exam 1 Flashcards
Vignettes
- Lab results will have the normals within stem
Wk 1:
* Growth and development:
○ Milestone question
○ Immunization question
○ Recommended screening test: lead screening, what to do if elevated level, do we start tx vs monitor?
* Anticipatory guidance
○ Ignore charts
○ Know car safety, sleep safety
* Common parental concerns
○ Colic
○ Teething
○ Sleeping
* Adolescent medicine:
○ FEMALE tanner stage
* Mental illness:
○ Anorexia
○ Bullimia
○ Long term complications if left undiagnosed
Wk 2:Neonatal
* Birth injuries:
○ Head
○ Brachial plexus - what finding on exam with certain nerve root affected
* Jaundice:
○ Differentiate physiologic vs pathologic/something that needs more workup and tx
* Common acute conditions following birth
○ Respiratory distress
○ TORCH infections torch infection
* Genetics:
○ MALE CONDITIONS - kleinfelters
○ Know classic features of the “big ones”
Wk 3: skin
* Focus on VIRAL EXANTHEMS
* Appearance of the rash
* Lab findings with certain rashes
* Predispositions and causes of the rashes
Opthalmology:
* Causes of conjunctivitis: viral, allergic, etc
* Common Eye injuries
EENT:
* EAR infections
○ Otitis media was on the question, focus on others too
* Pharyngitis
○ Strep AND others
○ Untreated strep -> rheumatic fever know
Respiratory:
* One of the MC ones CROUP
○ TREATMENT OF CROUP
○ Parents report barking cough at nighttime and you don’t hear it - dexamethasone
○ Stridor - racemic epi
* Asthma: read a vignette and determine intermittent, persistent, etc and determine if they need to be stepped up or down including what tx to add
* Radiologic findings: know how these signs are described/what they are
○ Diseases, infection
○ Thumbprint sign
○ Croup: siegal sign
* MCC of these illness and the MC tx
○ Epiglottis
○ Croup
○ Pertussis
○ Etc
Cardiology:
* MC defects:
○ Cyanotic vs acyanotic
○ Chest xray: classic findings
§ Boot shaped heart - r ventricle hypertrophy
§ Egg on string - transposition of great vessels, rotated heart and narrow mediastinum
* HTN and Dyslipidemia tx (lifestyle modification)
* Syncope:
○ Diligent hx and PE
○ Never miss more severe cause
Heme:
* ANEMIAs
○ Esp Iron deficiency
* Bleeding disorders
○ ITP
○ HUS
* AML/ALL
* Lymphoma - hodkin vs nonhodgkin
* Solid tumor:
○ MC!!!
○ Tx mostly the same: surgical resection with chemo +/- radiation
Milestone question
Immunization question
Recommended screening test: lead screening, what to do if elevated level, do we start tx vs monitor?
Anticipatory guidance
