PEDS

Question 1

Nontender abd mass associate w elevated VMA and HVA

Answer 1

neuroblastoma

Question 2

most common type of TE fistula? How to diagnose?

Answer 2

Esophageal atresia with distal TEF.

Unable to pass NG tube

Question 3

Not contraindications to vaccination

Answer 3

Mild illness and/or low-grade fever, current antibiotic therapy, and prematurity

Question 4

Test to r/o shaken baby

Answer 4

opthalmologic exam, CT, MRI

Question 5

A neonate has meconium ileus

Answer 5

CF (but also hirschprung is associated w/ no passage of meconium for 48hrs)

Question 6

Bilious emesis within hours of first feeding

Answer 6

Duodenal atresia

Question 7

2 month old baby presents with nonbilious projectile emesis. Dx?
What are the management steps?

Answer 7

Pyloric stenosis

Correct metabolic abnormalities, then do pyloromyotomy

Question 8

Most common primary immunodeficiency

Answer 8

selective IGA

Question 9

Infant has a high fever and onset of rash as fever breaks. What is he at risk for?

Answer 9

Febrile SZ (likely caused by roseola infantum)

Question 10

A boy has chronic respiratory infxn and nitroblue tetrazolium test is negative

Answer 10

chronic granulomatous dz

Question 11

A child has eczema, thrombocytopenia and high IGA

Answer 11

Wiskott Aldrich syndrome

Question 12

4mo boy has life threatening pseudomonas

Answer 12

Bruton’s X-linked agammaglobulinemia

Question 13

Acute phase tx for Kawasaki

Answer 13

High dose ASA for inflammation and fever, IVIG to prevent coronary artery aneurysms

Question 14

Tx for mild and severe UNconjugated hyperbilirubinemia

Answer 14

Phototherapy for mild, exchange transfusion for severe (DO NOT use phototherapy for conjugated, conjugated is likely biliary atresia).

Question 15

sudden onset of AMS, emesis, and liver dysfunction after ASA administration

Answer 15

Reye’s syndrome

Question 16

A child has loss of red light reflex. Dx?

Child has increased risk for which CA?

Answer 16

suspect retinoblastoma

osteosarcoma

Question 17

Vaccinations at a 6mo well child visit

Answer 17

HBV, DTap, Hib, IPV, PCV, rotavirus

Question 18

Tanner stage 3 in a 6yo F

Answer 18

precocious puberty

Question 19

Infxn of small airways with epidemics in winter and spring

Answer 19

RSV bronchiolitis

Question 20

cause of neonatal RDS

Answer 20

surfactant deficiency

Question 21

currant jelly stools, colicky abd pain, bilious vomiting and sausage mass in RUQ

Answer 21

Insusssception

Question 22

Congenital heart dz that causes 2ndary hypertension.

What is physical exam finding?

Answer 22

Coarctation of aorta

decreased fem pulses

Question 23

First line tx for otitis media

Answer 23

amoxicillin x10 days

Question 24

Most common pathogen causing croup

Answer 24

Parainfluenza 1

Question 25

Homeless child small for his age has peeling skin and distended abdomen

Answer 25

Kwashiorkor (protein malnutrition)

Question 26

Defect in X-linked syndrome w/ mental retardation, gout, self-mutilation and choreoathetosis

Answer 26

Lesch-nyhan (HGPRTase deficiency)

Question 27

Newborn girl has continuous machine like murmur. What drug to give?

Answer 27

PDA. Use indomethacin

Question 28

newborn w/ posterior neck mass and swelling of hands

Answer 28

turner’s syndrome