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Peds EOR personal > General > Flashcards

General Flashcards

1
Q

Acne tx - Mild, moderate, severe

A 
Mild = topical - salicyclic, benzoyl, tretinoin topical
Moderate = + ABX, minocycline or doxycycline
Severe = Isotretinoin
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2
Q

Isotretinoin SE

A

Dry skin and lips, teratogenic, increased triglycerides/cholesterol, hepatitis

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3
Q

Atopic dermatitis (Eczema) flares

A

heat, perspiration, allergens, contact irritants (wool, nickel, food, synthetic fibers)

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4
Q

Atopy triad = 3 As

A

Allergic rhinitis, atopic dermatitis, asthma

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5
Q

Atopic dermatitis (Eczema) tx

A

1st = topical cortical steroids
Antihistamines for pruritus
Tx secondary staph infection
Severe = topical tacrolimus

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6
Q

TBSA for Minor and major burns

A

Minor = < 5% TBSA or <2% full thickness
Major = >20% or >10% full thickness
involving hands, face, soles, perineum, circumferential

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7
Q

Which diaper dermatitis involves and spares the genitocrural folds?

A 
Irritant = spares folds
Candida = involves folds
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8
Q

Perioral dermatitis tx and CI

A 
Tx = topical metronidazole, can use erythromycin...PO minocycline or doxy
CI = topical steroids = worsens
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9
Q

Drug eruption timing and MC drugs

A

5-14 days after starting medication or 1-2 days if previously sensitized

Penicillin, sulfa, NSAIDS and Allopurinol

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10
Q

How to differentiate Drug eruption angioedema from other angioedema causes

A

Drug eruption = No identifiable cause, no pruritus or urticaria

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11
Q

Erythema multiform triggers

  • Infections
  • Meds
  • Other
A 
Infections = HSV, mycoplasma, S. pneumoniae
Meds = sulfa, beta-lactams, phenytoin, phenobarbital, allopurinol
Other = Malignancy, autoimmune, Idiopathic
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12
Q

Impetigo causative organisms? Treatment?

A

S. aureus or Group A strep
Topical Mupirocin
Doxy, Bactrim, etc. if MRSA

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13
Q

Scabies pathognomonic

A

Linear burrows

Red itchy pruritic papules or nodules on scrotum, glans or shaft or body folds

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14
Q

What is the term for Athlete’s foot? Jock itch? Ring worm?

A

Tinea pedis
Tinea cruris
Tinea Corporis

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15
Q

Patient education if taking PO fluconazole

A

Do not shower for 2-3 hours after ingestion. Delivered to skin via sweat.

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16
Q

Urticaria treatment

A

1) H1 blocker antihistamine - 2nd gen preferred (Cetirizine, Loratadine)
2) add H2 = Ranitidine

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17
Q

HPV (Verrucae) Hallmark features

A

pinpoint black dots = thrombosed capillaries

Bleeds when shaved

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18
Q

Fungal pharyngitis tx

A

Miconazole, Nystatin swish & swallow

HIV+ = Fluconazole

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19
Q

2 causes of strawberry tongue

A

Scarlet fever

Kawasaki’s disease

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20
Q

Scarlet fever rash characteristics

A

diffuse erythema that blanches, sand paper texture rash that starts on axilla/groin and spreads to trunk - spares palms & soles

21
Q

Allergic rhinitis and nasal polyps tx

A

Intranasal corticosteroids = Mometasone, fluticasone

22
Q

MC cause of Epiglottitis? Dx and imaging finding? Tx

A
  • H. Influenza B (HiB)
  • Laryngoscopy = inflammation or Lateral soft tissue xray = thumbprint sign
  • Airway management, dexamethasone for edema, 2nd/3rd gen cephalosporin
23
Q

MC cause of Conjunctivitis - viral & bacterial

A
  • Adenovirus

- S. pneumoniae, M. catarrhalis

24
Q

Bacterial conjunctivitis tx

When to suspect gonococcal/Moraxella?

