Pediatric Primary Care PNCB 2Final Exam.

Pediatric Primary Care PNCB Final Exam. 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 - correct answer 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 - correct answer 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?" - correct answer "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.