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PLE SEPTEMBER 2018 > Pedia MUST KNOWS > Flashcards

Flashcards in Pedia MUST KNOWS Deck (112):
1

Best initial treatment for RDS

Oxygen

2

Most effective treatment for RDS

Intubation and Exogenous surfactant administration

3

tachypnea usually observed in infants delivered via CS or NSD with rapud second stage of labor

Transient Tachypnea of the newborn

4

Anterolateral defect CDH

morgagni hernia

5

Posterolateral defect CDH

Bochdalek hernia

6

premature infants exposed to prolonged high-pressure mechanical ventilation and high concentrations of inspired oxygen

BPD

7

Pathological findings of BPD

alternating regions of overinflation and atelectasis, airway smooth muscle hypertrophy, squamous metaplasia of the airway epithelium, peribronchial fibrosis, constrictive obliterative bronchiolitis, and hypertensive pulmonary vascular changes

8

DOC for Sinusitis

Co-Amoxiclav x 14d

9

Known complications of GAHBS pharyngitis

Rheumatic fever
Post-strep GN

10

Walking pneumonia

Mycoplasma pneumoniae

11

Lobar consolidation

Pneumococcus

12

Hyperinflation with bilateral interstitial infiltrates and peribronchial cuffing

RSV

13

Prominent areas of cavitations and multiple pneumatocoeles

Staphylococcus

14

Right sided hilar adenopathy

PTB

15

Tx Pyloric stenosis

Ramstedt pyloromyotomy

16

Imaging test of choice for diagnosing Malrotation

Upper GI series

17

Tx of Malrotation

Ladd procedure

18

Intussusception is associated with what infection?

Adenovirus/Rotavirus Infection

19

Gold standard for Dx of Hirschprung disease

Rectal Suction Biopsy

20

Only causes (3) of Renal insufficiency that causes decrease in C3

PSGN
MPGN
Lupus Nephritis

21

Strawberry skull

Trisomy 18

22

Most important primary treatment of IgA nephropathy

Blood pressure control

23

Major complication of nephrotic syndrome

Infection

24

Most frequent type of infection assoc with nephrotic syndrome

Spontaneous bacterial peritonitis

25

Most common bacteria causing SBP in nephrotic syndrome

Streptococcus pneumoniae

26

Single best test in diagnosing APSGN

Anti-DNAse antigen

27

T or F

Acyclovir is routinely given to patients with varicella infection

False

28

Acyclovir is most effective in treating varicella infection if given within ____ hrs from the onset of ____

24
Rash

29

Active vaccine for varicella can be given within ____ of exposure to modify course

5 days

30

Major Criteria For Rheumatic Fever

Joints (arthritis)
Oh ny heart (myocarditis)
Nodules (subcutaneous)
Erythema marginatum
Sydenham Chorea

31

Minor Criteria for Rheumatic Fever

Fever
Risk factor
Arthralgia
Prolonged PR
Elevated Acute phase reactants

32

Major Criteria for Infective Endocarditis
Duke's Criteria

Blood culture
ECG findings

33

Minor criteria for infective endocarditis

Fever
Immunologic (GN, Osler, Roth, RF)
Vascular (Janeway, Emboli, Aneurysm, pulmonary infarct)
ECG
Predisposing condition
Microbiological evidence

34

ORS composition

Glc 75
Na 75
Cl 65
K 20
Citrate 10

35

Growth deficiency
Hypertension
Flat nose
Low set ears
Micrognathua
Limb position defect
Impaired renal function, hyponatremia
Heoatic fibrosis

Potter's syndrome (Oligohydramnios Complex)

36

Indications for Rifampicin

TB
Prophylaxis for Meningococcemia and acute epiglotittis

37

Endotracheal tube drugs

Lidocaine
Atropibe
Naloxone
Epinephrine

38

Best single Ab titer to document skin infection

DNAse B antigen

39

MCC HUS

E. Coli

40

MCC of SBP

E. Coli
S. Pneumoniae

41

Upper limit of normal protein excretion in healthy children

150 mg/day

42

Edema
Proteinuria
Hypoalbuminemia
Hyperlipidemia

Nephrotic Syndrome

43

Oliguria
Hypertenson
Hematuria
Azotemia

Nephritic Syndrome

44

MC complication of Measles

Acute Otitis media

45

MC death in Measles

Pneumonia

46

MC complication in Mumps

Meningoencephalitis

47

Essential for Low BW infants

Cystine
Arginine
Taurine

48

MC esophageal disorder in children of all ages

GERD

49

PPI of choice for infants

Esomeprazole

50

Fully Immunized child

BCG1
HepB3
DPT3
Polio3
HiB3
RV3
PCV3
Measles1

51

MCC thrombocytopenic purpura in Childhood

ITP

52

MC inherited bleeding disorder

Von Willebrand Disease

53

Aplastic anemia with microcephaly, microphthalmia, hearing loss, limb abnormalities

