ID

Question 1

localized papule with regional lymphadenopathy with fever is most likely due to

Treatment?

Answer 1

bartonella henselae (gram negative, aerobic bacilli)
Catscratch disease

treatmentL azithromycin

persistent/disemminated: doxycycline or erythromycin
CNS involvement or endocarditis: rifampin plus doxy or erythromycin

Question 2

rubella

Answer 2

rash that begins on face and spreads quickly in a cephalocaudal patttern

low grade fver + lymph adenopathy

Question 3

scarlet fever

Answer 3

group a strep infection

fever sore throat, HA, spreads to trunk, groin, and axillae
- sandpaper texture rash that begins at along skin folds and spread to trunk and extremities, desquamation go hands and feet as illness resolves
-palatal petechiae (strawberry tongue)

Question 4

measles

Answer 4

maculopapular rash that spreads cephalocaudally , after a few days coalesces and darkens, patients are ill-appearing with fever, cough, and coryza ( inflammation of the mucous membrane)

Question 5

Kawasaki disease

Answer 5

Question 6

HSV infection brain imaging shows

Answer 6

temporal lobe hemorrhage

Question 7

Infant with following sx has:
-pinkish gray granuloma on baby skin
- hypothermia, pallor, PNA, delayed cap refill, hepatospenomegaly,

Answer 7

listeria infection

Question 8

congenital syphillis

Answer 8

Early: < 2yo
-Hepatomegaly with Jaundice
-snuffles: rhinorrhea w/ bloody or white discharge
-pemphigus: bulbous rash on palms/ soles
-skeletal abnormality
- generalized lymphadenopathy

LateL saddle nose, hutchinson teeth(wide spaced) , syphillic keratitis, sensoneural hearing loss, rhagades ( fissures at corner of mouth), saber shin (bowing of tibia), intellectual disability

Question 9

toxoplasmosis triad

Answer 9

hydrocephalis, chorioretinitis, intracranial calcification

Question 10

congenital CMV Symptoms

Answer 10

microcephaly with periventricular calcifications

• hepatosplenomegaly, sensorineural hearing loss, chorioretinitis , petechiae purport

in utero: Fetal demise, IUGR

Question 11

bronchiolitis

Answer 11

common viral illness causes by RSV
-inflammation of bronchioles
CXR: hyperinflation with interstitial infiltrates, peribronchial thickening

Question 12

pneumonia

Answer 12

• infection of alveolar space,
  -CXR: air bronchogram, opacity, patchy infiltrates

Question 13

most concerning antibiotics in acute cystic fibrosis exacerbation

Answer 13

young child: Staph aureus, MRSA (vancomycin)
older children: pseudomonas aeruginosa (4th generation cephalosporin)

Question 14

Guillain Barre Syndrome
- management of hemodynamically patient

Answer 14

Spirometry : decline in FVC < 20mL/kg indicates pending respiratory failure and warrants endotracheal intubation
-campylobacter induced
-ascending paralysis

Question 15

most common cause of gastroenteritis in the US is?
onset?

Answer 15

• norovirus , 1-2 days after exposure,
• emesis, watery diarrhea, abdominal pain

Question 16

Gasteroenterisis where symptoms start within 6 hours of eattgn contaminated food is due to?

Answer 16

-bacillus cereus
- S. Aureus

Question 17

rotavirus commonly occurs in

Answer 17

unvaccinated children 2 and younger

Question 18

Shigella

Answer 18

• abrupt onset of high fever, abdominal cramping blood/mucis in stools

Question 19

signs of meningeal irritation

Answer 19

neck stiffness,
KErnig sign
BrudziNsKi sign

Question 20

acute rheumatic fever signs

• causative organism

Answer 20

Question 21

congenital toxoplasmosis vs congenital cytomegalovirus

how is each transmitted and difference in presentation

Answer 21

saliva-megalovirus( transmits through saliva)
-microcephaly only “I” in saliva so “ mIcro-cephaly

toxoplAsmosis
A for appetite- eating undercooked meat or cat feces
-mAcrocephaly