peds

Question 1

clinical fx of herpangina

Answer 1

• coxsackie A virus

- painful posterior pharyngeal vesicles

Question 2

clinical fx of aphthous stomatitis

Answer 2

• recurrent ulcers on anterior oral mucosa

- no fever of systemic fx

Question 3

clinical fx of group a streptococcus pharygitis

Answer 3

• tonsillar exudates

- fever, anterior cervical lymphadenopathy

Question 4

clinical fx of infectious mononucleosis (EBV)

Answer 4

• tonsillar exudates
• fever, diffuse cervical lymphadenopathy
• +/- hepatosplenomegaly
• viral exanthema after amoxicillin or ampicillin, usually immune mediated

Question 5

treatment of Infectious mononucleosis

Answer 5

• supportive tx

- sports avoided for splenic rupture

Question 6

treatment of symptomatic ITP in children

Answer 6

• steroids, IVIG

Question 7

clinical fx of tension pneumothorax

Answer 7

• hemodynamic instability

- trachea shifts to opposite side

Question 8

when does stress fracture (seen in runners) show up on x-ray?

Answer 8

• 2-3 weeks after symptoms arise

Question 9

neonatal chlamydial infx (conjunctivitis, pneumonia) sx, mode of transmission, treatment

Answer 9

• thickened injected conjunctivae (chemosis)
• staccato cough, rales, hyperinfalation on chest x-ray, absence of fever
• direct vaginal contact
• oral erythromycin for 14 days

Question 10

features of acute otitis media

Answer 10

• micro: strep pneumo, nontypeable haemophilus influenza (purulent conjunctivitis), moraxella catarrhalis
• middle ear effusion plus bulging tympanic membrane
• initial tx: amoxicillin, 2nd line: amoxicillin-clavulanic acid
• cx: conductive hearing loss, meningitis, mastoiditis

Question 11

Treatment for lyme disease, risk for pregnant ppl

Answer 11

• doxycycline

- for pregnant ladies, amoxicillin or cefuroxime, no risk if treated properly

Question 12

Effects of maternal hyperglycemia on fetus

Answer 12

• macrosomia
• hypocalcemia
• hypoglycemia
• hyperviscosity due to polycythemia
• cardiomyopathy and CHF
• respiratory difficulties

Question 13

atrialized right ventricle in what disease

Answer 13

ebstein’s anomaly (mothers who take lithium during pregnancy)

Question 14

Clinical presentation of rubella

Answer 14

• congenital: hearing loss, cataracts, PDA
• children: cephalocaudal spread of rash, fever
• adolescents/adults: same plus arthralgia/arthritis

Question 15

Diagnosis and prevention of rubella

Answer 15

• serology

- live attenuated vaccine

Question 16

Isolated alk phos elevation with normal LFT in pt with sarcoidosis is likely what disease?

Answer 16

granulomatous disease

Question 17

fussy baby, first time parents, no close family support. Likely diagnosis and common finding?

Answer 17

shaken baby syndrome

retinal hemorrhages