peds

Question 1

size of pediatric heart on CXR

Question 2

size of pediatric heart on CXR

Question 3

stridor=

Answer 3

turbulent air IN or BELOW the the larnyx

Question 4

stertor=

Answer 4

turbulent airflow ABOVEthe larynx (snore)

Question 5

best angle for heart size assessment

Answer 5

posteroanterior (AP is not because it is supine)

Question 6

rales/wheeze because

Answer 6

expiratory pushing air through small tubes

Question 7

stertor=

Answer 7

turbulent airflow above the larynx (snore)

Question 8

ronchi/crackles because

Answer 8

alveoli are popping open; inspiratory

Question 9

rales/wheeze because

Answer 9

expiratory pushing air through small tubes

Question 10

etiology of laryngeal or tracheal web

Answer 10

incomplete recanalization of larynx

Question 11

bronchiolitis in kids

Answer 11

“the happy wheezer”
from viruses
november - april
supportive treatment with oxgen and/or IV fluids

Question 12

how many ribs do you want to see in a kid CXR

Answer 12

10 above the diaphragm

Question 13

steeple sign=

Answer 13

• epiglottal swelling

- classic croup

Question 14

what is wrong in croup,

what are the symptoms

Answer 14

laryngotracheitis
subglottic larynx edema, NFL
from viruses

Question 15

angioedema =

Answer 15

allergic sweling or URT

Question 16

what diseases can cause acute upper airway obstruction

Answer 16

• croup
• uvulitis
• peritonsillar/retropharyngeal abscess
• diphtheria (with tripod position)

Question 17

what words describe pleural effusion on CXR

Answer 17

loculated with septations

Question 18

what type of bugs cause CAP in school age kids

Answer 18

atypicals, virals, pneumonia

Question 19

what tests chould you ALWAYS do for outpatient pneumonia

Answer 19

pulse ox (duh)
rapid flu (if during its season)

Question 20

I want to give a macrolide to a kid that I think has pneumonia. what test should I do first

Answer 20

mycoplasma IgM (most/many mycoplasmas are now resistant)

Question 21

preliminary tests come back negative in a kid that may have pneumonia, and they are WORSENING. what is next?

Answer 21

consider CXR (or repeat);
blood culture;

Question 22

what tests chould you ALWAYS do for outpatient pneumonia

Answer 22

pulse ox (duh)
rapid flu

Question 23

I want to give a macrolide to a kid that I think has pneumonia. what test should I do first

Answer 23

mycoplasma IgM (most/many mycoplasmas are now resistant)

Question 24

congenital stridor =

Answer 24

laryngomalacia

Question 25

baby with diaphragmatic hernia can have

Answer 25

hypoplastic lung; | persistant pulmonary HTN;

Question 26

laryngomalacia=

Answer 26

congenital abnormality of the cartilage so that the cartilage closes upon inspiration

Question 27

congenital stridor =

Answer 27

laryngomalacia

Question 28

rubeOLA measles rash

Answer 28

morbilliform eruption nf 4th-5th day

Question 29

rubeOLA measles prodrome

Answer 29

``` the three C cough coryza conjunctivitis (also photophobia and fever) ```

Question 30

rubeOLA measles complications

Answer 30

respiratory infection acute disseminated myeloencephalitis subacute sclerosing panencephalitis

Question 31

rubeola measles rash

Answer 31

morbilliform eruption nf 4th-5th day

Question 32

rubeola measles prodrome

Answer 32

``` the three C cough coryza conjunctivitis (also photophobia and fever) ```

Question 33

rubeola measles complications

Answer 33

respiratory infection acute disseminated myeloencephalitis subacute sclerosing panencephalitis

Question 34

rubELLA rash location

Answer 34

starts on face > trunk and extremities | is generalized within 24 hours

Question 35

rubELLA rash morphology and duration

Answer 35

pink pinpoint maculopapular 3 days

Question 36

rubELLA symptoms

Answer 36

low grade fever | lymphadenopathy of POSTERIOR cervical and occipital nodes

Question 37

Forchehimer spots=

Answer 37

enanthem on soft palate | palatal petechiae

Question 38

blueberry muffin rash=

Answer 38

purpuric rash and hepatosplenomegaly in congenital rubELLA

Question 39

erythema infectiosum

Answer 39

PARVO

Question 40

parvo stages

Answer 40

- slapped cheeks - fishnet erythema - rash recurrence after resolution

Question 41

parvo symptoms

Answer 41

arthropathy aplastic crisis pure RBC aplasia if immunocompromised

Question 42

parvo rash

Answer 42

purpuric glove and sock syndrome

Question 43

ROSEola symptoms

Answer 43

high fever for 3-4 days, but well | pale-pink macular rash appears as the patient defervesces

Question 44

hand foot mouth disease virus

Answer 44

coxacie A/ entero

Question 45

hand foot mouth lesions

Answer 45

on the hand foot and mouth | SORE, last 7-8 days

Question 46

herpangina virus

Answer 46

coxackie A

Question 47

herpangina presentation

Answer 47

yellowish-greyish white papulovesicular lesions on tonsils/uvula/palate prodrome of sore throat, fever young children

Question 48

enterovirus rashes

Answer 48

can look like hand foot mouth, herpangina, or be nonspecific eruptions