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Peds Flashcards

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1
Q

Coronary Artery aneurysms associated with what disease in peds?

A

Kawasakis

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2
Q

Supravalvular aortic stenosis in PEDS?

A

Williams syndrome

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3
Q

Heart Failure in newborn, underlying disease?

A

Thyrotoxicosis

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4
Q

TGA biggest RF?

A

Maternal DM

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5
Q

Turner syndrome associated w/ what heart abnormality?

A

Coarc

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6
Q

DiGeorge’s Sydnrome (FaT CaT)

A

Facies
Thymic Aplasia
hypoCAlcemia (parathyroid aplasia)
Tga or Tertalogy of Fallot

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7
Q

RF for Tertalogy of Fallot?

A

Maternal PKU

DiGeorges

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8
Q

Cephalohematoma vs. Caput succedaneum?

A 
Hematoma = ONE cranial bone
CS = Diffuse
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9
Q

Def. in a-galactosidase –> ceramide trihexose accumulation?(XL)

A

Fabry

Severe neuropathic pain, increased TE events, angiokeratomas, telangectasias

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10
Q

Krabbe vs. Gaucher?

A

Krabbe = Galactoside, progressive neuro degen

Gaucher - Glucoside, Anemia, thrombocytopenia, “crinkled paper”

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11
Q

Nieman-Pick vs. Tay Sachs

A

NP = Sphingomylen, Cherry red spot, HSM

TS = GM2 ganglioside, cherry red, NO HSM

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12
Q

Hurler vs. Hunter?

A

Hurler = Worse (a-L-iduronase) +corneal clouding

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13
Q

Risk factor for brachial plexus injury in newborns?

A

Macrosomia (DM moms) –> Shoulder dystocia

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14
Q

Polyhydraminos causes?

A

Neurological
- Werdnig-Hoffmann (anterior horn SMA)

GI - atresia

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15
Q

Oligohydraminos causes?

A 
Renal Agenesis (potter syndrome)
Prune Belly (can't pee)
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16
Q

Elevated AFP in prenatal screening?

A

NTD or abdominal wall defect

  • gastroschisis, omphalocele
  • Spina bifida, meningocele, myelomeningocele

MOST COMMON DATING PROBLEM

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17
Q

Umbilical Hernia associated w/ what?

At what age is it a problem?

A

Hypothyroid, ehlers danlos

Surg if not regressed by age 4

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18
Q

Gastroschisis vs. Omphalocele?

A

G: lateral, no sac, tx with Immediate surg

O: midline + sac, tx with immediate surg + slow re-introducing

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19
Q

EEG findings, opsomyclonus (eye and ataxia), elevated VMA and metanephrines in infancy?

A

Neuroblastoma of adrenal medulla

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20
Q

Grey cyanosis in newborn, no pulses?

Study These Flashcards
A

Hypoplastic Left Heart Syndrome

21
Q

Conservative treatment of symptomatic VSD?

Study These Flashcards
A

Diuretics + Digoxin

22
Q

CHARGE syndrome

Study These Flashcards
A 
Coloboma
Heart Defects
Atresia, choanal
Retardation
Gential/uro defects
Ear abnormalities
23
Q

VACTERL syndrome

Study These Flashcards
A 
Vertebral defect
Anal atresia
CV defects
TE fistula
Esophageal atresia
Renal abnormalities
Limb abnormalities
24
Q

Slipped Cap vs. Legg-Calve-Perthes?

Study These Flashcards
A

Slipped cap = PAINFUL older, WIDE JOINT SPACE

LCP = painLESS Younger, AVASCULAR NECROSIS

25
McCune Albright?
Precocious puberty (Female) cafe-au-lait Elevated pituitary (or adrenal hormones) BONEY DEFECTS (Fibrous Dysplasia)
26
Bruton's vs. Transient Hypogammaglobinemia of infancy?
Both low IG around 6 months Brutons = LOW B CELL NUMBER THI = Normal B Cell Number
27
CVID vs. Brutons?
``` Brutons = around 6 months CVID = Later, 15 yr olds. ```
28
Kawasaki major risk? | Tx?
Risk of coronary artery anerysm | High dose ASA
29
What increases risk of neonatal RDS? (3) What, weirdly decrease risk?
Prematurity, DM, CS without labor Less risk with fetal "stressors" Maternal HTN, IUGR, PROM
30
PE vs. Bacterial PNA, visual differences on CT?
PE = linear WEDGE, straight edges PNA = Local, irregular/fuzzy borders
31
Beckwith-Weidman syndrome (6)
``` Hypoglycemia Abdominal Wall defects (Omphalocele) Macroglossia Gigantism Hemi-hypertrophy Wilms Tumor ```
32
Diagnose Meckel Diverticulum in kids?
Techtenium99 scan
33
Erythema Marginatum - Which disease? What does it look like?
Acute Rheumatic Fever Sharp wavy borders, non-raised slightly erythematous
34
Breast milk vs. Breastfeeding jaundice?
Breast milk = Lack of production - Dehydration (brick stool, decreased UOP) - Unconjugated Hyperbilirubinemia Breast feeding = b-glucuronide in breast milk cant be conjugated - NO DEHYDRATION - peaks 2wks in
35
When to start phototherapy in jaundiced neonate?
Tbili >20
36
Cat Bite treatment?
Augmentin
37
Friedricks Ataxia findings (3)?
Ataxia (other neuro as well) Skeletal (Hammer toes, scoliosis) Restrictive cardiomyopathy
38
Osteogenesis Imperfecta defect?
Type 1 collagen
39
Purpura Scrotal swelling GI pain Arthralgias Which disease? Complication of GI process?
HSP Ileo-ileal intussusception (needs surg)
40
Immunodeficiency: 1) 1 mo old fungal infections 2) 2 yo giardia + PNA 3) 15 yo with pyogenic URT/LRTI
1) SCID (ADA deficiency) -- Low B and T 2) Brutons XLAGG -- Low B# 3) CVID -- normal number B
41
Inspiratory stridor anatomical causes - Improves with neck extension? - Improves with prone position
NE: vascular ring Prone: Laryngotracheomalacia
42
Imaging study for Malrotation w/ volvus?
Upper GI series
43
``` Umbilical hernia Macrosomia Macroglossia Hemi-hypertrophy Hypoglycemia ``` Disease? Routine care screening?
Beckwith Weidmann Abdominal US to look for Tumors
44
TORCH that causes clear rhinorrhea and desquamating rash?
Syphillis
45
Side effects of SGA infant?
Hypoxia (Polycythemia) Meconium Ileus aspiration hypothermia
46
Chlamydial vs. Gonnococcal conjunctivitis timeline and treatment?
1-5 days = GC 5-14 days = Chlam GC tx: Ocular erythromycin Chlam tx: oral erythromycin
47
Contraindications to rotavirus vaccine?
Intussusception hx CVID Unrepaired GI anatomical defect Hx of anaphlaxis to vaccine
48
Intermittent abominal pain, wrist drop, headache?
Lead poisoning
49
Lead poisoning testing tx?
Testing: 1. fingerstick screen 2. level Level 70 = EDTA +Dimercaprol

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