COMQUEST Wrongs 5

Question 1

Mother with SLE has baby. What is the baby at risk of having?

Answer 1

neonatal SLE

Question 2

what is the most common heart condition is associated with neonatal SLE?

Answer 2

third degree heart block

Question 3

treatment for cradle cap

Answer 3

topical selenium sulfide

Question 4

treatment for tinea capitis?

Answer 4

oral griseofulvin

Question 5

treatment of lice and scabies?

Answer 5

topical permethrin

Question 6

topical treatment of impetigo (staph/strep infection of the skin)?

Answer 6

topical mupirocin

Question 7

criteria for primary dysmenorrhea

Answer 7

pain that begins in the first six cycles after menses begins

Question 8

First line therapy for primary dysmenorrhea?

Answer 8

NSAIDs

Question 9

Second line therapy for primary amenorrhea after NSAIDs fail to provide relief?

Answer 9

OCP

Question 10

criteria for secondary dysmenorrhea

Answer 10

new-onset painful cycles in 20s-30s

Question 11

signs and sx of Behcets disease

Answer 11

• recurrent oral apthous ulcers
• genital ulcers that heal with scars
• uveitis

Question 12

abx of choice to treat sinusitis?

Answer 12

amoxicillin

Question 13

most common sinuses in which young kids get sinusitis? (are the only sinuses present until a certain age
)

Answer 13

ethmoid and maxillary

Question 14

most common ainuses affected in older children with sinusitis?

Answer 14

sphenoid and frontal

Question 15

criteria for sinusitis

Answer 15

• recent URI with:
  
  • more than 10 days nasal discharge and/or cough
  • worsening cough after initial improvement
  • fever and purulent nasal discharge for at least 3 days

Question 16

collapse/syncopal episode (without exertion) and sudden death in close relatives is indicative of what disease?

Answer 16

long QT syndrome and Wolff-Parkinson-White

Question 17

how do you screen for someone with a family hx of inherited causes of early cardiac death? (WPW and long QT)

Answer 17

ekg

Question 18

how do you diagnose hypertrophic obstructive cardiomyopathy?

Answer 18

echocardiogram.

would have syncopal episode with exertion and normal ekg

Question 19

how do you care for an uncircumsized penis?

Answer 19

clean it, but do not retract foreskin to separate from glans; this will happen with time

Question 20

therapy for infant with thrush?

Answer 20

nystatin oral suspension

Question 21

diagnostic test for cholelithiasis?

Answer 21

abdominal US

Question 22

C5-6 nerve damage during LGA delivery results in:

Answer 22

Erbs/waiter’s tip palsy (arm adducted, internally rotated, and extended)

Question 23

C8-T1 nerve damage during LGA delivery results in:

Answer 23

Klumpke’s palsy (arm in supinated position, elbow flexed, wrist extended “claw hand”)

Question 24

total brachial plexus paralysis (C5-T1)

Answer 24

horner syndrome or phrenic nerve damage (paralyzed diaphragm and respiratory distress)

Question 25

empiric therapy for Giardia infection

Answer 25

tinidazole or metronidazole for empiric therapy in a highly suggestive case

Question 26

signs and sx of congenital hypothyroidism

Answer 26

• “good” baby who rarely cries and sleeps much of the time
• poor tone
• prolonged jaundice
• poor feeding/failure to thrive
• large anterior fontanel
• constipation
• coarse facies
• macroglossia
• hoarse cry
• umbilical hernia

Question 27

signs and sx of tyrosinemia

Answer 27

acute hepatic crisis (jaundice, hepatomegaly, elevated liver function studies) and a “boiled cabbage” smell in a 1-6 month old

Question 28

infant presenting in the first few days of life as: vomiting, lethargy, seizures, coma, and profound acidosis, and “sweaty feet” odor

Answer 28

isovaleric acidemia