ID

Question 1

CF

Answer 1

Pseudomonas > 20, < 20 staph/strep
Sx pancreas, ADEK, bleeding
Mec ileus dx XR tx contrast enema
Males vas def
Females only 20% infertility

Question 2

Sickle cell

Answer 2

Salmonella
Asplenia (Strep, Hflu, neiss) + Howell jolly bodies
Tx acute hydration, NSAIDs, +- tfusion
Tx maintenance vacc conj, penicillin until 5yo, folate, hydroxyurea (increases fetal hgb, side effect myelosuppression)

Question 3

Meningitis

Answer 3

<1 mo GBS, E. coli, listeria, HSV
>1 mo strep pneumo, neiss men
Don’t need imaging before LP if open fontanelle, clx before abx if stable
Friedrich-Waterhouse adrenal hemorrhages
HSV temporal lobe!!!

Question 4

IVF for kids

Answer 4

ISOTONIC SALINE ONLY
20mL/kg bolus
421 rule
10kg —> 4mL/kg/h
11-20kg—> 40+2mL/kg/h
>20kg—> 60+1mL/kg/h

Question 5

CMV

Answer 5

Congenital- periventricular calcifications

Bodily fluids young kids

Question 6

Toxo

Answer 6

Congenital - chorioretinitis, calcifications

Question 7

Rubella

Answer 7

Congenital - PDA, cataracts, sensorineural hearing loss
Kids - fever, rash cranial to caudal
Adols - same +- arthralgias

Question 8

Syphillis

Answer 8

Congenital - desquam rash, abnl long bone XR

Question 9

LAD

Answer 9

Unilateral:

• staph/strep pyo = red, swollen TX CLINDAMYCIN
• bartonella = + induration at site of cat scratch 1-2 w after tx azithro or self limiting
• myco = slow onset
• anaerobes = dental caries

Bilateral:
- EBV

Question 10

EBV

Answer 10

Acute airway obstruction!!!

HSM

Question 11

Reye syndrome

Answer 11

Microvesicular fatty infiltrates
Aspirin
URI varicella, influenza

Question 12

Francicella tullarensis

Answer 12

Rabbit, systemic illness fever etc

Question 13

Pasturella

Answer 13

Dog cat bite like cellulitis fast onset skin soft tissue infx

Question 14

Lyme dz

Answer 14

NO DOXY < 8 yo

Question 15

Pertussis

Answer 15

Post exp ppx macrolides for all

Question 16

Varicella

Answer 16

Post exp ppx vaccine 1-4 yo
<1 don’t need
Preg/immunocomp can’t get live vacc give immunoglobulins

Question 17

Scarlet fever

Answer 17

Strep pyo
Sandpaper rash trunk axillae groin, later desquam hands feet
Strawberry tongue
Tx azithro

Question 18

Strep pyo

Answer 18

No CENTOR criteria in kids

If rapid strep neg conf w clx

Question 19

Hep B

Answer 19

BF ok, give IVIG AND VACC to prevent vertical transmission, HbS antibody immunity core doesn’t count

Question 20

Tetanus

Answer 20

Umbilical hygiene home birth

Question 21

SHiN organisms

Answer 21

Asplenia, B cells

Question 22

Measles vacc

Answer 22

Live vacc! Can get harmless rash 10 days later

Question 23

Post exposure ppx TB

Answer 23

If no sx, isoniazid + B6 for 9 mo

Question 24

Neonatal varicella exposure

Answer 24

Immunoglobulins if mom had rash 5days before - 2 days after

VZV vacc if NOT immunocomp

Question 25

Parvo B19

Answer 25

Congenital: IUGR, pleural and pericardial eff, intellectual disability, hydrops

Question 26

Viral myocarditis

Answer 26

Coxsackie B

Adenovirus

Question 27

Rubeola

Answer 27

AKA MEASLES

4 day prodrome, cranial—>caudal rash

Question 28

Trichophyton

Answer 28

Tinea!

Question 29

Empyema

Answer 29

Staph!!!

Question 30

Giardia can cause…

Answer 30

Failure to thrive