first IRAT - MOAR pediatrics

Question 1

MC childhood malignancy

Answer 1

Leukemia

Question 2

Leukemia onset

Answer 2

2-10, 4 is MC

Question 3

Leukemia is more common with

Answer 3

boys, whites, and family members

Question 4

Leukemia CBC

Answer 4

at least 1 type deficient

Question 5

WBC count leukemia

Answer 5

above 50,000

Question 6

X ray leukemia

Answer 6

diffuse osteopenia/bone destruction

Question 7

P-A chest leukemia

Answer 7

Mediastinal mass

Question 8

definitive diagnosis of Leukema

Answer 8

bone marrow aspiration

Question 9

Acute lympoblastic Leukemia

Answer 9

MC leukemia (75% cure rate)”

Question 10

poorest prognosis leukemia

Answer 10

Acute myelogenous leukemia

Question 11

S&S Leukemia

Answer 11

Hepatosplenomegaly (60%)
Fatigue
Bone pain (pelvis, vertebral bodies, legs)
Easy bruising
Fever
Lymphadenopathy
Testicular enlargement

Question 12

___ % of hodgkins occurs in children __-__ 16 y/o

Answer 12

60%

10-16year olds

Question 13

____ ____ found in 80% of Hodgkins cases

Answer 13

mediastinal mass

Question 14

Pathognomonic for Hodgkins Dx

Answer 14

Reed sternburg cells

Question 15

CBC in Hodgkins

Answer 15

normal

Question 16

85-90% survival rate for Hodgkins granted

Answer 16

early detection

Question 17

ages for non hodgkins

Answer 17

15+

Question 18

signs and symptoms of non hodgkins

Answer 18

Fever
Chills
Night sweats
Loss of appetite
Chronic cough
Abdominal pain
Headaches
Hepatosplenomegaly
lymphadenopathy

Question 19

non hodgkins + chemo = ___% survival rate

Answer 19

90%

Question 20

Wilms tumor ages

Answer 20

<5 y/o

Question 21

S&S of wilm’s tumor

Answer 21

Palpable abdominal mass
Fever
Anorexia
Abdominal pain

Question 22

children should be screened every 12 mo for

Answer 22

lead poisoning

Question 23

lead poisoning should be suspected when there are:

Answer 23

developmental delays
learning disabilities
convulsions
autism
recurrent abdominal pain/vomiting
speech/hearing problems

Question 24

commonly missed condition

Answer 24

pediatric HTN

Question 25

children with mineral deficiencies are more susceptible to ____ poisoning due to bodies being readily available to absorb

Answer 25

lead

Question 26

it is estimated that __ -__% of children have ADHD but ___% are on medication for it

Answer 26

3-5%

10% on meds from 2nd to 5th grade
20% post 5th grade

Question 27

#1 cause of death in 1-14y/o 
#2

Answer 27

accidents

leukemia

Question 28

fracture healing times:
neonate
7 year old
adolescent
adult

Answer 28

3 weeks neonate
6 weeks 7 year old
8-10 weeks adolescent
12 weeks adult

Question 29

Sprain in young athlete can involve the bone because

Answer 29

immature growth centers

Question 30

_____ have more resilient bone because instead of a full fracture, may have a greenstick instead

Answer 30

young athletes/children

Question 31

Salter-Harris type I

Answer 31

shearing across the epiphysis

Question 32

Salter-Harris type II

Answer 32

shearing with avulsion of metaphysis

Question 33

Salter-Harris type III

Answer 33

across physis and epiphysis

Question 34

Salter-Harris IV

Answer 34

across metaphysics, physis, and epiphysis

Question 35

Salter-Harris V

Answer 35

crushing injury to the physis that may not be visible on x-ray. Can cause growth retardation which may not be apparent until weeks after the injury

Question 36

little leaguer’s shoulder

Answer 36

Salter-Harris type I on proximal humerus

Question 37

non traumatic elbow pain presentation in child suspect

Answer 37

panner’s

Question 38

little league’s elbow

Answer 38

chronic repetitive distraction of medial elbow and compression of lateral elbow. Found especially in little league pitchers due to forcefully extending and pronating arm while throwing.