A

Erythromycin ointment
Contacts - pseudomonas = Ciprofloxacin
Gonorrhea = referral

Gonococcal/moraxella = copious discharge not responding to abx

25
Q

Hallmark symptom of allergic conjunctavitis?

A

Pruritus

26
Q

Where does lateralization occur with sensorineural loss? Conductive?

A

Sensorineural = lateralized to normal
Conductive = lateralized to abnormal
- Bone conduction > air = abnormal…think conductive

27
Q

Dx and tx for mastoiditis

A

CT scan w/contrast - rule out intracranial involvement
IV abx - Vancomycin + Ceftazidime/Cefepime, Zosyn
+/- middle ear I&D

28
Q

MC etiology of otitis externa? treatment?

A

Pseudomonas aeruginosa

Ciprofloxacin-dexamethasone ear drops

29
Q

Peritonsillar abscess treatment

A

Aspiration/I&D + abx = Amoxicillin, Augmentin, Clindamycin

30
Q

Triad of congenital rubella =

What’s the biggest RF for congenital rubella?

A

Sensorineural hearing loss (failed newborn screen)
Heart disease
Cataracts

31
Q

When does the neonate develop surfactant? When is it sufficient?

A

28-32 weeks. Sufficient after 35 weeks

32
Q

Serious GI side effect of macrolides and newborns?

A

Pyloric Stenosis

33
Q

Complications of Congenital Neonatal herpes virus

A

Keratoconjunctivitis, Vesicular skin rash, Meningitis, Sepsis

  • Seizures
  • Lethargy
  • poor feeding
34
Q

Signs/symptoms concerning of child abuse

A
  • Spiral fractures
  • Posterior rib fx
  • Sternal, scapular, spinous process
  • fx/wounds/bruises at different ages
  • cutaneous bites, bruises, burns
  • Shaken baby syndrome = retinal hemorrhages
35
Q

TM perforation management

A

ABX (Amoxicillin) with close observation

36
Q

MC organism causing Croup

A

parainfluenza

37
Q

What medication should you give for lower airway obstruction? (Wheeze). What med should you give for upper airway obstruction? (Stridor)

A 
Upper = nebulized racemic epi
Lower = nebulized beta 2 agonist
38
Q

Innocent murmur characteristics

A

Soft short systolic best heard at apex. Less intense when sitting or upright and increased intensity when supine

39
Q

Otitis-Conjunctivitis syndrome organism and treatment

A

Tx = Like OM but 1st = Augmentin d/t possible H. influ etiology

40
Q

What is 1st line treatment of Hypertrophic cardiomyopathy?

A

Verapamil or non-vasodilating BB

41
Q

What is 1st line treatment of Hypertrophic cardiomyopathy?

A

Verapamil or non-vasodilating BB

42
Q

Which vaccine has the highest risk for febrile seizures?

A

MMR

43
Q

1st line tx for pinworms

A

Albendazole or mebendazole

44
Q

1st line tx for pinworms

A

Albendazole or mebendazole

45
Q

Clinical s/s and peripheral smear findings of lead poisoning

A

HA, joint pain, constipation…Basophilic stippling

46
Q

Which exanthem presents with lacy red rash

A

Erythema Infectiosum “5th disease” - slapped cheeks

47
Q

Where is lymphadenopathy seen with mono? Strep?

A 
Mono = posterior or diffuse
Strep = anterior
48
Q

Kawasaki signs for dx & mnemonic

A
  • Fever >5 days
  • Bilateral non-exudative conjunctivitis
  • mucus membrane changes (strawberry tongue/cracked lips)
  • Cervical lymphadenopathy
  • swelling of hands/feet = palmar/solar erythema or rash

“CRASH and Burn” = conjunctivitis, rash, adenopathy, strawberry tongue, hand/feet erythema & fever

Peds EOR personal (2 decks)

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