4/23-peds

Question 1

glucose in RA parapneumonic effusion

Answer 1

low, white blood cells eat it

Question 2

cardio exam finding pulmonary edema

Answer 2

right ventricular heave

Question 3

cardio exam finding thing septic shock

Answer 3

bounding pulses

Question 4

what med can be used in early parsons for a young person

Answer 4

anticholinergics like trihexyphenidyl

Question 5

what type of weakness does botulism have

Answer 5

descending

Question 6

what does tetanus toxin do

Answer 6

blocks the release of inhibitory neurotransmitters: glycine and GABA

Question 7

sx of inter cranial HTN

Answer 7

HA worse at night
nausea 
vomiting
AMS
papilledema 
focal neurological deficit

Question 8

where is atrophy in Alzheimers

Answer 8

temporal lobe- hippocampus

Question 9

other name for vasodilation vagal

Answer 9

neurocardiogenic

Question 10

what cells are seen on peripheral smear G6PD def

Answer 10

bite cells

Question 11

most common sequela of congenital cmv

Answer 11

sensorineural hearing loss

Question 12

most common causes of meningitis

Answer 12

Group B strep
Ecoloi
listeria
herpes

Question 13

most common cause of meningitis > month

Answer 13

step pneumoniae

neisseria

Question 14

first line med to stop drinking

Answer 14

naltrexone

Question 15

short acting benzo

Answer 15

lorazapam

Question 16

long acting benos

Answer 16

diazepam chlordiazepoxide

Question 17

4 things in tetralogy of fallout

Answer 17

1. VSD
2. RVH
3. overriding aorta
4. RV outflow obstruction

Question 18

Kawasaki labs

Answer 18

⬆️ ESR
⬇️ Albumin
sterile pyuria

Question 19

Henoch Schonlein Purpura compliacations

Answer 19

intussusception, AKI- IgA mediated

Question 20

Parainfluenza virus name

Answer 20

RSV/croup

Question 21

croup age range

Answer 21

3 months and 5 years

Question 22

croup sx

Answer 22

inspiratory stridor
barking cough
nasal congestion
dyspnea

Question 23

what is steeples sign

Answer 23

subglottic narrowing in croup

Question 24

severe croup tx

Answer 24

aerosolized epi and steroids

Question 25

labs in necrotizing enterocolitis

Answer 25

metabolic acidosis, hypo Na

Question 26

first sign of pediatric hypothyroid

Answer 26

prolonged jaundice

Question 27

Glucose 6 phosphate deficiency characteristics and tx

Answer 27

``` DO NOT CONFUSE WITH G6PD the blood thing hepatomegaly Hypoglycemia seizures doll face thin extremities Avoid fructose, galactose, and sucrose ```

Question 28

Fanconi anemia H/P

Answer 28

``` fatigue dyspnea infections short stature abnormal skin pigmentation horseshoe kidney thumb abnormalities ```

Question 29

Fanconi anemia labs

Answer 29

pancytopenia | increased afp

Question 30

diamond Blackman anemia h/p

Answer 30

``` fatigue cyanosis dyspnea pallor craniofacial abnormalities thumb abnormalities heart murmur ID hypogonadism ```

Question 31

diamond Blackman labs

Answer 31

low Hgb decreased retic increased MCV

Question 32

Tay-Sachs disease: inheritance, enzyme,sx, tx

Answer 32

AR, hexosaminidase def,poor development, cherry red spots, supportive care

Question 33

where in brain is spastic CP, dyskinetic CP

Answer 33

``` Spastic = pyramidal tracts dyskinetic = extrapyramidal ```

Question 34

what is increased in muscular dystrophy

Answer 34

CK

Question 35

Moro reflex- description, when it goes away, 🧠 part

Answer 35

extension of the head causes extension and flexion of limbs , startle reflex 3 months medulla, vestibular nuclei

Question 36

Grasp reflex- description, when it goes away, 🧠 part

Answer 36

placing finger in palm causes grasping 3 medulla, vestibular nuclei

Question 37

Rooting reflex- description, when it goes away, 🧠 part

Answer 37

rubbing cheek causes causes turning of mouth to stimuli 3 medulla, trigeminal nuclei

Question 38

Tonic Neck reflex- description, when it goes away, 🧠 part

Answer 38

when head turned, arm faced side extends and arm on opposite side flexes 3 medulla, vestibular nuclei

Question 39

Placing reflex- description, when it goes away, 🧠 part

Answer 39

rubbing of foot causes foot to foot to step up 2 Cortex

Question 40

contra indications to rotavirus vaccine

Answer 40

intussusception | SCID

Question 41

hep B vac schedule

Answer 41

birth,2-4 months, 6-15months

Question 42

rota vac schedule

Answer 42

2,4,6months

Question 43

DTaP schedule

Answer 43

2,4,6,15-18 months, 4-6 years

Question 44

Hib vac schedule

Answer 44

2,4,6,12-15 months

Question 45

PCV vac schedule

Answer 45

2,4,6, 12-15

Question 46

IPV vac schedule

Answer 46

2,4,6-18months, 4-6years

Question 47

MMR and VZV vac schedule

Answer 47

12-15 months, 4-6 years

Question 48

Hep a vac schedule

Answer 48

X2 12-18months

Question 49

meningitis vac schedule

Answer 49

11-12, 16-18 years

Question 50

HPV vac schedule

Answer 50

X3 11-12 years

Question 51

Di George syndrome sx/tx

Answer 51

no thymus =. no T cells ♥️ dz,abnormal facial features | tx= calcium vit d, thymie transplant, bone marrow transplants,ivig

Question 52

x linked agammaglobunimea

Answer 52

no B cells low immunoglobulins tx =ivig,abx supportive pulmonary care

Question 53

wiskott aldrich

Answer 53

x linked, eczema, thrombocytopenia low platelets with low Igm, high IgG and IgA tx = splenectomy, ivig, bone marrow transplant

Question 54

ataxia-telangigctasia

Answer 54

AR, cerebellar dysfunction, telangigtasias, impaired WBC and IgA development tx = ivig, fatal tho

Question 55

hyper ige

Answer 55

chronic dermatitis, recurrent skin infection, pulmonary infection, coarse facial ft, retained baby teeth

Question 56

Chediak- Higashi

Answer 56

AR, dysfunction of neutros, staph and strep, gram -, fungus, abnormal platelets, albinism, neurologic dysfunction

Question 57

Leukocyte adhesion deficiency

Answer 57

integrin problem, delayed separation of the cord, skin and pulmonary infections, short stature, abnormal face, increased neutrophils

Question 58

prayer willi deletion

Answer 58

Paternal 15q11-15q13 deletion

Question 59

Angelman deletion

Answer 59

Maternal 15q11-15q13 deletion

Question 60

Fragile x codon

Answer 60

CGG

Question 61

gonnerhea eye timeline

Answer 61

2-7days

Question 62

chlamydia eye timeline

Answer 62

5-14 days