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Step 2 Big Time Study Deck > Deck 7 > Flashcards

Deck 7 Flashcards

1
Q

when do you treat children for lead poisoning

A

> 45BLL

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2
Q

karyotype of androgen insensitivity

A

46 XY

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3
Q

internal sex organs seen in androgen insensitiivty

A

no uterus, YES testes, no penis, externally female

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4
Q

appearance of a person with androgen insensitivity

A

feminine features bc the androgens are converted to estrogen

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5
Q

histology of alport

A

longitudinal basement membrane splitting

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6
Q

contradinications to breast feeding

A

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

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7
Q

can you be on methadone while breastfeeding

A

yace

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8
Q

unilat or bilat hearing loss in CMV

A

either

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9
Q

where is the thymus on CXR

A

it is to the right of the heart in a triangle

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10
Q

biggest complication of sickle cell trait

A

hematuria

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11
Q

hemoglobin electorphoresis of sickle cell trait

A

HbA and HbS minimal HbF

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12
Q

hemoglobin electorphoresis of sickle cell disease

A

NO HbA and mostly HbS

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13
Q

major sequelae of meningococal meningitis

A

adrenal hemorrhage, DIC, shock

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14
Q

how do you test for DIC

A

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

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15
Q

management of NARDS

A

first bag then cpap then intubate

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16
Q

where is the freckling in NF1

A

they are typically in the axilla and groin/trunk

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17
Q

what do the nodules look like in the eyes of NF1

A

dark brown spots (lisch nodules)

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18
Q

next step in a child thats tripoding

A

intubation

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19
Q

blood streaked stool vs. blood mixed into the stool

A

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

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20
Q

precautions for neisseria meningitidis

A

droplet

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21
Q

what does pneumonia look like in CXR

A

follows fissures

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22
Q

complications of sickle disease

A

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

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23
Q

what does squatting do to afterload

A

it kinks the femoral arteries which increases afterload!

24
Q

signs of otitis externa

A

pain with manipulation of the external ear and often from swimming

25
Q

imaging findings of CF

A

hyperinflation, bronchial thickening, patchy atelectasis throughout both lobes

26
Q

factor 8 deficiency PT or PTT

A

PT!

27
Q

von willebrand features

A

increased PTT, prolonged bleeding, menorrhagia in people with peridos

28
Q

what does VWF do

A

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

29
Q

what is elvated in rickets

A

alk phos

30
Q

what is maturational delay

A

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

31
Q

FSH levels in turners

A

high, trying to get ovaries to produce estrogen

32
Q

what are posterior urethral valves

A

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

33
Q

signs of posterior urethral valves

A

detruser hypertrophy, hydronephrosis, hydroureter,

34
Q

Hep B vaccine schedule

A

birth, 2 mo, 6mo

35
Q

Dtap vaccine schedule

A

2, 4, 6, and 15 mo

36
Q

polio vacc

A

2, 4, 6 mo

37
Q

rota vax

A

2, 4, 6 mo

38
Q

HiB vax

A

2, 4, 6, mo

39
Q

pneumoccocal vax

A

2, 4, 6 mo

40
Q

hep A vax

A

12, 18mo

41
Q

MMR vax

A

1 yr , 4yrs

42
Q

varicella

A

1, 4 yrs

43
Q

HPV vax

A

12 yrs, 12.5 or > yrs

44
Q

meningococcal vax

A

11 yrs, 16 yrs

45
Q

influenza

A

> 6mo olds every year in fall

46
Q

nature of a PDA murmur

A

continuous machine like aka it is not crescendo ing

47
Q

pulmonic stenosis auscultation

A

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

48
Q

location of neuroblastoma and wilms

A

neuro typically crosses midline and wilms is unilateral in the kidney

49
Q

inheritance of CGD

A

x linked recessive

50
Q

pulmonary findsings of DKA

A

increased tidal volume

51
Q

what are kussmall respirations

A

long deep breaths

52
Q

how is a person in DKA breathing

A

kussmall, long deep breaths

53
Q

what organisms do you get from a human bite

A

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

54
Q

does hyponatremia cause decreased oncotic pressure

A

no this is mostly just protein

55
Q

epinephrine effect on glucose levels

A

increased glucose due to stimulation of glycogen breakdown

56
Q

osteomyelitis vs. septic arthritis

A

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

57
Q

birth head trauma differentiation

A

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

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