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Pediatrics > Pediatrics 1 > Flashcards

Pediatrics 1 Flashcards

1
Q
  1. 14mo poor growth, CF, steatorrhea. What do you expect on CXR?
A

Honeycomb cysts

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2
Q

Show you a blood smear. What can kid take to prevent this?

A

Iron for iron def

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3
Q
  1. any thyroid bx
A

Hashimoto’s

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4
Q
  1. 1wo with palpable clunk while lifting femur
A

developmental hip dysplasia

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5
Q
  1. 10yo bitten by cat. Most common infection?
A

Pasteurella. Tx: amoxicillin

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6
Q
  1. 14do will not move R shoulder (bone ifx). Fever + Gram+ cocci in blood. Most likely organism?
A

Staph

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7
Q
  1. 6mo F with 12hr h/o wheezing, resp distress, low O2 sats. Dx?
A

RSV

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8
Q
  1. 11yo w/ 1d h/o fever, nausea, abd pain, extensive diarrhea. Expected acid/base problem is:
A

metabolic acidosis. Expected pH is 7.2 (prolonged diarrhea, loss of HCO3)

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9
Q
  1. 17yo h/o MVA w/ fractured ribs, tachycardia, decreased breath sounds. Management?
A

Chest tube

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10
Q
  1. 6wo w/ 1d h/o difficulty breathing, listless. EKG shows:
A

SVT (due to CHF)

a. EKG ofnewborn  SVT due to CHF
b. EKG of adolescent  arrhythmia

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11
Q
  1. Inheritance pattern. 2yo F with brown spots, mother has similar brown spots.
A

AD

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12
Q
  1. 40yo 2d h/o fever, abd cramps, diarrhea after picnic. Most likely dx?
A

Salmonella

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13
Q
  1. 2yo w/ 1wk h/o of swollen eyes, ankles. Lab findings?
A

Low albumin (<2)

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14
Q
  1. 7yo 1d h/o rash, 3d h/o of penicillin for strep throat. Allergic or not?
A

No - has mono

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15
Q
  1. 2yo F w/ R chest pain after amoxicillin for pneumo. What’s causative organism?
A

Strep pneumo pneuomonia progressing  resistant strain

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16
Q
  1. 14yo F w/ 7y h/o of exacerbations and remissions of rash, pain on hands/knees. Dx?
A

JRA

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17
Q
  1. 2yo M w/ 24hr h/o drooling, noisy breathing, fever, sore throat. Dx?
A

Epiglotittis, retropharyngeal abscess, peritonsillar abscess

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18
Q
  1. Identify most likely lesion in 6yo w/ Down’s, difficulty feeding and tachycardia.
A

VSD

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19
Q
  1. 2do w/ blue feet, 2/6 systolic murmur @ LSB.
A

Coarctation of aorta

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20
Q
  1. 18mo F does not mimic sounds or words. Bacterial meningitis @ 3mo. Dx?
A

Deafness

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21
Q
  1. 3yo M w/ 4d h/o lethargy, vomiting, diarrhea, dry lips. Cause of renal failure?
A

Prerenal

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22
Q
  1. Management of 6yo F w/ enlarged tonsils and 2 sore throats in last yr?
A

Nothing (need 5 infections in a year for tonsillectomy)

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23
Q
  1. 5yo F w/ recurrent swollen R eye after being stung by bee 4d prior.
A

Cellulitis

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24
Q
  1. 17yo F w/ 2h h/o pain on urination, blood in urine, pain in back
A

Kidney stones (since no fever! Otherwise pyelo)

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25
Q
  1. 18yo F w/ 4wk h/o neck swelling, firm palpable thyroid, twice normal size. Show you a biopsy
A

Hashimoto’s

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26
Q
  1. 6yo w/ 2 prior h/o scrotal mass / swelling. Most likely dx?
A

Hernia or hydrocele

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27
Q
  1. 3wo M w/ 2d h/o bilateral eye discharge, conjunctival erythema. Dx?
A

Chlamydia GC would be 2-5 days old

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28
Q
  1. 15yo F p/w fainting while running. Had 3 other episodes over last 2 mo. Dx?
A

Long QT ddx also includes HOCM, pulmonary HTN

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29
Q
  1. 3mo F h/o greasy stools, flatus. Dx?
A

