Peds ID

Question 1

Early Onset GBS - Presentations

Answer 1

Septicemia + Pneumonia

Question 2

Tetanus Immunization & Clean Wound

Answer 2

not needed if >/= 3 immunizations and less than 10 years since last one

Question 3

2 doses of flu vaccine recommend for first immunization under age

Answer 3

9!!

Question 4

Citrobacter meningitis associated with…

Answer 4

brain abscesses

Question 5

acid fast organism that causes diarrhea

Answer 5

cryptosporidium

associated with water sources

Question 6

Tularemia treatment

Answer 6

gent or strep

Question 7

fever + inguinal lymph node in midwest states, think about

Answer 7

tularemia

Question 8

thick nasal discharge in young infant, think

Answer 8

streptococcosis

Question 9

ziduovine side effect

Answer 9

bone marrow suppression

Question 10

Congenital Rubella Syndrome - Classic Features (3)

Answer 10

blueberry rash
PDA
cataracts

Question 11

Rubella Rash

Answer 11

macules on face that then spread to neck and chest

Question 12

sulfuric belching

Answer 12

giardia

Question 13

yellow sulfur granules

Answer 13

actinomyces

Question 14

when to give varicella Ig to babies of pregnant mothers w/ varicella

Answer 14

5 days before to 2 days after delivery

Question 15

Late onsent GBS presentations

Answer 15

bacteremia w/o a focus + meningitis

Question 16

when is chickenpox contagious

Answer 16

1-2 prior to lesions are crusted over

Question 17

diarrhea with rectal prolpase caused by

Answer 17

shigella

Question 18

brown staining of the amniotic fluid

Answer 18

listeria

Question 19

post-auricular and subocciptial LAD in unimmunized child, think

Answer 19

Rubella

Question 20

spiral gram negative organism

Answer 20

Campylobacter

Question 21

osteochondritis in an infant, think

Answer 21

congenital syphillis

Question 22

Chemoprophylaxis for H flu meningitis

Answer 22

only if not immunized
OR
household with immunocompromised child

Question 23

ulceroglandular syndrome

Answer 23

Tuleramia caused by tick bite
lesion at site that ulcerates
regional lymphadenoapthy

Question 24

papular purpuric gloves and socks syndrome

Answer 24

parvovirus

swelling of hands and feet

Question 25

Congenital Varicella Syndrome

Answer 25

zig-zag like scarring following a dermatome | hypoplastic and/or malformed extremities

Question 26

Eyelid edema associated with what virus?

Answer 26

EBV

Question 27

IE in children - causes

Answer 27

acute: S aureus subacute: S viridans

Question 28

conjunctivitis with granulomatous like lesion

Answer 28

cat scratch disease | parinauld occularglandular syndrome

Question 29

RMSF electrolyte abnormality

Answer 29

hyponatremia

Question 30

agent of hemorrhagic cystitis

Answer 30

adenovirus

Question 31

Gianotti-Crosti Syndrome

Answer 31

papular acrodermatitis of childhood, flesh colored papules | EBV

Question 32

Ring Abscess in the cornea, think

Answer 32

Bacillus Cereus

Question 33

purulent vaginal discharge with acute gastroenteritis

Answer 33

shigella

Question 34

Malaria Prophylaxis if Cholorquine resistant

Answer 34

doxycycline

Question 35

Virus that causes bulging fontanelle

Answer 35

HHV-6 (Roseola)

Question 36

blistering distal dactylitis organism

Answer 36

GAS

Question 37

Fever that rashes

Answer 37

HHV-6 (Roseola)

Question 38

Bat in a room (as long as its not Hawaii)

Answer 38

RVIG + Vaccine

Question 39

Tetanus: Dirty Wound

Answer 39

<3 vaccines: Vaccine + IG | UTD with most recent vaccine in 5 years - no treatment

Question 40

Tetanus: Clean Wound

Answer 40

UTD and vaccine w/in 10 years - no treatment

Question 41

Waterhouse-Friderichesen Syndrome

Answer 41

hemorrhage/infaraction of the adrenal glands due to Neisseria meningitis

Question 42

Indications to give Prophylaxis for Neiserra Meningitis

Answer 42

Close, intimate contacts Airline passagers on flights more than 8 hours Children <2/preschool exposed within in 7 days prior to illness onset

Question 43

Neiserria Meningitis Prophylaxis

Answer 43

Rifampin x 2 days | Ceftriaxone x 1 dose

Question 44

Tick Borne Illness + Pancytopenia

Answer 44

North - Anaplasmosis | South/Midwest - Erlichiosis

Question 45

Bacteremia in Children w/ SCD or Thal <1 year, organism...

Answer 45

Yersinia

Question 46

Malaria Prophylaxis if resistant to chloroquinolone

Answer 46

doxycycline (if older than 8) | atovoquone/proguanil

Question 47

Antibiotics prolong the shedding of what AGE organism?

Answer 47

Salmonella

Question 48

Hib Meningitis Chemoprophylaxis

Answer 48

Household with at least 1 contact <48 months who are not immunized Household with a child <12 months who has not completed the series Househould with immunocompromised child, irregardless of vaccination status

Question 49

CBC finding associated with Chlymdiae PNA

Answer 49

eosinophilia

Question 50

Duration of symptoms to consider treatment for sinusitis

Answer 50

7-10 days