Pedia Flashcards

(89 cards)

1
Q

Newborn Care. Neonate HR

A

Continue PPV

Start chest compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Newborn Care. Neonate HR

A

Epi IV/ET

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Factor to consider ET intubation in newborn.

A

Apnea/ HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

APGAR score with good cardiopulmonary adaptation

A

APGAR 8-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

APGAR with need for resuscitation, esp. ventilatory support

A

4-7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

APGAR score with need for immediate resuscitation

A

0-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GABHS type that causes throat infection

A

Type 12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GABHS type that causes skin infection

A

Type 49

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Acute PSGN, what type of immune reaction

A

Type III

Immune complex mediated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

C3 levels in If IgA nephropathy

A

Within normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Latency period of PSGN from sore throat

A

1-2wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Latency period of PSGN from pyoderma

A

3-6wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Best single Ab titer to document GABHS skin infection

A

Anti DNase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ab titer to document GABHS throat infection

A

ASO titer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hypertension from Acute PSGN will normalize after?

A

4-6 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Microscopic hematuria from acute PSGN can persist how long from initial presentation?

A

12-24 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Acute phase of PSGN generally resolves within

A

6-8 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Antibiotic used to treat Acute PSGN

A

10 day course of penicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Histopathologic hallmark of RPGN/CGN

A

Crescents in the majority of glomeruli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Tx to prevent progression of CGN in SLE, HSP, IgA neph, etc.

A

High dose steroid

Cyclophosphamide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Organisms that can cause Hemolytic Uremic Syndrom

A

Shigella dysenteriae type 1

E. coli O157:H7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Triad of Hemolytic Uremic Syndrome

A

Microangiopathic hemolytic anemia
Thrombocytopenia
Renal insufficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

HUS is usually preceded by what

A

Gastroenteritis (fever, vomiting, abd pain, bloody diarrhea)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Laboratory criteria for diagnosing HUS

A

Anemia

Renal insufficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Differentiates TTP from HUS
CNS disturbance Fever Gradual onset
26
Characteristic of HUS on PBS
Helmet cells Burr cells Fragmented RBCs
27
Confirmatory of renal vein thrombosis
Doppler ultrasound
28
Viruses that can cause cystitis
Adenovirus 11 & 21 (boys) | Influenza A
29
UTI diagnostic reqt
Urine culture =/>50,000 cfu/mL cath specimen Dipstick (+) LE or nitrites microscopy: WBC +/- bacteria
30
Treatment of UTI >17yo or for resistant strains such as pseudomonas
Ciprofloxacin
31
Protein 1+
30mg/dL
32
Protein 2+
100mg/dL
33
Protein 3+
300mg/dL
34
Protein 4+
>2000mg/dL
35
Most common identified cause of nephrotic syndrome
Minimal change disease (85%)
36
Most common cause of nephrotic syndrome
Idiopathic (90%)
37
Most common histologic type of idiopathic nephrotic syndrome
Minimal change disease
38
The major complication of NS
Infection | Spontaneously bacterial peritonitis: S. Pneumoniae, E. Coli
39
Drugs used for eye prophylaxis
Erythromycin 0.5% | Tetracycline 1%
40
Dose and route of Vit K in newborn care
1mg IM
41
RA for newborn screening test
RA 9288
42
Schedule for newborn screening
48hrs
43
Schedule of newborn screening for preterm infants
5-7 days old
44
If incorrect timing of NBS, may be repeated after
2wks
45
NBS may be one on sick babies up to?
1month
46
Enzyme deficiency in congenital adrenal hyperplasia
21-hydroxylase enzyme
47
Increased in serum of patients with CAh
17-hydroxyprogesterone
48
Electrolyte imbalance in CAH
Hyperkalemia Hyponatremia Hypocholiridemia
49
Classic form of galactosemia
Galactose-1-phosphate uridyltransferase deficiency (GALT)
50
Substances that precipitate hemolysis in G6PD
``` Sulfonamides Chloramphenicol Nalidixic acid Nitrofurantoin Antimalarials Vitamin K analogs ASA Benzene Napthalene ```
51
Enzyme deficiency in Phenylketonuria
Phenylalanin hydroxylase
52
Birth injury, subperiosteal bleed that does not cross the suture lines
Cephalhematoma
53
Birth injury, subperiosteal bleed that crosss the suture lines, involves the presenting part
Caput succedaneum
54
Birth injury associated with vaccum delivery, beneath the occipitofrontalis aponeurosis, from rupture of the emissary veins
Subgaleal hematoma
55
Erb duchene palsy injured nerves
C5-C6
56
Klumpke palsy nerves injured
C8-T1
57
Most commonly fractured bone during delivery
Clavicular fracture
58
Congenital eye defect on the iris, lens, or retina (cleft/notch)
Coloboma
59
Congenital eye defect, absent iris
Aniridia
60
Congenital eye defect, tearing, photophobia, cornea >1cm
Glaucoma
61
Hydrocele usually resolves after __
12 mos >12 mos hydrocelectomy
62
Undescended testis usually resolves commonly when?
1-3mos
63
Fate of undescended testis at 4mos
Will remain undescended
64
Surgicall treatment of undescended testis is ideally dine when?
9-15mos old
65
Low birth weight
66
Very low birth weight
67
Extremely low birth weight
68
IUGR
BW is
69
LGA
>90th percentile for gestational age
70
Post term infants
42 wks
71
Physiologic jaundice
``` 48hrs after TB increase not more that 5mg/dl/day TB peaks at 14-15mg/dL DB not more than 10% of TB Reseolves in 1wk term (2wk preterm) ```
72
Most common cause of hemolytic disease of the newborn
ABO incompatibility
73
Most common Rh incompatibility are due to
D-antigen (90%)
74
Pure red cell aplasia AKA
Diamond-Blackfan syndrome
75
Diamond-Blackfan Syndrome PBS
Macrocytic, reticulocytopenia
76
Most common hmatologic disease of infancy and childhood
Iron deficiency anemia
77
Iron deficiency anemia PBS
Hypochromic microcytic
78
Most important sign of IdA
Pallor
79
Hgb level that warrants admission and BT
4mg/dL
80
Differentiates IdA from anemia of chronic disease
High TIBC Both have low serum iron levels
81
Treatment of IdA
Elemental iron 4-6mg/kg/day
82
Repletion of iron stores with elemental iron supplementation occurs at
1-3months Also best time to do rpt cbc
83
Anemia with absent Beta-globin production
Cooley's anemia (Beta-thalassemia Major)
84
Definitive diagnosis of Beta Thalassemia
Hb Electrophoresis
85
Most common cause of thrombocytopenic purpura in childhood
Idiopathic thrombocytopenia purpura
86
Diagnosis os ITP
Thrombocytopenia | Increased megakaryocytes on BMA along with normal marrow elements
87
Treatment of ITP
IVIg & Plt Transfusion | Prednisone
88
The most common inherited bleeding disorder
von Willebrand's Disease
89
Newborn Care. Neonate HR
Provide PPV