Peds 2

Question 1

Rubella vs CMV in terms of

• hearing loss
• vision

Answer 1

Rubella is bilateral hearing loss, CMV is unilateral

Rubella has cataracts and glaucoma, CMV has chorioretinitis

Question 2

conjunctivitis in baby less than 24 hours old

• dx
• tx

Answer 2

chemical conjunctivitis

eye lubricant

Question 3

conjunctivitis in baby 2-5 days old

• dx
• tx

Answer 3

gonococcal conjunctivitis

IV or IM ceftriaxone (but not if hyperbilirubinemia) or cefotaxime

Question 4

conjunctivitis in baby 5-14 days old

• dx
• tx

Answer 4

chlamydial conjunctivitis

PO erythromycin

Question 5

most harmful conjunctivitis, and its complications

Answer 5

gonococcal

corneal perforation leading to blindness

Question 6

unilateral tearing with conjunctival injection

• dx
• management

Answer 6

nasolacrimal duct obstruction

massage of nasolacrimal duct

Question 7

ways to distinguish gonorrhea vs chlamydia conjucntivitis

Answer 7

gonorrhea before 5 days, chlamydia after 5 days

chlamydia can be bloody sometimes

Question 8

tx of RDS

Answer 8

CPAP

Question 9

lab abnormality in biliary atresia

Answer 9

direct hyperbilirubinemia (at least 20% of total bill)

Question 10

direct hyperbilirubinemia. clay colored stools, dark urine, enlarged liver in up to 2 month old. dx?

Answer 10

biliary atresia

Question 11

patient has galactosemia. What type of formula should it have?

Answer 11

soy formula

Question 12

first 3 months, pallor, poor feeding, anemia

Answer 12

Diamond Blackfan anemia / congenital pure red cell aplasia

Question 13

pallor, tachycardia, very low Hb, 6 mo - 5 yr old

Answer 13

transient erythroblastopenia of childhood

Question 14

pancytopenia after drug intake, toxin, or viral infxn

Answer 14

acquired aplastic anemia

Question 15

management of congenital adrenal hyperplasia

Answer 15

glucocorticoid replacement

Question 16

MCC of UTI in children, how to dx

Answer 16

vesicoureteral reflux (VUR)
voiding cystourethrogram

Question 17

MCC of chronic renal insufficiency / failure in children

Answer 17

posterior urethral valve

Question 18

tx of SCFE

Answer 18

immediate surgical screw fixation

Question 19

child with pertussis. do what with household contacts

Answer 19

give macrolide

Question 20

less than 2 year old with cough, runny nose, wheezes

• dx
• complications

Answer 20

RSV bronchiolitis

apnea (esp less than 2 months), respiratory failure

Question 21

pavilizumab is indicated for prevention of RSV bronchiolitis in which patients?

Answer 21

preterm before 29 weeks
chronic lung dz of prematurity
hemodynamically significant congenital heart dz

Question 22

child with open fontanelle and needs LP. what are indications for CT first?

Answer 22

history of hydrocephalus
history of neurosurg procedure
history of head trauma
coma or focal neuro deficits

Question 23

age when you do surgery on umbilical hernias

Answer 23

around age 5

Question 24

MCCs of osteomyelitis in sickle cell kids

Answer 24

salmonella

staph (MCC in healthy kids)

Question 25

kid with fever and unilateral, tender, swollen LN - dx - bac causes - tx

Answer 25

acute lymphadenitis Staph and strep (GAS) clindamycin

Question 26

at what age is bedwetting abnormal | & next step

Answer 26

5 yrs old | urinalysis if 5 yrs old and still bedwetting

Question 27

displaced urethral meatus associated with

Answer 27

cryptorchidism (undescended testes)

Question 28

newborn's HR less than 60. next step?

Answer 28

start chest compressions

Question 29

tx of cryptorchidism and timeline | what else is repaired and why

Answer 29

orchiopexy before age 1 | patent processus vaginalis to prevent inguinal hernia

Question 30

preferred tx of chronic constipation

Answer 30

oral laxatives (polyethylene glycol, mineral oil)