11/7/21 early bird

Question 1

Normal Pediatric Heart Rates (Awake)

Answer 1

Neonate: 100–205 bpm
1 month to 1 year: 100–190 bpm
1–2 years: 98–140 bpm
3–5 years: 80–120 bpm
6–11 years: 75–118 bpm
≥ 12 years: 60–100 bpm

Question 2

What formula is used to calculate the minimum systolic blood pressure for a child aged 1–10 years?

Answer 2

Minimum SBP = 70 + (2 x age in years).

Question 3

Radial Head Fracture xray will show

Answer 3

X-ray will show fat pad sail sign

Question 4

Presence of an elbow joint effusion, as indicated by __________ on xray, points to an occult intra-articular fracture.

Answer 4

elevation of the anterior or posterior fat pads or both

Question 5

a patient with a peroneal nerve injury will develop a __________

Answer 5

foot drop

Question 6

What is the classic appearance of midgut volvulus on upper GI series?

Answer 6

Corkscrew appearance.

Question 7

_______________ is the most common cause of a peritonsillar abscess (PTA)

Answer 7

Group A Streptococcus

Question 8

Name that tox

Coma + anion gap metabolic acidosis + increased lactate

Answer 8

Cyanide Toxicity

Almond odor
CN exposure: hydroxocobalamin, cyanide kit
CN + CO exposure: hydroxocobalamin, sodium thiosulfate (second line)

Question 9

Myasthenia Gravis rx

Answer 9

Treatment is acetylcholinesterase inhibitors, such as pyridostigmine

Acute myasthenic crisis: plasmapheresis, IVIG

Associated with thymoma

Question 10

What is a recommended antibiotic regimen for diverticulitis?

Answer 10

Ciprofloxacin and metronidazole.

Question 11

Acute mitral valve regurgitation is most commonly associated with transmural infarction of the ______ wall of the heart

Answer 11

inferior wall

ST-segment in leads II, III, and aV

Question 12

In which leads are reciprocal ST-depressions seen in an inferior wall STEMI?

Answer 12

I and aVL

Question 13

Hereditary Angioedema Treatment

Answer 13

Hereditary: C1 esterase inhibitor replacement or FFP

Question 14

Management of drug-induced angioedema

Answer 14

is largely supportive as it is refractory to standard medical therapy with epinephrine, antihistamines, and steroids.

Question 15

How much crying for no apparent reason in an otherwise healthy infant is used to define colic?

Answer 15

3 3s

More than 3 hours per day
3 days per week
infants less than 3 months

Question 16

histoplasmosis

Answer 16

Exposure to bat and bird droppings in the Mississippi and Ohio River valleys

Question 17

histoplasmosis

Answer 17

Exposure to bat and bird droppings in the Mississippi and Ohio River valleys

Question 18

How many vials of digoxin-specific antibody should be administered to someone in cardiac arrest due to digoxin toxicity?

Answer 18

10 vials.

Question 19

NEXUS Criteria

Answer 19

Clears patients from cervical spine fracture clinically without imaging if all the following criteria met

No midline cervical tenderness
No focal neurologic deficits
Normal alertness
No intoxication
No painful distracting injury

Question 20

Erysipelas is a superficial skin infection involving the upper dermis with prominent lymphatic involvement. ___________ usually cause it.

Answer 20

Beta-hemolytic streptococci

Question 21

What type of hypersensitivity reaction is serum sickness?

Answer 21

Type III hypersensitivity

Question 22

Acute OM antibiotics examples

Answer 22

Amoxacillin

augmentin

clindamycin

Question 23

a positive electrocardiographic deflection after the QRS segment in leads V1–V3

Answer 23

An epsilon wave

Arrhythmogenic right ventricular cardiomyopathy

Question 24

Which of the heart valves is most commonly affected in rheumatic heart disease?

Answer 24

Mitral valve

Question 25

______________ is present in more than 90% of patients with spinal infection

Answer 25

Elevation of erythrocyte sedimentation rate (ESR)

Question 26

What is the one absolute contraindication for transvenous pacemaker placement?

Answer 26

Mechanical tricuspid valve.