Wrongs

Question 1

treatment for gonococcal septic arthritis

Answer 1

IV ceftriaxone

Question 2

next step in evaluating a kid who drank drain cleaner?

Answer 2

admit for esophageal endoscopy

Question 3

treatment for GI salmonella infection?

Answer 3

reassurance

Question 4

findings of chlamydia pna?

Answer 4

PNA, eye discharge, and peripheral epsinophila

Question 5

treatment for chlamydia pna

Answer 5

oral erythromycin

Question 6

common stroke in kid who has headache, syncope, one sided facial drooping and hemiparesis

Answer 6

occlusion of the middle cerebral artery

Question 7

what should school do for kid with dyslexia?

Answer 7

make IEP

Question 8

kid locked in hot care, has increased creating kinase (rhabdo). what other electrolyte imbalance is associated with rhabdo?

Answer 8

hyperkalemia

Question 9

what test do you followup with after aninfants first febrile UTI?

Answer 9

renal US

Question 10

abx treatment for cat scratch fever?

Answer 10

azithromycin

Question 11

most common neurologic impairment associated with congenital CMV?

Answer 11

sensorineural hearing loss

Question 12

chronic cough, unilateral pna unresponsive to treatment?

Answer 12

foreign body aspiration

Question 13

prophylactic treatment after mammal bite to a vital area (hands, feet, face, genitals, tendon?

Answer 13

amoxicillin-clavulanate

Question 14

treatment after mammal bite in non-vital area?

Answer 14

cleansing and observation

Question 15

treatment after human bite?

Answer 15

amoxicillin-clavulanate

Question 16

little girl with pinworms. treatment?

Answer 16

mebendazole

Question 17

kid who eats dirt and get sick?

Answer 17

visceral larva migricans

Question 18

whcih antibody can cross the placenta?

Answer 18

IgG (gestation)!!!!

Question 19

kid with short stature and no other problems? dx?

Answer 19

growth hormone deficiency; left wrist and hand radiograph

Question 20

treatment for infant with meconium staining and respiratory distress (meconium aspiration syndrome?

Answer 20

surfactant through ET tube

Question 21

heart rate in SVT?

Answer 21

over 205

Question 22

unilateral leukocoria with strabismus OR b/l leukocoria?

Answer 22

retinoblasatoma

Question 23

hearing loss in a child with a strong family history of deafness. what other sx do you wanna check for?

Answer 23

Alport Syndrome; microscopic hematuria

Question 24

acute onset abdominal pain with bilious emesis?

Answer 24

volvulus

Question 25

diagnostic study for volulus?

Answer 25

upper GI contrast/barium study

Question 26

newborn infant who has respiratory distress and cyanosis who turns pink when he cries?

Answer 26

bilateral choanal atresia (babies are obligate nose breathers)

Question 27

contraindications to brestfeeding in a newborn:

Answer 27

* Infant: * galactosemia * mom: * active, untreated TB (expressed milk may be used) * **active herpes simples on moms breast (expressed milk may be used)** * varicella 5 days before-2 days after delivery (expressed milk may be used) * illicit drug use * mom getting chemo * maternal exposure to radiation (temporary interruption) * HIV okay as long as mom and baby are getting treatment

Question 28

diseases mom may have but can still breastfeed with:

Answer 28

* hep B * syphilis * cytomegalovirus * group B strep

Question 29

treatment of otitis externa?

Answer 29

topical corticosteroids and topical antibiotics

Question 30

therapy for torticollis?

Answer 30

physical therapy

Question 31

what signs will an older kid with pertussis have?

Answer 31

pt with coughing illness that lasts more than 14 days or more that includes a whoop, posttussive emesis, and aroxysms of coughing. may have petechiae on face from coughing so hard.

Question 32

next step when you find an infant with imperforate hymen?

Answer 32

use US to confirm normal utervaginal structures; will need surgery

Question 33

kid with rhabdomyoma ("heart tumor), ash-leaf macules (hypopigmented lesions), neurologic sx (seizures, autism), angiofibromas (papules over side of nose and medial protion of cheeks), shagreen patches (orange-peel, leathery patches on lowerback or nape of neck)

Answer 33

tuberous sclerosis

Question 34

**cafe aulait (hyperpigmented) spots** , **ADHD,** **f****amily hx of seizures**,**axillary or inguinal freckles, optic glioma, lisch nodules (iris hamartomas), neurofibromas on the skin**

Answer 34

NF1 (NF2 is similar + acoustic neuromas)

Question 35

congenitla hamartomatous lesions involving the eye, skin, and CNS; **unilateral port wine stain following the distribution of a trigeminal nerve;** mental retrdation or seizures are common

Answer 35

sturge-weber syndrome

Question 36

pt with vision problems, CNS problems (HA, ataxia), HTN (pheocromocytoma), cysts in pancreas and kidneys

Answer 36

Von Hippel-Lindau

Question 37

signs and sx of Turner syndrome prenatally or in baby:

Answer 37

Mostly have to do with lymphedema: * swollen hands and feet * webbed neck * hypoplastic or hyperconvex nails * sausage fingers and toes * reduced lower extremity pulses (coartation of arota) EXPECT LOW STATURE AS ADULT