COMQUEST Wrongs 2 Flashcards
Most common cause of lobar pneumonia in a child 4 months-5 years old?
Viral (RSV), THEN streptococcus pneumoniae
Which age range is mycoplasma pneuomoniae pneumonia most common in?
5-20 years
what is the teratment for mycoplasma pneumoniae?
macrolide
Von Gierke disease is due to the absence of what enzyme?
glucose-6-phosphateas (the liver cannot break down glycogen stores to release glucose when the body needs it)
What are the signs and sx of Von Gierke disease?
- 3-4 month old kid
- hypoglycemia
- seizures (due to hypoglycemia)
- hepatomegaly (but not splenomegaly)
- and “doll’s face”
what are the lab values of Von Gierke’s disease?
- hypoglycemia
- lactic acidosis
- massive hyperlipidemia
- hyperuricemia
What are the signs and sx of Pompeii Disease?
- presents in the first few months of life as:
- hypotonia
- macroglossia
- hepatomegaly
- profound cardiomegaly with death due to cardiorespiratory failure expected in the first year of life
When does physiologic jaundice peak in a newborn?
- newborns start turning jaundiced 2-3 days after birth, peaking 2-4 days after birth
What is the peak unconjugated bilirubin level in physiologic jaundice of the newborn?
5-6 mg/dL (but can go up to 12)
jaundice within the first 24 hours of life is _______
pathologic (think ABO/Rh incompatibility)
Which maternal blood type has increased risk of causing blood incompatibilities with the newborn?
O and Rh(-)
What signs and sx will be seen in a toddler who accidentally ingested ethanol?
- coma
- hypoglycemia
- depressed respirations
what is the VACTERL sequence?
a group of physical/embryological deformities that often present together
V in VACTERL
Vertebral anomalies: hypoplastic or hemivertebra
A in VACTERL
Anal atresia
C in VACTERL
Cardiovascular anomalies (VSD)
TE in VACTERL
Tracheoesophageal fistula (with esophageal atresia)
R in VACTERL
Renal abnormalities
L in VACTERL
Limb defects: hypoplastic thumbs, polydactyly, syndactyly, and radial aplasia
What is CHARGE syndrome?
AD condition that results in a combination of physical abnormalities
C in CHARGE
Coloboma
H in CHARGE
Heart defects: septal defects and aorta/aortic arch defects most common
A in CHARGE
Choanal Atresia
R in CHARGE
Retardation in growth development
G in CHARGE
Genital anomalies
E in CHARGE
Ear anomalies
New-onset, foul-smelling vaginal discharge in pre-pubescent girls:
foreign body
