5-16

Question 1

child born to a mother w/ active HPV might present with…

Answer 1

hoarse cry - lesions on vocal folds

Question 2

9mo only fed w/ cows milk, pain w/ movement of extremities, prefers frog leg position

Answer 2

vit C deficiency

Question 3

infant w/ IUGR, low-pitched cry, hypertonicity, confluent eyebrows, long curly eyelashes, limb defects, undescended testes

Answer 3

cornelia de lange syndrome

Question 4

chr 5 abnormality

Answer 4

cri du chat

Question 5

vertebral defect, anal atresia, cardiac defects, TE fistula, renal/radial defect

Answer 5

VATER

Question 6

age: regard parent’s face, follow to midline, lift head, smile spontaneously, respond to a bell

Answer 6

1 month

Question 7

smile, fix + follow, coo, hold head in prone position

Answer 7

2 months

Question 8

follow moving toy from side to side

Answer 8

4 months

Question 9

walk forward, sometimes walk backwards, name body parts, 2 word phrases

Answer 9

18 months

Question 10

tx for clonidine OD

Answer 10

naloxone + atropine

Question 11

ingestion: ringing in ears, metabolic acidosis

Answer 11

aspirin - tx w/ sodium bicarb + acetazolamide

Question 12

tx for organophosphate poisoning

Answer 12

atropine + pralidoxime

Question 13

tx following ingestion w/ nml vitals, torticollis

Answer 13

(antipsychotic) - benadryl

Question 14

infant w/ bloody vomiting following ingestion of prenatal vitamins

Answer 14

iron tox - tx w/ deferoxamine

Question 15

tx for methanol OD

Answer 15

ethanol, hemodialysis if severe

Question 16

tx for trichomonas

Answer 16

metronidazole (or tinadazole)

Question 17

tx for giardia

Answer 17

tinidazole (or metronidazole)

Question 18

tx for fish tapeworm

Answer 18

praziquantel

Question 19

lithium during pregnancy

Answer 19

ebsteins anomaly

Question 20

congenital rubella

Answer 20

cataracts, deafness

Question 21

neonatal lupus sxs

Answer 21

rashes, thrombocytopenia, heart block

Question 22

vitamin supplementation w/ phenytoin

Answer 22

folate

Question 23

vitamin supplementation for measles

Answer 23

vitamin A

Question 24

vitamin supplementation in sickle cell disease

Answer 24

folate - due to inc need of rapidly dividing RBC precursors

Question 25

chronic liver abscesses in child; test

Answer 25

chronic granulomatous dz; test w/ NBT or newer DHR flow cytometry

Question 26

severe eczema, freq nosebleeds, unusual infections

Answer 26

wiskott-aldrich - start w/ platelet count

Question 27

frequent otitis + sinusitis infections

Answer 27

B-cell defects - Ig assay

Question 28

child w/ frequent neisseria, strep infections

Answer 28

asplenia - freq infections w/ encapsulated organisms; see howel jolly bodies on smear