General Pediatrics Flashcards

(83 cards)

1
Q

Seborrheic dermatitis treatment

A

Scalp - 2% ketoconazole shampoo

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2
Q

Acrodermatitis enteropathica

A

AR disorder of Zn deficiency

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3
Q

Pityriasis rosea treatment

A

Symptomatic

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4
Q

Pityriasis rosea differential diagnosis

A

Secondary syphilis

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5
Q

Guttate psoriasis trigger

A

Streptococcal infection (2-4 weeks prior)

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6
Q

Auspitz sign

A

Bleeding after removal of scale

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7
Q

Incontinetia pigmenti genetics

A

X-linked dominant

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8
Q

Incontinetia pigmenti findings

A
  1. Inflammatory vesicles
  2. Verrucous lesions
  3. Swirled brown to gray patches
  4. Hypopigmented
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9
Q

Nevus sebaceous of Jadassohn

A

hairless yellow-to-orange plaque on the scalp

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10
Q

Urticaria pigmentosa

A

mastocytosis disorder - multiple red-brown macules and papules

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11
Q

Darier sign

A

lesions urticate when rubbed (Urticaria pigments)

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12
Q

Scarlet fever findings

A

sandpaper rash in the neck/axilla, desquamation, circumoral pallor, Pastia lines, strawberry tongue

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13
Q

Tinea versicolor etiologic agent

A

Malassezia furfur

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14
Q

Tinea versicolor treatment

A

Topical anti-fungal

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15
Q

Tinea capitis findings

A

“black dot” appearance

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16
Q

Tinea capitis treatment

A

Oral griseofulvin for 6 to 8 weeks

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17
Q

Night terror occur during…

A

Non-REM sleep

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18
Q

Nightmares occur during…

A

REM sleep

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19
Q

Most infants sleep through the night by what age?

A

4-6 months (70-80% sleep for 6 to 8 hours)

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20
Q

Sleep walking occurs during…

A

non-REM sleep (2-4 hours after sleep onset)

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21
Q

Head banding timing

A

during sleep transitions

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22
Q

Age range of breath holding spells

A

6 mo to 2 years

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23
Q

Sensitivity

A

Likelihood of a test being positive in the presence of disease

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24
Q

Specificity

A

Likelihood of a test being negative in the abscence of disease

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25
Positive predictive value
Porportion of children with a positive test who actually have the condition (affected by prevalence)
26
Negative predictive value
Proportion of children with a negative test who do not have the condition (affected by prevalance)
27
Prevalance
number of children in a population with a given disorder amont the total number of children at a given time
28
ADHD diagnosis
onset of symptoms PRIOR to age 7
29
Anticholinergic findings
Mydriasis, agitation, hallucination, dry skin, flushing
30
Sympathomimetic findings
Mydriasis, sweating, hyperactivity, dysrhythmia
31
Organophosphate findings
Miosis, salivation, lacrimation, urination, diaphoresis, pulmonary edema
32
Substances not absorbed by charcoal
simple ions (Li, CN), simple alcohols (ethanol), strong acids/bases (HCl, NaOH)
33
Whole bowel irrigation indications
Fe, Li, sustained release agents
34
Organophosphate antidote
atropine
35
Anticholinergic antidote
physostigmine
36
Methanol antidote
ethanol
37
Salicylate lab findings
metabolic acidosis, respiratory alkalosis, hypokalemia, hypocalcemia, coagulopathy
38
Alkanization therapy indications
salicylates, TCA's
39
Iron presentation
GI symptoms, resolution, shock/coma
40
Serotonin syndrome treatment
benzos, cyproheptadine
41
Location of buckle fracture
metaphysis
42
Most common bones in bend fractures
ulna, fibula
43
Greenstick fracture
fracture does not completely traverse bone
44
Most common Salter Harris fracture
type 2 (80-85%): physis into metaphysis
45
Treatment of nursemaids elbow
fully supinate and flex arm
46
Monteggia fracture
ulna midshaft fracture with dislocation of the radius
47
Toddler's fracture
spinal fracture of the femur in child 10 mo to 6 years
48
Bucket handle fracture
small metaphyseal chip at the ends of long bones - result of forceful twisting
49
Patellar dislocation direction
lateral
50
Vascular injury in supracondylar humerus fracture
brachial artery
51
Most common type of skull fracture
linear
52
Basilar skull fracture findings
periorbital hematomas, periauricular hematomas, CSF rhinorrhea, hemotympanum, CN palsy
53
CT findings: subdural
crescent shaped
54
CT findings: epidural
lens shaped
55
Most common intrathoracic injury in children
pulmonary contusions
56
Direct chest impact to chest causing ventricular fibrillation
commotio cordis
57
Most common intrabdominal injury in children
spleen
58
Post-traumatic iritis
1-2 days after trauma to eye, ciliary spasm, miosis, photophobia, pain, lacrimation
59
Hyphema complications
post-traumatic glaucoma, re-bleeding
60
Hyphema management
bed rest with HOB elevation
61
Superficial burns
1st degree - erythematous, painful, no blisters
62
Superficial partial thickness burns
2nd degree - blisters
63
Deep partial thickness burns
3rd degree - dired, pale, non-painful
64
Full thickness burns
4th degree - white, yellow, brown, black w/ eschar
65
Burn center referral indications
burns w/ respiratory injury, chemical/electrical, partial thickness > 20%, full thickness > 2%, any full thickness burns of hands, feet, face or perineum
66
Amblyopia prevention
patch the "good" eye
67
Congential esotropia management
surgery at 6-12 months
68
Mobius syndrome
unilateral or bilateral CN 6 and 7 palsy (esotropia and expressionless face)
69
Management of persistent nasolacrimal duct obstruction
probing, silicone stent, surgery
70
Differential for nasolacrimal duct obstruction
congenital glaucoma - enlarged and hazy cornea
71
Rate of 2nd tumor in retinoblastoma
25-30% (osteosarcoma, melanoma)
72
Differential for leukokoria
cataracts, ROP w/ retinal detachment, toxocariasis, coloboma
73
Common cause of viral conjunctivitis
adenovirus
74
Timing of ophthalmia neonatorum
chemical - 1st day of life | gonococcal - day 2 to 4
75
Treatment of gonococcal conjunctivitis
cetriaxone x 1, search for source
76
Treatment of chlamydial conjunctivitis
oral erythromycin x 14 days
77
Erythromycin ointment prevents
ocular gonorrheal infection
78
Hereditary cataracts genetics
AD
79
Cataracts: chromosomal defects
trisomy 13, 18, 21, Turner
80
Cataracts: infection
toxoplasma, CMV, HSV
81
Cataracts: metabolic
galactosemia
82
Syndromes associated with ectopia lentis
Marfan syndrome - superior, homocystinuria - inferior
83
Fetal warfarin syndrome findings
nasal hypoplasia, stippled epiphysis, growth restriction