Peds

Question 1

laryngotracheitis (croup)

Answer 1

non-toxic 6 month to 3 YO

• barky seal like cough, inspiratory stridor
• steeple sign
• MCC parainfluenza
• treat with steroids, nebulized epi

Question 2

Henoch-schonlein purpura

Answer 2

4-12 YO with recent URI
abdominal pain, arthralgia, maculopapule rash that began on butt/LE
tx is supportive
IgA
associated with nephropathy, intussuception

Question 3

Barlow

Answer 3

flexing and adducting while applying posterior pressure through hip

Question 4

Ortolani

Answer 4

used to reduce hip by abducting hip withposterior pressure

Question 5

Galeazzi sign

Answer 5

uneven knee heights

Question 6

cradle cap

Answer 6

seborrheic dermatitis

Question 7

what results from congenital rubella syndrome?

Answer 7

sensinoneural hearing loss, cataracts, congenital heart disease

Question 8

DTap vs

Tdap vs

Answer 8

infants receive DTap 5 times before the age of 7 (2, 4, 6 months, 15-18 months, b/w 4-6 years)
Tdap is given over the age of 7
after age 11 give another Tdap

Question 9

pyloric stenosis

Answer 9

2-8 weeks old
non-bilious projectile vomiting after feeding and early satiety
RUQ olive like mass
dx via US, string sign

Question 10

roseola (exanthem subitum)

Answer 10

• high fever for 3-4 days
• rash that started AFTER fever went away
• blanching maculopapular rash that begins at neck adn trunk and spreads to face/extremities

Question 11

intussuception

Answer 11

• colicky ab pain, vomiting, bloody stools (currant)
• dx via US
• tx is air/contrast enema

Question 12

Kawasaki

Answer 12

• high fever for 5 days
• conjunctivits, rash, strawberry tongue, hand/feet edema, fever
• treat via IVIG/aspirin
• risk of coronary artery aneurysm

Question 13

erythema infectiosum

Answer 13

• fifth disease, slapped cheek

- caused by parvovirus B19

Question 14

pertussis

Answer 14

• whooping cough, inspiratory whoop, post-tussive emesis
• nasal congestion, cough, fever
• macrolide

Question 15

hyaline membrane disease aka neonatal respiratory distress

Answer 15

• premie
• decrese in surfactant
• xray shows ground glass
• tx is O2, intubation, surfactant

Question 16

simple febrile seizure

Answer 16

• fever >38

- single tonic-clonic seizure lasting <15 minutes

Question 17

HIB vaccination schedule

Answer 17

2, 4, 6 months, booster at 15-18 months

Question 18

MMR vaccination schedule

Answer 18

start at 12-15 months, then one at 4-6 years

Question 19

chlamydial conjunctivitis

Answer 19

neonate 5-14 days after delivery

-ORAL erythromycin

Question 20

measles (rubeola)

Answer 20

rash that starts on head and spreads to feet

Question 21

RSV mediation

Answer 21

pavlizumab

used for those with cyanotic heart disease, CHF, PHTN

Question 22

peritonsilar abscess

Answer 22

h/o pharyngitis, sore throat, fever
PE shows dysphagia, drooling, hot potato voice and displaced uvula
tx-I and D + anbx

Question 23

retropharyngeal abscess

Answer 23

toxic appearing

widened retropharyngeal space

Question 24

breast milk jaundice

Answer 24

occurs during 2nd week of life from increased enterohepatic recirculation of billirubin

Question 25

breastfeeding jaundice

Answer 25

suboptimal intake of breast milk in first few days of life

Question 26

strabismus

Answer 26

cross eye, can lead to amblyopia

Question 27

amblyopia

Answer 27

lazy eye

Question 28

herpangina

Answer 28

fever, sore throat, dysphagia, and pharyngeal lesions (vesicles and ulcers) supportive therapy

Question 29

Croup

Answer 29

parainfluenza URI sxs then barking cough and inspiratory stridor TX w.steroids or rac epi

Question 30

Undescended testes

Answer 30

if nothing by 6 months, refer for elective sx

Question 31

intestinal malrotation

Answer 31

Young Child with sudden bilious vomiting | failure of the duodenal-jejunal junction to cross midline

Question 32

Gonorrhea conjunctivitis

Answer 32

less than 5 days old

Question 33

ASD

Answer 33

S2, fixed splitting of second heart sound Systolic LSB Tricuspid regurg

Question 34

1st trimester EDD

Answer 34

Fetal crown rump length

Question 35

rotavirus vaccine

Answer 35

given orally given before 15 months and not after 8 months risk of intussuception

Question 36

what should a 4 YO be able to do?

Answer 36

``` draw a square count to 4 identify 4 colors 4-5 word sentence lift head to 90 degrees in prone ```

Question 37

double BW Triple BW Quad BW Double BL

Answer 37

6 months 1 year 2 years 4 years

Question 38

cocaine babies

Answer 38

SGA, microcephaly

Question 39

IPV vaccine schedule

Answer 39

2 and 4 months, 6-18 months, 4-6 years

Question 40

MMRV

Answer 40

12-15 months, 4-6 years

Question 41

HUS

Answer 41

hemolytic anemia, thrombocytopenia, AKI

Question 42

congenital toxo

Answer 42

from cat poop or undercooked meat

Question 43

how to tx a choking child <1 | >1

Answer 43

back blows | ab thrusts

Question 44

what should a 6 month old be able to do?

Answer 44

sit on propped up hands, transfer objects b/w hands, respond to name. stranger anxiety develops moro and grasp reflexes dissapear but babinski still present

Question 45

Meckels

Answer 45

painless rectal bleeding in children 2 years of age w/o diarrhea, vomiting

Question 46

CMV congenital presentation

Answer 46

jaundice, petechiae, hepatosplenomegaly, periventricular calcifications microcephaly

Question 47

what should a 2 YO be able to do

Answer 47

50 word vocab, follow two step commands,