great review! part 2

Question 1

Henoch-Schonlein purpura (HSP) triad consists of:

Answer 1

erythematous rash,

abdominal pain/renal failure, and arthralgias

Question 2

For gasoline poisoning:

when to discharge asymptomatic patients?

Answer 2

The patient may be discharged with observation at home if asymptomatic throughout and Xray
is negative

Question 3

For gasoline poisoning:

when to discharge symptomatic patients?

Answer 3

All symptomatic patients should have a chest X-ray taken no sooner than two hours postingestion,
and should be observed in the emergency department for a period of six hours.

Question 4

For gasoline poisoning:

when to admit patients?

Answer 4

Symptomatic OR
In the presence of a positive two-hour X-ray, the patient should be admitted for monitoring
of blood gases, repeat chest X-rays, and respiratory support if required

Question 5

How the following sets of additional findings would indicate that the patient suffers from severe anorexia nervosa?

Hyper/Hypotension, tachy/bradycardia, and hyper/hypothermia

Answer 5

Hypotension, bradycardia, and hypothermia

Question 6

infant is noted to have subcostal retractions and cyanosis despite good respiratory effort. The abdomen is scaphoid. On bag and mask ventilation,
auscultation of the lungs reveals decreased breath sounds on the left, with heart sounds louder on the right.
diagnosis?

Answer 6

Diaphragmatic hernia

Question 7

What is the most frequent etiologic agent of occult bacteremia in children?

Answer 7

Streptococcus pneumoniae

In a study of about 9000 well-appearing older infants and young children, 149 (1.7%) had positive blood cultures, 92% of which were S. pneumoniae.

Question 8

What investigation is most helpful in the assessment of a child presenting with an acute asthma attack?

Answer 8

Pulse oximetry and either PEF or FEV1 measurement**

ABG (choice B) measurements should be obtained in patients with marked respiratory
distress or signs and symptoms of impending respiratory failure.

Question 9

2y old child. The only significant finding is a

grade 3/6 diastolic murmur heard at the right upper sternal border. what’s the most appropriate at this time?

Answer 9

Referral to a pediatric cardiologist

just like you would do with any other child with murmur that is diastolic or is greater than 3/6.

Question 10

List some reasons for referral for cardiovascular evaluation

Answer 10

cardiac symptoms, abnormal splitting of S2, a murmur that increases on standing, a holosytolic murmur, or ejection clicks