Combank #3 Flashcards

1
Q

What are the only two contraindications to Dtap vaccine?

A

Personal history of severe allergic reaction and encephalopathy within 7 days of previous vaccine

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2
Q

What are the 4 cent or criteria for scarlatina and how is the rash best described?

A

Fever, tonsillar exudates, cervical adenopathy, no cough

Sandpaper

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3
Q

What is the typical strep A rash?

A

Erythematous, blanching sandpaper rash

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4
Q

What is the defect and inheritance of bartter syndrome?

A

Defective chloride channels so sodium resorption sucks in the thick ascending loop
AR

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5
Q

What is diagnostic of Pompe disease and what are 2 things it is associated with?

A

Acid maltase deficiency

Hypertrophic cardiomyopathy and macroglossia

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6
Q

What is Andersen disease and what two signs?

A

Glycogen blanching enzyme deficiency

Hepatomegaly and failure to thrive

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7
Q

3 clinical signs and 4 lab values of Von gierke disease?

A

Hypotonia, doll like facial features, and frequent feedings

Low glucose, high uric acid, triglycerides, and lactic acid

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8
Q

What does the quad screen show for Down syndrome?

A

Increased BHCG and Inhibin A

Decreased Alpha feta protein and unconjugated estriol

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9
Q

What is a good antibiotic to use for salmonella infection in sickle cell patients?

A

Cefotaxime

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10
Q

What age should be in a rear facing car seat?

A

Newborns, infants, toddlers up to 2

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11
Q

What is the gold standard to diagnose Hirschprung dx?

A

Rectal biopsy

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12
Q

What is the blast sign and what does it indicate?

A

Explosive expulsion of gas and stool after digital rectal exam which may relieve the obstruction temporarily in Hirschsprung

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13
Q

Big GI issue in Down syndrome kids and what is the sign on x ray?

A

Duodenal atresia. Double bubble sign.

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14
Q

What are the 3 electrolyte abnormalities observed in babies of diabetic mothers?

A

Hypoglycemic, hypocalcemia, and hypomagnesium

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15
Q

What are 3 clinical signs of ataxia-telangiectasia?

What are the antibodies levels?

A

Ataxia, telangiectasia, and recurrent sinopulmonary infections
Low or undetectable IgA, normal or low IgG and elevated or normal IgM

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16
Q

What is the most common cause of NAS and what is the time frame for it?

A

Heroin, 1-5 days

17
Q

When will NAS present when it is because of maternal methadone?

A

1-4 weeks

18
Q

How is NAS treated?

A

First line treatment is replacement doses of the narcotic. Second line is phenobarbital or clonidine

19
Q

Besides heroin, what is the most common drug causing NAS?

A

Opiates

20
Q

What are the two main differences between omphalocele and gastroschisis?

A

Omphalocele is where there is a hole in the belly button and the bowel has herniated through it with a protected membrane. This is a persistent herniation.

Gastroschisis is a herniation of bowel in a hole to the side of the belly button and there is no membrane covering the bowel. Ab wall defect.