University of Chicago
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A newborn is born w/ a cleft lip & palate. The provider understands that the slit in the lip & mouth will introduce specific challenges for the parents & child. How best can a provider manage this condition before its repaired? (SATA) 
Recommend the use of special nipples for feeding 
Recommend speech therapy in later years. 
Recommend dental restoration as often needed. 
Refer to surgeon when indicated 
 
 
 
Most young children walk on their toes until they establish the heel-toe pattern. This...
What age do children usually begin receiving the HPV vaccine? 
11 Years 
 
 
 
When can a child stop using a booster seat in the car? 
when the child is at least 4'9" tall 
 
 
 
A 13-year-old client diagnosed w/ infectious mononucleosis 2 weeks ago is in your office today c/o abdominal pain to the upper left quadrant, is febrile, & tired. based on the client's recent history, what is the best intervention? 
refer to emergency services 
 
 
 
An established 14-year-old client who recently ret...
A client presents to clinic for the first time. The provider discovers that the client was diagnosed with Prader-Willi syndrome. What symptoms does the provider expect to find during this encounter: 
Hyperphasia, obesity, and strabismus 
 
 
 
a client with Prader-Willi syndrome, well-known to the clinic, presents today for an annual physical. This client is at higher risk and should be screened for what medical condition? 
Type 2 diabetes mellitus 
 
 
 
A new client presents to the clinic to e...
The physical exam of an established 7-month-old client, diagnosed with spastic cerebral palsy will most likely be positive for which signs 
Increased deep tendon reflexes and sustained clonus 
 
 
 
A 4-year-old client, who is new to the clinic, presents for a sick visit. However,upon exam the provider discovers that the client has flaccid paralysis over thelower extremities, absent deep tendon reflexes, lack of response to touch andpain, and has a saclike cyst on the lower back. What is the mos...
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A client presents to clinic for the first time. The provider discovers that the client was diagnosed with prader-willi syndrome. What symptoms does the provider expect to find during this encounter? 
>>Hyperphagia, obesity, and strabismus 
 
Lethargy and stridor and irritability 
 
Low-set ears, short stature, webbed neck 
 
Flat nasal bridge, epicanthal folds and heart murmur 
 
 
 
Prader-Willi Syndrome 
1) Caused by a lack of genetic material in the 15 pair of c...
The provider knows that climate change will impact the main health outcome for children by its impact on 
Foof productions 
 
 
 
The parent of a 3-year-old is concerned that the child may have autism. The provider completes a Modified Checklist for autism in Toddlers (M-CHAT) tool and the results indicate several areas of concern. What will the provider do? 
Refer the child to a behavioral specialist for further evaluation 
 
 
 
The provider learns that the mother of a 3-year-old child has bee...
What should a cultural assessment of the family and child include? 
an assessment of a patient's dominant culture including the accompanying health beliefs, and beliefs about birth, illness, and deaths 
 
 
 
What question should the provider ask to elicit information about the internal structure of the family? 
has any family member recently moved in or out of the home? if so, how has this move affected the family? 
 
 
 
"culture is a social construction of the relationships within and among...
What should a cultural assessment of the family and child include? 
An assessment of a patient's dominant culture including the accompanying health beliefs, and beliefs about birth, illness, and deaths. 
 
 
 
What question should the provider ask to elicit information about the internal structure of the family? 
Has any family member recently moved in or out of the home? If so, how has this move affected the family? 
 
 
 
"Culture is a social construction of the relationships within and amon...
GER 
uncomplicated recurrent spitting & vomiting in healthy infants that resolves spontaneously 
 
 
GERD 
: is present when reflux causes secondary symptoms or complications 
 
 
GERD Test 
UGI when anatomic etiologies of recurrent vomiting are considered, but should not be considered to be a test for 
 
 
GER and GERD pharmacotherapy 
•There is no sufficient evidence to support the use of prokinetic agents for GERD Rx 
•Medications are usually not recommended unless pathologic GER has been...
atopic dermatitis 
scaly erythematous plaque, symmetric lichenified scaly red plaques 
 
 
 
seborrheic dermatitis description 
symmetric red scaly confluent plaques, thick tenacious scale with crust and underlying erythema 
 
 
 
seborrheic dermatitis- other names and management 
cradle cap (infants) 
dandruff (adolescents) 
overproduction of serum 
infants- spontaneous resolution, emollients or shampoo to remove thick scale, no FDA approved tx under 2 yo 
adolescents: antifungals, antiinflamma...