Deck 7

Question 1

when do you treat children for lead poisoning

Answer 1

> 45BLL

Question 2

karyotype of androgen insensitivity

Answer 2

46 XY

Question 3

internal sex organs seen in androgen insensitiivty

Answer 3

no uterus, YES testes, no penis, externally female

Question 4

appearance of a person with androgen insensitivity

Answer 4

feminine features bc the androgens are converted to estrogen

Question 5

histology of alport

Answer 5

longitudinal basement membrane splitting

Question 6

contradinications to breast feeding

Answer 6

galactosemia, HIV infection, active herpes, TB, substance use disorder, chemo treatment

Question 7

can you be on methadone while breastfeeding

Answer 7

yace

Question 8

unilat or bilat hearing loss in CMV

Answer 8

either

Question 9

where is the thymus on CXR

Answer 9

it is to the right of the heart in a triangle

Question 10

biggest complication of sickle cell trait

Answer 10

hematuria

Question 11

hemoglobin electorphoresis of sickle cell trait

Answer 11

HbA and HbS minimal HbF

Question 12

hemoglobin electorphoresis of sickle cell disease

Answer 12

NO HbA and mostly HbS

Question 13

major sequelae of meningococal meningitis

Answer 13

adrenal hemorrhage, DIC, shock

Question 14

how do you test for DIC

Answer 14

fibrinogen levels, they will be low because it is being consumed

Question 15

management of NARDS

Answer 15

first bag then cpap then intubate

Question 16

where is the freckling in NF1

Answer 16

they are typically in the axilla and groin/trunk

Question 17

what do the nodules look like in the eyes of NF1

Answer 17

dark brown spots (lisch nodules)

Question 18

next step in a child thats tripoding

Answer 18

intubation

Question 19

blood streaked stool vs. blood mixed into the stool

Answer 19

streaked it just constipation (add prunes), blood mixed is protocolitis (switch formula or stop eating dairy for BFing)

Question 20

precautions for neisseria meningitidis

Answer 20

droplet

Question 21

what does pneumonia look like in CXR

Answer 21

follows fissures

Question 22

complications of sickle disease

Answer 22

acute chest syndrome, dactylitis, ischemic stroke, splenic infarction, osteomyelitis

Question 23

what does squatting do to afterload

Answer 23

it kinks the femoral arteries which increases afterload!

Question 24

signs of otitis externa

Answer 24

pain with manipulation of the external ear and often from swimming

Question 25

imaging findings of CF

Answer 25

hyperinflation, bronchial thickening, patchy atelectasis throughout both lobes

Question 26

factor 8 deficiency PT or PTT

Answer 26

PT!

Question 27

von willebrand features

Answer 27

increased PTT, prolonged bleeding, menorrhagia in people with peridos

Question 28

what does VWF do

Answer 28

it stabilizes VII so there will be less of it in circulation which is why the PTT is often slightly prolonged

Question 29

what is elvated in rickets

Answer 29

alk phos

Question 30

what is maturational delay

Answer 30

this is where the child has primary eneuresis where they never achieve nightime dryness

Question 31

FSH levels in turners

Answer 31

high, trying to get ovaries to produce estrogen

Question 32

what are posterior urethral valves

Answer 32

this is when there are extra folds in the membraneous urethra obstruct the membraneous and prosthetic urethra

Question 33

signs of posterior urethral valves

Answer 33

detruser hypertrophy, hydronephrosis, hydroureter,

Question 34

Hep B vaccine schedule

Answer 34

birth, 2 mo, 6mo

Question 35

Dtap vaccine schedule

Answer 35

2, 4, 6, and 15 mo

Question 36

polio vacc

Answer 36

2, 4, 6 mo

Question 37

rota vax

Answer 37

2, 4, 6 mo

Question 38

HiB vax

Answer 38

2, 4, 6, mo

Question 39

pneumoccocal vax

Answer 39

2, 4, 6 mo

Question 40

hep A vax

Answer 40

12, 18mo

Question 41

MMR vax

Answer 41

1 yr , 4yrs

Question 42

varicella

Answer 42

1, 4 yrs

Question 43

HPV vax

Answer 43

12 yrs, 12.5 or > yrs

Question 44

meningococcal vax

Answer 44

11 yrs, 16 yrs

Question 45

influenza

Answer 45

>6mo olds every year in fall

Question 46

nature of a PDA murmur

Answer 46

continuous machine like aka it is not crescendo ing

Question 47

pulmonic stenosis auscultation

Answer 47

early systolic mumur in pulmonic area, radiates to lung fields/back and has a wide S2

Question 48

location of neuroblastoma and wilms

Answer 48

neuro typically crosses midline and wilms is unilateral in the kidney

Question 49

inheritance of CGD

Answer 49

x linked recessive

Question 50

pulmonary findsings of DKA

Answer 50

increased tidal volume

Question 51

what are kussmall respirations

Answer 51

long deep breaths

Question 52

how is a person in DKA breathing

Answer 52

kussmall, long deep breaths

Question 53

what organisms do you get from a human bite

Answer 53

mixed flora, staph, strep, oral flora (actinomyces)

Question 54

does hyponatremia cause decreased oncotic pressure

Answer 54

no this is mostly just protein

Question 55

epinephrine effect on glucose levels

Answer 55

increased glucose due to stimulation of glycogen breakdown

Question 56

osteomyelitis vs. septic arthritis

Answer 56

osteo is more focal pain on palpation but septic is pain with range of motion

Question 57

birth head trauma differentiation

Answer 57

caput succadeaum crosses suture lines // cephalohematoma does not cross sutures