2020 PREP Flashcards
What lab and imaging surveillance is required for patients with Beckwith-Wiedemann syndrome?
- Abdominal US every 3 months until 8 years of age
- Alpha-fetoprotein every 2-3 months until 4 years of age
What finding on blood smear is pathognomonic for babesiosis?
Maltese cross
What is the most common cause of congenital hypothyroidism?
Thyroid dysgenesis
What is the confirmatory testing for narcolepsy?
Polysomnography with multiple sleep latency testing
What is Lemierre syndrome?
Septic thrombophlebitis of internal jugular vein in association with head and neck infection
When should vaccinations be given after HSCT?
At least 6 months after HSCT and stopping immunosuppressants
What are the most common manifestations of Stickler syndrome?
Vision and hearing abnormalities
What are the 3 components of Pierre Robin sequence?
Micrognathia, cleft palate, and glossoptosis
Which patients should receive Tamiflu treatment on an outpatient basis?
Children younger than 5 (especially younger than 2) with confirmed OR suspected flu infection (even without rapid antigen testing)
What is the mechanism of injury in epidural hematoma?
Rupture of middle meningeal artery
Which disorder is associated with acrodermatitis enteropathica?
Zinc deficiency
What random glucose level is diagnostic of DM?
> 200
What HbA1c is diagnostic of DM?
≥ 6.5%
What is the main symptomatic treatment for myasthenia gravis and what is its mechanism of action?
Pyridostigmine (AChE inhibitor)
What is the function of the MIBG scan?
Evaluates for pheochromocytoma and neuroblastoma
Which skin disorder is pictured here?
Icthyosis vulgaris
What is the treatment for icthyosis vulgaris?
Topical emollient contaning alpha-hydroxy acid
What are some signs and symptoms of severe C. diff?
Fever, leukocytosis > 15,000, and AKI
When is universal screening for lead levels?
1 and 2 years of age
At what lead level should treatment for iron-deficiency anemia be considered?
> 5
How is neonatal chronic hepatitis C diagnosed?
Hepatitis C antibodies at 18 months of age (checking beforehand may reflect transplacental maternal antibodies)
How is neonatal chronic hepatitis C diagnosed?
Hepatitis C antibodies at 18 months of age (checking beforehand may reflect transplacental maternal antibodies)
What degree of curvature on scoliometer warrants XR?
> 7 degrees
What age group is most susceptible to Kingella septic arthritis and osteomyelitis?
< 4 years of age
How long after thelarche do girls typically have their first menstrual cycle?
2-2.5 years
What is the definition of delayed puberty in girls?
No thelarche by 13 years of age OR no menarche by 16 years of age in a girl with normal breast development
What is the first-line treatment for Guillain-Barre syndrome?
IVIG
What is the CSF hallmark of Guillain-Barre syndrome?
Albuminocytologic dissociation (high protein with normal cell count)