Celiac no pulm symptoms

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30
Q
  1. 16yo F p/w 20 min sweating, type 1 diabetes. Initial tx?
A

IV D10 (dextrose)

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31
Q
  1. 6yo w/ abd pain and watery diarrhea?
A

Giardia

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32
Q
  1. 12yo F w/ recurrent UTIs w/ scarring of upper poles of kidneys. Dx?
A

Reflux giving pyelo (VUR)

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33
Q
  1. 2yo p/w ingestion of mod quantity of aspirin. Most likely blood gas?
A

Resp alkalosis initially, then met acidosis 1 hr later pH = 7.2

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34
Q
  1. 2yo F w/ 3m h/o recurrent pneumonias, chronic diarrhea, eczema. Dx?
A

Wiskott-Aldrich

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35
Q
  1. 5yo 1wk h/o leg pain, hepatosplenomegaly, scattered bruising.
A

ALL (bone pain + HSM = ALL)

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36
Q
  1. 5yo w/ 1y h/o impulse behavior.
A

ADHD

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37
Q
  1. 6yo w/ parotid and submandibular swelling. Dx?
A

Mumps

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38
Q
  1. 10yo w/ labial bruising, vaginal discharge, mother denies abuse
A

Child protective services

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39
Q
  1. 18mo w/ 5d h/o of cough, diarrhea, dark red urine, 1d h/o of pallor and lethargy. Dx?
A

HUS

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40
Q
  1. 24ho M w/ C-section for low FHR. Pulse is now 138. Management?
A

Nothing

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41
Q
  1. 9yo p/w hit in head 60 min ago from baseball bat with clear fluid coming out of head. Dx?
A

Basal skull fracture (leakage of CSF)

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42
Q
  1. 3yo M w/ red rash 1 wk after amoxicillin for viral illness. Dx?
A

Allergy

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43
Q
  1. 1mo w/ 1d h/o vomiting after feeds, otitis media, decreased muscle tone. Management?
A

Sepsis workup (LP, UA, blood culture, CBC) also, <6wks + fever  sepsis workup

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44
Q
  1. How do you prevent aspiration pneumo in a 4yo who is s/p anesthesia for adenoidectomy?
A

Put them on their side

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45
Q
  1. 7yo w/ crusted yellow facial lesion, blood and 2+ protein in urine.
A

PSGN

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46
Q
  1. 6mo w/ 3wk h/o breathing difficulty, wheezing on inspiration, hoarseness.
A

Vocal cord paralysis

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47
Q
  1. 14yo F w/ abdominal pain, palpable spleen, hereditary spherocytosis. Dx?
A

Splenic sequestration

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48
Q
  1. 1yo w/ failure to thrive, thrush, diarrhea. Dx?
A

HIV

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49
Q
  1. 15yo M w/ gunshot wound successfully resuscitated in ER. Most likely to die from:
A

another gunshot wound

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50
Q
  1. 4yo M w/ 3d h/o fever, swollen hands/feet, systolic murmur. Dx?
A

Kawasaki

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51
Q
  1. 2wo weak suck, sluggish, rarely cries, no maternal care. Dx?
A

Hypothyroidism

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52
Q
  1. 3do w/ large swelling on left side of head, delivered at home. What is swelling?
A

Cephalohematoma

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53
Q
  1. 5yo presenting w/ respiratory distress 30 min after drinking unknown liquid. What did he drink?
A

Hydrocarbon ingestion

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54
Q
  1. 6yo w/ 12h h/o of fever, sore throat, vomiting, fine papular rash in skin folds. Dx?
A

Scarlet fever (Pastia lines)

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55
Q
  1. 4yo w/ rash, irritable. Normal exam. Action plan?
A

Nothing, reassurance

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56
Q
  1. 10yo w/ 3wk h/o R leg pain, minor injury, limp. FHx of retinoblastoma. Dx?
A

Osteosarcoma, chr13

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57
Q
  1. Large neonate, now grunting and cyanosis. Most likely explanation?
A

Hypoglycemia from maternal diabetes

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58
Q
  1. 4yo w/ 6hr h/o dysuria, urinary freq, suprapubic pain. Management?
A

UA, UCx, Abx

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59
Q
  1. 8yo F. Mother says could not be awoken. 1 wk h/o vomiting, diarrhea. Mother suspects that she had a seizure b/c of other daughter describing it. Why is she seizing?
A

