SOLUTION LATEST UPDATE(A+ exam)
1). Clinical manifestation of physiological jaundice
Ans: *Usually within first 2-4 days of life
*Not lasting longer than first 2 weeks of onset
*Due to fast breakdown of RSCs
*Liver immature and poor dietary intake.
2). Clinical manifestation of breast fed jaundice
Ans: *Usually within first few weeks to month of life
*Secondary to poor intake
3). What to assess for determining hydration status
Ans: *skin turgor
*mucous membranes
*peripheral pulses
*tears
*capillary filling
4). Clinical s/s of dehydration
Ans: *sunken ant fontanel
*tachycardia
*decreased urinary output
*decreased B/P
5). What is the most common cause of acute stomach pain
Ans: gastroenteritis
6). What is the most common complication in children with gastroenteritis?
Ans: dehydration
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, 7). What is the initial treatment in osgood schlatter disease
Ans: stretching
8). Recommended treatment for a sprained ankel
Ans: Ice, Elevation, NSAIDa (ice 20 mins off 30-45 mins for first 24-48 hrs)
9). What type of x-ray is best for diagnosing legg-calve-perth?
Ans: Frog leg
10). How to perform rovsing sign?
Ans: apply pressure to left lower abdomen
11). What is considered a positive sign with rovsing exam
Ans: pain in right side when pressure is released from left side
12). What assessment would indicate an injury to the acl or pcl?
Ans: a positive Ant/Post drawer sign
13). Ideal glucose level for 4 yr old?
Ans: 90-130
14). What should be the initial evaluation of suspected growth hormone deficiency?
Ans: *Thyroid function
*screen for hypoglycemia
*possible GI illnesses
15). Initial evaluation in cases of isolated menarche?
Ans: Sexual abuse should be ruled out first
16). Essentials for child's mental health?
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