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shelf PEDS > I > Flashcards

I Flashcards

1
Q

common complication of sickle cell disease in hip

A

avascular necrosis

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2
Q

msot common predisposing factor for acute bacterial sinusitis is what

A

viral upper respiratory infection

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3
Q

Dx for kawasaki

A

fever more than 5 days and 4+:

  • bilateral nonexudative conjunctivitis
  • mucositis
  • cervical lymphadenopathy with atleast 1 lymph node
  • erythematous polymorphous rash
  • extremity changes (edema and erythema)
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4
Q

Tx kawasaki

A

aspirin and IV Immunoglobulin

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5
Q

complications kawasaki

A

coronary artery anerysms

MI and ischemia

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6
Q

Scarlet fever is a complication of what

A

strep pharyngitis

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7
Q

rash in scarlet fever

A

sand paper texture that spares palms and soles

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8
Q

rocky mountain spotted fever rash

A

on palms and soles

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9
Q

Tx rocky mountain spotted fever

A

doxy

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10
Q

brocas aphasia in sickle cell patient

A

give exchange transfusion

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11
Q

most predisposing factor to orbital cellulitis

A

bacterial sinusitis

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12
Q

what causes atresia of jejunum or ileum in utero

A

vascular accident- mother doing cocaine

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13
Q

double bubble sign

A

duodenal atresia

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14
Q

pneumatosis intestinalis

A

is when gas gets into damaged bowel wall

necrotizing enterocolitis

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15
Q

Tx monosymptomatic enuresis

A

desmopressin

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16
Q

1 year old fine motor skills

A

2 finger grasp

can turn pages in a book

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17
Q

1 year old gross motor skills

A

walks without assistance
waves bye
climbs the furniture

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18
Q

1 year old language skills

A

2-3 words

mama and dada

19
Q

1 year old social skills

A

imitates actions
places peek a boo
indicates wants

20
Q

2 year old fine motor skills

A

builds tower

turns individual pages in book

21
Q

2 year old gross motor skills

A

walks up and down stairs
jumps
throws ball overhead

22
Q

2 year old language skills

A

200 word vocabulary
2 word phrases
50% of speech intelligible

23
Q

2 year old social skills

A

follow 2 step commands

removes clothes

24
Q

HA in children

A

migraines are common

start with ibuprofen or acetaminophen

25
Q

presentation of migraines in children

A

unilateral or bilateral frontal pain, photophobia, phonophobia, nausea, vomiting, visual audiory or linguistic aura

26
Q

most common cause UT obstruction in newborn boys

A

posterior urethral valves

27
Q

Tx clubfoot

A

immediate- stretchin and manipulation with casts later and splints or taping

28
Q

11 year old tanner stage 2 found to be 46XY

next step

A

perform gonadectomy after puberty

to decrease malignancy

29
Q

karyotype androgen insensitivity syndrome

A

46XY
look like female
have undescended testes and no uterus

30
Q

presentation of duchenne vs becker dystrophies

A

duchenne onsets earlier lik 2-3 y.o with pseudohypertrophy and complete loss of dystrophin
becker onsets later ages 5-15 with less dystrophin overall

31
Q

what do you use for impetigo

A

topical mupirocin

32
Q

contraindication to rotavirus vaccination

A

anaphylaxis to ingredients
Hx of intussusception
Hx of uncorrected congenital malformation of GI tract like a diverticulum
SCID

33
Q

when is rotavirus vaccine fived

A

2-6 months, live attenuated

34
Q

most likely infection for newborns with umbilical stump

A

tetanus
poor suckling reflex and muscle spasms
can have apnea and septicemia

35
Q

focal seizures, mental retardationadn port wine stain

A

sturge weber

36
Q

gyriform intracranial calcifications that resemble tramline

A

sturge weber

37
Q

when does breastfeeding failure jaundice occur

A

1st week of life

38
Q

when does breast milk jaundice occur

A

2-5 days peaks at 2 weeks

39
Q

clinical features of breastfeeding failure jaundice

A

signs of dehydration and suboptimal breastfeeding

40
Q

Tx breastfeeding failure jaundice

A

increase frequency

41
Q

suspect septic arthritis in kid, next step

A

arthrocentesis

42
Q

septic arthritis pathogen in infants birth- 3mo old

A

staph, GBS, gram neg bacilli

43
Q

pathogens for septic arthritis in kids older than 3 mo

A

staph, GAS, strep pneumo

44
Q

Tx dehydration in children

A

IV bolus normal saline

shelf PEDS (13 decks)

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