Hypernatremia (from chronic diarrhea, volume depletion)

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60
Q
  1. 12yo w/ fever, exudative pharyngitis, lymphadenopathy, HSM. Dx?
A

Mono

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61
Q
  1. 6ho w/ lethargy, maternal fever, prolonged ROM prior to delivery. Management?
A

Sepsis workup + Amp/Gent

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62
Q
  1. 10yo w/ 24hr h/o fever, joint pain, macular rash. Dx?
A

Rheumatic fever

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63
Q
  1. Prevention of neonatal respiratory distress in a premie:
A

Corticosteroids betamethasone prenatally @> 28 wks

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64
Q
  1. 10mo w/ listlessness, weakness, pallor. What can be given?
A

Iron

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65
Q
  1. 5yo p/w respiratory distress, intubated and found to have tinged blood on endotracheal tube. Dx?
A

Pulmonary hemosiderosis

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66
Q
  1. 18mo w/ poor linear growth, BP 90/60, hyperkalemic. Dx?
A

RTA 4 (aldo def/resistance  lose Na, retain K)

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67
Q
  1. 8do p/w vomiting, high K, pigmented genitalia.
A

CAH

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68
Q
  1. 6yo h/o VSD. What would be given prior to dental procedure?
A

Abx (e.g. amox)

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69
Q
  1. 13yo F w/ elevated R shoulder and scapula. Dx?
A

Scoliosis

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70
Q
  1. 14yo w/ 6wk h/o enlarged tibial tubercle.
A

Osgood-Schlatter

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71
Q
  1. 1yo w/ 2y h/o of cough, wheezing, fatty stools. Dx?
A

CF

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72
Q
  1. 17yo w/ h/o of nausea, abd discomfort, past h/o bulimia. Dx?
A

Mallory-Weiss tear

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73
Q
  1. 36ho sudden onset of poor feeding, holosystolic murmur. Mechanisms?
A

Heart failure from VSD (poor feeding MOA = CHF)

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74
Q
  1. Dietary recs in a 3wk old w/ 1wk h/o of anorexia, vomiting, poor weight gain.
A

Switch away from milk (in real life you admit to hospital)

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75
Q
  1. Mechanism of neutropenia in a 4yo F w/ 6h h/o fever and is on Bactrim ppx for UTI.
A

Bactrim

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76
Q
  1. everted feet on standing
A

do nothing

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77
Q
  1. 16yo M who has no growth in 2yrs. Weight/height Tanner stage 5. Management?
A

Nothing

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78
Q
  1. 2yo w/ sudden onset of cough at a picnic and respiratory distress. Dx?
A

Foreign body aspiration

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79
Q
  1. 9yo w/ 3d h/o ear pain since returning from summer vacation.
A

Otitis externa. Tx: Cipro ear drops

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80
Q
  1. 14yo M w/ 2wk h/o tender breasts, weight/BMI < 10, smokes MJ.
A

Side effect of smoking MJ

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81
Q
  1. 16yo F w/ 2y h/o cramps, abd pain, diarrhea 2nd day of menses. Dx?
A

Endometriosis

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82
Q
  1. 3mo w/ 2d h/o difficulty breathing, wheezing, O2 sat 84%, most likely explanation?
A

Causes of hypoxia: V/Q mismatch, shunt, low FIO2, hypoventilation, diffusion defect. V/Q mismatch for this. Wheezing suggests V/Q mismatch.

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83
Q
  1. 12mo w/ 2wk h/o abscess formation, on cephalexin. Most likely explanation?
A

CGD (neutrophils affected)

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84
Q
  1. 3mo F w/ low activity, slow feeding, constipated. Dx?
A

Hypothyroidism

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85
Q
  1. 17yo F w/ no menstrual periods, sex development.
A

Turner’s

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86
Q
  1. 4mo w/ white patches on buccal mucosa, 1 wk h/o amoxicillin.
A

Thrush

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87
Q
  1. 12mo w/ 4h h/o fever, irritability, HSM. Dx?
A

HSV

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88
Q
  1. 10kg child who is 10% dry. Fluid in next 24 hrs?
A

Fluid deficit = 1 L. Maintenance is 960 cc over 24 hrs, bolus of 1 L so total fluid = 2 L.

