Kaplan 3

Question 1

What is the genetic abnormality in WAGR syndrome?

Answer 1

deletion on Ch 11

Question 2

What does WAGR stand for again?

Answer 2

Wilm’s tumor
Aniridia
GU abnormalities
Retardation (mental)

Question 3

What is the first diagnostic test for suspected growth hormone deficiency?

Answer 3

blood IGF levels

Question 4

What is the definitive diagnostic test for suspected growth hormone deficiency?

Answer 4

GH stimulation test w/ insulin, Atg, or glucagon

Question 5

Which retroperitoneal tumor tends to surround nearby structures and takes up tracer on MIBG scan?

Answer 5

neuroblastoma

Question 6

What is the best first step for a pt w/ pharyngitis?

Answer 6

rapid strep test

Question 7

What must you do for a pt w/ pharyngitis if the rapid strep Ag test is negative?

Answer 7

throat culture

Question 8

What is the best Tx for strep throat?

Answer 8

penicillin

Question 9

What is the Tx for strep throat in pts w/ penicillin allergy?

Answer 9

erythromycin

Question 10

What pathogen causes a painful genital ulcer with an erythematous base and possbily a purulent exudate?

Answer 10

Haemophilus ducreyi (chancroid)

Question 11

What is the Tx for chancroid?

Answer 11

ceftriaxone (IM)

Question 12

Low serum Na+ and osmolality w/ hi urine Na+ and osmolality should alert t5he clinician to the possibility of what illness?

Answer 12

SIADH

Question 13

What would the serum and urine Na+ and osmolality look like in viral gastroenteritis?

Answer 13

Low serum Na+ and osmo; low urine Na+, hi urine osmo.

Question 14

What should be administered to rehydrate pts w/ hypernatremic dehydration?

Answer 14

5% dextrose sol’n (D5W)

Question 15

How much D5W should be given to hypernatremic dehydrated pts?

Answer 15

1L per 3mEq of Na+ above 140

Question 16

What is the emergent mgmt for rapid volume depletion in children w/ moderate to severe dehydration? (Give me numbas!)

Answer 16

20 mL/kg of normal saline or Ringer’s lactate, bolus

Question 17

WHat are the first 3 steps in neonatal resuscitation in nearly all cases?

Answer 17

1. place under radiant warmer
2. dry
3. open airway and PPV if nec.

Question 18

What is the one case of neonatal resuscitation in which you intubate the neonate first?

Answer 18

meconium in amniotic fluid and depressed neonate

Question 19

Aside from mimicking appendicitis, what two symptoms typically accompany Yersinia enterocolitis?

Answer 19

diarrhea and reactive arthritis

Question 20

When are the 1st, 2nd, and 3rd doses of the DTaP, Hib, polio, and pneumococcus vaccines scheduyled to be given?

Answer 20

2, 4, and 6 mos.