthalmology .................................................................................................. 104 Section XVIII. Neurology ........................................................................................................ 106 Section XIX. Orthopedics ......................................................................................................... 114 Section XX. Adolescent Medicine ............................................................................................ 117 Section XXI. Skin .................................................................................................................... 120 SectionXXII. Reviewing the Medical Literature ....................................................................... 122 Answers to pediatric questions ............................................................................................................. 126 Battisti, Ulg, questions de pédiatrie Page 2 Section I. Office Primary Care Chapter I.1. Pediatric Primary Care 1. True/False: When caring for pediatric patients, it is always more appropriate to use pediatric subspecialists than specialists who may be primarily trained to work with adults. 2. True/False: There is a standard for after hours accessibility that all pediatricians adhere to. 3. True/False: There is variability in the use of pediatric subspecialty care that results from factors other than availability of specialists. 4. If a pediatric subspecialist is not available, the pediatrician has the following choices: a. Evaluate and manage the patient without referral. b. Use a specialist who does not have pediatric subspecialty training. c. Send the patient to a pediatric subspecialist regardless of cost and inconvenience. d. All of the above. 5. Pediatricians may be concerned about giving after hours telephone advice to parents who call. This concern may be dealt with by: a. Refusing to talk with parents after hours. b. Referring all parents who call to take their child to the ER. c. Only giving advice to parents who are familiar and reliable. d. Ignoring concerns and giving advice to any parent who calls. e. All of the above may be considered appropriate. Chapter I.2. Growth Monitoring 1. What is the formula for calculating BMI? 2. At what age does the uterine environment play a role in the growth of a child versus the influence on growth by the genetic makeup? 3. What are two ways failure to thrive are recognized in a growth chart? 4. What percentile of BMI is considered the cutoff point for being overweight? 5. What is the approximate weight gain in grams per day for a healthy term infant from birth to 3 months of age? Battisti, Ulg, questions de pédiatrie Page 3 6. At what age does rebound occur in BMI? If a child rebounds early, what is this predictive of? 7. What is a weakness of using BMI to identify obesity? 8. How do the growth curves for congenital pathologic short stature, constitutional growth delay, and familial short stature look like? 9. What is the formula used to estimate a child's adult height (Tanner's height prediction formula)? Battisti, Ulg, questions de pédiatrie Page 4 Chapter I.3. Developmental Screening of Infants, Toddlers and Preschoolers 1. Developmental and behavioral conditions occur in approximately what percentage of children? a. 0.15% b. 1.5% c. 15% d. 50% e. 80% 2. What is the best clinical situation to try to identify children with developmental disorders from developmentally normal children? a. Primary care clinic b. Emergency room c. Hospital ward d. Pediatric intensive care unit e. All of the above are "best places" 3. Which of these following methods of identifying children with developmental or behavioral concerns has the worst sensitivity? a. "Hands on" developmental screening tool (such as the Denver II). b. Parent answered developmental questionnaire. c. Physician clinical impression about development, without a screening tool. d. Flagging all children in the Neonatal Intensive Care Unit (NICU) that have risk factors for disability. e. All have about equal sensitivity. 4. Which of the following have been proven problems regarding the standardized parent developmental screening tools? a. Concerns about the accuracy of parent reporting. b. Concerns about the bias of parent reporting. c. The tools are time consuming for the clinician to use. d. Understanding of concepts by parents. e. All of the above are not problems according to research. 5. Common problems in using developmental screening tests include all of the following EXCEPT: a. Not administering the screen as it was intended. b. An assumption that the screening test done at one point in time will discover all children with every type of developmental problem. c. Screening tests can be time consuming for the clinician. d. Children are not amenable to screening between birth and three years of age. e. Training is necessary for the proper use of these tools. 6. When is the best age (out of the following suggestions) for a physician to administer a developmental screening tool? a. In utero b. 2 years c. 6 years d. 10 years e. 17 years Battisti, Ulg, questions de pédiatrie Page 5 Chapter I.4. Immunizations 1. Which of the following vaccines would be contraindicated in a 4 year old boy receiving immunosuppressive therapy for autoimmune hepatitis? a. Hepatitis A vaccine b. Hepatitis B vaccine c. Acellular pertussis vaccine d. Inactivated polio vaccine e. Varicella vaccine 2. Which vaccine should not be given to an 8 year old girl who has not been immunized previously? a. Hepatitis B vaccine b. Tetanus vaccine c. Acellular pertussis vaccine d. Inactivated polio vaccine e. Measles vaccine 3. Which parenteral vaccine should not be characterized as an attenuated live virus vaccine? a. Influenza vaccine b. Measles vaccine c. Mumps vaccine d. Rubella vaccine e. Varicella vaccine 4. Which passive or active immunization is specifically recommended for women in the second or third trimester of pregnancy? a. Respiratory syncytial virus immune globulin b. Cytomegalovirus immune globulin c. Rubella vaccine d. Influenza vaccine e. Varicella vaccine 5. Increased risk for intussusception was observed as a rare complication following immunization with which vaccine? a. Inactivated polio vaccine b. Oral polio vaccine c. Rotavirus vaccine d. Hepatitis A vaccine e. Hepatitis B vaccine 6. Indicate whether the follow are examples of active or passive immunity: a. palivizumab b. Diphtheria-Tetanus toxoid c. Diphtheria immune globulin d. MMR e. Influenza vaccine f. Botulism antitoxin Battisti, Ulg, questions de pédiatrie