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89
Q
  1. 7yo w/ edema, erythema of R scrotal sac, absent cremaster reflex. Dx?
A

Torsion

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90
Q
  1. 2wo w/ fever, erythema of tympanic membranes. Next step?
A

Sepsis workup (fever <6 mo  sepsis w/u)

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91
Q
  1. 3yo w/ aniridia, mass in R flank. Dx?
A

Wilm’s

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92
Q
  1. 2yo w/ syncopal episode post temper tantrum. Dx?
A

Breath holding spell

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93
Q
  1. 11yo w/ short stature, Tanner stage 1, has been growing along 5% for weight/height since 5yo
A

Reassurance

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94
Q
  1. 8mo w/ 1d h/o colicky abd pain, mass.
A

Intussuception

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95
Q
  1. 18mo w/ URI, swollen R knee. Diagnostic study?
A

Arthrocentesis (swollen hot knee  tap)

96
Q
  1. Newborn w/ excessive salivation, drooling, vomiting 1st feed. Dx?
A

TEF (tracheoesophageal fistula)

97
Q
  1. 18mo w/ 2lb weight gain in last 6 mths. Growing along percentiles. Do we need to worry?
A

No

98
Q
  1. 8mo w/ weakness, hypotonia, decreased gag reflex. Dx?
A

Botulism

99
Q
  1. 9yo F w/ 2wk h/o increased thirst, urination. Dx?
A

Type 1 DM

100
Q
  1. 16yo F p/w oral white plaques/exudates, cervical adenopathy. Dx?
A

Mono

101
Q
  1. 3yo w/ cardiomegaly from PAH and tricuspid regurg. Long term management?
A

Lung transplant

102
Q
  1. 2yo found in bathroom w/ swollen white lip and drooling.
A

Drano ingestion

103
Q
  1. 16yo wrestler w/ 2d h/o fatigue and pleural effusions. Dx?
A

Tore thoracic duct

104
Q
  1. 7yo w/ boggy area, crusted exudate on scalp. Dx?
A

Kerion from Tinea

105
Q
  1. Mechanism: periorbital edema, pretibial myxedema, abd distention.
A

Nephrotic syndrome – Minimal change dz

106
Q
  1. 16yo presents to ER for emergent surgical procedure.
A

Consent needed from no one

107
Q
  1. 6mo p/w PCP infection. 3 siblings died from similar infection. Dx?
A

SCID

108
Q
  1. 12yo p/w breath smelling of alcohol, semi-comatose. Management?
A

Dextrose for hypoglycemia from alcohol intox

109
Q
  1. Vaginal itching, perianal itching in 3yo F.
A

Pinworms

110
Q
  1. 3yo w/ vomiting, lethargy after being hit in head by baseball bat. No LOC. Dx?
A

Subdural hematoma

111
Q
  1. 16yo presents 30min after syncopal seizure while running on a track in August. Most likely explanation?
A

Heat stroke

112
Q
  1. 10yo F w/ pallor, Coomb’s + test. Dx?
A

Autoimmune hemolytic anemia

113
Q
  1. 5yo w/ fever, abd pain, cough, decreased breath sounds in LLL. Dx?
A

Pneumo

114
Q
  1. 4yo w/ rash on trunk, enlarged cervical nodes, papules on tongue. Dx?
A

Coxsackie

115
Q
  1. 18mo refuses to move arm after stepping off curb and mom grabs him. Dx?
A

Nursemaids elbow

116
Q
  1. Newborn w/ short palpebral fissures and maxillary hypoplasia. Dx?
A

FAS (fetal etoh syndrome)

117
Q
  1. 14yo p/w murmur w/ mid-systolic click. Dx?
A

MVP

118
Q
  1. 4yo F w/ neutropenia, cough, fatigue, lymphadenitis. Cause?
A

Adeno

119
Q
  1. Vaginal bleeding in 4yo F w/ h/o prurulent vaginal discharge. Dx?
A

Foreign body (<10yo = foreign body)

120
Q
  1. 10yo F w/ fatigue, rash on face and hands, cannot comb hair. Dx?
A

Dermatomyositis

121
Q
  1. 18mo F w/ wheezing, cough, 3 episodes pneumo in last 3 months. Most likely dx?
A

RAD

122
Q
  1. Newborn born to HepA+ mother.
A

Reassurance (HepB  IVIG + vaccine)

