abnormal PE findings

Question 1

asymetric red reflex

Answer 1

retinoblastoma

cataracts (galactosemia, congential rubella, NF II, myotonic muscular dystrophy)

Question 2

defect in retinoblastoma

Answer 2

AD def Rb gene on chrom 13

Question 3

cherry red macula + hepatosplenomegaly

Answer 3

tay sachs (w/ HSM)-hexosaminidase
niemann- pick (no HSM)-sphingomyelinase

Question 4

cross eyes + tx

what happens if dont correct

Answer 4

strabismus

patch the good eye or elese get ambylopia (lazy eye)

Question 5

pinpoint pupils + tx

Answer 5

opioids (tx = naloxone)

organophosphates (tx: atropine + aralidoxime)

Question 6

small whitish debris-containing sac on TM

tx?

Answer 6

Cholesteatoma

ENT for removal

Question 7

nasal polyps

Answer 7

CF
triad asthma (aspirin sensitive)

Question 8

strawberry tongue

Answer 8

kawasaki
scarlet fever
TSS

Question 9

at what age do central incisiors show up? permanent central incisiors?

Answer 9

6 mos

6 yrs

Question 10

consequence of prolonged use of bottles?

Answer 10

tooth decay (excpet mandibualr front teeth) due to high sugar concentration

Question 11

retained front teeth

Answer 11

Job syndrome (hyper IgE)

Question 12

what to do when kid gets teeth knocked out? how long do you have to put them back in?

Answer 12

transport in mouth or milk/saline

30mins

Question 13

single central incisior =

Answer 13

GH deficiency

Question 14

Next step if find thyroid nodule

Answer 14

get TSH, if euthymic get FNA

Question 15

cafe-au-lait-spots

Answer 15

NF I

McCune Albright

Question 16

Knuckle-knuckle-dimple-knuckle sign: brachydactyly of 4th digit

Answer 16

turner’s syndrome

Question 17

Knuckle-knuckle-dimple-dimple sign: brachydactyly of 4th/5th digits

Answer 17

pseudohypoparathyroidism

Question 18

painful red nodules on shins

Answer 18

erythema nodosum = kids with strep pyogenes

Question 19

es cavus: high-arched foot associated w/

Answer 19

friedreich ataxia

charcot-marie-tooth disease

Question 20

micropenis

Answer 20

GH deficiency

Question 21

thrush, generalized LAD, hepatomegaly, and FTT

dx

Answer 21

HIV

PCR!! Ag be false positive soon after birth from mom

Question 22

treatment of PCP pneumo

Answer 22

bactrim