pediatrics Flashcards

(56 cards)

1
Q

chlamydial conjunctivitis treatment

A

oral erythromycin

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

MCC of secondary HTN in children

A

fibromuscular dysplasia

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

cherry red macula + HSM and areflexia

A

Neiman-Pick disease

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

cherry red macula + hyperreflexia and no +HSM

A

Tay-Sachs

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

first step after meconium ileus is demonstrated on KUB

A

contrast enema

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

causes follicular conjunctivitis and neovascularization

A

trachoma (chlamydia serotypes A-C)

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

next step for BLL 45-79

A

chelation with succimer, DMSA

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

next step for BLL >70

A

chelation with DMSA and EDTA

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

androgen insensitivity syndrome treatment

A

gonadectomy after completion of puberty

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

herpangina presentation

A

gray vesicles on the tonsillar pillars and posterior oropharynx that progress to fibrin coated ulcerations

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

dyslipidemia screening in children

A

ages 9-11 and 17-21

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

MCC/treatment of unilateral cervical adenopathy

A

staph and strep; tx with clindamycin

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

presents with facial weakness, dysphagia, and difficulty releasing grip

A

myotonic dystrophy

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

MC sickle cell trait complication

A

hematuria due to renal papillary necrosis

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

Dx of Lyme disease

A

ELISA confirmed by western blot

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

NEC x-ray

A

air in bowel wall (train track appearance) –> pneumatosis intestinalis

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

first step after first UTI in child

A

get USG prior to VCUG

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

CBC diff with pertussis

A

lymphocyte predominant leukocytosis

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

Freidreich ataxia MCCOD

A

cardiomyopathy (concentric, hypertrophic)

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

McCune Albright syndrome

A

precocious puberty, cafe au lait spots, and multiple bone defects

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

Tx for ITP patient that has active mucosal bleeding

A

IVIG or steroids

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

antibodies in DM-1

A

antiglutamic acid decarboxylase antibodies

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

MCC/Tx of meningitis in kid with VP shunt

A

staph epi followed by staph aureus; Tx with vanc

24
Q

animal bite treatment

25
CHARGE association
colombomas, heart defects, channel atresia, retardation, GU abnormalities, ear abnormalities
26
urticaria pigmentosa
mastocytosis presenting with disseminated hyper pigmented, oval-shaped macules that urticate when rubbed; resolves in months to years
27
kid with bruising and suspected abuse
first get coag. studies then call CPS if normal
28
Coagulation studies in Vit. K deficiency
PT and PTT prolonged; bleeding time and platelet counts are normal
29
adrenoleukodystrophy
XLR disease preventing transport of VLCFAs into peroxisomes leading to accumulation; pts. present with neurologic deficits and adrenal insufficiency
30
lack of response to cosyntropin stimulation test
adrenoleukodystrophy (causes adrenal insufficiency)
31
cholesteatoma
small epithelium lined sac containing debris in children with recurrent ear infections; can lead to hearing loss
32
Cornelia de Lang:
bushy eyebrows, hirsutism, limb defects, VSD, and MR
33
Langerhan's cell histiocytosis
chronic seborrheic dermatitis, lytic bone lesion with overlying calcium deposits and hypercalcemia
34
Wiskott-Aldrich syndrome
eczema, infections, low platelets, eosinophilia, and elevated IgE and IgA
35
1st step in hematemesis/melena in newborn
Apt-Downey test to check if its maternal blood
36
TTN CXR
prominent vascular markings, fluid in fissures and hyperexpansion
37
congenital rubella
IUGR, cataracts, microphthalmia, purple macular rash, structural heart defects
38
congenital CMV
IUGR, HSM, jaundice, petechihae, chorioretinitis, intracranial calcifications (periventricular), hearing loss
39
congenital toxoplasmosis
hydrocephalus, chorioretinitis, and intracranial calcifications (not periventricular)
40
thrombocytopenia absent radium syndrome
low platelets, bilateral absence of radius, abnormally shaped thumbs, and cardiac lesions including TOF and ASD
41
TGA CXR
egg on a string
42
Dx of phrenic nerve paralysis
USG
43
prune belly syndrome
lax abdominal wall, dilated urinary tract ,and intra-abdominal testicular tissue; associated with pulmonary complications hip dysplasia, and club feet, and malrotation
44
SCD patients with stroke symptoms and no hemorrhage on CT/MRI
exchange transfusion
45
Kasabach-Merritt phenomenon
platelet and RBC sequestration in large vascular tumors; causes thrombocytopenia, coagulopathy, and MAHA
46
nevus simplex
stork bite
47
nevus flamus
port wine stain
48
hemangioma that does not resolve
infantile fibrosarcoma
49
suspecting Hodgkins disease - first step
CXR to check for mediastinal mass
50
gaucher's disease
beta-glucocerebrosidase deficiency; BM shows engorged gaucher cells; erlenmeyer flask long bones
51
morquio syndrome:
abnormal keratin accumulation leading to skeletal malformation (short trunk with marked slowing of growth, severe scoliosis, precuts carinatum, and short next
52
Hurler syndrome
alpha-1-iduronidase deficiency; umbilical hernia, scoliosis, deafness, cloudy cornea, claw hand, HSM, coarse facial features, and hirsutism.
53
Crouzon syndrome
craniosynostosis, proptosis, brachycephaly, hypertelorism, and strabismus, beak nose, mid face hypoplasia, high palate
54
albright hereditary osteodystrophy (pseudohypoparathyroidism)
MR, brachydactyly in 4 and 5, obesity, round facies perivascular calcifications of basal ganglia, high PTH, low Ca, and high phos
55
Menkes syndrome
low serum copper and ceruloplasm; kinky colorless hair, severe MR, chubby rosy cheeks
56
Vit. D deficiency labs
low PO4 and normal Ca levels