123
Q
  1. 3mo w/ confirmed seizures p/w fever, vomiting, diarrhea for 3 days. Most likely lab abnormality?
A

Hypernatremia

124
Q
  1. 11yo F w/ breast lumps, prepubescent.
A

Normal

125
Q
  1. 12yo F w/ frothy vaginal discharge, T. vaginalis +. Management?
A

Metronidazole + check for other STDs

126
Q
  1. 3wo F w/ R eye discharge. Most likely explanation?
A

Long fingernails (scratches face)

127
Q
  1. 15yo w/ cough, nasal discharge, conjunctivitis. Immigrated from Sudan. Dx?
A

Measles

128
Q
  1. 2mo w/ increased episodes of crying w/ urination. Diagnostic study?
A

UA + UCx

129
Q
  1. 15yo F w/ widened wrists does not crawl or walk. Dx?
A

Rickets

130
Q
  1. 20 mo w/ fever, cough, weight loss, PPD+. Grandmother has pulmonary lesion. Dx?
A

TB. Treat with 4 therapy (RIPE)

131
Q
  1. 2yo M w/ R sided limp, afebrile, plantar tenderness. Most likely explanation
A

Wart from HPV

132
Q
  1. 1do w/ tachypnea, grunting, cyanosis. Dx?
A

TGA

133
Q
  1. 3yo runs and squats.
A

TOF

134
Q
  1. 3yo F w/ 3wk h/o abd cramps, diarrhea. Similar symptoms as others in daycare.
A

Viral gastro

135
Q
  1. 17yo w/ scarring of upper pole of kidney. Most likely explanation?
A

VUR

136
Q
  1. 14mo w/ recurrent infections, 5% wt/ht. Most likely explanation?
A

T-cell def (T cell immune defect  poor growth)

137
Q
  1. 9mo p/w recurrent pneumo bacteremia. Dx?
A

X-linked Bruton’s

138
Q
  1. 5yo w/ L knee pain, nasal discharge, sore throat 2 wks ago.
A

Transient synovitis

139
Q
  1. 14yo F w/ tonic-clonic seizures 4 hrs ago, resists neck flexion. Dx?
A

Meningitis (Neisseria)

140
Q
  1. 10mo F agitated, S3 gallop, crackles in bases. URI 2d ago.
A

Dilated cardiomyopathy from coxsackie

141
Q
  1. Cause: sweating, shaking, pallor in 2yo F w/ T1DM who recently had 60% dec in insulin dose
A

Hypoglycemia

142
Q
  1. 2yo F w/ pyelo, forceful urinary stream. Management?
A

VCUG + US

143
Q
  1. 12ho newborn 3/6 systolic murmur, cyanotic, tachypneic. Dx?
A

TGA

144
Q
  1. Management of newborn w/ APGAR 1 and 3.
A

Stimulation then CPAP

145
Q
  1. Mechanism: 4mo w/ failure to thrive, hepatomegaly, pulmonary congestion on CXR.
A

Heart failure from VSD

146
Q
  1. 1do post-seizure, delivery complicated by prolapsed umbilical cord. Most likely explanation for seizure?
A

Hypoxia

147
Q
  1. 11yo w/ fever, night cough, HA, nasal discharge. Sister has cold. Dx?
A

Sinusitis

148
Q
  1. Pleural effusion tapped has red serosanguinous fluid in 5yo M. Dx?
A

Cancer

149
Q
  1. 2mo w/ cough spells, vomiting, cyanosis. Dx?
A

Pertussis

150
Q
  1. 2mo F w/ poor weight gain, vomits 5-10min, feeding w/ cow’s milk. Dx?
A

Reflux

151
Q
  1. 2yo 30 min s/p tonic-clonic sz w/ URI, family has h/o febrile sz. Management?
A

Reassurance

152
Q
  1. 2yo F w/ recurrent otitis media, cough, growth dev appropriate for age. Dx?
A

Kartagener’s

153
Q
  1. 10yo F w/ asthma, exposure to chicken pox. Management?
A

Vaccination. Give serum if immunodeficient (I wrote down “do nothing” as answer for this)

