Deck 6

Question 1

treatment of CO poisoning

Answer 1

oxygen

Question 2

treatment of cyanide poisoning

Answer 2

cobalamin or nitrites

Question 3

if a male has precocious puberty but normal sized testes what is the etiology

Answer 3

congenital adrenal hyperplasia

Question 4

what causes the testicals to increase in size

Answer 4

FSH

Question 5

congenital adrenal hyperplasia in an XX fetus

Answer 5

precoscoius puberty, virulization

Question 6

next steps in a baby with increased TSH on heel stick

Answer 6

measure an actual TSH and T4

Question 7

signs of spinal muscular atrophy

Answer 7

fasiculations, hypotonia, loss of reflexes

Question 8

what part of the spinal cord does spinal muscular atrophy affect

Answer 8

the anterior horn so LMNs

Question 9

if a patient has low levels of progesterone in the luteal phase what happened

Answer 9

they did not ovulate

Question 10

what is a hallmark of anovulatory cycles

Answer 10

heavy menstrual bleeding because there is no progesterone to maintain the endometrium and the follicles are still secreting estrogen so the endometrium still proliferates

Question 11

management of ovarian cysts

Answer 11

typically just observation

Question 12

what type of acid/base disturbance does aspirin overdose cause initilaly

Answer 12

respiratory alkalosis

Question 13

what type of acid/base disturbance does aspirin overdose cause later in the course

Answer 13

elevated anion gap acidosis

Question 14

treatment of aspirin OD

Answer 14

sodium bicarb

Question 15

where do you hear VSD

Answer 15

left sternal border

Question 16

what do you see on xray of a VSD

Answer 16

cardiomegaly and increased pulmonary vascular markings due to increased blood going from L-R and causing hypertorphy of the pulm smooth muscle

Question 17

signs of alveolar collapse (atelectasis) on xray

Answer 17

decreased breath sounds in conjunction with focal haziness

Question 18

how do you treat severe hyperkalemia

Answer 18

calcium chloride

Question 19

causes of SIADH

Answer 19

trauma, infection, tumor, stroke

Question 20

volume depletion effect on sodium levels

Answer 20

hypernatremia

Question 21

ACE inhibitors effect on the kidney

Answer 21

they cause dilation of the efferent arteriole which causes decreased GFR

Question 22

ACE inhibitors effect on aldosterone secretion

Answer 22

these cause decreased aldosterone which then causes hyperkalemia because of K retention

Question 23

volvulus xray findings

Answer 23

multiple dilated loops of bowel and air fluid levels

Question 24

in a sickle cell crisis, what is the cardiac output like?

Answer 24

it is elevated to help with oxygenation of peripheral tissues

Question 25

what are asplenic patients at risk of

Answer 25

sepsis via encapsulated organisms

Question 26

signs of beckwith wiedman at birth

Answer 26

macrosomnia, macroglossia, hypoglycemia, visceromegaly, omphalocele, umbilical hernia etc

Question 27

what should you do with joint aspirate fluid

Answer 27

culture it!!

Question 28

signs of hypertensive emergency in a child

Answer 28

lethargy, narrowing of retinal arteries on fundoscopy, headache and dizziness

Question 29

what are children with vesicouretal reflux at risk of

Answer 29

UTIs, chronic kidney disease

Question 30

steps in evaluating hypertension in children

Answer 30

get a creatinine and BUN to check kidney function

Question 31

signs of histo

Answer 31

Flulike illness: fever, weight loss, erythema nodosum, hepatosplenomegaly, lymphadenopathy, nonproductive cough

Question 32

where do yo uget histo

Answer 32

missipi river valley

Question 33

how do you evaluate a straddle injury

Answer 33

retrograde urethrography after xray

Question 34

what is acrocyanosis

Answer 34

this is just cyanosis of the hands and feet of a neonateI