12/28/12

Question 1

What is the most common presentation of sickle cell trait?

Answer 1

painless hematuria

Question 2

What is the emergency tx of a septic joint?

Answer 2

IV Abx and surgical drainage

Question 3

What Abx should be used for children over 5?

Answer 3

Anti-staph (vanc or nafcillin)

Question 4

What Abx should be used in infants?

Answer 4

anti-staph + 3rd gen. cephalosporin

Question 5

What must be supplemented in sickle cell pts to ensure adequate reticulocytosis?

Answer 5

folate

Question 6

What disease is characterized by proximal and distal hypotonia at birth, normal socail and language skills, and tongue fibrillations?

Answer 6

Infantile spinal muscular atrophy, a.k.a Werdnig-Hoffman syndrome

Question 7

What classification of anemia is seen in anemia of prematurity?

Answer 7

normocytic, normochromic

Question 8

What does APGAR stand for?

Answer 8

Appearance
Pulse
Grimace
Activity
Respiration

Question 9

How do you score Appearance on the Apgar scale?

Answer 9

0 central and peripheral cyanosis
1 peripheral cyanosis
2 all pink

Question 10

How do you score Pulse on the Apgar scale?

Answer 10

0 none

1 100

Question 11

How do you score Grimace on the Apgar scale?

Answer 11

reaction to nasal stimulation
0 no reaction
1 grimace
2 active coughing

Question 12

How do you score Activity on the Apgar scale?

Answer 12

0 limp
1 some flexion of extremities
2 active flexion of extremities

Question 13

How do you score Respirations on the Apgar scale?

Answer 13

0 absent breathing
1 slow and irregular
2 good respi effort