154
Q
  1. 13yo M w/ fever, gastro, vomiting has not voided 3h post IV hydration. Management?
A

Give another bolus

155
Q
  1. Management of 4yo w/ RLQ pain, vomiting, fever, no masses.
A

Appendectomy

156
Q
  1. 9yo F w/ 1cm blistering after scratching mosquito bites. Tx?
A

Cephazolin for staph cellulitis

157
Q
  1. Management of 7yo w/ enuresis, h/o fevers, abd pain. Dx:
A

UA for recurrent UTI

158
Q
  1. 2mo F w/ opacity in anterior chamber of R eye. Dx?
A

HSV

159
Q
  1. 6mo startle-like movements, murmur, skin hypopigmentation, normal head CT. Dx?
A

Neurofibromatosis I think this should be tuberous sclerosis given murmur/hypOpigmentation

160
Q
  1. How do you prevent transfusion rxn in 16yo M w/ hemophilia?
A

Irradiated blood products

161
Q
  1. 7yo w/ 1y h/o behavior problems in school. Dx?
A

ADHD

162
Q
  1. 3yo runs in w/ garden w/ swollen R eye. Dx?
A

Bug bite/bee sting

163
Q
  1. 4do generalized tonic-clonic sz, micro penis, underdeveloped scrotum. Dx?
A

CAH

164
Q
  1. 9yo p/w appendicitis w/ neighbor. Consent?
A

Not needed

165
Q
  1. 2yo found submerged in pool for 10min. Worst prognostic factor?
A

Amount of time submerged (not temp!)

166
Q
  1. Inheritance pattern for newborn in coma, h/o uncles dying at 1 wk
A

X-linked

167
Q
  1. 13yo w/ L knee injury while playing basketball. Show Xray. Dx?
A

Osteosarcoma

168
Q
  1. Newborn w/ pink body, bluish mouth, extremities. Pulse 110. Management?
A

None

169
Q
  1. 17yo w/ gross hematuria, edema 3wks post insect bite. Dx?
A

PSGN

170
Q
  1. 6wo w/ difficulty breathing. Show EKG:
A

SVT

171
Q
  1. 12yo w/ knee pain, limp, normal knee Xray, obese. Dx?
A

SCFE

172
Q
  1. 4yo F w/ pallor, malaise, petechiae, ecchymosis, h/o hepA. Labs show:
A

thrombocytopenia (ITP following hepA)

173
Q
  1. 3yo w/ occasional stutters. Assessment of language dev?
A

Normal

174
Q
  1. Causes of freq temper tantrums in 2yo w/ h/o bronchiolitis and meningitis:
A

being a 2yo.

175
Q
  1. Management: 6yo F w/ petechiae of skin and mucosa, platelet count 30,000.
A

High-dose corticosteroids (ITP  give steroids)

