COMQUEST Wrongs 4 Flashcards

(28 cards)

1
Q

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

A

Tularemia

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2
Q

Tx of tularemia?

A

streptomycin

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3
Q

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

A

nevus sebaceus

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4
Q

blotchy erythematous rash with tiny pustules in center on healthy newborn

A

erythema toxicum

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5
Q

pustules of erythema toxicum contain what?

A

eosinophils

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6
Q

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

A

pustular melanoisis

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7
Q

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

A

nevus simplex (salmon patch)

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8
Q

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

A

port-wine stain

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9
Q

most common way that kids get septic arthritis

A

hematogenous spread

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10
Q

most common organisms that cause septic joints in kids

A

strep., staph aureus, Kingella kingae

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11
Q

painless nodule affixed to the testis

A

testicular cancer until proven otherwise, get ultrasound

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12
Q

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

A

botulism, kid may have ingested honey in the stem

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13
Q

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

A

hypothyroidism

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14
Q

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

A

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

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15
Q

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

A

poliomyelitis

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16
Q

what are supplements that CF kids need?

A

pancreatic enzymes, and Vitamins ADEK

17
Q

What is a complication of lack of vitamin E absorption?

A

hemolytic anemia

18
Q

What are some signs and sx of crohns disease ?

A

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

19
Q

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

A

upper and lower GI scopes (mostly colonoscopy)

20
Q

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

A

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

21
Q

Signs in mom during pregnancy of child with Bartter syndrome?

A

consanguineous marriage, polyhydramnios

22
Q

Signs and sx in child with Bartter syndrome?

A

in newborn:

  • Polyuria
  • polydypsia
  • life-threatening dehydration
  • triangular facies (large forehead, droopy mouth, protruding ears)
    *
23
Q

electrolyte abnormality seen in Bartter syndrome?

A

hypokalemia and metabolic alkalosis

24
Q

treatment for Rocky Mountain Spotted Fever?

A

doxycycline (for all ages)

25
what is the pattern of baby bottle tooth decay syndorme?
black staining and loss of tooth surface on maxillary incisors, then can spread
26
how can you prevent baby bootle tooth decay syndrome?
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
27
Sx ranging from none to vague RLQ pain with chronic diarrhea, barrel shaped ova in stool, and normal eosinophils?
trichuriasis (whipworm)
28
Treatment of trichuriasis (whipworm)
mebendazole