14 NOV 2016 1541 PED

Question 1

which primary tumor of bone?

• sclerotic, cortical lesion on imaging with central nidus of luncency
• pain is worse at night and unrelated to activity
• pain is quickly relieved by NSAIDs

Answer 1

osteoid osteoma

Question 2

what is the normal amount of formula for an infant to take per day?

Answer 2

32 oz

Question 3

what is the first line treatment for localized ringworm infection?

Answer 3

topical antifungal - clotrimazole, terbinafine

Question 4

what is the treatment for impetigo (localized and extensive)?

Answer 4

• localized: mupirocin

- extensive: cephalexin

Question 5

what is the most successful treatment for nocturnal enuresis? what is the first line PHARMALOGICAL treatment?

Answer 5

• best overall: enuresis alarms

- best medication: desmopression (followed by TCAs - imipramine)

Question 6

the two most common organisms responsible for osteomyelitis in children with sickle cell disease are:

Answer 6

• salmonella (75%)

- staph aureus (25%)

Question 7

what is the most common cause of osteomyelitis in healthy children?

Answer 7

staph aureus

Question 8

what is the treatment for osteomyelitis in a child with sickle cell disease?

Answer 8

• third gen ceph

- anti-staph (oxacillin, vanco)

Question 9

what is the primary dose limiting side effect of hydroxyurea (used for sickle cell occlusive crises)?

Answer 9

myelosuppression

Question 10

what are the lab / electrolyte abnormalities seen in pyloric stenosis?

Answer 10

hypochloremic, hypokalemic, metabolic alkalosis