Peds

Question 1

Chorioretinitis
Hydrocelphalus
Ring-enhancing lesions on CT

Answer 1

Toxoplasmosis

Question 2

How to diagnose toxoplasmosis?

Answer 2

Initial: Measure IgM to toxoplasmosis
Accurate: PCR for toxoplasmosis

Question 3

How to treat toxoplasmosis?

Answer 3

Pyrimethamine and sulfadiazine

Question 4

Rash on palms and soles 
Snuffles 
Frontal bossing
8th nerve palsy 
Saddle nose

Answer 4

Syphyllis

Question 5

How to diagnose syphyllis?

Answer 5

Initial: VDRL
Accurate: FTA ABS or dark field microscopy

Question 6

How to treat syphyllis?

Answer 6

Penicillin

Question 7

PDA
Cataracts 
Deafness 
Hepatosplenomeagly 
Blueberry muffin rash 
Hyperbilirubinemia

Answer 7

Rubella

Question 8

How to diagnose rubella?

Answer 8

Maternal IgM status along with clinical diagnosis.

Question 9

How to treat rubella?

Answer 9

Supportive

Question 10

Periventricular calcifications
Microcephaly
Choriorentinitis 
hearing loss 
petichae

Answer 10

CMV

Question 11

How to diagnose CMV?

Answer 11

Initial: Urine/Saliva viral titers
Accurate: Urine/Saliva PCR for viral DNA

Question 12

Shock/DIC- week 1
Vesicular lesions- week 2
Encephalitis- week 3

Answer 12

Herpes

Question 13

How to diagnose herpes?

Answer 13

Initial test: Tznack smear

Accurate test: PCR

Question 14

How to treat herpes?

Answer 14

Acyclovir and supportive care

Question 15

Multiple highly pruritic vesicular rash that begins on face.
Fever
Maliase

Answer 15

Varicella

Question 16

Varicella organism?

Answer 16

Varicella zoster virus

Question 17

Diagnose varicella?

Answer 17

Initial: Tznack
Accurate: viral cultures

Question 18

Cough
Coryza
Conjunctivits
Koplick spots

Answer 18

Rubeola

Measles

Question 19

Rubeola/Measles organism?

Answer 19

Paramyxovirus

Question 20

Diagnose Rubeola/Measles?

Answer 20

Clinical diagnosis

Accurate: Measles IgM

Question 21

Fever/URI

Slapped cheeks rash

Answer 21

Fifth disease

Erythema infectiosum

Question 22

Fifth disease organism?

Answer 22

Parvovirus

Question 23

Fever/URI

symtpoms resolve and diffuse rash appears

Answer 23

Roseola

Question 24

Roseola organism?

Answer 24

Herpesvirus 6&7

Question 25

Fever Parotid gland swelling Orchitis

Answer 25

Mumps

Question 26

Mumps organism?

Answer 26

Paramyxovirus

Question 27

``` Poor night vision Photophobia Dry skin Hyperkeratosis Hypoparathyroidism ```

Answer 27

Vit A deficiency

Question 28

Psuedotumor cerebri | Hyperparathyroidism

Answer 28

Vit A toxicity

Question 29

Vit B1

Answer 29

Thiamine

Question 30

Beriberi | Werinke's encephalopathy

Answer 30

Thiamine/B1 deficiency

Question 31

Vit B2

Answer 31

Riboflavin

Question 32

Angular chelosis Stomatitis Glossitis

Answer 32

Riboflavin/B2 deficiency

Question 33

Vit B3

Answer 33

Niacin

Question 34

Diarrhea Dermatitis Dementia Death

Answer 34

Pellagra-Niacin Deficiency

Question 35

Vit B5

Answer 35

Pantothenic acid

Question 36

Burning feet syndrome

Answer 36

Pantothenic acid/B5 deficiency

Question 37

Vit B6

Answer 37

Pyroxidine

Question 38

Peripheral neuropathy | Associated with INH

Answer 38

Pyroxidine/B6 deficiency

Question 39

Vit B9

Answer 39

Folate

Question 40

Megablastic anemia | Hypersegmented neutrophils

Answer 40

Folate/B9 deficiency

Question 41

Vit B12

Answer 41

Cyanocobalamin

Question 42

Megablastic anemia Hypersegemented neutrophils Peripheral dorsal columns neuropathy

Answer 42

Cyanocobalamin/B12 deficiency

Question 43

Echymoses Bleeding gums petichiae

Answer 43

Vit C deficienvy

Question 44

Rickets | Osteopmalacia

Answer 44

Vit D deficiency

Question 45

Hypercalcemia Polyuria Polydipsia

Answer 45

Vit D toxicity

Question 46

Increased PT/INR | Bleeding

Answer 46

Vit K deficiency