12/22/12 b

Question 1

What is the diagnosis for an otherwise healthy neonate with the sudden appearance of an erythematous papular rash with red halos containing numerous eosinophils?

Answer 1

erythema toxicum

Question 2

What is the Tx for erythema toxicum?

Answer 2

none, self-limiting

Question 3

Which structure is the primary cause of premature adrenarche in most cases?

Answer 3

adrenal glands

Question 4

Which structure is the primary cause of premature pubarche in half of cases?

Answer 4

CNS

Question 5

What is the differential for T-wave inversion, aside from MI?

Answer 5

myocarditis, previous pericarditis, myocardial contusion, and digoxin toxicity

Question 6

At what age should a child be able to copy a cross and a circle?

Answer 6

3 yrs

Question 7

At what age should a child be able to copy a square and a rectangle?

Answer 7

4 yrs

Question 8

At what age should a child be able to copy a triangle?

Answer 8

5 yrs

Question 9

At what age should a child be abl;e to copy a diamond?

Answer 9

6 yrs

Question 10

What is the order of procedures for infants presenting with apparent bacterial meningitis?

Answer 10

blood culture, LP, then Abx

Question 11

Why can a lumbar puncture be safely performed in pts <1 y.o. w/o CT scan?

Answer 11

open fontanelles

Question 12

What are the 2 most common causes of bacterial meningitis in children?

Answer 12

S. pneumoniae and N. meningititis

Question 13

What empiric Abx should be given to children (beyond the neonatal period) with suspected bacterial meningitis?

Answer 13

vancomycin and ceftriaxone

Question 14

Which birth injury can result in hand paralysis and ipsilaterl Horner’s syndrome?

Answer 14

Klumpke’s paralysis

Question 15

Which nerves are involved in Klumpke’s paralysis?

Answer 15

C7,C8, T1

Question 16

Recurrent bacterial infections, delayed separation of the umbilical cord, and periodontal infections are classic for what immune defect?

Answer 16

impaired leukocyte adhesion