Kaplan 3 Flashcards
What is the genetic abnormality in WAGR syndrome?
deletion on Ch 11
What does WAGR stand for again?
Wilm’s tumor
Aniridia
GU abnormalities
Retardation (mental)
What is the first diagnostic test for suspected growth hormone deficiency?
blood IGF levels
What is the definitive diagnostic test for suspected growth hormone deficiency?
GH stimulation test w/ insulin, Atg, or glucagon
Which retroperitoneal tumor tends to surround nearby structures and takes up tracer on MIBG scan?
neuroblastoma
What is the best first step for a pt w/ pharyngitis?
rapid strep test
What must you do for a pt w/ pharyngitis if the rapid strep Ag test is negative?
throat culture
What is the best Tx for strep throat?
penicillin
What is the Tx for strep throat in pts w/ penicillin allergy?
erythromycin
What pathogen causes a painful genital ulcer with an erythematous base and possbily a purulent exudate?
Haemophilus ducreyi (chancroid)
What is the Tx for chancroid?
ceftriaxone (IM)
Low serum Na+ and osmolality w/ hi urine Na+ and osmolality should alert t5he clinician to the possibility of what illness?
SIADH
What would the serum and urine Na+ and osmolality look like in viral gastroenteritis?
Low serum Na+ and osmo; low urine Na+, hi urine osmo.
What should be administered to rehydrate pts w/ hypernatremic dehydration?
5% dextrose sol’n (D5W)
How much D5W should be given to hypernatremic dehydrated pts?
1L per 3mEq of Na+ above 140
What is the emergent mgmt for rapid volume depletion in children w/ moderate to severe dehydration? (Give me numbas!)
20 mL/kg of normal saline or Ringer’s lactate, bolus
WHat are the first 3 steps in neonatal resuscitation in nearly all cases?
- place under radiant warmer
- dry
- open airway and PPV if nec.
What is the one case of neonatal resuscitation in which you intubate the neonate first?
meconium in amniotic fluid and depressed neonate
Aside from mimicking appendicitis, what two symptoms typically accompany Yersinia enterocolitis?
diarrhea and reactive arthritis
When are the 1st, 2nd, and 3rd doses of the DTaP, Hib, polio, and pneumococcus vaccines scheduyled to be given?
2, 4, and 6 mos.
