25.6.2013(pediatrics) 48 Flashcards

0
Q

Causes of secondary lactase deficiency

A

Celiac disease

Rotavirus

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1
Q

Types of lactase deficiency

A

Congenital
Primary adult hypolactasia
Secondary lactase deficiency

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2
Q

Diagnosis of lactose intolerance

A

Hydrogen breath test

Assay of lactase in intestinal biopsy

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3
Q

Rx of lactose intolerance

A

Lactase tablet

Live culture yogurt

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4
Q

Causes of gastroenteritis

A
Viral
 1.rota
 2.noro(Norwalk,calici)
Bacterial
 1.salmonella
 2.campylobacter
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5
Q

Syndromes associated with short stature

A
Down
Turner
Noonan
Williams
Russell silver
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6
Q

Russell silver syndrome

A
Short stature(prenatal onset)
Delayed bone age
Clinodactyly 
Cafe au lait spot
Triangular face
Frontal bossing
Normal HC
Hyperhidrosis
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7
Q

Causes of cafe au lait spots

A
NF1(coast of California)
Mc cune Albright (coast of Maine)
Russell silver
Tuberous sclerosis
Fanconi Anemia
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8
Q

Type of CP commonly associated with birth asphyxia

A

Extra pyramidal CP

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9
Q

Most common complication of measles

A

Acute otitis media

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10
Q

Most common cause of death in measles

A

Pneumonia

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11
Q

Most serious complication of measles

A

Meningoencephalitis

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12
Q

Ocular complications of measles

A
Cattarhal conjunctivitis
Corneal ulcer
Retinitis
Optic neuritis
Koplik spot on conjunctiva
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13
Q

Causes of tall stature

A
Weaver syndrome
Sotos syndrome
Klinefelter
Testicular feminization 
Beckwidth wideman
Exogenous obesity
Marfan
Homocystinuria
Fragile X syndrome
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14
Q

Electrolyte abnormality presenting as hematuria

A

Idiopathic hypercalciuria

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15
Q

Metabolic causes of neonatal seizures

A

Hypoglycemia
Hypocalcemia
Hypomagnesimia

16
Q

Rx of intusucception

A

Air,saline or barium reduction(contraindicated if child is in shock)

17
Q

Onset of intusucception

A

Btw 3mon - 6yrs of age(most common cause of intestinal obstruction in this age group)

18
Q

Postoperative intussuception

A

Ileo illeal

Occurs within 5 days of abdominal surgery

19
Q

Radiological signs in intussuception

A

Target sign
Doughnut sign
Coiled spring appearance

20
Q

Reduction of intussuception is contraindicated in

A

Signs of shock
Intestinal perforation
Peritoneal irritation
Pneumatosis intestinalis

21
Q

Drug used to prevent recurrent intussuception

A

Corticosteroids

22
Q

In chronic ITP antibodies against which antigen are common

A

GpIIb-IIIa

23
Q

Essential steps in treatment of malnourished child

A
Rx hypoglycemia 
Rx hypothermia
Rx dehydration
Rx electrolyte deficiencies
Rx infection
Give micronutrients
Start cautions feeding
Achieve catchup growth
Provide sensory stimulation and emotional support
Follow up
24
Q

Hypoglycemia

A

Less than 54mg/dl

25
Q

Micronutrients provided in malnourished child

A
Vit A
Folate
Iron
Zinc 
Copper
26
Q

Phases in Rx of malnourished child

A
Stabilisation phase(first 7 days)
Rehabilitation phase(2-6weeks)
27
Q

Primary failure to respond to Rx in malnourished child is indicated by

A

Failure to regain appetite or starting to loose Edema by day 4
Presence of Edema by day 10
Failure to gain 5g/kg/day by day 10

Secondary failure
Failure to regain atleast 5g/kg/day for 3 consecutive days during rehabilitation phase

28
Q

Diseases during nutritional rehabilitation

A

Pseudotumor cerebri
Nutritional recovery syndrome(high protein results in high estrogen levels)
Encephalitis like syndrome

29
Q

Criteria for discharge after Rx of malnourished child

A
No Edema
No infection
Immunised
Intake of 120-130cal/kg/day
Consistent weight gain
Weight for height is 90% of NCHS median
30
Q

Most common obstructive urethral lesion in newborn

A

PUV

31
Q

Most common cause of endstage renal failure in boys

A

PUV

32
Q

IOC for PUV

A

Voiding cystourethrogram

33
Q

Rx of posterior urethral valves

A

Endoscopic resection

Preterm: cutaneous vesicostomy

34
Q

Organic causes of constipation

A

Vincristine
Myotonic dystrophy
Milk protein allergy

35
Q

Length of suction tube

A

5cm for mouth

3cm for nose

36
Q

Early sign of septic shock

A

Hyperventilation

37
Q

MCV of cord blood

A

110fl

38
Q

MCV at various ages

A

At birth 108fl
1month 104fl
1year 78fl
Adult level reached by 12-18yrs(90fl)