Pediatric CLIPP Cases UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Adolescents and healthcare laws (1) - Correct answers✔✔Most statutes authorize minors to give
consent for pregnancy-related care and contraception; diagnosis and treatment of sexually
transmitted disease; counseling and treatment for HIV/AIDS, substance abuse and sexual assault;
and mental health services.
When do you do the M-CHAT? - Correct answers✔✔18 and 24 mos
Infants born to adolescent mothers are at greater risk for? (1) - Correct answers✔✔- lower birth
weight
- vertically acquired STIs (due to the higher incidence of STIs in the adolescent population)
- poorer developmental outcomes
- increased risk of fetal death
Facts about teen pregnancy in USA (1) - Correct answers✔✔- in 2013 there were 273,000 infants
born to moms ages 15-19 yo. This number is 10% lower than in 2012.
- nearly 66% of these births are unintended.
- rates of US teen pregnancy and birth, STIs, and abortion are higher in the US than in other
western industrialized nations.
- US spends 9billion per year on costs related to teen pregnancy.
- teens with kids are less likely to complete high school. Their children are also more likely to
have lower school achievement and drop out of high school.
- children of teens are also more likely to: have health probs, become incarcerated, become teen
parents themselves, become unemployed.
,3 leading causes of death in the US of adolescents (1) - Correct answers✔✔Accidents,
Homicide, Suicide
Drug use by high school students (1) - Correct answers✔✔Etoh (63%)
Pot (41%)
Inhalants (9%)
E (7%)
Shrooms (7%)
Coke (5%)
Teratogen effects of smoking (1) - Correct answers✔✔Low birth weight
Characteristic facies
Teratogen effects of etoh (1) - Correct answers✔✔Facial abnormalities, growth deficiency, CNS
dysfunction, poor motor skills, poor hand-eye coordination, learning problems
Teratogen effects of cocaine and other stimulants (1) - Correct answers✔✔Vasoconstriction and
low birth weight
Problems with cognitive performance, information processing, and attention to tasks.
Factors affecting (limiting) fetal growth (1) - Correct answers✔✔- maternal factors like poor
weight gain, preeclampsia, drug use, infections
- placenta abnormalities like placenta previa or placental abruption
- fetal abnormalities like metabolic disease, malformations, chromosome abnormalities, and
congenital infections
,Small for gestational age (SGA) vs Intrauterine growth restriction (IUGR) (1) - Correct
answers✔✔SGA is determined at time of birth. 70% of SGA infants are small simply due to
constitutional factors determined by maternal ethnicity, parity, weight, or height.
IUGR is one that has not reached its growth potential at a given gestational age due to one or
more causative factors. Noted DURING PREGNANCY.
Etiologies of SGA at birth: Maternal factors (1) - Correct answers✔✔- Both young and advanced
maternal age
- Maternal prepregnancy short stature and thinness
- Poor maternal weight gain during the latter third of pregnancy
- Nulliparity
- Failure to obtain normal medical care during pregnancy
- Cigarette smoking, cocaine use, other substance abuse
- Lower socioeconomic status
- African-American ethnicity (in the U.S.)
- Uterine and placental abnormalities (see below)
- Polyhydramnios
- Intrauterine infections
Medications and exposures that can cause SGA (1) - Correct answers✔✔- Amphetamines
- Antimetabolites (e.g., aminopterin, busulfan, methotrexate)
- Bromides
- Cocaine
- Ethanol
- Heroin and other narcotics
, - Hydantoin
- Isotretinoin
- Metal (e.g., mercury, lead)
- Phencyclidine
- Polychlorinated biphenyls (PCBs)
- Propranolol
- Steroids
- Tobacco (carbon monoxide, nicotine, thiocyanate)
- Toluene
- Trimethadione
- Warfarin
Uterine and placental abnormalities that can cause SGA (1) - Correct answers✔✔- Avascular villi
- Decidual or spiral artery arteritis
- Infectious villitis (as with congenital or TORCH* infections)
- Multiple gestation (limited endometrial surface area, vascular anastomoses)
- Multiple infarctions
- Partial molar pregnancy
- Placenta previa and abruption
- Single umbilical artery
- Umbilical thrombosis
- Abnormal umbilical vascular insertions
- Syncytial knots
- Tumors, including chorioangioma and hemangiomas
QUESTIONS AND CORRECT ANSWERS
Adolescents and healthcare laws (1) - Correct answers✔✔Most statutes authorize minors to give
consent for pregnancy-related care and contraception; diagnosis and treatment of sexually
transmitted disease; counseling and treatment for HIV/AIDS, substance abuse and sexual assault;
and mental health services.
