1. Downs syndrome
*Answer* hypertelorism, flattened nose, brishfisld spots, Atlanto-axial instability
2. turner syndrome
*Answer* webbed neck and shield shaped chest, can have a bicuspid aortic valve or coarctation of the
aorta
3. TQ: which of the following conditions is the leading cause of infertility
*Answer* Kline-felter syndrome (tall, lankey, infertility, underdeveloped secondary sex characteristics)
4. Marfan syndrome
*Answer* connective tissue disorder- tall, lankey with arm span wider than height. Pectus
Excavatum
high risk of sudden death due to MV prolapse, aortic regurgitation
5. Tay-Sachs disease
*Answer* cherry red macula
6. TQ
,*Answer* which genetic disorder is most strongly associated with
hypoparathy-roidism due to hypocalcemia
*Answer* DiGeorge syndrome
7. DiGeorge syndrome
*Answer* Chromosome 22
8. The advisory committee updates immunization schedules how often
*Answer* annually (1 year)
9. low birth weight
*Answer* less than 2500g
10. TQ: which of the following is a category in the Apgar scoring
*Answer* appearance (10 points scored at 1 and 5 minutes).
appearance, pulse, grimace, activity, respirations
11. very low birth weight
*Answer* less than 1500 grams
12. extremely low birth weight
, *Answer* less than 1000g
13. which of the following would best explain an infant who is small for gesta-
tional age with symmetric intrauterine growth restriction
*Answer* congenital abnormalities
14. aysmetric IUGR SGA
*Answer* Head circumference and length is normal but weight is less than 10th percentile
15. TQ
If a patient presents with a history of Nephrotic syndrome which vaccine would
be recommended to him
*Answer* PPSV23 (PNA)
16. in children's age 6-35 months flu vaccine dose should be vs children's
3 years or older who will get dose.
*Answer* 0.2 mL versus 0.5 mL
17. Children 6 months - 8 years old receiving the flu vaccine for the first time
should receive
, *Answer* 2 doses 4-8 weeks apart