Peds 2 Flashcards Preview

Step 2 > Peds 2 > Flashcards

Flashcards in Peds 2 Deck (74)
Loading flashcards...
1

neonate with alopecia and orange-colored, nodular skin? Tx?

nevus sebaceous
tx = remove before adolescence, can undergo malignant degeneration

2

enzyme defect in PKU

phenylalanine hydroxylase

3

Newborn with vomiting, athetosis, seizures, developmental delay/MR, fair hair and skin

PKU

4

When is breastfeeding CI? (7)

HgE-Ag + Hep B, HIV, herpes on nipple, chemo, Lithium, radioactive iodide
neonatal PKU and galactosemia

5

Enzyme defect in galactosemia

G1P-UT

6

Newborn with FTT, bilateral cateracts, jaundice, hypoglycemia?

galactosemia

7

What are galactosemia babies at increased risk of?

E. coli infxns

8

Signs of concern in neonate w/ jaundice (4)

If:
present on 1st day of life, Total Bili >12, Direct Bili >2, rise of >5/day

9

Inherited causes of direct hyperbilirubinemia (2)

Dubin Johnson (black liver)
Rotor Syndrome (milder form)

10

TE atresia a/w?

VACTERL (vertebral,anorectal atreisa, cardiac, TE, radial/renal, limb)

11

Choanal atresia a/w?

CHARGE (coloboma, haert defects, atresia (choanal), retarded growth, GU, ear)

12

mature lungs lecithin:sphingomyeline ratio

>2

13

3 syndromes a/w omphalocele

Edwards, Patau, Beckwith-Weidemann

14

Neonate with umbilical hernia and macroglossia (big tongue)

congenital HYPOthyroidism

15

Structural abnormality that leads to infantile volvulus

Ladd's band

16

Normal rotation of gut during development

270 CCW around SMA

17

Dx CAH

meausre 17,OH-Progesterone before and after ACTH bolus

18

Tx 21alpha-hydroxylase deficiency

hydrocortisone/fludrocortisone + aldosterone

19

Neonate with RDS, hypocalcemia, polycythemia, dx?

maternal gestational DM

20

Empiric Tx neonatal sepsis

amp + gent

21

Empiric treatment of infant meningitis

cefotaxime + amp

22

MCCs of newborn sepsis

GBS, Listeria, E. coli

23

Neonate w/ maculopapular rash on palm/soles, sniffles and periostitis

Congenital syphilis

24

Neonate w/ hydrocephalus, intracranial calcifications and chorioretinitis? Tx?

congenital toxoplasmosis
Pyrimethamine (sulfadiazine + leucovorin)

25

Neonate w/ cataracts, deafness, heart defects and extramedullary hematopoeisis

Congenital rubella

26

neonate w/ microcephaly, periventricular calcification, deafness, thrombocytopenia, petechia, seizures? Tx?

Congenital CMV
Tx = Ganciclovir

27

Neonate w/ limb hypoplasia, cutaneous scars, catacts, chorioretinitis, cortical atrophy

CONGENITAL varicella (not neonatal)

28

When and how do you treat NEONATAL varicella

if mom was exposed either 5 days prior or 2 days after delivery, give baby VZIG

29

Tx gonococcal conjunctivitis

IV cefotaxime or cefalexin

30

possible complication of neonatal chlamydial conjunctivitis

pneumonia