Growth/Development — Flashcards

Flashcard 221: Hemiplegic migraines are most common in _____ and present with headache, visual aura, and a self-resolving hemiplegia

Answer: adolescents

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Flashcard 222: What is the age range of milk-protein-induced allergic proctocolitis? _____

Answer: 1-12 months

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Flashcard 223: Intrauterine growth restriction is a risk factor for neonatal respiratory distress syndrome (NRDS) _____

Answer: F

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Flashcard 224: APGAR scores _____ predictive of future outcome, and _____ guide therapy

Answer: are not

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Flashcard 225: What are the risk factors for necrotizing enterocolitis? Prematurity VLBW _____ _____

Answer: Reduced mesenteric perfusion (hypotension, CHD)

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Flashcard 226: At what age does bed wetting ( enuresis ) become concerning? _____ Therapies? _____

Answer: After age 5

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Flashcard 227: An 8 month old baby is evaluated for developmental delay, failure to thrive, & episodic of seizures. -Physical Exam: Ophthalmoplegia, hypotonia. -Lab: Elevated serum lactate level -Histochemical studies: reduced pyruvate dehydrogenase enzyme activity. -Increase of what substance will most likely help this patient generate energy without further elevating lactate levels?

Answer: Lysine or Leucine Because they are exclusively ketogenic amino acids, they can't be metabolize to pyruvate, they won't lead to increase lactic acid. Due to Pyruvate dehydrogenase deficiency (pyruvate can't convert to acetyl-CoA, thus convert to lactic acid.) Key: Don't confuse lactate dehydrogenase with pyruvate dehygrogenase. Lactate dehygrogenase: convert pyruvate to lactic acid Pyruvate dehydrogenase convert pyruvate to acetyl CoA. Symptoms: Neurological sympt. & high lactic acid.

Flashcard 228: Neuroblastoma may present with _____ syndrome, sometimes referred to as "dancing eyes, dancing feet"

Answer: opsoclonus-myoclonus

Flashcard 229: In thyroid hormone deficiency, bone age is _____ than chronologic age

Answer: less

Flashcard 230: What malnutrition disorder presents as a small child with a swollen abdomen? _____

Answer: Kwashiorkor