Pediatrics 3,4,5 Flashcards Preview

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Flashcards in Pediatrics 3,4,5 Deck (42)
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1

Is left axis deviation on neonatal electrocardiogram normal

no

2

What is tricuspid valve atresia? EKG reading? Chest radiograph reading?

- cyanotic congenital heart defect
- left axis deviation on electrocardiogram
- decreased pulmonary markings on chest radiograph due to hypoplasia of right ventricle and pulmonary outflow tract

3

Complete atrioventricular canal defect is associated with what syndrome

Down Syndrome

4

Chest X-ray for complete atrioventricular canal defect

- increased pulmonary markings and cardiomegaly

5

Ebstein's anomaly associated with?

Maternal lithium use

6

EKG and X-ray for Ebstein anomaly

EKG: tall P waves ( displacement of malformed tricuspid valve intro right ventricle, tricuspid regurgitation and right atrial enlargement)

X-Ray: cardiomegaly

7

Tetralogy of Fallot has a right or left axis deviation

right

8

Total anomalous pulmonary venous return EKG and X - ray findings

EKG: right axis deviation
X-ray: increased pulmonary markings

9

truncus arteriosus is associated with

DiGeroge Syndrome

10

Truncus arteriosus X-ray

- cardiomegaly and increased pulmonary vascular markings

11

Most common complication for sickle cell trait ?

painless hematuria

12

Isosthenuria

impairment in concentrating ability in kidney

13

Most common cause of bacterial meningitis in children and young adults

Meningococcal meningitis

14

Patient with signs of meningitis and petechial rash most likely has what

Neisseria meningitides

15

Define petechial rash

erythematous, non blanching pinpoint rash

16

complete androgen insensitivity syndrome is genetically and phenotypically what

genetics: 46XY
phenotypically: female

17

Cryptorchid gonads has a risk of developing what

Dysgerminoma or gonadoblastoma after puberty

18

Henoch-Schonlein purpura is associated with what GI symptoms

ileo-ileal intussesception

19

clinical feature of intussesception

-abdominal pain
- Currant jelly or bloody stool

20

The first step in management of a newborn with respiratory compromise and suspected congenital diaphragmatic hernia is

endotracheal intubation
- after its secure, place nasal or orogastric tube

21

what should be suspected in any newborn with failure to pass meconium within 48 hours after birth, especially in setting of Down syndrome

Hirschsprung disease

22

In patients with apparent subcutaneous emphysema secondary to severe coughing paroxysms, what should first be ordered

Chest x-ray to rule out pneumothorax

23

pruritic rash characterized by small erythematous papules and burrows in the axillae, periumbilical area, genitalia, and interdigital web space

Scabies

24

first-line treatment for Scabes

topical 5% permethrin or oral ivermectin

25

Acute, intensely puritic, erythematous papules located ion flexor surfaces

atopic dermatitis

26

Undetected hearing impairment can lead to what in children

-poor language development and social skills

27

Goat milk is deficient in what mineral

folate

28

Sandifer syndrome

intermittent opisthotonic posturing

29

physiologic reflux and pathologic features differences in infants

pathologic reflux: failure to thrive, sandier syndrome, poor weight gain, drop in growth percentiles

30

Cerebral palsy

group of syndromes characterized by non progressive motor dysfunction