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Pediatrics > FA Peds > Flashcards

FA Peds Flashcards

1
Q

Primordial atrium is divided into L and R by

A

Septa primum and secundum

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2
Q

What forms the valve of the foramen ovale, wh/ closes about 3 mos after birth?

A

Septum primum

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3
Q

Formamen ovale connects RA and

A

Aorta

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4
Q

Failure of the foramen oval to close results in

A

ASD

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5
Q

When does the foramen oval normally close?

A

By about 3 mos after birth

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6
Q

The ductus venosus connects the umbilical vein with the

A

IVC

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7
Q

The ductus arteriosus connects the pulmonary trunk with the

A

aorta

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8
Q

When does the ductus arterious normally close?

A

within the first few days of life (PA pressure drops because the lungs expand, which reduces flow across DA, which causes it to close)

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9
Q

Horseshoe kidney gets caught on the

A

IMA during ascent

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10
Q

insufficient rotation fo teh midgut

A

malrotation

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11
Q

incomplete separation of foregut and primitive airway

A

TEF

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12
Q

failure of intestine to return to abdomen –> full thickness abdominal wall defect with extruded intestine

A

gastroschisis

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13
Q

Primitave alveoli and surfactant production begin at 24 weeks, but babies born prior to X weeks need surfactant their moms need steroids

A

30

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14
Q

failure of casual neural tube to close completely

A

spina bifuda

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15
Q

Lecithin to sphingomyelin ratio in the amniotic fluid greater than X indicates fetal lung maturity

A

3

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16
Q

Fetal portion of placenta is formed from

A

chorionic sac

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17
Q

Maternal portion of placenta is derived from

A

endometrium

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18
Q

What things CAN’T pass through placenta?

A

heparin and insulin

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19
Q

maternal AFP is high in

A

multiple gestations, fetal neural tube defects, gastroschisis

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20
Q

maternal AFP is low in

A

Down and Edwards (trisomy 18)

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21
Q

Most common cause of abnormal AFP

A

incorrect dates

22
Q

Neonate w/ microcephaly, hydrocephalus, intracranial calcifications, chorioretinitis, and seizures

A

Toxo

23
Q

Neonate w/ meningoencephalitis, microcephaly, cataracts, sensorineural hearing loss, and CONGENITAL HEART DISEASE (PDA and PAS)

A

Rubella

24
Q

Neonate w/ IUGR, petechiae and purpura, jaundice, HSM, microcephaly, chorioretinitis, intracranial calcifications

A

CMV

25
Q

Neonate w/ chorioretinitis and intracranial calcificiations

A

Toxo (plus hydrocephalus)
OR
CMV (plus IUGR, petechiae/purpura, jaundice, HSM)

26
Q

Neonate w/ hearing loss

A

could be rubella (earlier) or CMV (later)

27
Q

Neonate w/ depressed nasal bridge, flat philtrum, long upper lip, thin vermilion border

A

FAS

28
Q

Neonate w. irritability, nasal stuffiness, coarse tremors, poor feeding, diarrhea

A

cocaine or heroin withdrawal

29
Q

High-pitched cry + irritability + tachy

A

Cocaine withdrawal

30
Q

Yawning and sneezing + irritability + tremor

A

Opiate withdrawal (heroin)

31
Q

Cocaine use is a/w

A

placental abruption

32
Q

Fetal hydratoin syndrome = IUGR, MR, dysmorphic faces, hypoplasia of nails and distal phalanges

A

Phenytoin

33
Q

Infants of narcotic abusing mothers should never be given WHAT in the delivery room bc it may precipitate seizures?.

A

Narcan (naloxone)

34
Q

Treat hyper coagulability in pregnant woman with

A

heparin, NOT warfarin

35
Q

Maternal lupus is a/w

A

first-degree AV block

36
Q

when umbilical cord is clamped and cut, absent blood flow with the umbilical vein –>

A

closure of DV

37
Q

newborn pustular rash distributed over the run, face and extremities that resolves in a week

A

erythema toxicum

38
Q

anterior fontanelle closes at

A

9-12 months

39
Q

bulging fontanelle is seen with

A

increased intracranial pressure, hydrocephalus, meningitits

40
Q

large AF with

A

hypothyroidism, OI

41
Q

absent AF with

A

craniosynostosis

42
Q

Large tongue seen with

A

hypothyroidism, Down;s, Beckwith-Widemann

43
Q

neonate with coarse facial features

A

mucopolysarccharidoses

44
Q

salt-and-pepper speckling of iris seen in Down syndrome

A

Brushfield spots

45
Q

white pupil is called

A

leukocoria

46
Q

compare brachial with femoral pulse to r/o aortic arch obstruction such as

A

AS, coarctation (femoral pulses will be weak or absent)

47
Q

umbilical cord should have how many vessels?

A

3! two umbilical arteries and one umbilical vein

48
Q

macrosomic infants have BW >

A

4 kg

49
Q

ddx LGA

A

diabetic mother, postmature, Beckwith-Wiedermann syndrome, constitutional

50
Q

Which can cross suture lines - caput or cephalo?

A

CAPUT CAN CROSS SUTURE LINES

51
Q

area of edema over the presenting portion of the scale during a vertex delivery; a/w bruising and petechiae, can cross suture lines

A

Caput succedaneum

Pediatrics (6 decks)

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