Health Check:
Which principle of child development explains why infants achieve head control before walking?
What is Cephalocaudal development?
The most effective body position to elicit percussion sounds in the posterior lung fields would be to have the patient:
What is sitting with head bent forward and arms folded in front?
During nutritional assessment, which finding in a 2-year-old requires immediate counseling?
What is sweetened beverage intake exceeds recommendations?
Which tonsillar grade indicates tonsils are touching each other at midline?
What is 4+?
Explain the type of information that is collected in objective data:
What is observational information, such as: what you see, hear and touch?
Breath sounds normally auscultated over most of the peripheral lung fields are called:
What is vesicular?
During a well-child visit for a 10-year-old, which type of health history should the provider obtain?
What is a interval health history?
The middle lobe of the right lung is best auscultated in the:
What is right axilla?
Provide 3 different aspects that you should consider as a practitioner that could be present with a patient that is an older adult than a patient that is < 65 years old.
What is:
Hearing Loss?
Memory Loss?
Less dramatic symptomatic presentation?
Polypharmacy?
Symptoms of Old Age?
Mobility difficulties?
Which lymph node finding in a child warrants immediate evaluation for possible malignancy?
What is supraclavicular node enlargement?
Which percussion sound is expected over a normal lung field in a child?
What is resonance?
Describe when you would auscultate the thyroid:
What is an enlarged thyroid?
- with the Bell of the stethoscope.
Which developmental milestone reflects the principle of proximal-to-distal development?
What is palmar grasp before fine pincer grasp?
Individuals with congenital or acquired valve defects and those with history of intravenous drugs are particularly susceptible to this cardiac infection.
What is bacterial endocarditis?
Where does an older adults visual acuity typically decline in the patients field of view?
What is a decline in central vision, distortion of central vision?
With pitting edema, what is the depth of pitting in association of the grading system (+1, +2, etc)?
What is:
1+ = 2 mm, no visible distortion, disappears rapidly.
2+ = 4 mm, no readily detectable distortion, disappears in 10 - 15 seconds.
3+ = 6 mm, deep pit that may last more than 1 min, extremity looks fuller and swollen.
4+ = 8 mm, deep pit that lasts as long as 2-5 minutes, dependent extremity is grossly distorted.
Which spinal curvature is normal in toddlers but abnormal in older children?
What is lumbar lordosis?
What key subjective questions should a clinician ask a patient who presents with a chief complaint of chest pain, to rule out red flags?
What is...
Is the pain acute or chronic?
What were you doing when the pain first occurred?
Where is the pain located?
What seems to trigger the pain?
Does the pain awaken you from sleep?
Which component is unique to an initial comprehensive pediatric health history compared to an interval history?
What is detailed prenatal, birth, and neonatal history?
This syndrome is characterized as weakness, slowing, decreased energy, lower activity, and when severe, unintended weight loss, in older patients.
What is frailty syndrome?
In pediatric cardiovascular assessment, which heart sound is considered normal in thin school-aged children but abnormal if loud?
What is S3?
You are examining a 30-year-old with fever and a productive cough. On examination, you percuss dullness at the posterior base of the left lung. In this exact location, you auscultate crackles and positive egophony. These findings are consistent with:
What is lobar pneumonia?
Which physical finding in a male child warrants urgent referral to a urologist?
What is empty scrotal sac beyond 6 months of age?
You auscultate a rough grating sound near the apex of the heart that continues throughout systole and diastole as well as when the patient holds his breath. How should you document this heart sound?
What is pericardial friction rub?
Which anthropometric measurement is routinely obtained only in children age 3 years and younger?
What is head circumference?