2016 Exam Flashcards
(54 cards)
Cyclical vomiting syndrome criteria:
“think 5-1=4; 5 attack min. 4 vomit/hour x 1 hour minimum”
Min. 5 attacks Recurrent vomit last 1hour-10d Vomit 4X/hour x 1 hour minimum Normal between episodes Not attributed to another dx
Total body radiation. Risk of radiation effects later?
Secondary malignancy
Adrenal insuff
Hypothyroidism
All of sudden with getting NG feeds getting dumping (diarrhea, sweat, cramp). LIKley reason? and two mechanism?
Hyperosmolar feed
> Pumped too fast
Formula too hyperosmolar formula
Dyslexia DSM5 Criteria
Difficulties with learning and using academic skill x 6mo
Skill less than expected age and cause issue w/ school
LD start at school age
Not better accounted for by IQ disability , visual, auditory or other factors
Chronic Granulomatous Disease. Confirmed via?
NOBI= Neutrophil Oxidative Burst Index
Remember: supportive adenitis, hepatic abscess, recurrent pneumoniae, osteomyelitis at multiple spots etc.
Two indications for hydrocele Sx
Communicating hernia > 18 month age (risk of indirect hernia)
Non communicating: Large and uncomfortable
ASD. 3 findings on cardiac auscultation
Fixed split S2
Systolic murmur at mid sternal area
Rumbling low pitch diastolic murmur
Other cardiac: prominent impulse, heave, lift
CPR compression ratio per minute?
100
CPR ventilation ratio per minute?
8-10
Risk of WPW
Ventricular tachycardia, syncope, sudden death.
4 ways to reduce systematic bias
Large sample size
Set clear inclusion and exclusion to reduce bias
Reduce sampling bias
Use systematic process that is transparent and reliable
Randomize participant to 2 group
Double blinded
Use validated objective criteria for measuring outcome
Mastoiditis complications:
facial nerve palsy, subdural abscess, meningitis, sinus venous thrombosis
3 life threatening complications of GBS
- respiratory depression
- arrhythmia
- dysautonomia (hemodynamic instability)
Other: DVT, PE
OSA two consequences
Cor pulmonale
HTN
3 Perinatal complications of post-dates
Still birth
Macrosomia (and shoulder dystocia)
Meconium Aspiration
What criteria must be met for return to play post concussion?
- *Full return to school must precede sports
* * Only return after symptom free x 7-10d
Advice regarding return to school if concussion:
Return in few days after okay with cognitive task at home.
Accommodation may be necessary
Gradual increase
ODD. Suggested management
Parental training (triple P)
Youth anger management
Stimulant, Atypical anti psychotic
Diagnostic criteria for Bulimia nervosa
Min 1X week x 3 month
Binge eating (excessive amount with lack of control)
Compensatory behaviour (i.e. purge, laxative, restrict)
Self-evaluation influenced by negative perception of body shape and image, weight
Not due to AN or other dx
HPV vaccine present:
Cervical cancer
Genital warts
Anal cancer
Throat Cancer
Asthma versus scoliosis: RV/TLC and FVC
RV= volume in lungs. TLC= total lung capacity FVC= forced vital capacity (total air that can be forceful exhaled)
Asthma: RV/TLC up or normal (more RV); FVC down
Scoliosis: RV/TLC increased (more RV); FVC down++
How do you avoid BPD in NRP resuscitation?
Avoid barotrauma or volume trauma
What is heat rash medical term?
Miliaria= rash over fold (intertrigonal or where two skin rub/touch) and covered areas.
What can you do to prevent future kidney stones?
UP fluid
DOWN salt
normal calcium diet
