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step 2 > 4/23-peds > Flashcards

4/23-peds Flashcards

1
Q

glucose in RA parapneumonic effusion

A

low, white blood cells eat it

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2
Q

cardio exam finding pulmonary edema

A

right ventricular heave

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3
Q

cardio exam finding thing septic shock

A

bounding pulses

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4
Q

what med can be used in early parsons for a young person

A

anticholinergics like trihexyphenidyl

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5
Q

what type of weakness does botulism have

A

descending

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6
Q

what does tetanus toxin do

A

blocks the release of inhibitory neurotransmitters: glycine and GABA

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7
Q

sx of inter cranial HTN

A 
HA worse at night
nausea 
vomiting
AMS
papilledema 
focal neurological deficit
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8
Q

where is atrophy in Alzheimers

A

temporal lobe- hippocampus

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9
Q

other name for vasodilation vagal

A

neurocardiogenic

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10
Q

what cells are seen on peripheral smear G6PD def

A

bite cells

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11
Q

most common sequela of congenital cmv

A

sensorineural hearing loss

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12
Q

most common causes of meningitis

A

Group B strep
Ecoloi
listeria
herpes

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13
Q

most common cause of meningitis > month

A

step pneumoniae

neisseria

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14
Q

first line med to stop drinking

A

naltrexone

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15
Q

short acting benzo

A

lorazapam

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16
Q

long acting benos

A

diazepam chlordiazepoxide

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17
Q

4 things in tetralogy of fallout

A
  1. VSD
  2. RVH
  3. overriding aorta
  4. RV outflow obstruction
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18
Q

Kawasaki labs

A

⬆️ ESR
⬇️ Albumin
sterile pyuria

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19
Q

Henoch Schonlein Purpura compliacations

A

intussusception, AKI- IgA mediated

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20
Q

Parainfluenza virus name

A

RSV/croup

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21
Q

croup age range

A

3 months and 5 years

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22
Q

croup sx

A

inspiratory stridor
barking cough
nasal congestion
dyspnea

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23
Q

what is steeples sign

A

subglottic narrowing in croup

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24
Q

severe croup tx

A

aerosolized epi and steroids

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25
Q

labs in necrotizing enterocolitis

A

metabolic acidosis, hypo Na

26
Q

first sign of pediatric hypothyroid

A

prolonged jaundice

27
Q

Glucose 6 phosphate deficiency characteristics and tx

A 
DO NOT CONFUSE WITH G6PD  the blood thing
hepatomegaly
Hypoglycemia 
seizures
doll face
thin extremities 
Avoid fructose, galactose, and sucrose
28
Q

Fanconi anemia H/P

A 
fatigue
dyspnea
infections
short stature
abnormal skin pigmentation 
horseshoe kidney
thumb abnormalities
29
Q

Fanconi anemia labs

A

pancytopenia

increased afp

30
Q

diamond Blackman anemia h/p

A 
fatigue
cyanosis
dyspnea
pallor
craniofacial abnormalities
thumb abnormalities
heart murmur
ID
hypogonadism
31
Q

diamond Blackman labs

A

low Hgb
decreased retic
increased MCV

32
Q

Tay-Sachs disease: inheritance, enzyme,sx, tx

A

AR, hexosaminidase def,poor development, cherry red spots, supportive care

33
Q

where in brain is spastic CP, dyskinetic CP

A 
Spastic = pyramidal tracts
dyskinetic = extrapyramidal
34
Q

what is increased in muscular dystrophy

A

CK

35
Q

Moro reflex- description, when it goes away, 🧠 part

A

extension of the head causes extension and flexion of limbs , startle reflex
3 months
medulla, vestibular nuclei

36
Q

Grasp reflex- description, when it goes away, 🧠 part

A

placing finger in palm causes grasping
3
medulla, vestibular nuclei

37
Q

Rooting reflex- description, when it goes away, 🧠 part

A

rubbing cheek causes causes turning of mouth to stimuli
3
medulla, trigeminal nuclei

38
Q

Tonic Neck reflex- description, when it goes away, 🧠 part

A

when head turned, arm faced side extends and arm on opposite side flexes
3
medulla, vestibular nuclei

39
Q

Placing reflex- description, when it goes away, 🧠 part

A

rubbing of foot causes foot to foot to step up
2
Cortex

40
Q

contra indications to rotavirus vaccine

A

intussusception

SCID

41
Q

hep B vac schedule

A

birth,2-4 months, 6-15months

42
Q

rota vac schedule

A

2,4,6months

43
Q

DTaP schedule

A

2,4,6,15-18 months, 4-6 years

44
Q

Hib vac schedule

A

2,4,6,12-15 months

45
Q

PCV vac schedule

A

2,4,6, 12-15

46
Q

IPV vac schedule

A

2,4,6-18months, 4-6years

47
Q

MMR and VZV vac schedule

A

12-15 months, 4-6 years

48
Q

Hep a vac schedule

A

X2 12-18months

49
Q

meningitis vac schedule

A

11-12, 16-18 years

50
Q

HPV vac schedule

A

X3 11-12 years

51
Q

Di George syndrome sx/tx

A

no thymus =. no T cells ♥️ dz,abnormal facial features

tx= calcium vit d, thymie transplant, bone marrow transplants,ivig

52
Q

x linked agammaglobunimea

A

no B cells low immunoglobulins
tx =ivig,abx
supportive pulmonary care

53
Q

wiskott aldrich

A

x linked, eczema, thrombocytopenia
low platelets with low Igm, high IgG and IgA
tx = splenectomy, ivig, bone marrow transplant

54
Q

ataxia-telangigctasia

A

AR, cerebellar dysfunction, telangigtasias, impaired WBC and IgA development
tx = ivig, fatal tho

55
Q

hyper ige

A

chronic dermatitis, recurrent skin infection, pulmonary infection, coarse facial ft, retained baby teeth

56
Q

Chediak- Higashi

A

AR, dysfunction of neutros, staph and strep, gram -, fungus, abnormal platelets, albinism, neurologic dysfunction

57
Q

Leukocyte adhesion deficiency

A

integrin problem, delayed separation of the cord, skin and pulmonary infections, short stature, abnormal face,
increased neutrophils

58
Q

prayer willi deletion

A

Paternal 15q11-15q13 deletion

59
Q

Angelman deletion

A

Maternal 15q11-15q13 deletion

60
Q

Fragile x codon

A

CGG

61
Q

gonnerhea eye timeline

A

2-7days

62
Q

chlamydia eye timeline

A

5-14 days

step 2 (53 decks)

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