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1
Q

mc abd complication of fitz hugh curtis

A

SBO - adhesions

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2
Q

mg mechanism

A

antibotides to ACH receptor at NMJ

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3
Q

inhibits ACH release at synapse

A

botox

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4
Q

superoxide dismutase

A

ALS

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5
Q

dx and treatment MG

A

ice test shows imporovement, sxs get worst at end of day, tx ACHE i pryidostigmine, assn with thymoma, sxs get worse with edrophonium- fasciuclaritons and resp depression

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6
Q

mc location aortoenteric fistula

A

duodenum

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7
Q

med with high risk of tardive dyskenisai

A

haldol

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8
Q

cavernous sinus thrombosis causes whihc CN abnormality

A

CN IV LR

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9
Q

casues of low phos? severe low phos

A

etoh, malnutrition, sepsis, diurteics, BUT DKA IS SEVERE

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10
Q

whats the one thing thats low in Tumor lysis syndrome

A

htyperca

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11
Q

weber test 3 results

A

normal no lateralizaiton, to affected- conduction loss, to opposite- sensorinerual loss

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12
Q

rinne test

A

at mastoid - then to ear, if you can hear at hear then AC>BC and normal

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13
Q

3 dz with airborn precautions

A

measels (rubeolA) varicella, TB

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14
Q

mangmeent of acute angle glaucoma

A

timolol, apraclonidine, pilocarpine (after IOP decreased), acetazolamine, mannitol

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15
Q

what are kanavels 4 signs

A

tendernes along flexor tendon, fusiform swelling, pain with apssive extension, flexed posture of finger

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16
Q

tx HAPE an dHACE

A

HAPE - nifedipine, HACE - dexcadron, o2

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17
Q

what drugs prevent renal failure in TLS

A

allopurinol or rasburicase- prevent conversion of urinc acid

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18
Q

patient with chest tube coughs and bubbles form in water seal chamber

A

air leak

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19
Q

tx for stable V tach

A

procainamide, amio

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20
Q

unconscious patient with torsades

A

DEFIB- mgsulfate if awake

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21
Q

newborn cant pass meconium, what is dx, work up

A

hirschprungs- congenital agenesis of ganglion cells in distal colon- mnaometry or biopsy

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22
Q

terminal R wave in AVR

A

TCA tox- from sodium channel blockade- dont give pnehytoin bc of sodium blockade- give NA bicarb

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23
Q

newborn CPR compresison sot ventilations

A

3:1

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24
Q

tx pheo w. htn emergency

A

phentolamine

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25
how are they going to trick you about HEELP
RUQ pain chole
26
projectile vomiting at end of feeding
pyloric stenoss, 4 weeks, boys
27
child with bloody diarrhea and seizure
shigella
28
mcc blood in infants stool
allergic colitis to cows milk or soy, also anal fissue
29
bloody diarrhea day 3-10, major RF prematurity
NEC
30
mcc readmissionf or neonate
jaundice - physiologic- due to hemolysis of fetal RBC - too mch for liver to handle, peak during day 2-4 of life- , usually pweaks at 5-6
31
breast milk jaundice cause and bili level
glucuronly transfrerase inhibitors in breast milk - peaks at 10-27 by day 10-21, stops if breast feeding stopped (lvl 20 or greater)
32
which is concerning type of bili in neonate
direct conjugated- obstruction like atresia - high bili can cause kernicterus
33
mcc bowel obstruction in child
intuss- RLQ - US - sudden pain sudden relif - sausage mass
34
BRUE
resolved < 1 year < 1 min - cyanosis, pallor, muscle tone, LOC
35
high risk BRUE
premature, < 60 days, >1 event
36
BRUE work up for low risk
educate, pertussis, EKG, pulse ox, obs
37
mcc death from 1 month to 1 year
SIDS- RF fam hx, multiple kids, drug abuse, prematurity, kids need to SLEEP ON BACK - no co sleeping
38
mc pneumonia is neonates
GBS- treat preg women for gbs - acquired in utero or during birth
39
child with staccato cough, conjunctivitis, hypernflation
chlamydia
40
pediatric 6th n palsy
hydrocephalus
41
bugs and tx for neonatal meningits < 2 months
gbs listeria e coli- add ampicillin for listeria plus cefotaxime or gent
42
highest mortality in meningitis childen over 2 months
strep pneumo- ceftriaxone
43
mcc congenital shunt
tetrology - VSD and RV outflow obstruction Rto L shunting, Knee to chest helps bc it increases peripheral resistance and slows R to L shunt
44
boot shaped heart in peds, no pulmonary vasculature visable
TET
45
% transmission kids from omther with HIV
15-30%, get growth retardation, hsm, nodes
46
autoimmune vasculitis of small and medium blood vessels
mucucutaneous lymph node syndrome- kawasakis
47
child with fever, rash, non pruritic, cracked lips and oral redness, swelling of hands and feet, lymphadenopathy, conjunctiivits
kawasakis -- fever for 5 days - IVIG, ASA
48
mc deadly genetic disorder in causcaisna
CF- thick mucuous, recurrent resp infxn, high SWEAT CHLORIDE- hypochloremic alkalosis
49
ppresentations of CF in kids
neonatal SBO, intuss, FTT, diarrhea, recurret resp ifnx, dehdyration with hypochloremic alkalosis
50
paplpable purpura, extennsor surfaces, renal, GI bleed, normal coags
HSP
51
microangiopathic hemolytic anemia with tcp but noral PT PTT fibrinogen
HUS- bloody stool- similar to TTP except has kidney invlvement vs CNS invovlement in TTP
52
peds maintance IVF
100mlkg first 10, 50 ml kg next 10, 20 mlkg each kg of weight OVER 24 hours
53
peds j/kg for Defib and CV
2 vs .5
54
peds ETT size
16+age / 4
55
mc arrest rhythm kids? tx of choice
asystole- from resp causes- give epi - ABC always do airway first
56
APGAR
activity, pulse, grimace, appearance color, respiratiory
57
peds bradycardia cuase
hypoxia- rr > 60 concerning
58
fever + uti in peds
pyelo
59
when to test for UTI
girls < 2, uncirc <2, circ < 1
60
abd pain in kid over 3 what to check for
strep throat
61
labs on kdi with inborn error, tx
hypoglycemia, metabolis acidosis - tx NPO to stop metabolic pathway - bicarb, glucose, fluids

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