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Pediatric Written 1 > childhood conditions 2 > Flashcards

childhood conditions 2 Flashcards

1
Q

infx (discitis, osteomyelitis)
tumor in SC or column
trauma
-ddx for back pain in this age group

A

Pre-puberty

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2
Q 
idiopathic: scheuermann's dz
tumor in sc or column
trauma
inherited
Ddx for back pain in this age group
A

puberty

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3
Q 
warning signs for back pain in kids
<4yo 
functional deficiency
lasting >4w
and 4 more:
A

antalgic posture
neurological abnormalities
limited ROM
with fever

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4
Q

before MRI was available, 30% of all peds cord injuries with pos neuro findings were called:

A

SCIWORA

spinal cord injury witho out radiographic abn

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5
Q

best test for discitis, paired with s/s, hx of infx

A

bone scan

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6
Q

enuresis is not dx until this age

A

5yo

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7
Q

areas to check for enuresis

A

S2
LE, pelvis, lumbar, cervical
-myofascial release, nutrition

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8
Q

MC type of genetic obesity

A

prader willi syndrome

-chrom abn

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9
Q

MC hemolytic anemia, can cause preterm, spontaneous abortion, LBP, stillbirth, perinatal mortality

A

sickle cell anemia

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10
Q

must do this if childhood HA is: acute, worst/thunderclap, chronic and progressive, neuro sx, abn eye movements, hemiparesis, ataxia, abn reflexes, NF, heart, vomits on awakening

A

imaging

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11
Q

sudden/severe HA lasting up to 60 sec, possible sign of subarachnoid hemorrhage, trauma, stroke

A

thunderclap HA

-check T12 only

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12
Q

childhood migraine criteria

A

5+ lasting 1-48h

  • have at least 2 of: bilat/unilat, pulsating, mod-sev, exac by routine activities
  • accomp by at least 1: n/v, photo/phonophobia
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13
Q

CT autoimmune dz with polyarticular joint inflam, req davis series due to inc ADI, transverse lig instability

A

RA

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14
Q

three types of JRA
____: 5-10yo, 10%
____: 2yo, 40-60%
____: 1-3yo, 30-40%

A

systemic
pauciarticular
polyarticular

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15
Q

adult with “old” JRA

A

JCA

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16
Q

spine infx that causes rapid disc space loss, without osteophytes, DDD, pre-vert ST swelling

A

spondylitis

ddx: mets (preserved disc space)

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17
Q

4 seronegative spondyloarthropathies

(Rh-, HLA B27 +) Mc older

A

AS (MC)
PA
reiter’s
enteropathic arthritis

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18
Q

MC seroneg spondyloarthrop, and its DDX

cant see cant pee cant dance with me

A

AS

ddx: OCI
- can’t adjust bamboo spine, maybe inc ADI

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19
Q

wedging of 5* or more of 3 vert (T7, 8, 9)

A

sceuermann’s dz

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20
Q

female triad

A

osteoporosis
ED
amenorrhea

21
Q

pn at prox lat humerus, xray shows epiph widening, fragmentation, sclerosis

A

little league shoulder

22
Q

irritation/inflam/degen of shoulder tissues

A

impingement

23
Q

sulcus sign, hill sachs, bankart lesion on xray all indicate

A

shoulder dislocation

24
Q

extensor carpi radialis brevis indicated in

A

lateral epicondylitis

25
Q

ulnar collateral ligament indicated in

-tommy john surgery

A

medial epicondylitis

26
Q

ant disloc of radial head
ulnar fx
Together known as

A

Monteggia Frx

27
Q

FOOSH can cause

A

scaphoid fx/disloc

28
Q

bennett’s fx is a broken:

A

thumb

29
Q

ulnar collat lig of MCP 1 jt

A

skier’s thumb

-FOOSH with abd thumb

30
Q

AVN of met head 2

A

freiberg

31
Q

AVN of navicular

A

kohler

32
Q

heel pn, often in soccer

A

sever dz

33
Q

boxer’s/barroom fx

A

metacarpal 4/5 fx

34
Q

shin splints aka

A

medial tibial stress syndrome

35
Q

pars defect/frx w/o anterior slippage, 90% L5, MC white males
scottie dog

A

spondylolysis

36
Q

MC type of spndylolisthesis

A

isthmic

37
Q 
spondys
I
II
III
IV
V
A 
dysplastic *5*
isthmic *MC*
traumatic
degenerative *L4*
pathologic
38
Q

MC type of salter harris frx, thurston hollon sign

above epiphys plate

A

type 2 (A)

39
Q

salter harris phys frx straight across the epiphs plate

A

type 1 (S)

40
Q

older children, salter harris frx, starts thru GP and goes beLow

A

type 3 (L)

41
Q

salter harris goves starts above GP and exits Thru joint cartilage

A

type 4 (T)

42
Q

growth plate crushed in salter harris frx, most concerning prognosis (ERasure of gp)

A

type 5 (ER)

43
Q

4 stages of AVN

avascular -> ____ -> repair -> _____

A

revascularization

deformity

44
Q

subchondral bone collapse on xray is seen in ____ sign and the healing phase with osteoblastic activity in a fuzzy mushy appearance is ___ sign

A

crescent

snow cap

45
Q

PLASTICRAGS acronym for avn(?)

A 
Pancreatitis/preg
LCP, lupus
Alcoholism/atherosclerosis
Steroids
Trauma
Idiopathic/infx
Caisson/collagen dz
RA/radiation
Amyloid
Gaucher dz
Sickle cell anemia
46
Q

segmental AVN presents with clicking, locking, limited ROM, swelling, pn on ROM, floaters

A

OCD

47
Q

MCC of BP in athletic teenages

A

facet tropism

48
Q

_____ is assoc with klippel feil and arnold chiari malform, scap winging

A

sprengel’s deformity

49
Q

MCC of death in children

A

accidents

Pediatric Written 1 (11 decks)

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