COMQUEST Wrongs 4

Question 1

fever, chills, HA, skin lesion with ulceration, lymphadenopathy, travel to rural area.

Answer 1

Tularemia

Question 2

Tx of tularemia?

Answer 2

streptomycin

Question 3

pre-malignant lesion on newborn presents as a single, round or curvilinear, orange-peel like hairless lesion on scalp

Answer 3

nevus sebaceus

Question 4

blotchy erythematous rash with tiny pustules in center on healthy newborn

Answer 4

erythema toxicum

Question 5

pustules of erythema toxicum contain what?

Answer 5

eosinophils

Question 6

benign rash on newborns with 3 phases: pustules on neck and upper back, ruptured pustule with thin skin, hyperpigmented macule that eventually fades

Answer 6

pustular melanoisis

Question 7

Ill-defined erythematous lesion over the glabella, nuchal area, and symmetrically over the eyelids.

Answer 7

nevus simplex (salmon patch)

Question 8

similar to nevus simplex (salmon patch) but is unilateral and does not cross midline

Answer 8

port-wine stain

Question 9

most common way that kids get septic arthritis

Answer 9

hematogenous spread

Question 10

most common organisms that cause septic joints in kids

Answer 10

strep., staph aureus, Kingella kingae

Question 11

painless nodule affixed to the testis

Answer 11

testicular cancer until proven otherwise, get ultrasound

Question 12

infant with constipation then poor feeding, lethargy, hypotonia (descending weakness), and gagging when eating

Answer 12

botulism, kid may have ingested honey in the stem

Question 13

neonate with poor feeding, failure to thrive, hypotonia, prolonged jaundice, enlarged fontanelles. poor development. Older child with basically adult sx.

Answer 13

hypothyroidism

Question 14

What causes the DUMBBELS sx and what does it stand for?

Answer 14

organophosphates; Diarrhea/defecation Urination Miosis Bradycardia Bronchorrhea/bronchospasm Emesis Lacrimation Salivation

Question 15

prodrome of fever, sore throat, nausea, vomiting, and muscle aches for 1-2 weeks. Then ongoing muscle aches and asymmetric flaccid limbs.

Answer 15

poliomyelitis

Question 16

what are supplements that CF kids need?

Answer 16

pancreatic enzymes, and Vitamins ADEK

Question 17

What is a complication of lack of vitamin E absorption?

Answer 17

hemolytic anemia

Question 18

What are some signs and sx of crohns disease ?

Answer 18

rectal bleeding, hx of obstruction, fistula formation, abdominal cramping, weight loss, perianal disease (skin tags)

Question 19

What is the next step in diagnosis for a kid with persistently bloody diarrhea?

Answer 19

upper and lower GI scopes (mostly colonoscopy)

Question 20

What signs and sx are absent in UC but present in crohns?

Answer 20

obstruction, fistula, perianal disease, weight loss are only found in crohns disease are sign

Question 21

Signs in mom during pregnancy of child with Bartter syndrome?

Answer 21

consanguineous marriage, polyhydramnios

Question 22

Signs and sx in child with Bartter syndrome?

Answer 22

in newborn:

• Polyuria
• polydypsia
• life-threatening dehydration
• triangular facies (large forehead, droopy mouth, protruding ears)
  *

Question 23

electrolyte abnormality seen in Bartter syndrome?

Answer 23

hypokalemia and metabolic alkalosis

Question 24

treatment for Rocky Mountain Spotted Fever?

Answer 24

doxycycline (for all ages)

Question 25

what is the pattern of baby bottle tooth decay syndorme?

Answer 25

black staining and loss of tooth surface on maxillary incisors, then can spread

Question 26

how can you prevent baby bootle tooth decay syndrome?

Answer 26

avoid sharing saliva with baby, avoid high sugar fluids in bottle, avoid bottles when putting baby to sleep, wean baby from bottle at 1 year of age

Question 27

Sx ranging from none to vague RLQ pain with chronic diarrhea, barrel shaped ova in stool, and normal eosinophils?

Answer 27

trichuriasis (whipworm)

Question 28

Treatment of trichuriasis (whipworm)

Answer 28

mebendazole