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PGI > 21.6.2013(pediatrics)44 > Flashcards

21.6.2013(pediatrics)44 Flashcards

0
Q

Rx of Meningococcal meningitis

A

Penicillin
Resistant: ceftriaxone,Cefotaxime
Allergy: chloramphenicol

Same for pneumococci

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1
Q

Recent avian influenza pandemic caused by

A

H5N9

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2
Q

Prophylaxis of meningococcal outbreak

A

Chloramphenicol

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3
Q

Umbilical vein oxygen saturation

A

80%

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4
Q

Very severe disease in young infant(<2months)

A 
Inability to feed
Convulsions
Abnormally sleepy or difficult to wake
Stridor in a calm child
Wheezing 
Fever or Low body temperature
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5
Q

Severe pneumonia in young children(<2months)

A 
Severe chest in drawing 
Fast breathing(>60/min)
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6
Q

Fast breathing

A

Less than 2 months more than 60
2months to 1 year more than 50
More than 1 year more than 40

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7
Q

Severe pneumonia(2months-5years)

A

Chest indrawing
Recurrent wheezing
Nasal flaring
Cyanosis

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8
Q

Very severe pneumonia(2months-5yrs)

A 
Convulsions
Inability to feed
Drowsy
Stridor in calm child 
Severe malnutrition
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9
Q

Drug of choice for pneumonia

A

Cotrimoxazole

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10
Q

Drug of choice for severe pneumonia

A

Benzyl penicillin

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11
Q

DOC for very severe pneumonia

A

Chloramphenicol

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12
Q

Period of infectivity of chicken pox

A

24-48hrs before rash ,until all vesicles are crusted

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13
Q

VZIG indications

A 
Administered within 96hrs of exposure in
Pregnant
Leukemia
Infants under 1 months of age
Prolonged steroid therapy
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14
Q

Rash in chickenpox

A 
Centripetal
Axilla affected
Palms and sole spared
Rash mostly on flexor surfaces
Superficial
Unilocular(dew drop appearance)
Pleomorphic
Area of inflammation seen around vesicle
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15
Q

Fever in chicken pox

A

Fever rises with appearance of new crops of rash

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16
Q

ANA is not elevated in which JIA

A

Type 2 Pauciarticular

Systemic JIA

17
Q

Delayed puberty is common in

A

Boys

18
Q

Precocious puberty

A

Girls(before 8yrs)

Boys(before 9yrs)

19
Q

Delayed puberty

A

Girls(13yrs)

Boys(14yrs)

20
Q

Screening of down first trimester

A

Increased PAPPA

Increased hCG

21
Q

Conditions with cryptorchidism

A 
Prader willi
Laurence moon biedel
Prune belly
Beckwidth wideman
Trisomy 15,18,21
22
Q

Finger abnormality in trisomies

A

Down clinodactyly
Patau polydactyly
Edward syndrome overlapping fingers

23
Q

Frontal sinus hypoplasia is seen in

A

Down syndrome

24
Q

Three fontanels are seen in

A

Down syndrome

25
Q

Risk factors for early onset sepsis

A 
Prolonged rupture of membranes
LBW
maternal fever
Meconium aspiration
Foul smelling liquor
Multiple PV exam
26
Q

Most important risk factor for GBS sepsis

A

Preterm

LBW

27
Q

Risk factors for late onset sepsis

A 
LBW
lack of breast feeding
Poor cord care 
Superficial infections
Aspiration of feeds 
disruption of skin integrity
28
Q

CHPS is common in

A

Term first born male infants after 2-4 weeks

29
Q

Diff btw HUS and TTP

A

Fever

Neurological features

30
Q

Blood picture in HUS

A

MAHA
thrombocytopenia
Leukocytosis

31
Q

Coagulation studies in HUS

A

Normal PT,aPTT,fibrinogen,FDP

32
Q

Most common cause of HUS

A

E.coli O157:H7(world)

Shigella dysenteriae type 1(India)

33
Q

Other name for henoch schonlein purpura

A

Anaphylactoid purpura

34
Q

Prognosis of HSP

A

Self limiting

35
Q

Causes of FTT

A 
Behavioural
 Parental cognitive or mental health problem
 Child abuse
  Emotional deprivation
GIT
  GERD
   malabsorption 
  Pyloric stenosis
  Malrotation
  Repair of TEF
cardiac
  CCF
  cyanotic heart disease

Lead poisoning
Asthma

36
Q

CHF in TOF

A 
Never occurs except in
Anemia
IE
Hypertension
Myocarditis
AR/PR
37
Q

Specific intestinal changes in malabsorption

A

Fat filled enterocytes(abetalipoproteinemia)

Villi distorted by ectatic lymphatics(lymphangiectasia)

38
Q

Intensity of murmur in TOF

A

Inversely proportional to degree of pulmonary stenosis

39
Q

Total Villous atrophy

A

Celiac disease

40
Q

Partial Villous atrophy

A 
Food protein sensitivity
Giardia lamblia
Immunodeficiency
Malnutrition
Bacterial overgrowth
Tropical enteropathy
41
Q

Bronchiolitis is common in

A

Winter
Not breast fed
Males
who live in crowded places

PGI (16 decks)

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