Peds EOR - Qbank

Question 1

Type of kidney damage a/w NSAIDs, hyaline casts

Answer 1

AIN (acute interstitial nephritis)

Question 2

Soft tissue mass at metaphysis of long bones, “sunburst” pattern on X-ray, pain that is often preceded w/ blunt trauma

Answer 2

osteosarcoma

Question 3

Osteosarcoma risk factor

Answer 3

previous ionizing radiation

Question 4

Genetic dz: blue sclera, hearing problems + multiple fractures

Answer 4

osteogenesis imperfecta

Question 5

Genetic dz: hypotonia beginning at 6mo, blindness

Answer 5

Tay Sachs

Question 6

Nasal polyps on PE prompt eval of

Answer 6

cystic fibrosis

Question 7

Extensor/flexor spasms in infant, hypsarrhythmia on EEG suggestive of

Answer 7

infantile spasms aka West Syndrome

tx: ACTH, anti-epileptic

Question 8

drug classes CI in childhood

Answer 8

FQs (exception otic drops)
tetracyclines (teeth discoloration, give amox if 8 or under)
aspirin (Reyes syndrome)

Question 9

palpable mass w/ onion peel appearence on X-ray

Answer 9

Ewing sarcoma

Question 10

rib notching xray

Answer 10

coarcation aorta

Question 11

in addition to humidified air/racemic epi, what’s another thing done in the hospital for moderate croup

Answer 11

dexamethasone (reduces hospital stay length)

Question 12

grey discharge, clue cells on wet mount, positive whiff

Answer 12

BV (gardenella vaginalis)

Question 13

frothy green discharge

Answer 13

trichomonas

Question 14

tx for pertussis

Answer 14

azithromycin or erythromycin

Question 15

SE of PGE1

Answer 15

platelet aggregation, HOTN, fever, apnea

Question 16

breasts but no pubic hair/period

Answer 16

complete androgen insensitivity hormone (looks female but vagina ends in blind pouch)

Question 17

male w/ small testes and breast buds

Answer 17

Kleinfelter syndrome (47 XXY)

Question 18

mid-systolic crescendo-descrendo murmur, s4 gallop, young male, enhanced w/ valsalva

Answer 18

hypertrophic cardiomyopathy

Question 19

syncope w/ exertion in non-dehdyrated male

Answer 19

hypertrophic cardiomyopathy

Question 20

meds to avoid w/ hypertrophic cardiomyothpathy

Answer 20

nitrates and positive inotropes as they worsen obstruction

Question 21

tx for hypertrophic cardiomyopathy

Answer 21

CCB or BB

Question 22

indication for pRBC transfusion for pt w/ Fe-def anemia

Answer 22

pt in heart failure or extremis (can be tachycardic w/ Hgb of 1-2 and just need oral supplementation)

Question 23

target sign on US

Answer 23

pyloric stenosis

Question 24

GI complication of HSP

Answer 24

intussusption (ileo-icecal)

Question 25

break-bone fever

Answer 25

dengue fever

Question 26

painful bullous lesions after a URI that do not effect below the epidermis nor the mucous membranes

Answer 26

SSSS

Question 27

harsh holosystolic murmur at LLSB

Answer 27

VSD

Question 28

MC congential heart dz

Answer 28

VSD

Question 29

fixed systolic ejection murmur, fixed S2 splitting

Answer 29

ASD

Question 30

ASD tx

Answer 30

usually none until age 3, then surgical closure

Question 31

VSD tx

Answer 31

often self-resolve, but if pulm HTN, FTT then surgical repair

Question 32

early systolic murmur @ apex

Answer 32

Still's murmur (benign) | "musical"

Question 33

MCC epiglottitis aside from Hib

Answer 33

GAS

Question 34

tx (besides airway stablization) for epiglottitis

Answer 34

amp/sulbact (need beta-lactamase inhib) IV x 10d | add SMP/TMX if MRSA suspected

Question 35

cardiac manifestation of Marfan syndrome

Answer 35

mitral valve prolapse | late systolic murmur

Question 36

displaced PMI cardiac dz

Answer 36

VSD

Question 37

what portion of heart - membranous or muscular - is the VSD usually in?

Answer 37

membranous

Question 38

MCC Guillan Barre

Answer 38

Campylobacter jejuni

Question 39

What's the Galezzi sign

Answer 39

uneven knee heights

Question 40

MCC hemolytic dz of the newborn

Answer 40

ABO incompatability

Question 41

erythema toxicum neonatum tx

Answer 41

supportive care

Question 42

blue dot sign

Answer 42

torsion of appendix testes

Question 43

MCC osteomyelitis, and what's an additional common cause in kids w/ sickle cell

Answer 43

MC: S. aureus sickle: Salmonella

Question 44

type of jaundice in breastfed infant who is gaining wt appropriately but jaundiced on day 10 of life

Answer 44

breast milk jaundice | patho: increased enterohepatic cycling

Question 45

green meconium stools, wt loss, dehydrated, and jaundice breastfed infant - what is this type of jaundice called?

Answer 45

breastfeeding jaundice

Question 46

sever's dz presentation

Answer 46

calcaneal pain that worsens w/ activity, inflammation of apophysis, analagous to osgood-sclatter

Question 47

tet spell tx

Answer 47

knee-chest position, morphine if refractory (can cause seizures if iuntreated)