176
Q
  1. Thyroid bx:
A

Hashimoto’s

177
Q
  1. 18mo F turns blue w/ activity. Dx?
A

TOF

178
Q
  1. 6wo w/ L scrotal swelling since birth, normal testicle.
A

Hydrocele

179
Q
  1. 16do 2d h/o vomiting, fever, 12h h/o smacking lips, rolling eyes. Vesicles on throat. Dx?
A

HSV

180
Q
  1. 17yo F post MVA, shocked, BP 20/0. Initial management?
A

Fluids

181
Q
  1. Leukopenia in 4yo w/ recurrent UTIs?
A

Bactrim

182
Q
  1. 12yo w/ joint pain, swelling, nodules, h/o sore throat?
A

Rheumatic fever

183
Q
  1. Management to decrease pneumococcal infections in 3yo w/ sickle cell?
A

Vaccines, Abx

184
Q
  1. 4yo w/ swollen nodules, LAD
A

JRA

185
Q
  1. Hyponatremia in 10yo F comatose after head trauma. Cause?
A

SIADH

186
Q
  1. 14mo w/ fever, BCx grow S. pneumo. Diagnostic immune test?
A

Immunoglobulins for Bruton’s

187
Q
  1. 16yo w/ 6mo h/o limp, dry skin, enlarged parotid glands. Weight 69 lbs. Dx?
A

Anorexia

188
Q
  1. 12yo M w/ fractured humerus, unable to distend/extend wrist. Dx?
A

Radial nerve palsy

189
Q
  1. 18yo M w/ 3d h/o sore throat, displaced uvula. Dx?
A

Peritonsillar abscess

190
Q
  1. 5yo w/ 1wk h/o leg pain, HSM. Dx?
A

ALL

191
Q
  1. Cause of FTT in 16yo M, 6y h/o decreased growth. Dx?
A

Craniopharyngioma

192
Q
  1. 16yo M asymptomatic w/ irregular pulse, show you an EKG. Dx?
A

Sinus arrthymia

193
Q
  1. 2yo ingestion of aspirin, 3h post event.
A

Metabolic acidosis pH=7.2

194
Q
  1. Hormone confirmatory test in newborn w/ ambiguous genitalia.
A

17-hydroxyprogesterone

195
Q
  1. Greatest risk of death from ingested draino?
A

Esophageal rupture

196
Q
  1. 2mo w/ jaundice, needs to be awakened for feeds, cool extremities?
A

Hypothyroid

197
Q
  1. 12yo F w/ 3mo h/o syncope, hyperpigmentation, cafe au lait spots. What heart lesion?
A

Cardiac rhabdomyoma from TS

198
Q
  1. 10wo w/ PCP, no maternal risk for HIV. Dx?
A

HIV

199
Q

○ Blue at birth:

A

TGA (transposition great arteries)

200
Q

○ Exercise induced cyanosis

A

TOF

201
Q

○ Syncopal episodes in 14yo F

A

Long QT, PAH, HCM. If death → long QT

202
Q

○ Prophylaxis for dental procedure:

A

always say yes

203
Q

EKG: ■ 6wo in heart failure

A

SVT

204
Q

EKG ■ Teenager w/ irregular pulse

A

Sinus arrhythmia

205
Q

○ Most common lesion in Down’s

A

VSD. 40% of Down’s have heart lesion

206
Q

○ Poor feeder, couple weeks old

A

Hypothyroidism. But if missing gag reflex → botulism

207
Q

○ Anyone who is sweating

A

Hypoglycemia. Give 10% dextrose

208
Q

○ 1wo p/w vomiting, hyperpigmentation (hyperpigmented scrotum

A

CAH. Will not be asked about Addisons, Cushings

209
Q

○ Teenager p/w high/normal K, pH 7.2:

A

DKA

210
Q

○ FTT w/ lung symptoms

A

CF. If no lung symptoms → Celiacs

211
Q

○ Scaphoid abdomen

A

diaphragmatic hernia

212
Q

○ Minor trauma + Xray / fracture:

A

Osteosarcoma

213
Q

○ FHx of Rb:

A

Osteosarcoma

214
Q

○ Absent iris or any mass in belly

A

Wilms tumor

215
Q

○ HSM, bone pain

A

ALL

216
Q

○ Low platelets, not bleeding

A

ITP. Give corticosteroids, do not transfuse

217
Q

○ Neck mass, night sweats:

A

Hodgkin’s

218
Q

○ Recurrent bacteremia in >6mo:

A

IgA def, Bruton’s

219
Q

○ Early T-cell defect

A

HIV (p/w parotid swelling) or SCID

220
Q

○ Abscesses:

A

CGD

221
Q

○ One hot joint

A

tap. Most likely organism S. aureus

222
Q

○ Clunks in hip:

A

Developmental dysplasia of the hip

223
Q

○ Flat feet:

A

do nothing

224
Q

○ will not ask Legg Perthes v. SCFE but Leg Perthes

A

unable to internally rotate (leg perthes)

225
Q

○ Recurrent arthritis with rash:

A

JRA

226
Q

○ Cannot comb hair or raise hands, rash:

A

Dermatomyositis

227
Q

○ Drooping of eyes late in evening

A

Myasthenia gravis

228
Q

○ Flaking of scalp, loss of hair, boggy lesion:

A

Kerion (T cell reaction) from Tinea

229
Q

○ Pneumonia not getting better on amoxicillin

A

Pneumococcus

230
Q

○ Uvula pushed over

A

Peritonsillar abscess

231
Q

○ Large prevertebral space on lateral neck XRay

A

retropharyngeal abscess

232
Q

○ Walks on nail through shoe:

A

Pseudomonas

233
Q

○ CGD

A

unusual infections

234
Q

○ Down’s

A

hypotonia

235
Q

DiGeorge

A

absent thymic shadow on CXR

236
Q

○ Newborn rash

A

erythema toxicum

237
Q

○ Newborn w/ white pearls on palate (Epstein pearls

A

normal

Pediatrics (3 decks)

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