PEDIATRIC PRIMARY CARE
PNCB 2
A female athlete experiences anaphylaxis during a soccer game. The
only significant history is that she had lunch about 1 hour before the
incident. Food-dependent exercise-induced anaphylaxis is diagnosed.
Of the following, the MOST likely cause is:
chocolate milkshake
pineapple
tomatoes
whole wheat bread - ANSWERS-whole wheat bread
Exercise is a known co-factor in some children who experience
anaphylaxis. Food-dependent exercise-induced anaphylaxis (FDEIA)
is defined as a food induced allergic reaction that occurs during or
soon after exercise. Children should not exercise within 2-3 hours of
ingesting the triggering food. Nuts, wheat, apples, bananas, kiwi,
peaches and eggs frequently are the cause for anaphylaxis.
A healthy 24 month old can be expected to have achieved which of
the following language milestones?
,counts three objects correctly
speaks using 30 - 50 words
states full name
tells a story - ANSWERS-speaks using 30 - 50 words
Utilizing the Early Language Milestone Scale, beginning at the age of
11 months and continuing to 24 months of age, the child should have
a vocabulary of 50 words. This child should be able to put words
together in short, 2 - 3 word sentences and name at least one object in
a picture. The child at age 3 - 4 years will be able to tell a short story
and begin to count. A 2 year old may know his first name, but usually
cannot state full name until he/she is older.
Which is the MOST important safety question to ask a 17 year old?
"Are you aware of ways to avoid accidents?"
"Do you play violent video games more than 2 hours a day?"
"Do you always wear a seat belt when driving or riding in a car?"
,"Is there a gun anywhere in your house?" - ANSWERS-"Do you
always wear a seat belt when driving or riding in a car?"
Motor vehicle accidents are the leading cause of death among
children in the United States, with 78% of all unintentional injury
deaths related to MVA among adolescents. When correctly used,
restraint systems can prevent fatalities and reduce the number and
severity of injuries to children and adolescents. As adolescents begin
to drive and carry peer passengers, it is especially important to remind
them of basic safety issues, including the use of seat belts,
emphasizing the danger of driving, drinking and drug use as well as
appropriate behavior while in the car. Reinforcing pedestrian safety is
another important issue with adolescents. Firearm injuries have
decreased over recent years, especially among older children, and
there is no link between violent video games and increased accidents.
The parent of an 8 month old, reports switching the baby's formula to
cow's milk due to the continued expense of formula. Which is the
BEST response?
Cow's milk does not contain adequate nutrition, and poses a higher
risk for allergy.
Cow's milk has a lower protein and fat content, which will impede
growth of the baby.
Switching to cow's milk sooner than 1 year will not cause any harm.
, There is no need to continue formula as long as the child is receiving
other baby foods. - ANSWERS-Cow's milk does not contain adequate
nutrition, and poses a higher risk for allergy.
During the first year of life, infants should receive only formula or
breast milk. The use of cow's milk is contraindicated because of its
high protein content, inappropriate nutrition composition, especially
lack of iron sources, and the risk of gastrointestinal bleeding and
allergic reactions. If an infant is switched sooner than one year, the
practitioner should encourage the family to resume use of formula or
breast milk until the one year birthday. Despite the addition of table
foods or baby solid foods, formula and breast milk are still the dietary
mainstay.
A 10 month old has had apparent abdominal pain for the past 4 hours.
During episodes of pain, the infant screams inconsolably and draws
his legs towards the abdomen, has vomited twice, but has had no
diarrhea. Between episodes the infant is calm and quiet. The MOST
likely diagnosis is:
Meckel's diverticulum
intussusception
acute appendicitis
acute gastroenteritis - ANSWERS-intussusception
PNCB 2
A female athlete experiences anaphylaxis during a soccer game. The
only significant history is that she had lunch about 1 hour before the
incident. Food-dependent exercise-induced anaphylaxis is diagnosed.
Of the following, the MOST likely cause is:
chocolate milkshake
pineapple
tomatoes
whole wheat bread - ANSWERS-whole wheat bread
Exercise is a known co-factor in some children who experience
anaphylaxis. Food-dependent exercise-induced anaphylaxis (FDEIA)
is defined as a food induced allergic reaction that occurs during or
soon after exercise. Children should not exercise within 2-3 hours of
ingesting the triggering food. Nuts, wheat, apples, bananas, kiwi,
peaches and eggs frequently are the cause for anaphylaxis.
A healthy 24 month old can be expected to have achieved which of
the following language milestones?
,counts three objects correctly
speaks using 30 - 50 words
states full name
tells a story - ANSWERS-speaks using 30 - 50 words
Utilizing the Early Language Milestone Scale, beginning at the age of
11 months and continuing to 24 months of age, the child should have
a vocabulary of 50 words. This child should be able to put words
together in short, 2 - 3 word sentences and name at least one object in
a picture. The child at age 3 - 4 years will be able to tell a short story
and begin to count. A 2 year old may know his first name, but usually
cannot state full name until he/she is older.
Which is the MOST important safety question to ask a 17 year old?
"Are you aware of ways to avoid accidents?"
"Do you play violent video games more than 2 hours a day?"
"Do you always wear a seat belt when driving or riding in a car?"
,"Is there a gun anywhere in your house?" - ANSWERS-"Do you
always wear a seat belt when driving or riding in a car?"
Motor vehicle accidents are the leading cause of death among
children in the United States, with 78% of all unintentional injury
deaths related to MVA among adolescents. When correctly used,
restraint systems can prevent fatalities and reduce the number and
severity of injuries to children and adolescents. As adolescents begin
to drive and carry peer passengers, it is especially important to remind
them of basic safety issues, including the use of seat belts,
emphasizing the danger of driving, drinking and drug use as well as
appropriate behavior while in the car. Reinforcing pedestrian safety is
another important issue with adolescents. Firearm injuries have
decreased over recent years, especially among older children, and
there is no link between violent video games and increased accidents.
The parent of an 8 month old, reports switching the baby's formula to
cow's milk due to the continued expense of formula. Which is the
BEST response?
Cow's milk does not contain adequate nutrition, and poses a higher
risk for allergy.
Cow's milk has a lower protein and fat content, which will impede
growth of the baby.
Switching to cow's milk sooner than 1 year will not cause any harm.
, There is no need to continue formula as long as the child is receiving
other baby foods. - ANSWERS-Cow's milk does not contain adequate
nutrition, and poses a higher risk for allergy.
During the first year of life, infants should receive only formula or
breast milk. The use of cow's milk is contraindicated because of its
high protein content, inappropriate nutrition composition, especially
lack of iron sources, and the risk of gastrointestinal bleeding and
allergic reactions. If an infant is switched sooner than one year, the
practitioner should encourage the family to resume use of formula or
breast milk until the one year birthday. Despite the addition of table
foods or baby solid foods, formula and breast milk are still the dietary
mainstay.
A 10 month old has had apparent abdominal pain for the past 4 hours.
During episodes of pain, the infant screams inconsolably and draws
his legs towards the abdomen, has vomited twice, but has had no
diarrhea. Between episodes the infant is calm and quiet. The MOST
likely diagnosis is:
Meckel's diverticulum
intussusception
acute appendicitis
acute gastroenteritis - ANSWERS-intussusception
