Infection

Question 1

Mum with HIV. Baby is born, what to do next?

Answer 1

Zidovudine in the first few hours of life. Till 6 mo

6 mo later tmp smx

Question 2

What vaccines to avoid in children with cd4 count <15 %

Answer 2

Live vaccines- MMR

Question 3

Indications for Paviluzimab

Answer 3

To -prevent- bronchiolitis
Preterm <29 weeks
Congenital heart disease (with hemodynamic instability)
Chronic lung disease of prematurity

Question 4

Bronchiolitis treatment

Answer 4

Supportive, anyone with trouble breathing provide ventilation

Question 5

Croup with stridor with agitation (e.g. crying) vs stridor at rest treatment

Answer 5

Stridor with agitation- single dose dexamethasone

Stridor at rest- dexamethasone + nebulized epinephrine

Question 6

Croup hallmark Sx

Answer 6

Stridor, barky (harsh) cough

Question 7

Focal wheezing + asymmetric breath sounds in a 1 year old mcc?

Answer 7

Foreign body aspiration

Question 8

Kawasaki disease symptoms

Answer 8

-Fever greater than 38.9 >5 days-
4/5 of following:
- bilateral conjunctivitis without exudate
- mucous membrane changes: strawberry tongue, pharyngitis mc= CRACKED SWOLLEN LIPS
- unilateral cervical LAD >1.5cm
- any type of rash mainly on trunk
- changes to distal extremities

CREAM (conjunctivitis, rash, edema (erythema of hands and feet), adenopathy(cervical unilater), MUCOSAL.

*extra info: mc acquired heart disease in US (acute rheumatic fever in world)
Occurs to kids <5 y/o

Question 9

Congenital VZV

Answer 9

Zigzag lesions
Eyes - cataracts, microphthalmia, chorioretinitis
Lymb hypoplasia