march 5 Flashcards

1
Q

where are the calcifications found in congenital CMV?

A

periventricular

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2
Q

where are the calcifications found in congenital toxoplasmosis?

A

in the parychema

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3
Q

Management of baby with congenital CMV?

A

antiviral therapy - can preserve their hearing

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4
Q

INITIAL treatment of symptomatic hypernatremic hypovolemia?

A

0.9% saline to restore circulating volume

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5
Q

can you provide hyponatremic saline to correct the dehydration in symptomatic hyponatremic hypovolemia?

A

no - not as emergency fluid rescuscitation - risk of neurological damage - correct volume first with normal saline and then Na levels later

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6
Q

treamtne of Asymptomatic hypernatremic hypovolemia?

A

hypotonic solution

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7
Q

what type of solution is 5% dextrose?

A

hyptonic saline

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8
Q

most common cause of epididymitis in a 50 year old male?

A

E coli

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9
Q

what acid base disturance does iron overdose cause?

A

anion gap metabolic acidosis

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10
Q

treamtent of iron poisoning?

A

-aggressive fluid resuscitation and deferoxamine

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11
Q

what neurological symptom may be caused by metronidazole ?

A

distal, symmetric polyneuropathy

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12
Q

how to treat apnea of prematurity?

A

caffeine and non invasive ventilation

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13
Q

when to treat apnea of prematurity?

A

if spells are recurrent, prolonged, or associated with bradycardia or hypoxia (may cause damage to watershed areas of brain)

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14
Q

serious complication of acute altitude sickness?

A

high altitude cerebral edema

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15
Q

treatment of HACE (high altitude cerebral edema)

A

dexamethasone and decent

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16
Q

findings in necrotizing otitis externa?

A

SEVERE pain and granulation tissue

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17
Q

severe leg pain and mottled skin may be a symptom of which infection?

A

meningococcal meningitis

18
Q

eye findings in infant botulism?

A
  • impaired pupil constriction

- ptosis

19
Q

are the stools in CMV colitis bloody or nonbloody?

A

bloody and low volume

20
Q

what are the guideliens for accepting gifts from industries such as a pharma company?

A

they must be low monetary value and have DIRECT benefit for patients

21
Q

what is glipizide?

A

sulfonylurea

22
Q

what is sitagliptin

A

DPP4 inhibitor

23
Q

how can you test for hereditary spherocytosis?

A
  • osmotic fragility testing using acidified glycerol lysis test
  • Eosin-5-malemide binding test
24
Q

inheritance of hereditary spherocytosis

A

AD

25
Q

xray findings of neonatal respiratory distress syndrome?

A

diffuse reticulonodular (groundglass) appear

26
Q

xray findings in baby with bronchopulmonary dysplasia?

A

coarse lung markings with cystic changes

27
Q

neonatal with xray showing patchy bilateral infiltrates and lung hyperinflation =

A

meconium aspiration syndrome

28
Q

xerosis =

A

dry skin

29
Q

what is pseudoachalasia?

A

narrowing of the distal esophagus NOT due to dernerving

30
Q

why may a patient with sepsis get hypoglycemia?

A

-cytokines promote increased glucose use by tissues

31
Q

patients with a chronic hemolytic disease (sickle cell) are at risk for which vitamin deficiency?

A

Folate deficiency - due to elevated reticulocyte production

32
Q

management of first degree asymptomatic heart block?

A

observation

33
Q

management of second degree Mobitz type I heart block?

A

observation

34
Q

management of second degree Mobitz type II heart block?

A

permanent pacemaker placement

35
Q

management of third degree heart block?

A

permanent pacemaker placement

36
Q

most common brain tumour in children?

A

low-grade astrocytoma

37
Q

onset of a low-grade astrocytoma?

A

develops over many months

38
Q

appearance of a craniopharygeoma on imaging?

A
  • found in sella turcica

- cystic with calcifications

39
Q

most common location for an ependymoma?

A

fourth ventricle (posterior fossa)

40
Q

location of medulloblastoma?

A

usually from the cerebellar vermis - posterior fossa

41
Q

presentation of medulloblastoma?

A

ataxia - due to involvement of cerebellum

42
Q

management of ascites from liver cirhosis?

A

give furosemide + spironolactone (dont give furosemide alone - not that effective)