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Old Peds > Lab 9/27 > Flashcards

Lab 9/27 Flashcards

1
Q 
Which of the following isn't typically a problem of term infants?
A- jaundice
B- NEC
C- Pneumonia 
D- Birth Trauma
A

B- NEC

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2
Q 
Infant presents with SGA, microcephaly and a large liver on palpation. You see severe anemia on the infants lab. What do you suspect
A. VZV
B. CMV
C. Syphilis
D. Parvo B19
A

D. Parvo B19 (unique for having anemia)

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3
Q

What does CMV have that other TORCH infections don’t?

A

calcifications in the brain

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4
Q

For TORCH infections what lab should you get?

A

IgM

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5
Q

For CMV how could you test for it?

A

Urine test

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6
Q

Why don’t you do IgG’s for infants?

A

IgG means you had it previous (and these cross the placenta).
IgM means you are currently experiencing it, only made by the baby

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7
Q 
Lack of red reflex on right eye, notice a grayish white opacity of the lens on the right. What does this most likely represent?
A. congenital cataract
B. retinoblastoma
C. papilledema
D. coloboma
A

A. a congenital cataract

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8
Q

What reflex does retinoblastoma give you?

A

White reflex

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9
Q

What is a coloboma?

A

Pupil is misshapen, looks like a cat’s eye

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10
Q 
When considering a workup for early onset sepsis in a newborn, which of the following is least likely?
A. GBS sepsis
B. GBS meningitis
C. E. Coli Sepsis
D. E. Coli UTI
A

D. E. Coli UTI (gut and urine are sterile at birth, takes about a week to colonize)

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11
Q 
Which of the following difficulties w/ delivery may result in facial nerve injury or paralysis?
A. Vacuum injury
B. Forceps injury
C. Shoulder distocia
D. Breech delivery
A

B. Forceps injury

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12
Q

What is the palsy name for when the brachial plexus is injury

A

Erb’s palsy

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13
Q

From shoulder distocia what nerves can it affect?

A

Vagus
Left recurrent laryngeal
phrenic

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14
Q 
Which of the following teratogens leads to withdrawal symptoms in an exposed fetus/ infant?
A. Opioids (heroin, methadone
B. Alcohol
C. Cocaine
D. Methamphetamines
A

A. Opioids (heroin, methadone)

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15
Q 
Breast milk lacks which of the following nutrients
A. Vit K
B. Iron
C. Protein
D. Vit D
A

Vit D (have breast fed babies take supplements)

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16
Q 
The AAP recommends formal vision and hearing testing at what age?
A. 6 mo
B. 2 years
C. 4 years
D. 6 years
A

C. 4 years

17
Q

Which of the following development findings is abnormal?
A. 5 months old that can’t sit up w/o support
B. A 16 month old that is not yet walking
C. A 24 month old that says 2-4 word phrases

A

B. A 16 month old that isn’t walking yet (causes- cerebral palsy, being carried everywhere, lack of vision)

18
Q

What is Synagis for?

A

RSV; it is an immunoglobulin (give it preventively)
only given during RSV season and people at high risk of developing RSV w/ moderate to severe symptoms (normal newborn baby doesn’t need this)

19
Q

What babies need Synagis?

A

Heart problems
Cystic fibrosis
other high risk problems

20
Q

Is Synagis a treatment?

A

No, it helps prevent RSV

21
Q 
8 hour old term infant with "lethargy, poor feeding, irritability". Find a pink, well developed female /w low tone, reactivity, and mild tachypnea. These symptoms are common with
A. jaundice
B. hypoglycemia
C. PDA
D. NEC
A

B. Hypoglycemia (have no energy)

22
Q

30 min old term infant w/ respiratory distress (tachypnea, grunting, retractions)
Born to a 25 yo mom G2 P2 w/ PROM x 24 and fever during labor
bradycardia on baby during labor
Stat C-section
prenatal labs all negative/ normal
Prenatal vitamins, good prenatal care
What is the differential?

A 
Pneumonia
Pneumothorax
TTN (transient tachypnea of newborn) 
sepsis (GBS, E.Coli) 
Meconium aspiration
Pulmonary hypertension
23
Q

What labs would you order for the infant w/ respiratory distress?

A 
Chest X-Ray
ABGs
CBC
Blood culture 
possible CSF 
blood sugar 
Urinalysis (older baby) 
Chem 7 (older baby)
24
Q

Normal ABGs in infants?

A

pH 7.35
CO2- 40
O2- 52
Bicarb- 23

25
Q

What does acidosis do?

A

heart weak

blood vessels clamping down

26
Q

When a baby has pneumonia on 100% oxygen, should their SaO2 be really low?

A

No, it should be closer to normal

27
Q

List some risk factors in an infant for pulmonary HTN.

A

sepsis

pneumonia

28
Q

Which head injury is under the periosteum of the skill?

A

Cephalohematoma

29
Q

Where is Caput succedaneum?

A

subcutaneous tissue

30
Q

Does cephalohematoms or caput succedaneum resolve faster? Why?

A

Caput succedaneum because cephalohematoma is deeper, poorer blood supply

Old Peds (15 decks)

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