AANP FNP |LATEST VERSION |NEW
UPDATE |GUARANTEED PASS|2024-2025
|BEST STUDYING MATERIAL WITH 150
QUESTIONS
2-5/6 best at LUSB, ejection click @ 2nd L ICS. Radiates to back.
May involve wide S2. Usually d/t fusion of valves
- Ans - Pulmonic valve stenosis
Organ problem or aldosterone. Cushings. Refer to cards
- Ans - HTN in peds
Joints, CNS, post infectious group a strep. affects mitral valve. Jones criteria (carditis, chorea,
erythema marginatum, esr elevated, arthralgia, fever, prolonged PR interval)
- Ans - Rheumatic heart disease
Toxic vasculitis. Fever several days, rash, swelling, peeling, strawberry tongue, prolonged PR or
QT. ASA, refer.
- Ans - Kawasaki's
Surgical emergency. Lethargy, vomiting, jelly stool, mass in RUQ. Can be from rotavirus ?
- Ans - Intusucception
Adrenal gland tumor, before age 5. Mass in abdomen. Catecholamines elevated. Painful, fixed,
crosses midline.
- Ans - Neuroblastoma
,Small head, shortened palpebral fissures (narrow eyes), flat nasal bridge. Thin upper lip.
- Ans - Fetal alcohol syndrome
Trigeminal nerve, refer to opthlamology to rule out congeital glaucoma. Can be a sign of Sturge-
Weber syndrome.
- Ans - Port wine stain
Corneal light reflex, tests for strabismus.
- Ans - Hirschberg Test
Absence is indicitave of spina bifida
- Ans - Anal wink
Fencing
- Ans - Tonic neck
12 months and 4-6 years ol.d
- Ans - When do you get MMR?
Follows objects past midline, coos, lifts head, smiles
- Ans - 2 month development
Palmar grasp, reaches, bring things to mouth, pass things from one hand to another, sits up on
own, turns belly-back-belly
- Ans - 6 month development
pincer grasp, pulls to stand, peek a boo, report absence of babble or inabilty to sit alone.
Follows simple one-step command (9-11mo)
, - Ans - 9 month development
Bye bye, walks, mama, dada, check for anemia, lead poisoning. Report inability to transfer, or
weight bearing.
- Ans - 12 month development
Spoon, cup, walk, follows 2-step commands, knows 4-6 words, up stairs w/help
- Ans - 15 month development
Walk up steps, turns pages, body parts.
- Ans - 18 month development
At birth or within first day,soles of feet bright yello. Caused by ABO incompatibility. R/o
kernicterus
- Ans - Pathologic jaundice
Compare brachial and femoral pulse. Normal finding BP higher in legs than arms.
- Ans - Coarctation of aorta signs
Abdominal mass that extends from flank to midline. Rarely crosses midline. Abdominal pain,
hematuria, HTN.
- Ans - Wilm's Tumor
Rapid onset of fever, chills, severe sore throat, "hot potato voice", drooling. Usu. between age 2-
6.
- Ans - Epiglottitis signs
2-3 word setences. Simple commands. Knows first name. Copy straight line. Jumps w/ both feet,
runs
