pretest pediatrics Flashcards

1
Q

cyanosis with feeding, better with crying

A

choanal atresia

babies are obligate nose breathers

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2
Q

apt downey test

A

dist fetal hgb from maternal hgb to determine early source or bleed

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3
Q

baby born to mom with GDM develops hypoglycemic like events 48-96 hours post birth?

A

hypocalcemia

hypomagnesemia

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4
Q

subgaleal hem

A

bleed that crosses midline

-cardiac effects –> hypovolemic shock

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5
Q

complication of polycythemia in neonate? how do you treat it?

A

hyperviscosity syndrome

tx: exchange transfusion with ringers

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6
Q

how are compliance and lung volume effected in RDS?

A

decreased (both)

left to right shunts occur

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7
Q

most common sign of ARF?

A

polyarthritis

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8
Q

kids at greatest risk of infective endocarditis? how to diagnose?

A

unrepaired cyanotic heart defects

admit –> serial positive blood cultures

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9
Q

how to treat SVT

A

carotid massage, valsalva, cold water

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10
Q

findings of Ebsteins anomaly

A
  • quadruple heart sounds
  • tricuspid regurg
  • mid diastolic murmur
  • RVH
  • right ventricular conduction defects
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11
Q

do you have murmurs in WPW? what does it cause?

A
  • no, but its associated with ebsteins, so you may hear murmurs
  • causes paroxysmaly SVT
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12
Q

EKG findings in tricuspid atresia?

A

left axis deviation due to hypoplastic RV

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13
Q

heart defects seen in TAR?

A

TOF, ASD

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14
Q

cardiac effect of neonatal lupus

A

congenital heart block

also thrombocytopenia, nuetropenia, rash, HM

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15
Q

effects of Erb palsy and what test can you use to dx it

A

paralysis of brachial plexus AND diaphragm

can see on US

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16
Q

quickly lethal complication of staph pneumonia?

A

Tension pneumo –> toxin mediated destruction of alveoli

17
Q

inspiratory stridor, think…..

biphasic stridor and high fever, think…… how should you treat?

A

croup

bacterial tracheitis –> intubate

18
Q

is there a genetic basis for PUD? abd pain during day or night?

A

nocturnal pain

family basis

19
Q

what day of life does jejunal atresia present?

A

day 1

20
Q

when in life does intussussception occur? what is both diagnostic and therapuetic?

A

6 months

air contrast enema

21
Q

when does malrotation cause sx

A

a few weeks

22
Q

signs of meconium ileus on prenatal screen/ enema

A

prenatal US – echogenic bowel

contrast enema – microcolon

23
Q

antibodies in UC

A

ASCA

pANCA

24
Q

rumination

A

behavioral issue inovoling regurgitation and reswallowing of food

25
Q

classify obstructive jaundice based on bili lab values

A

conjugated bili > 20% of total

26
Q

treatment for labial adhesions

A

monitor and estrogen cream

27
Q

hyperchloremic metabolic acidosis, plus glucosuria with no hyperglycemia

A

fanconi anemia

28
Q

how are low grade VUR treated? how is high grade VUR treated?

A

low grade –> antibiotic proph and 3-4 mo cultures

high grade–> surgical reimplantation

29
Q

risk for renal vein thrombosis in neonate

A

GDM –> LGA, polycythemia

blood in diaper and flank mass not noted in newborn physical

30
Q

GAS rheumatogenic strains are associated with……

nephritogenic strains associated with….

A

rheum –> pharyngitis

nephro –> skin and throat

31
Q

treatment of HUS

A

very closely supportive

32
Q

sudden onsent testicular pain in boy…

A

testicular torsion, get immediate surgery consult

33
Q

whats a feature that makes pseudoseizures distinct?

A

no loss of bladder or bowel control

34
Q

acute infantile hemiplegia

A

sudden hemiparalysis with eyes stuck gazing to opposite side

35
Q

neiman pick

A

sphingomyelinase

36
Q

tay sachs

A

b-hexoaminidase

37
Q

gaucher

A

b-galactosidase

38
Q

fabry

A

a-galactosidase

39
Q

features of gauche (misc)

A

hypogonadism, ptosis, cataracts