I

Question 1

common complication of sickle cell disease in hip

Answer 1

avascular necrosis

Question 2

msot common predisposing factor for acute bacterial sinusitis is what

Answer 2

viral upper respiratory infection

Question 3

Dx for kawasaki

Answer 3

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)

Question 4

Tx kawasaki

Answer 4

aspirin and IV Immunoglobulin

Question 5

complications kawasaki

Answer 5

coronary artery anerysms

MI and ischemia

Question 6

Scarlet fever is a complication of what

Answer 6

strep pharyngitis

Question 7

rash in scarlet fever

Answer 7

sand paper texture that spares palms and soles

Question 8

rocky mountain spotted fever rash

Answer 8

on palms and soles

Question 9

Tx rocky mountain spotted fever

Answer 9

doxy

Question 10

brocas aphasia in sickle cell patient

Answer 10

give exchange transfusion

Question 11

most predisposing factor to orbital cellulitis

Answer 11

bacterial sinusitis

Question 12

what causes atresia of jejunum or ileum in utero

Answer 12

vascular accident- mother doing cocaine

Question 13

double bubble sign

Answer 13

duodenal atresia

Question 14

pneumatosis intestinalis

Answer 14

is when gas gets into damaged bowel wall

necrotizing enterocolitis

Question 15

Tx monosymptomatic enuresis

Answer 15

desmopressin

Question 16

1 year old fine motor skills

Answer 16

2 finger grasp

can turn pages in a book

Question 17

1 year old gross motor skills

Answer 17

walks without assistance
waves bye
climbs the furniture

Question 18

1 year old language skills

Answer 18

2-3 words

mama and dada

Question 19

1 year old social skills

Answer 19

imitates actions
places peek a boo
indicates wants

Question 20

2 year old fine motor skills

Answer 20

builds tower

turns individual pages in book

Question 21

2 year old gross motor skills

Answer 21

walks up and down stairs
jumps
throws ball overhead

Question 22

2 year old language skills

Answer 22

200 word vocabulary
2 word phrases
50% of speech intelligible

Question 23

2 year old social skills

Answer 23

follow 2 step commands

removes clothes

Question 24

HA in children

Answer 24

migraines are common

start with ibuprofen or acetaminophen

Question 25

presentation of migraines in children

Answer 25

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

Question 26

most common cause UT obstruction in newborn boys

Answer 26

posterior urethral valves

Question 27

Tx clubfoot

Answer 27

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

Question 28

11 year old tanner stage 2 found to be 46XY | next step

Answer 28

perform gonadectomy after puberty | to decrease malignancy

Question 29

karyotype androgen insensitivity syndrome

Answer 29

46XY look like female have undescended testes and no uterus

Question 30

presentation of duchenne vs becker dystrophies

Answer 30

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

Question 31

what do you use for impetigo

Answer 31

topical mupirocin

Question 32

contraindication to rotavirus vaccination

Answer 32

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

Question 33

when is rotavirus vaccine fived

Answer 33

2-6 months, live attenuated

Question 34

most likely infection for newborns with umbilical stump

Answer 34

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

Question 35

focal seizures, mental retardationadn port wine stain

Answer 35

sturge weber

Question 36

gyriform intracranial calcifications that resemble tramline

Answer 36

sturge weber

Question 37

when does breastfeeding failure jaundice occur

Answer 37

1st week of life

Question 38

when does breast milk jaundice occur

Answer 38

2-5 days peaks at 2 weeks

Question 39

clinical features of breastfeeding failure jaundice

Answer 39

signs of dehydration and suboptimal breastfeeding

Question 40

Tx breastfeeding failure jaundice

Answer 40

increase frequency

Question 41

suspect septic arthritis in kid, next step

Answer 41

arthrocentesis

Question 42

septic arthritis pathogen in infants birth- 3mo old

Answer 42

staph, GBS, gram neg bacilli

Question 43

pathogens for septic arthritis in kids older than 3 mo

Answer 43

staph, GAS, strep pneumo

Question 44

Tx dehydration in children

Answer 44

IV bolus normal saline