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2019 RC 2018-2015 > 2016 Exam > Flashcards

2016 Exam Flashcards

1
Q

Cyclical vomiting syndrome criteria:

A

“think 5-1=4; 5 attack min. 4 vomit/hour x 1 hour minimum”

Min. 5 attacks
Recurrent vomit last 1hour-10d
Vomit 4X/hour x 1 hour minimum 
Normal between episodes
Not attributed to another dx
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2
Q

Total body radiation. Risk of radiation effects later?

A

Secondary malignancy
Adrenal insuff
Hypothyroidism

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3
Q

All of sudden with getting NG feeds getting dumping (diarrhea, sweat, cramp). LIKley reason? and two mechanism?

A

Hyperosmolar feed

> Pumped too fast
Formula too hyperosmolar formula

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4
Q

Dyslexia DSM5 Criteria

A

Difficulties with learning and using academic skill x 6mo
Skill less than expected age and cause issue w/ school
LD start at school age
Not better accounted for by IQ disability , visual, auditory or other factors

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5
Q

Chronic Granulomatous Disease. Confirmed via?

A

NOBI= Neutrophil Oxidative Burst Index

Remember: supportive adenitis, hepatic abscess, recurrent pneumoniae, osteomyelitis at multiple spots etc.

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6
Q

Two indications for hydrocele Sx

A

Communicating hernia > 18 month age (risk of indirect hernia)

Non communicating: Large and uncomfortable

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7
Q

ASD. 3 findings on cardiac auscultation

A

Fixed split S2
Systolic murmur at mid sternal area
Rumbling low pitch diastolic murmur

Other cardiac: prominent impulse, heave, lift

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8
Q

CPR compression ratio per minute?

A

100

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9
Q

CPR ventilation ratio per minute?

A

8-10

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10
Q

Risk of WPW

A

Ventricular tachycardia, syncope, sudden death.

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11
Q

4 ways to reduce systematic bias

A

Large sample size
Set clear inclusion and exclusion to reduce bias
Reduce sampling bias
Use systematic process that is transparent and reliable
Randomize participant to 2 group
Double blinded
Use validated objective criteria for measuring outcome

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12
Q

Mastoiditis complications:

A

facial nerve palsy, subdural abscess, meningitis, sinus venous thrombosis

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13
Q

3 life threatening complications of GBS

A
  1. respiratory depression
  2. arrhythmia
  3. dysautonomia (hemodynamic instability)
    Other: DVT, PE
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14
Q

OSA two consequences

A

Cor pulmonale

HTN

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15
Q

3 Perinatal complications of post-dates

A

Still birth
Macrosomia (and shoulder dystocia)
Meconium Aspiration

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16
Q

What criteria must be met for return to play post concussion?

A
  • *Full return to school must precede sports

* * Only return after symptom free x 7-10d

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17
Q

Advice regarding return to school if concussion:

A

Return in few days after okay with cognitive task at home.
Accommodation may be necessary
Gradual increase

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18
Q

ODD. Suggested management

A

Parental training (triple P)
Youth anger management
Stimulant, Atypical anti psychotic

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19
Q

Diagnostic criteria for Bulimia nervosa

A

Min 1X week x 3 month
Binge eating (excessive amount with lack of control)
Compensatory behaviour (i.e. purge, laxative, restrict)
Self-evaluation influenced by negative perception of body shape and image, weight
Not due to AN or other dx

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20
Q

HPV vaccine present:

A

Cervical cancer
Genital warts
Anal cancer
Throat Cancer

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21
Q

Asthma versus scoliosis: RV/TLC and FVC

A 
RV= volume in lungs. 
TLC= total lung capacity
FVC= forced vital capacity (total air that can be forceful exhaled)

Asthma: RV/TLC up or normal (more RV); FVC down
Scoliosis: RV/TLC increased (more RV); FVC down++

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22
Q

How do you avoid BPD in NRP resuscitation?

A

Avoid barotrauma or volume trauma

23
Q

What is heat rash medical term?

A

Miliaria= rash over fold (intertrigonal or where two skin rub/touch) and covered areas.

24
Q

What can you do to prevent future kidney stones?

A

UP fluid
DOWN salt
normal calcium diet

25
Q

PO Vitamin K dosing?

A

Oral dose 2mg at birth

Repeat in 1 and 2 months.

26
Q

If premature adrenarche- what are you at greater risk later on?

A

PCOS

27
Q

Most common craniosynostosis? What next?

