Kaplan 2

Question 1

What is the best diagnostic modality for developmental dysplasia of the hip (after Barlow and Ortolani tests)?

Answer 1

dynamic US

Question 2

What is the pathology of Legg-Calve-Perthes disease?

Answer 2

avascular necrosis of the femoral head

Question 3

Where is the pain localized to in Osgood-Schlatter’s disease?

Answer 3

tibial tuberosity

Question 4

Microhematuria following minor trauma is suggestive of _______. The first step in the workup is _______.

Answer 4

congenital anomaly of the GU system; a sonogram

Question 5

Aside from rupture and bleeding, what a re 2 complications of concern for infantile hemangiomas?

Answer 5

hi-output cardiac failure (d/t increased blood flow), coagulopathy (d/t plt sequestration and destruction)

Question 6

What usually happens to infantile hemangiomas?

Answer 6

involute by 18 mos.

Question 7

What is the first line of Tx for symptomatic pts w/ infantile hemangiomas?

Answer 7

corticosteroids

Question 8

What is the first line of Tx for symptomatic neonates w/ supraventricular tachycardia?

Answer 8

adenosine (rapid IV push)

Question 9

What is the most common cause of SVT in infants?

Answer 9

re-entry by accessory p-way

Question 10

What is the emergency tx of sympotmatic neonates w/ SVT?

Answer 10

synchronized DC cardioversion

Question 11

What is the most common causative pathogen of infective endocarditis?

Answer 11

S. aureus

Question 12

What is the difference in the presentation of infective endocarditis caused by S. aureus and S. viridans.

Answer 12

S. aureus is more acute. S. viridans only affects previously damaged heart valves.

Question 13

What are the 3 main manifestations of newborns w/ Werdnig-Hoffman syndrome (a.k.a. spinal muscular atrophy type-1)?

Answer 13

symmetric proximal muscle weakness, joint contractures, and respiratory insufficiency

Question 14

What do “late decelerations” on the fetal heart rate monitor indicate?

Answer 14

hypoxia