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CPS Exam #1 > Case #2 > Flashcards

Case #2 Flashcards

1
Q

Child bringing knees up to chest is a classic sign of…

A

Appendicitis

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2
Q

Vasodilator used to treat preecclampsia?

A

Magnesium Sulfate

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3
Q

Breathing problems after birth is a common sign of…

A

Sepsis

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4
Q

What does an APGAR test measure?

A

Average health of a newborn and improvement over early intervals

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5
Q

Normal # of diapers/day?

A

6-10

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6
Q

Sign of pyloric stenosis?

A

Hard, Olive on palpation

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7
Q

Startle Reflex?

A

Quickly lower baby, arms/legs out

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8
Q

What does a Guiac test look for?

A

Blood (often used for stool)

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9
Q

What is seborrhea?

A

Baby dandruff

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10
Q

A solid DD has…

A

Working Diagnosis
2-4 Common Ones that could be an atypical presentation
Don’t Miss Diagnoses
Diagnoses associated with standout features of history

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11
Q

Ex. Don’t miss diagnoses of Case #2

A

Strep septicemia
Leukemia
Bowel Obstruction

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12
Q

T or F – Disease presentation typically matches textbook description.

A

False

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13
Q

Double bubble on x-ray associated with…

A

Volvulus

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14
Q

Signs of intussception?

A

Jelly stools
Sausage shaped mass
US – coiled spring/bulls eye

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15
Q

Should a child prone to reflux sleep prone?

A

No. Increased risk of SIDS.

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16
Q

Most common food related allergen in young children?

A

Milk Protein

Approx. 2.5%

17
Q

Long term result in most cases of CMA?

A

Tolerance

18
Q

Source of Milk Allergy?

A

Casein and Whey

19
Q

Manifestations of Milk Allergy

A

IgE mediated reactions such as anaphylaxis

Atopic Dermatitis

20
Q

What is atopic dermatitis?

A

Eczema
Chronic, Inflammatory Skin Condition
Infantile stage – Pruritic, red, scaly lesions

21
Q

Signs of erythema toxicum neonatuorum.

A

Trunks, extremities – Not palms and soles

Red maccules with central whitish-yellow pinpoint papules

22
Q

Inheritance pattern of lactose intolerance?

A

Autosomal recessive

23
Q

Rome criteria for Colic?

A

Birth-4 months
Irratilbilty/fussiness without obvious cause
>3 hrs./day, 3 days/week, more than 1 week
Absence of failure to thrive

24
Q

What is failure to thrive?

A

Insufficient weight gain

25
Q

A baby should only have milk until…

A

4-6 months old

26
Q

Why don’t you give a colic baby a motion sickness medication?

A

Can cause stop in breathing, seizures, or coma

27
Q

Herbal remedies for Colic?

A

Chamomile, Fennel Seed, Balm-Mint

Gripe Water

28
Q

What is Shaken Baby Syndrome?

A 
#1 cause of child abuse death
Causes Death or Brain Damage
29
Q

Most common form of abuse in the US?

A

Tap water Burns

30
Q

What happens if you decide not to report child abuse

A

Class B Misdemeanor

Malpractice

31
Q

What is the newborn Red Reflex?

A

Hold opthalmoscope to examiner’s eye, a foot from subject
Symmetrical red should be seen in both eyes

If asymetrical, blunted, or white, send child to opthamolagist

32
Q

How long should the startle reflex last?

A

Not past 3-4 months

33
Q

Major hypertensive disorder of pregnancy?

A

Preeclampsia

34
Q

Two characteristics impt. for preeclampsia diagnosis?

A

New onset hypertension

Proteiuria

35
Q

Preecclampsia increases risk for…

A

Placental abruption
Acute renal failure
Cerebral hemorrhage
Hapatic Failure

36
Q

What do you do for severe preeclampsia

A

Delivery regardless of gestational age

Seizure Prophylaxis

37
Q

Antibiotic strategy for pregnancy with group B strepto?

A

IV antibiotics DURING labor

38
Q

Neonate – early Onset GBS

A

Pneumonia, Sepsis, Meningitis

20% preterm mortality

39
Q

Neonate – Late onset GBS

A

4-5 weeks
bacteremia without focus or meningitis
5% preterm mortality

CPS Exam #1 (4 decks)

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