A

Sagittal= Scaphoencephaly
NeuroSx contsult
= discuss option, Sx, risk of ICP and ensure normal growth

28
Q

3 tests to measure Measles

A

Measles PCR
Serology (IgM, IgG)
Viral Cx from saliva, urine

29
Q

When does hand dominance develop?

A

@ 18 months.

30
Q

Red eye with photophobia. Likely dx?

A

Corneal abrasion
Glaucoma
FB
Keratitis, Corneal Ulcer, Orbital cellulitis

31
Q

Minimum PEG tx duration for constipation

A

6 months

32
Q

HIE criteria

A

min. 36 WK GA
max 6 hour old
mod-severe encephalopathy (Sarnat 2-3)
Two of: APGAR < 5 at 10 min, vent or resus at 10 min, or pH < 7 and BE > 16

33
Q

Qualification for RSV prophylaxis

A

< 6 month at start AND
… < 30 wk GA
… < 36 and remote community
… term inuit from comm at high risk of RSV

< 1 yr at start AND
… CLD with ongoing med
…. CHD hemodynamically significant

Consider if < 2 AND
.... home O2
... severe pul dx
.. T21
... CF
... immunocompromised
34
Q

Severe EoE start-

A

oral INH steroid

35
Q

cephalohematoma. What do you do?

A

No further intervention

Resolve spontaneously in 2-12 weeks

36
Q

Cleft in inferior hymen rim suggest:

A

Previous trauma to hymen

37
Q

Twin to twin transfusion. Risk to blood recipient versus donor?

A

Recipient
= heart failure due to extra fluid on body
Resp distress, renal vein thrombosis, clots

Donor= anemia, growth restrict, hypoglycaemia if small

38
Q

GH versus Turner syn in short stature. Difference?

A

GH= bone age delay (slow), confirm via GH stim test

Turner Syn= F, normal bone age

39
Q

When do you screen for T2DM?

A

3 RF pre puberty or 2RF post-puberty

  • FHX - BMI 95% - ethnicity
  • Features of DM (acanthuses) - dyslipidemia

Screen every 2 hour via fasting plasma glucose

40
Q

Teen with CF has drop in PFT. Start?

  • ceftaz + cobra
  • clox + cobra
  • clox + ceftaz
  • PO cipro
A

Ceftaz + Tobra

41
Q

T or F: Mastoiditis is reason for myringotomy?

A

True

42
Q

Spinal muscular atrophy inherited via

A

AR

= proximal weakness, hypotonia, reflexia.

43
Q

Glucose at 2 hour 2.1 in BB born to mom with gestational DM. Next step?

A

Continue to monitor q 3-4 hour
x next 12 hour if LGA and IDM. x 36 if SGA or prem.

If > 2.6 at that time can stop.

Note: < 1.8 at 2 hr or < 2.6 on recheck= IV
Note: if > 2 at 2 hour= monitor only.

44
Q

Eczema, thrombocytopenia, infection, Likely dx?

A

Wiskott-Aldrich

45
Q

ROP screening

A

at 4 weeks of age or 31 week corrected- whatever is later

46
Q

Sydenham chorea. Recommend Abx prophylaxis till?

A

21 y.o.`

47
Q

Bipolar Dx- Manic episode. Med to consider

A

Lithium

48
Q

Dx test with highest yield of abnormality in F with ASD?

  • karyotype
  • very long chain f.a.
  • fragile x testing
  • chromosomal microarray
A

Chromosomal microarray

49
Q

Best way to monitor thyroid replacement in autoimmune thyroiditis?

A

TSH

50
Q

How much do you correct low Na?

A

only up 10-12 in 24 hour.

51
Q

When can you wear a seat belt?

A

> 36 kg
min. 8 y.o.
ht > 145 cm

52
Q

When do you switch from rear to fwd seat, booster etc.?

A

Rear until 10 kg + 1 y.o. + walking
Fwd: for kids 10- 22kg and 122cm
Can switch to booster if 18kg and don’t fit fwd seat
Booster seat until 36 kg

Seat Belt= > 36 kg
min. 8 y.o.
ht > 145 cm

53
Q

T or F: Optic neuritis at significant risk of developing MS

A

True

54
Q

10 month old recently immigrated from refugee camp in Turkey. 3 doses oral polio and 4 doses of DAT. Now?

  • pneumococcal conjugate + Hib
  • pneumococcal, HIB, IPV
  • DTap-IPV-Hib, pneumococcal
  • No vaccine
A

Pneumococcal + Hib

3 doses oral count.
Hep B too!

Practical: unless very clear documentation we always assume none and start catch up schedule.

2019 RC 2018-2015 (6 decks)

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