Peds 2

Question 1

tx of choice for childhood OSA

Answer 1

adenotonsillectomy (CPAP has low compliance rate)

Question 2

kid w/ posterior heel pain, especially when dorsiflex ankles

Answer 2

calcaneal apophysitis / Sever disease

Question 3

external rotation deformity
limited internal rotation
- dx
- next step

Answer 3

SCFE

surgery

Question 4

good vs bad head shapes

Answer 4

good: occipital plagiocephaly (parallelogram)
bad: cranial synostosis (trapezoid)

Question 5

when to tx unilateral undescended testes

Answer 5

6-12 months

Question 6

child w/ bilious emesis, no fever, not eating

• dx
• next step

Answer 6

intestinal malrotation w/ volvulus

upper GI series

Question 7

clinical features of septic arthritis

Answer 7

temp > 38.5
refusal to bear weight on affected leg
ESR > 40
WBC > 12,000
CRP > 20

Question 8

to diagnose septic arthritis

Answer 8

ultrasound

if neg, do bone scan

Question 9

tx croup

Answer 9

steroid

racemic epi if mod to severe to reduce need for intubation

Question 10

indication for tympanostomy tube

Answer 10

3 AOM in last 6 months

4 AOM in last year, with one in last 6 months

Question 11

tx developmental dysplasia of hip up to 6 months

Answer 11

closed reduction & immobilization in Pavlik harness

ultrasound of hip to ensure proper positioning

Question 12

management of lymphadenopathy

Answer 12

FU in 4 weeks

Question 13

tx CAP in 2 month - 5 year

Answer 13

high dose PO amoxicillin (covers strep)

Question 14

tx CAP child 5-16 yo

Answer 14

azithromycin (covers mycoplasma and chlamydia)