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Flashcards in Pediatrics Deck (28):
1

Nontender abdominal mass a/w elevated VMA and HVA

Neuroblastoma

2

Most common type of tracheoesophageal fistula (TEF). Dx?

Esophageal atresia w/ distal TEF (85%). Unable to pass NG tube.

3

Not contraindications to vaccination.

Mild illness and/or low-grade fever, current abx therapy, and prematurity

4

Tests to r/o shaken baby syndrome

Ophthalmologic exam, CT, and MRI

5

A neonate had meconium ileus

Cystic fibrosis (Hirchsprung's dz is a/w failure to pass meconium for 48 hours).

6

Bilious emesis w/I hours after the first feeding

Duodenal atresia

7

2 mo baby present w/ nonbilious projectile emesis. Dx? What are the appropriate steps in management?

Pyloric stenosis. Correct metabolic abn; then correct pyloric stenosis with pyloromyotomy

8

The most common 1` immunodeficiency

Selective IgA deficiency

9

An infant has a high fever and onset of rash as fever breaks. What is he at risk for?

Febrile seizure (due to roseola infantum)

10

What is the immunodeficiency: A boy has chronic respiratory infections. Nitroblue tetrazolium test is (-)

Chronic granulomatous dz

11

What is the immunodeficiency: child has eczema, thrombocytopenia and high levels of IgA

Wiskott-Aldrich syndrome

12

What is the immunodeficiency: 4 mo boy has life-threatening Pseudomonas infxn

Bruton's X-linked agammaglobulinemia

13

Acute-phase tx for Kawasaki dz

High-dose ASA for inflammation and fever; IVIG to prevent coronary artery aneurysms

14

Tx for mild and severe unconjugated hyperbilirubinemia

Phototherapy (mild) or exchange transfusion (severe). (Do not use phototherapy for conjugated hyperbilirubinemia)

15

Sudden onset of mental status changes, emesis, and liver dysfunction after ASA intake

Reye's syndrome

16

A child has loss of red light reflex (white pupil). Dx? The child has an increased risk of what cancer?

Suspect retinoblastoma. Osteosarcoma

17

Vaccinations at a 6-mo well-child visit

HBV, DTaP, Hib, IPV, PCV, rotavirus

18

Tanner stage 3 in a 6 y/o girl

Precocious puberty

19

Infxn of small airways w/ epidemics in winter and spring

RSV bronchiolitis

20

Cause of neonatal RDS

Surfactant deficiency

21

A condition a/w red "currant-jelly" stools, colicky abd pain, bilious vomiting, and a sausage-shaped mass in the RUQ.

Intussusception

22

A congenital heart dz that causes 2` Htn. What would you find on physical exam?

Coarctation of the aorta; decreased femoral pulses

23

First-line tx for otitis media

Amoxicillin x 10 days

24

Most common pathogen causing croup

Parainfluenza virus type 1

25

Homeless child is small for his age and has peeling skin and a swollen belly

Kwashiorkor (protein malnutrition)

26

Defect in an X-linked syndrome w/ mental retardation, gout, self-mutilation, and choreoathetosis.

Lesch-Nyhan syndrome (purine salvage problem w/ HGPRTase deficiency)

27

Newborn girl has a continuous "machinery murmur". What drug would you give?

Patent ductus arteriosus (PDA). Indomethacin is given to close the PDA

28

Newborn w/ a posterior neck mass and swelling of the hands

Turner's syndrome