Peds Flashcards
1
Q
tx for Otitis Externa is:
A
topical / drops abx/steroids
ofloxacin
2
Q
exam findings related to otitis media:
A
Bulging tympanic membrane
Redness
Limited or absent mobility of tympanic membrane
Air/fluid levels behind the tympanic membrane
Otorrhea
3
Q
Hypoxemic, cyanotic episodes seen in children with tetralogy of Fallot are known as:
A
Tet’s spells
4
Q
“lead point” during intussusception may represent:
A
Meckel diverticulum,
intestinal polyps,
lymphomas,
cystic fibrosis
5
Q
Most common lower respiratory illness in infants and children < 2 years of age.
A
Bronchiolitis
6
Q
Sever carditis seen in Rheumatic fever Dz is treated with:
A
Steroids
7
Q
pain and swelling in front of and below ear corresponds to:
A
Mumps
8
Q
sausage-shaped mass
A
IIntussusception
9
Q
Painful oral ulcers,
low grade fever
gray-red vesicles on hands and feet
descriptive of:
A
Foot, hand and mouth disease
10
Q
which manuever dislocates the hip?
A
Barlow
11
Q
Familiar short statue are demonstrated on growth curve as:
A
Deceleration on growth curve during the fist two year with
normal linear acceleration afterwards
12
Q
Most common heart murmur in children is:
A
Still murmur
13
Q
Minor Criteria for Rheumatic Fever
A
fever,
arthralgia,
elevated ESR and/or c-reactive protein,
prolonged PR interval on ECG
14
Q
presentation of a child with subluxation of the radial head
A
child holds arm in pronated position
in flexed position and refuses to extend the arm and use it.
15
Q
Murmur heard in coartation of aorta is described as:
A
Blowing systolic murmur in left axilla
16
Q
children with constitutional delay of growth and puberty have a bone age that is _________ their chronologic age
A
less than
17
Q
Hand-Foot-and-Mouth Disease is caused by:
A
Coxsackie A16
18
Q
most Failure to Thrive is due to:
A
environmental/social causes
19
Q
viral pneumonia in children is most commonly caused by:
A
RSV
Parainluenza
Influenza
20
Q
Maculopapularerythematous rash beginning face and progressing to toes is indicative of:
A
Rubella (German measles)
head to toe rubella
21
Q
100% comprehensible speech at:
A
4 years old.
22
Q
Most common congenital heart disease is:
A
Ventricular Septal Defect
23
Q
potty training
A
24-36 m.o
24
Q
Limited or absent mobility of tympanic membrane is a signs of:
A
Otitis Media
25
**Bralow** manuever
internal rotation of hip
adduction
26
normal weight loss after birth during the first week is:
10%
27
**Blueberry Muffin** baby reffers to:
**Infant with Congenital Rubella**
**_Rubella Blueberry Muffin_**
28
**Varicella** rash stages
1. Papular stage
2. Vesicular stage - **dew drops on a rose petal**
3. Scabing/crusting stage - not contageous
29
X ray findings seen in Hyaline Membrane Disease:
ground glass appearance
bilateral atelectasis
air bronchograms
30
tx for **Group B** pneumonia is:
**Penicillin**
**Ampicillin**
31
**Lacy**, pink macular rash on torso and extemities is indicative of:
Erythema Infectiosum
“Fifth Disease”
“Slapped Cheek Syndrome"
**Lacy Fifth**
32
Rubella is caused by:
Rubivirus
33
**Steeple sign on X** ray is indicative of:
Croup
34
**Bronchiolitis** is caused by:
**Respiratory Syncytial Virus**
35
tx for Strep pneumo, pneumonia in kids is:
**Amoxicillin**
**Penicillin**
**Cephalosporins**
36
piece of intestinal tissue that protrudes into the bowel lumen during intussesception is known as:
**"lead point"**
37
**in neonates**, pneumonia is most often caused by what microrganism?
**group B strep**
38
Short early **systolic ejection** murmur in kids is known as:
**Still's murmur**
39
organisms that cause **ottitis media** are:
***Streptococcus Pneumoniae***
***Haemophilus influenza
_Streptococcus pyogenes_
Moraxella Catarrhalis***
40
Children with familial short stature have a bone age ___________ their chronologic age
**equal**
41
shallow respirations, expiratory grunting, retractions and cyanosis
are sings of:
Neonatal/Infant Respiratory Distress Syndrome /
## Footnote
**Hyaline Membrane Disease**
42
Definitive methode to diagnose **ottitis media** is:
**Pneumatic Otoscopy**
**will demonstrate immobility of tempanic membrane**
43
**barking cough,**
**hoarseness and inspiratory stridor**
are sx of:
**Viral Croup**
44
**double birth weight** at
6 m.o
45
URI / common cold is often caused by:
**Rhinovirus**
46
Ortalani reduces or dislocates the hip
**reduces**
47
X ray view nessesary for **SCFE** diagnosis are:
**AP and frogleg lateral**
48
Mum**ps** is caused by:
**P**aramyxovirus
Mum**p**s=**P**aramyxovirus
49
Still's murmur is best heard at:
heart Apex
Left Sternal border
50
Separation of growth plate is known as:
Type I fracture
**S=S**eparatoin
A
L
T
E
R
51
in **Slipped Capital Femoral Epiphysis** the head of the femur is displaced:
**posteriorly and medially**
52
Dematological manifistation of **Measles**:
**Maculopapular rash**–over neck and trunk first
53
**Congenital Rubella** consists of:
Hearing loss
Congenital cataracts
Congenital heart dz (patent ductus)
Purpuric rash (Blueberry Muffin)
54
Fx that **reduces** growth plate is known as
Type **V** fracture
S
A
L
T
**R=Reduction of physis**
55
High fever followed by a rasha is a sign of:
**Roseola**
56
**severe croup** is treated with:
**Racimic Epinephrine**
57
Slipped Capital Femoral Epiphysis is manifested by pain where?
**hip**
**and**
**knee**
58
1st line of treatment of **otitis media** is:
**Amoxicillin**
59
**Jones criteria** for Rheumatic Fever
**2 major**
**OR**
**1 major and 2 minor**
60
babble at:
6 m.o
## Footnote
**six babbles**
61
In a pneumonia, **low WBC** suggest what cause?
viral
62
**Loud, harsh, blowing holosystolicmurmur** in kids is suggestive of:
**Ventricular Septal Defects**
63
virus that causes crou**p** is:
**P**arainfluenza
64
**Major Criteria** for Rheumatic Fever
**carditis,**
**polyarthritis,**
**chorea,**
**erythema marginatum,**
**subcutaneous nodules**
65
**Nursemaid’s Elbow is:**
**Subluxation** of the radial head
66
Measles/Rubeola is caused by:
**Morbillivirus**
67
Unique sx of **chlamydia pneumonia** in child \<6 m.o is
**Stoccato cough**
**no fever**
S_TD=Stoccato_
68
Fx that goes through growth plate but exits **above** it is known as:
Type II fracture
S
**A=physis**
L
T
E
R
69
Increased resp rate (tachypnea)
wheezing
resp distress
thick nasal congestion
**in a chid \<2 y.o**
are signs of:
**Bronchiolitis**
**Bronchiolits less than 2**
70
1 step command
2 step command
1 step at 1 y.o
2 step at 2 y.o
71
scribbling, spoon holding, brushin at:
18 m.o
## Footnote
**scibble your name at 18 years old**
72
**Croup** is also known as:
**laryngotracheobronchitis**
73
Foreign body chest X ray should be ordered as:
Expiratory to appreciate **hyperinflation due to ball-valve effect**
74
in Bacterial pneumonia, WBC will be:
**WBC\>15,000**
75
**Musty / mouse** like urine and sweat order is seen in children with:
**Phenylketonuria**
76
Fx that goes **transverse through** ephyphisis, physis and metaphisis is known as
Type **IV** fracture
S
A
L
**T=Transverse/Through**
E
R
77
**S2** is **widely split and fixed** is suggestive of:
**Atrial Septal Defect**
78
"**dew drops on a rose petal**” is descriptive of:
**Varicella**
79
**Ortolani manuever** is:
Abduction of hips (out)
external rotation of hips
**Ortolani = out**
80
Erythema Infectiosum
“Fifth Disease”
“Slapped Cheek Syndrome"
**in a pregnant pt. causes:**
**hydrops fetalis**
**_hydrops fivedrops_**
81
combining words, 50% comprehesible at:
24 m.o
82
Physical findings of **pyloric stenosis**
“Olive” –palpable pyloric mass
83
sit at:
6 m.o
## Footnote
**sit = six**
84
Tx for **Chorea** seen in Rheumatic Fever Dz is:
**Chlorpromazine or haloperidol**
85
tx for **Broncholitis** is:
**Albutorol inhailor**
86
**Kawasaki syndrome**
long lasting fever
fever
Mucosal changes/conjunctivitis
lymphoadenopathy
neck swelling
hand/feet swelling
87
most common organism that cause **otitis externa** are:
***Pseudomonas aeruginosa***
***and***
***Staphylococcus aureus***
88
mild **croup** is treated with:
**Steroids**
89
walk at:
12 m.o
## Footnote
**twelve mile walk**
90
Leading cause of short statue is:
Nutritional
91
tx for ***Chlamydia*** pneumonia is:
**Erythomycin**
**Ezythromycin**
**Clarithromycin**
92
**tripple birth weight** at:
12 m.o
93
Still's murmur is produced as a result of:
Blood whirling in the left ventricle
94
mama, dada at:
12 m.o
95
complications of **Kawasaki** syndrome:
development of coronary aneurysm
96
Sx of **Ventricular Septal Defects**
Feeding intolarance
Failure to thrive
Resp. sx
97
Erythema Infectiosum
“Fifth Disease”
“Slapped Cheek Syndrome"
casused by:
**Parvovirus B19**
98
Aspirin in kids may lead to:
**Rey Syndreme**
(acute encephalopathy:
brain and liver damage)
99
self feed, reach at:
6 m.o
**reach for six** pack
100
**PDA** is associated with which maternal condition?
**Rubella**
101
**normal varient** of short statue are:
**Familiar short statue**
**Constitutional growth delay**
102
pincer grasp
at 9 m.o
103
Definition of Failure to Thrive is:
**weight below 5th %**
**or weight reduction that crosses 2 or more major % lines**
104
“Machinery murmur”
PDA
105
pain with movement of **pinna or tragus** is indicative of:
**Otitis Externa/Swimmer ear**
106
Most common cause of **lazy eye/amblyopia** is:
**Strabismus**
107
facial flushing **“slapped-cheek”** appearance is known as:
Erythema Infectiosum
“Fifth Disease”
“Slapped Cheek Syndrome"
108
Hyperinflation due to **ball-valve** effect is seen in:
Foreign body obstructiong airways
109
Description of **Still's murmur**
**benign**
**musical**
**vibratory**
110
**Bulous myringitis** (infection of the eardrum) in a teenage is indicative of:
pneumonia caused by ***Mycoplasma pneumoniae***
111
**2nd lin**e of treatment in **otitis media**:
**Augmentin**
Cephalosporin
112
**Constitutional growth delay** is manifested by:
**Delayed bone age _and_ puberty (late onset of menarche)**
113
Turbulence in subclavian and jugular veins in kids produces a sound known as:
**Venous Hump**
114
Roseola is caused by:
**HHV 6**
**6 roses**
115
Leading **endocrine** causes for short statue are:
**low GH**
**Cushing syndrome**
**Hypothyroidism**
116
Fx that goes through growth plate but exits **lower** it is known as:
Type **III** fracture
S
A
**L=Lower physis**
T
E
R
117
Short stature is defined as
**height more than two standard deviations below the mean for age**
**(less than the 3rd percentile)**
118
crawl, pull to stand up at
9 m.o
**nine crawl**
119
**paroxysmal abdominal pain** with screaming and drawing up of the knees:
**Intussusception**
120
**Prevention of reoccurence** of
Rheumatic Fever Dz medicine is:
**Benzathine penicillin** monthly
121
Post-prandial, projectile, non-bilious vomiting
Pyloric Stenosis
122
prodrome of **Measles/Rubeola**:
cough,
conjunctivitisand
coryza
**Koplik’s spots**
123
**Phenylketonuria** is manifested by:
increased **phenylalanine**
decreased **tyrosine**
124
Most common type of **Salter Harris** fx is:
Type II
through and **above**
125
tx of otitis meida in a **pt with penicillin** allergy:
**Erythromycin**
126
Roll over at:
4 m.o
## Footnote
**4 weel drive roll over**
127
Normal growth velocity, **history of delayed puberty in parents** may produce what growth delay?
**Constitutional delay of growth**
128
**Valsalva, sitting or standing** will _______ **Still's murmur**
**reduce/diminish**
129
Short parents, projected height consistent with midparental height is example of:
**Familial short stature**
130
most common organism in pneumonia in pt. under 5 is
viral
131
sx of **primary hyperPTH**
bones,
stones,
abdominal
groans,
psychic moans,
with fatigue overtones
132
**Hypercalcemia** is ususally caused by:
increased PTH
133
most common cause of secondary hyperPTH
CKD
134
signs of **hyporPTH**
**• Chvostek sign
• Trousseau phenomenon**
• Cataracts
• Thin and brittle nails
• Dry, scaly skin
• Hair loss (eyebrows)
• Hyperactive deep tendon reflexes
135
lab values of HypoPTH
low CA
low PTH
136
