Growth/Development — Flashcards

Flashcard 221: _____ is characterized by increased protein excretion only in the upright position more commonly occurring in overweight adolescents

Answer: Orthostatic proteinuria

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Flashcard 222: What is the age range of milk-protein-induced allergic proctocolitis? _____

Answer: 1-12 months

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Flashcard 223: What are the risk factors for necrotizing enterocolitis? Prematurity VLBW _____ _____

Answer: Reduced mesenteric perfusion (hypotension, CHD)

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Flashcard 224: APGAR scores _____ predictive of future outcome, and _____ guide therapy

Answer: are not

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Flashcard 225: At what age does bed wetting ( enuresis ) become concerning? _____ Therapies? _____

Answer: After age 5

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Flashcard 226: Intrauterine growth restriction is a risk factor for neonatal respiratory distress syndrome (NRDS) _____

Answer: F

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Flashcard 227: An 8 month old baby is evaluated for developmental delay, failure to thrive, & episodic of seizures. -Physical Exam: Ophthalmoplegia, hypotonia. -Lab: Elevated serum lactate level -Histochemical studies: reduced pyruvate dehydrogenase enzyme activity. -Increase of what substance will most likely help this patient generate energy without further elevating lactate levels?

Answer: Lysine or Leucine Because they are exclusively ketogenic amino acids, they can't be metabolize to pyruvate, they won't lead to increase lactic acid. Due to Pyruvate dehydrogenase deficiency (pyruvate can't convert to acetyl-CoA, thus convert to lactic acid.) Key: Don't confuse lactate dehydrogenase with pyruvate dehygrogenase. Lactate dehygrogenase: convert pyruvate to lactic acid Pyruvate dehydrogenase convert pyruvate to acetyl CoA. Symptoms: Neurological sympt. & high lactic acid.

Flashcard 228: Neuroblastoma may present with _____ syndrome, sometimes referred to as "dancing eyes, dancing feet"

Answer: opsoclonus-myoclonus

Flashcard 229: What malnutrition disorder presents as a small child with a swollen abdomen? _____

Answer: Kwashiorkor

Flashcard 230: Exclusively breastfed infants require _____ supplementation

Answer: vitamin D