Combank 2 Flashcards

1
Q

3 things that are helpful to treat osgood Schlage disease?

A

PT, ice and NSAIDS.

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2
Q

What two cranial nerves have a problem when infants have problems feeding and suckling?

A

9 and 12

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3
Q

What are 2 ways to treat spondylolithesis?

A

Immobilization and orthotic bracing

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4
Q

At what age does duchenne muscular dystrophy present? 3 presenting signs at that time?

A

3-5

Waddling gait, inability to run or climb stairs, and increased incidence of falls

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5
Q

2 clinical signs with clavicle fracture due to birth trauma due to macrosomia and shoulder dystocia?

A

Absent motor flex on the affected side and spasm of the ipsilateral SCM

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6
Q

How does neonatal hypoglycemia present and how do we treat it?

A

Hypotonic, jittery, lethargy, poor feeding and seizures.

Dextrose

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7
Q

How will a child be holding his arm with a subluxation of the radial head?

A

Slightly flexed position at the elbow and pressed up against his body.

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8
Q

Serum sickness like reaction may develop following what 3 things?

A

Infections, vaccinations, and medications.

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9
Q

3 medications commonly causing serum sickness?

A

Penicillin, amoxicillin, and TMP-SMX.

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10
Q

What type of hypersensitivity is serum sickness?

A

Type 3 vasculitis

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11
Q

3 clinical symptoms of serum sickness?

When does it usually present?

A

Fever, rash, joint pain or inflammation

6-12 days after exposure

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12
Q

How does slipped capital femoral epiphysis commonly present?

A

Painful limp and inability to bear weight in an overweight 11-13 year old boy

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13
Q

What is the final position of the kids arm when reducing a dislocated radial head?

A

Fully flex with supination

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14
Q

What is the enzyme not working in maple syrup urine disorder and what is built up because of it?

A

Alpha ketoacid dehydrogenase

Branched chain amino acids and ketoacids

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15
Q

3 clinical signs of Maple Syrup Urine Disorder?

A

Neuro problems, acidosis, and sweet smelling urine

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16
Q

What medicine treats enterobius vermicularis?

A

Albendazole

17
Q

What med to treat onchocerco volvulus?

A

Ivermectin

18
Q

Penicillamine chelates what?
EDTA chelates what?
Dimercaprol chelates what?
Deferoxamine chelates what?

A

Copper
Lead
Arsenic, mercury, and lead
Iron

19
Q

What is the most common cause of bladder outlet obstruction in males And what is the mechanism of the problem?

A

Posterior urethral valves

Wolffian ducts fail to integrate into the posterior urethra

20
Q

How are posterior urethral valves diagnosed prenatally and what are three findings?

A

US
Bilateral hydronephrosis
Thickened bladder wall
Dilated posterior urethra

21
Q

If not diagnosed prenatally, what are 4 presenting signs of baby and how is it diagnosed?

A

Respiratory problems, renal failure, abdominal distension, problems voiding.

22
Q

What is a spermatocele?

A

Cyst in teenage boys with sperm that is smooth, mobile and superior and posterior to the testis

23
Q

Musty or mouser urine smell, what are we thinking?

A

PKU

24
Q

What is the major clinical manifestation in the symptomatic patient with Hartnup and why?

A

Cutaneous photosensitivity because of a lack of tryptophan to make niacin

25
Q

Patients diagnosed with homocystinuria are at risk for what 3 things?

A

Lens subluxation, skeletal abnormalities, and thromboembolic events

26
Q

What is the trigger clinical sign for Glutathione synthetase deficiency?

A

Severe metabolic acidosis at birth

27
Q

What is the rule for maintenance fluid for a ped patient?

A

421 rule
4 mls per hour for first 10 kg
2 mls per hour for next 10 kg
1 ml per hour for next 10 kg