When do you do the M-CHAT? - Correct answers✔✔18 and 24 mos
Infants born to adolescent mothers are at greater risk for? (1) - Correct answers✔✔- lower birth
weight
- vertically acquired STIs (due to the higher incidence of STIs in the adolescent population)
- poorer developmental outcomes
- increased risk of fetal death
Facts about teen pregnancy in USA (1) - Correct answers✔✔- in 2013 there were 273,000 infants
born to moms ages 15-19 yo. This number is 10% lower than in 2012.
- nearly 66% of these births are unintended.
- rates of US teen pregnancy and birth, STIs, and abortion are higher in the US than in other
western industrialized nations.
- US spends 9billion per year on costs related to teen pregnancy.
- teens with kids are less likely to complete high school. Their children are also more likely to
have lower school achievement and drop out of high school.
- children of teens are also more likely to: have health probs, become incarcerated, become teen
parents themselves, become unemployed.
,3 leading causes of death in the US of adolescents (1) - Correct answers✔✔Accidents,
Homicide, Suicide
Drug use by high school students (1) - Correct answers✔✔Etoh (63%)
Pot (41%)
Inhalants (9%)
E (7%)
Shrooms (7%)
Coke (5%)
Teratogen effects of smoking (1) - Correct answers✔✔Low birth weight
Characteristic facies
Teratogen effects of etoh (1) - Correct answers✔✔Facial abnormalities, growth deficiency, CNS
dysfunction, poor motor skills, poor hand-eye coordination, learning problems
Teratogen effects of cocaine and other stimulants (1) - Correct answers✔✔Vasoconstriction and
low birth weight
Problems with cognitive performance, information processing, and attention to tasks.
Factors affecting (limiting) fetal growth (1) - Correct answers✔✔- maternal factors like poor
weight gain, preeclampsia, drug use, infections
- placenta abnormalities like placenta previa or placental abruption
- fetal abnormalities like metabolic disease, malformations, chromosome abnormalities, and
congenital infections
,Small for gestational age (SGA) vs Intrauterine growth restriction (IUGR) (1) - Correct
answers✔✔SGA is determined at time of birth. 70% of SGA infants are small simply due to
constitutional factors determined by maternal ethnicity, parity, weight, or height.
IUGR is one that has not reached its growth potential at a given gestational age due to one or
more causative factors. Noted DURING PREGNANCY.
Etiologies of SGA at birth: Maternal factors (1) - Correct answers✔✔- Both young and advanced
maternal age
- Maternal prepregnancy short stature and thinness
- Poor maternal weight gain during the latter third of pregnancy
- Nulliparity
- Failure to obtain normal medical care during pregnancy
- Cigarette smoking, cocaine use, other substance abuse
- Lower socioeconomic status
- African-American ethnicity (in the U.S.)
- Uterine and placental abnormalities (see below)
- Polyhydramnios
- Intrauterine infections
Medications and exposures that can cause SGA (1) - Correct answers✔✔- Amphetamines
- Antimetabolites (e.g., aminopterin, busulfan, methotrexate)
- Bromides
- Cocaine
- Ethanol
- Heroin and other narcotics
, - Hydantoin
- Isotretinoin
- Metal (e.g., mercury, lead)
- Phencyclidine
- Polychlorinated biphenyls (PCBs)
- Propranolol
- Steroids
- Tobacco (carbon monoxide, nicotine, thiocyanate)
- Toluene
- Trimethadione
- Warfarin
Uterine and placental abnormalities that can cause SGA (1) - Correct answers✔✔- Avascular villi
- Decidual or spiral artery arteritis
- Infectious villitis (as with congenital or TORCH* infections)
- Multiple gestation (limited endometrial surface area, vascular anastomoses)
- Multiple infarctions
- Partial molar pregnancy
- Placenta previa and abruption
- Single umbilical artery
- Umbilical thrombosis
- Abnormal umbilical vascular insertions
- Syncytial knots
- Tumors, including chorioangioma and hemangiomas
