UWORLD

Question 1

Clubfoot Managment

Answer 1

• Stretching and manipulations

- Can lead to abnormal gait and ulcerations

Question 2

Management for foreign body swallowing

Answer 2

• FLEXIBLE endoscopy

- symptomatic requires removal from body emergently, otherwise may be able to observe 24 hours

Question 3

Presentation for Acute lymphoblastic leukemia

Answer 3

• most common childhood cancer
• nonspecific symptoms
• bone pain, lymphadenompathy, hepatosplenomgaly
• DX: bone marrow biopsy

Question 4

Down Syndrome gives you an increase risk of….

Answer 4

ALL

Question 5

Step-off of lumbrosacral area on low back

Answer 5

Spondylolisthesis

-urinary incontinence may be seen as well

Question 6

• gradual-onset hemoplegia
• aphasia
• neck pain
• thunderclap headache

Answer 6

carotid injury

• Fall with object in mouth
• neck manipulation

Question 7

Recurrent skin and soft tissue abscesses with catalase positive organisms

Answer 7

Chronic Granulomatous Disease

-pulmonary infections as well

Question 8

What are the catalase positive organisms?

Answer 8

• Staph aureus
• serratia
• Burkholderia
• Aspergillus

Question 9

Severe periodontitis

Answer 9

LAD

Question 10

Wiskott-Aldrich Syndrome

Answer 10

-eczema, recurrent infections, and thrombocytopenia

Question 11

McCune-Albright Syndrome

Answer 11

Precocious puberty, cafe au lait spots and multiple bone deformities(polyostotic fibrous dysplasia)

Question 12

central lytic lesion, onion skinning, and a moth eaten appearance

Answer 12

ewings sarcoma

Question 13

• Tense and bulging fontonelle
• Bulging scalp veins
• poor feeding and fussiness

Answer 13

-hydrocephalus

Question 14

Most common cause of vaginal bleeding and discharge in the neonatal period. “white, thin discharge with some blood streak”

Answer 14

Maternal withdrawal of estrogen

No treatment needed

Question 15

“Grape-like nodule protruding from the vagina”

Answer 15

Rhabdomyosarcoma

Question 16

• Failure to thrive
• Hypogammaglobulinemia
• Markedly low T cell counts
• Recurrent infections

Answer 16

Severe combined immunodeficiency (SCID)

—Burton’s have normal T cells

Question 17

What is cradle cap?

Answer 17

Seborrheic dermatitis

-adherent greasy scales with mildly erythemtous base seen on scalp

Question 18

What is the most common pathogen in young children with CF?

Answer 18

Staphylococcus aureus, especially if they have influenza
Cefepime
Vancomycin if recurrent infection(methicillin resistance)

Question 19

Anti-tissue transglutaminase antibody assay IgA

Answer 19

Celiac disease

• DERMATITIS HERPETIFORMIS
• Iron def. Anemia

Question 20

Nuclei acid amplification test

Answer 20

Chlamydia trachomatis

Neisseria gonorrhoeae

Question 21

Asymmetrical inguinal skin folds

Answer 21

Dysplasia of the hip 
- Galeazzi test (leg-length discrepancy ) 
- Barlow 
risk factors: breech, tight swaddling 
Treatment: pavlik harness

Question 22

Blue-grey macula on patients sacrum

Answer 22

Mongolian spot; benign skin lesion

Question 23

1 month refusal to talk in situation in which she is expected

Answer 23

Selective mutism

Question 24

Stranger anxiety

Answer 24

Begins in children 6-9 months, subsides by age 3

Question 25

Treatment for OCD in children ?

Answer 25

CBT High dose SSRI: flouxetine Clomoprhamine for treatment nonresponse Deep brain stimulation for refractory (nucleus accumbens)

Question 26

What are people that have absence seizures usually diagnosed with?

Answer 26

ADHD ; inattentive subtype

Question 27

Upper Extremity HTN Lower extremity hypotension and hypoxia Diminished femoral pulses

Answer 27

Coarctation of the aorta: thickening of the tunica media | Heart failure with tachypnea, poor feeding, fussiness and lethargy

Question 28

Cystic Fibrosis!!!

Answer 28

infertility (congenital bilateral absences of vas deferens) Pancreas (exocrine pancreatic insufficiency) Binary cirrhosis Obstruction

Question 29

Medulloblastoma

Answer 29

- second most common posterior fossa tumor - MOST in cerebellar vermis; gait, coordination - b/c so close to meduloblastoma, obstructive hydrocephalus - treated aggressively

Question 30

Parinaud Syndrome

Answer 30

- eyelid retraction occurs - pretectal region of midbrain - Limitation of upward gaze with a downward gaze preferences, light-near dissociation - Associated with pineal tumors

Question 31

More than 25% lymphoblastic is diagnostic for what?

Answer 31

ALL; most common in children PAS staining positive TDT

Question 32

Erythematous macule, paperless & pustules throughout the body , asymptomatic. -changing in appearance

Answer 32

Erythema toxicum

Question 33

Steeple sign

Answer 33

Croup

Question 34

Small palpebral fissures Smooth phitrum (vertical groove on upper lip) Thin vermillion border (Microcephalic often present) Delays in motor and language milestones, social withdrawal

Answer 34

Fetal Alcohol Syndrome

Question 35

Triad for congenital rubella sydrome

Answer 35

Patent ductus arteriosus Sensorineural hearing loss Leukorcia (white pupillary reflex) from cataracts —infant IgM confirms

Question 36

Large priorities lesion son the flanks | Vasomotor collapse

Answer 36

Waterhouse -Friderichsen syndrome | -adrenal hemorrhage

Question 37

Apgar scores

Answer 37

Less than 7 requires further evaluation and resuscitation

Question 38

Contraindications to pertussis vaccine

Answer 38

- progressive neurological disorder | - Encephalopathy within a week of previous vaccine dose

Question 39

Treatment for Osteoid osteoma

Answer 39

NSAID; especially with night pain not related to physical activity X-rays every 4-5 weeks to monitor lesion

Question 40

Treatment of infantile botulism

Answer 40

Human-derived botulism immune globulin | Soil & Honey!