Fanconi Anemia

54

Long term sequelae of bacterial meningitis

Hearing loss

55

Pure red cell aplasia

Diamond-Blackfan Syndrome

56

MCC nonbilious vomiting

Pyloric stenosis

57

Surgical procedure for pyloric stenosis

Ramstedt pylorotomy

58

Most frequent congenital GI anomaly

Meckel's diverticulum

59

Age for definitive procedure for hirschprung

6-12 months

60

Appropriate time to surgically correct cleft palate

3 months

61

MCC intestinal obstruction between 3 months to 6 years old

Intussusception

62

Parts of brain affected by HSV

Frontal and temporal limbic system

63

Heterophile Ab in EBV

Paul-Bunnel Antibodies

64

Syndrome associated with Infectious Mononucleosis with symmetric rash on cheeks

Gianotti-Crosti Syndrome

65

Isolation of Polio Virus

End of 1st week- Blood
End of 2nd week- Throat
End of 3rd week- Feces
Uncommon- CSF

66

Viral cause if neuronal destruction of braimstem and medulla

Rabies virus

67

Histologic findings of rabies virus in the brain

Negri bodies

68

DOC for Rabies

Co-Amoxiclav 40 mkd x 7 days

69

Single best prognostic indicator of HIV

Plasma Viral Load

70

Most Feared Complication due to trauma in infectious mononucleosis

Splenic Rupture

71

MC Solid Tumors in Childhood

Brain Tumors

72

MC location of brain tumors in Children

Infratentorial (Posterior Fossa)

73

MC Infratentorial Brain Tumor

Cerebellar Astrocytoma

74

MC Location of Medulloblastoma

Cerebellum

75

Agenesis of Cerebellar Vermis
Cystic Dilatation of 4th ventricle
Enlargement of Post. Fossa
Prominent occiput

Dandy-Walker Malformation

76

Vertebral Adhesions
Decreased range of motion
Short webbed neck

Klippel-feil syndrome

77

Mass lesion
Cerebro-ocular dysgenesis

Walker-Warburg Syndrome

78

MCC of Non-communicating Hydrocephalus

Aqueductal Stenosis

79

Cracked-pot sensation on percussion of sku

Macewen Sign
(HYDROCEPHALUS)

80

MC anomaly of Upper airway

Laryngomalacia

81

Handedness

3 yo

82

20/20 vision

4 yo

83

Bedwetting until

Female: 4 yo
Male: 5 yo

84

Egg shaped heart

TGA

85

Boot shaped heart

TOF

86

Snowman Sign/ Figure of 8

TAPVR

87

Rib notching
Inverted 3 sign

CoA

88

Agenesis of Corpus Callosum
Infantile Spasm
Chorioretinallacunae

Aicardi Syndrome

89

Sinuses present at birth

Maxillary
Ethmoid

90

SINUS Pneumatized at 4 yo

Maxillary

91

Sinus Pneumatized at 5 yo

Sphenoid

92

Most characteristic finding of Kawasaki Disease

Aneurysm of Major Coronary Arteries

93

Site to determine Bone Age

Xray of Left Wrist

94

MCC of congenital hypothyroidism

Thyroid dysgenesis

95

Tx of TGA

Senning/Mustarf
Rastelli
Jatene

96

Tx of TOF

Blalock Taussig (>3 months)
Gore-Tex Shunt (<3 months)

97

Tx of Tricuspid Atresia

Bidirectional Glenn shunt (4-8 months)
Modified Fontan Operation (1.5-3 yo)

98

Always present in Truncus Arteriosus

VSD

99

Tx for TA

Rastellu Repair

100

Tx for TAPVR

PGE + Van Pragh Procedure

101

Common cardiac anomaly in turner's syndrome

CoA

102

Tx of AS

Ross procedure

103

Tx of PS

Brock's procedure

104

Test to rule out abusive head trauma

Ophthalmologic exam
CT
MRI

105

Most common primary immunodeficiency

Selective IgA deficiency

106

Chronic Respiratory infections. Nitroblue tetrazolium test is negative

Chronic Granulomatous Disease

107

Eczema
Thrombocytopenia
High IgA

Wiskott-Aldrich Syndrome

108

Infant with life-threatening Pseudomonas infection

Bruton's X-linked Agammaglobulinemia

109

Tanner stage 3 in 6 yo girl

Precocious puberty

110

Cause of neonatal RDS

Surfactant deficiency

111

PPD necessary prior to BCG vaccination on what reasons?

Suspected congenital TB
HX of close contact
Clinical findings suggestive of TB
Chest xray suggestive of TB

112

When will you give HepB vaccine to PRETERM infants born to HbsAg negative moms and are medically stable

1st dose may be given at the 30th day of life