Deck 4 COPY

Question 1

how does scarlet fever present

Answer 1

sandpaper rash, strawberry tongue, fever

Question 2

presentation of serum-sickness like reaction

Answer 2

fever, rash, arthralgia, lymphadenopathy

Question 3

causes of serum-sickness like reaciton

Answer 3

mostly drugs like penicillin, TMP-SMX, cephalosporins

Question 4

if a patient has precocious puberty and advanced bone age what test should you order

Answer 4

MRI bc likely a central caues

Question 5

prophylaxis for rheumatic fever (after you had it once)

Answer 5

penicillin every 4 weeks injection

Question 6

when infection are infants with galactosemia at risk of

Answer 6

ecoli sepsis

Question 7

if a testes is undescended what age do you have to do orchiopexy

Answer 7

> 6mo

Question 8

what imaging do you do for a suspected volvulus in an UNSTABLE infant

Answer 8

abdominal xray

Question 9

what is physiologic thelarche

Answer 9

this is normal physiolgic breast development in an adolescent

Question 10

signs of endocarditis in a child

Answer 10

new onset murmur, leukocytosis, splenomegaly, arthralgias, fatigue, low grade fevers

Question 11

at what age is eneuresis pathologic

Answer 11

> 5yrs

Question 12

treatment for refractory ITP

Answer 12

Rhogam if Rh+, splenectomy

Question 13

what is ADEM

Answer 13

acute disseminated encephalomyelitis –> where you have multiple white matter lesions like MS but they are more spread out

Question 14

what kids get ADEM

Answer 14

post infection

Question 15

rare complication of measles that occurs years later

Answer 15

SSPE

Question 16

phases of measles

Answer 16

1) prodrome of fever (mild <102) and 4 C’s 2) exanthem phase cephalocaudal spread

Question 17

dx of measles

Answer 17

serum IgM, CBC with evidence of fever

Question 18

what antibiotics do you give for otitis media if theyve had amox in the past 30 days

Answer 18

still amox but add clavulanate (augmentin)

Question 19

PEP for VZV exposed neonate

Answer 19

passive varicella immune globulin

Question 20

what is pseudoappendicitis

Answer 20

this is a feature of campylobactor infection, not real appendicitis

Question 21

what is the rash of a child with perianal well demarcated no satellite lesioned diaper rash

Answer 21

perianal strep

Question 22

what is prune belly syndrome

Answer 22

this is when there is an irregularity in the abdominal wall musculature but there is skin overlying the intestines

Question 23

is gastroshesis associated with other defects or omphalocele

Answer 23

omphalocele!

Question 24

what nerve injury causes claw hand

Answer 24

C8/T1

Question 25

signs of hemophilia

Answer 25

large amounts of bleeding and bruising after falls

Question 26

varicella PEP in an immunocompetant non vacced child

Answer 26

vaccine

Question 27

beta thallessemia results of hemoglobin electrophoresis

Answer 27

no HbB all HbF no HbS

Question 28

treatment of beta thall

Answer 28

transfusions and chelation therapy to avoid excess iron

Question 29

when can you not get consent for a minor

Answer 29

for emergency procedurs that are life saving/disability saving

Question 30

osteogenesis signs

Answer 30

frequent fractures, hypermobility, transluscent teeth, short stature, blue sclera

Question 31

in a large VSD, what will it look like on xray

Answer 31

because of the excess blood in the right ventricle, there will excess blood that goes through pulm circulation that then goes extra into the LA and LV so you will see increased left heart markings on the xray

Question 32

tests for renal tubular acidosis

Answer 32

phosphorus levels to see if it is being reabsorbed, will be low if child has RTA/fanconi syndrome

Question 33

signs of rickets

Answer 33

widening of the wrist joints, bowing legs

Question 34

what two rashes can be on the hands and feet of babies

Answer 34

congenital syphilis or coxsackie

Question 35

how do differentiate between congenital syph and HFM

Answer 35

syph is not in the oral mucosa and no fever, HFM fever and in oral mucosa but both are on hands and feet

Question 36

signs of gaucher in an teenager

Answer 36

delayed puberty, hepatomegaly, small

Question 37

acute iron poisoning

Answer 37

anion gap metabolic acidosis, vomiting, diarrhea

Question 38

signs of beckwith wiedman syndrom

Answer 38

large tongue, macrosomnia, omphalocele, wilms tumor, hemihyperplasia (one limb bigger than the other)

Question 39

prader willi facial features

Answer 39

almond shaped eyes, downturned mouth, narrow forhead

Question 40

signs of prader willi general

Answer 40

macrosomnia, obesity, intellecutual disability, hypogondadism, hypotonia

Question 41

if you have a child with moderately high lead levels, what is the next step

Answer 41

confirm with venous lead (POC are usually just fingerstick)

Question 42

signs of pertussis in a neonate

Answer 42

harsh cough that causes cyanosis, emesis following harsh cough, low grade fever

Question 43

what does a tight anal sphincter indicate

Answer 43

hirschsprungs

Question 44

how do you manage non suicidal adolescent injury

Answer 44

directly inform parents and involve them in care, they do not need imeediate hospitalization

Question 45

most common risk factor sinusitis

Answer 45

previous URI

Question 46

causes of meningitis in a 1-2yo

Answer 46

strep pneumo, neisseria meningitditis

Question 47

pathophys of infant anemia

Answer 47

their RBCs degenerate faster AND they have decreased EPO because theyve had adquate O2

Question 48

management of CGD infection

Answer 48

a patient should undergo biopsy to test their bacteria so therapy can be targeted

Question 49

rash: hyperpigment/hypo, face and trunk, mildy pruritic

Answer 49

tinea versicolor

Question 50

what age do vision screenings take place

Answer 50

all well child visits

Question 51

exam findings of otitis media with effusion

Answer 51

normal TM but visible air fluid levels

Question 52

treatment of otitis media with effusion

Answer 52

observation and followup

Question 53

what respiratory disease of newborns shows air bronchograms on xray

Answer 53

NARDS

Question 54

Xray description of transient tachypnea of the newborn

Answer 54

patchy bilateral infiltrates with lung hyperinflation