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Peds 3 Flashcards

1
Q

cyanotic newborn that doesnt improve with O2

A

ToGV

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2
Q

newborn holosystolic murmur that worsens with inspiration

A

ebstein’s anomaly

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3
Q

Arrhythmia a/w ebstein’s anomaly

A

WPW syndrome

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4
Q

Newborn cyanotic with holosystolic murmur that requires a VSD or* ASD to survive, EKG w/ LVH

A

Tricuspid Atresia

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5
Q

CHD with increased pulmonary blood flow and biventricular hypertrophy

A

truncus arterosis

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6
Q

Harsh holosystolic murmur over left lower sternal border. Loud P2

A

VSD

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7
Q

fixed and split S2. systolic ejection murmur with diastolic rumble

A

Endocardial cushion defect

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8
Q

newborn with bounding pulses and widened pulse pressure

A

PDA

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9
Q

PDA a/w (2)

A

prematurity and congenital rubella

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10
Q

rosary bead appearance of ribs

A

Vit D deficiency

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11
Q

kid with murmur that increases with valsalva, standing and exercise

A

HCM

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12
Q

joint and chest pain, rash, elevated ESR, prolonged PR interval

A

acute rheumatic fever

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13
Q

Tx acute rheumatic fever

A

erythromycin 10d then prophylaxis until age 20

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14
Q

Tx meconium ileus

A

gastrografin enema BEFORE considering surgery

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15
Q

Tx pneumonia in CF

A

ceftazidime, piperacillin or tobramycin

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16
Q

asthma: daily and nightly cough, FEV1 less than 60. dx and tx

A

Severe persistent = albuterol, inhaled corticosteroid, long-acting BA (salmeterol), monteleukast +/- oral steroids

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17
Q

asthma 2x/wk no night sx, dx/tx

A

mild intermittent, tx = albuterol

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18
Q

asthma 4x/wk + nightly cough 2x/mo, normal PFTs, dx/tx

A

albuterol and inhaled corticosteroids

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19
Q

asthma daily + nightly cough 2x/wk and FEV 60-80, dx/tx

A

moderate persistent, tx = albuterol, inhaled CS and salumeterol (long acting BA)

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20
Q

common infxn in asthmatics

A

allergic bronchopulmonary aspergillus

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21
Q

hematuria only 1-2 DAYS after a runny nose/sore throat, dx?

A

Berger’s Disease = IgA nephropathy

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22
Q

smoky or cola- urine

23
Q

subepithelial IgG humps

24
Q

Dx PSGN

25
hematuria and hemoptysis
Goodpasture's
26
hematuria and deafness
Alport's, X-linked recessive
27
Tx calcium oxalate stones
hydrochlorothiazide
28
kid with FHx of renal stones, MC type?
cystein
29
kid with indwelling catheter and alkaline urine, MCCs?
struvite stone = proteus, staph, pseudomonas or klebsiella
30
Tx MCD
prednisone 4-6wks
31
immunizations especially important in MCD
varicella and pneumococcus b/c they leak Ig's into their urine
32
kid with proteinuria suddenly develops flank pain, Dx?
renal vein thrombosis 2/2 peeing out ATIII, protein C/S --\> stat renal US or CT
33
sicke cell patient with respiratory distress that requires emergency tonsillectomy?
Waldyer Ring's hyperplasia
34
MCC death in sickle cell
acute chest syndrome 2/2 pulmonary infarct
35
tx stroke in sickle cell
exchange transfusion! do NOT give tPA
36
prophylaxis in sickle cell
Penicillin from 2mo-6yrs?
37
Tx thalassemia
transfusion +/- deferoxamine
38
Deficiencies in goat's milk
folate and vit B12
39
3 month old. Normal platelet. Normal WBC. Anemia. Increased RBC ADA and low reticulocytes. Triphalangeal thumb. Dx? Tx?
Blackfan Diamond Anemia Tx = steroids, transfusions +/- stem cell transplant
40
Pathophys Fanconi's anemia, complications?
2/2 chromosomal breaks, complicationcs inculde increased risk AML and other cancers
41
2yo with hyperactivity, developmental delay, abd pain and constipation
lead poisoning succimer if \>46, EDTA if\>70
42
epistaxis, heavy menses, petechiae. Normal platelets. Increased bleeding time and PTT. DX? Tx?
vWD Tx = DDAVP + factor 8 replacement
43
epistaxis, heavy menses, petechiae and DECREASED platelets, dx/tx
ITP tx = IVIG, prednisone +/- splenectomy but do NOT give platelets (simply worsens consumptive coagulopathy)
44
1st clotting factor to deplete
factor 7
45
cloting factors NOT affected in Wilson's disease
8 and vWF because they are made in ENDOTHELIAL cells
46
causes of HUS (4)
E. coli, shigella, salmonella, campylobacter
47
IgA and C3 deposition in skin
Henoch-Schlonen Purpura
48
Kid with lower extremity rash, abd pain and joint pain
Henoch-Schonlein Purpura
49
MC brain tumor in kids
pilocytic astrocytoma of cerebellum
50
2nd MC brain tumor in kids, what is the worst prognostic factor?
Medulloblastoma, worst prognosis if in vermis
51
kid with abd mass that doesn't cross midline and HTN
Wilm's Tumor
52
Wilm's tumor a/w?
WAGR = Wilms, aniridia, GU abnormalities, Retardation Hemihypertrophy Beckwith-Weidmann syndrome
53

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