Exam 3, Dr Dow, Peds

Question 1

What are the TORCH group

Answer 1

toxo
other: syphilis, varicella-zoster, parvovirus B19, HIV
rubella
cytomegalo
HSV

Question 2

What are buzzwords for infant with cardiac issues

Answer 2

diaphoresis and tachypnea with feeding

exertion

Question 3

What is holt oram

Answer 3

defects or absence of thumb or radius

have ASD or VSD

Question 4

what is acrocyanosis

Answer 4

cyanosis in extremities

Question 5

What is coloboma

Answer 5

missing part of eye and eyelid

Question 6

is a wide and fixed split S2 normal in kids

Answer 6

no

Question 7

What are characterizations of innocent child murmurs

Answer 7

low pitched, non-turbulent, no highg velocity

Question 8

What are sounds of suspicious heart murmurs in hchildren

Answer 8

high pitched
harsh
S1 holosystolic

Question 9

What is Stills murmur

Answer 9

low pitched LSB(musical)
between age 3 and adolesence
no clicks

Question 10

what is a venous hum

Answer 10

low pitched continuous from blood returning to heart

use bell

Question 11

what is pulmonary flow murmur

Answer 11

ULSB high pitched, diaphragm
benign peripheral pulm stenosis
prominent in high flow situations like fever and anemia

Question 12

What is Saturation levels in heart

Answer 12

70 on R

100 on L

Question 13

Downs involves what type of cardiac defects

Answer 13

endocardial cushion defect

VSD

Question 14

Turners patients have what cardiac defects

Answer 14

coarctation, AS, ASD

Question 15

What is NOONAN

Answer 15

male version turners

Question 16

What cardiac defects can occur with fetal alcohol syndrome

Answer 16

VSD, PDA, ASD, TOF

Question 17

What are the 5 Ts of cyanotic congenital Herat disease

Answer 17

tetralogy of fallot
transposition of great aa
TAPVR
truncus arteriosus 
tricuspide atresia

Question 18

What is the most likely Dx in a severely cyanotic neonate within hours of birth

Answer 18

transposition of great vessels

Question 19

neonate has CXR looks like snowman what is it

Answer 19

TAPVR

Question 20

rib notching on CXR in infant is most likely what

Answer 20

coarctation

Question 21

what are the top causes of myocarditis in children

Answer 21

viral: coxsackie, echo, poliomyelitis, mumps, rubella, CMV, HIV

Question 22

what are EKG changes in myocarditis

Answer 22

ST changes, prolonged QT

arrhythmias

Question 23

What do you see in lab work for myocarditis

Answer 23

PCR to see viral genome of myocardial cells

Question 24

Tx for infant myocarditis

Answer 24

IV Ig

Question 25

What is presentation Kawasaki in infants

Answer 25

fever for 5 days!!!!!!
then 4 of:
conjunctival injection
strawberry tongue
cervical lymphadenopathy
polymorphous xanthem
swelling of hands and feet

Question 26

If untreated what can kawasaki turn into

Answer 26

coronary artery aneurysms

Question 27

What do you screen for in sporting PE for children

Answer 27

family h/o early sudden death
murmurs
marfan’s stigmata
other PE consistent with cardiac disease