Combank 2

Question 1

3 things that are helpful to treat osgood Schlage disease?

Answer 1

PT, ice and NSAIDS.

Question 2

What two cranial nerves have a problem when infants have problems feeding and suckling?

Answer 2

9 and 12

Question 3

What are 2 ways to treat spondylolithesis?

Answer 3

Immobilization and orthotic bracing

Question 4

At what age does duchenne muscular dystrophy present? 3 presenting signs at that time?

Answer 4

3-5

Waddling gait, inability to run or climb stairs, and increased incidence of falls

Question 5

2 clinical signs with clavicle fracture due to birth trauma due to macrosomia and shoulder dystocia?

Answer 5

Absent motor flex on the affected side and spasm of the ipsilateral SCM

Question 6

How does neonatal hypoglycemia present and how do we treat it?

Answer 6

Hypotonic, jittery, lethargy, poor feeding and seizures.

Dextrose

Question 7

How will a child be holding his arm with a subluxation of the radial head?

Answer 7

Slightly flexed position at the elbow and pressed up against his body.

Question 8

Serum sickness like reaction may develop following what 3 things?

Answer 8

Infections, vaccinations, and medications.

Question 9

3 medications commonly causing serum sickness?

Answer 9

Penicillin, amoxicillin, and TMP-SMX.

Question 10

What type of hypersensitivity is serum sickness?

Answer 10

Type 3 vasculitis

Question 11

3 clinical symptoms of serum sickness?

When does it usually present?

Answer 11

Fever, rash, joint pain or inflammation

6-12 days after exposure

Question 12

How does slipped capital femoral epiphysis commonly present?

Answer 12

Painful limp and inability to bear weight in an overweight 11-13 year old boy

Question 13

What is the final position of the kids arm when reducing a dislocated radial head?

Answer 13

Fully flex with supination

Question 14

What is the enzyme not working in maple syrup urine disorder and what is built up because of it?

Answer 14

Alpha ketoacid dehydrogenase

Branched chain amino acids and ketoacids

Question 15

3 clinical signs of Maple Syrup Urine Disorder?

Answer 15

Neuro problems, acidosis, and sweet smelling urine

Question 16

What medicine treats enterobius vermicularis?

Answer 16

Albendazole

Question 17

What med to treat onchocerco volvulus?

Answer 17

Ivermectin

Question 18

Penicillamine chelates what?
EDTA chelates what?
Dimercaprol chelates what?
Deferoxamine chelates what?

Answer 18

Copper
Lead
Arsenic, mercury, and lead
Iron

Question 19

What is the most common cause of bladder outlet obstruction in males And what is the mechanism of the problem?

Answer 19

Posterior urethral valves

Wolffian ducts fail to integrate into the posterior urethra

Question 20

How are posterior urethral valves diagnosed prenatally and what are three findings?

Answer 20

US
Bilateral hydronephrosis
Thickened bladder wall
Dilated posterior urethra

Question 21

If not diagnosed prenatally, what are 4 presenting signs of baby and how is it diagnosed?

Answer 21

Respiratory problems, renal failure, abdominal distension, problems voiding.

Question 22

What is a spermatocele?

Answer 22

Cyst in teenage boys with sperm that is smooth, mobile and superior and posterior to the testis

Question 23

Musty or mouser urine smell, what are we thinking?

Answer 23

PKU

Question 24

What is the major clinical manifestation in the symptomatic patient with Hartnup and why?

Answer 24

Cutaneous photosensitivity because of a lack of tryptophan to make niacin

Question 25

Patients diagnosed with homocystinuria are at risk for what 3 things?

Answer 25

Lens subluxation, skeletal abnormalities, and thromboembolic events

Question 26

What is the trigger clinical sign for Glutathione synthetase deficiency?

Answer 26

Severe metabolic acidosis at birth

Question 27

What is the rule for maintenance fluid for a ped patient?

Answer 27

421 rule
4 mls per hour for first 10 kg
2 mls per hour for next 10 kg
1 ml per hour for next 10 kg