MISC Flashcards

1
Q

Bony mass separated from the bone

A

extraskeletal (heterotopic) ossification typically following blunt soft tissue trauma

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1
Q

What is the triad of reactive arthritis?

A

conjunctivitis, urethritis, arthritis

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2
Q

98% of myelomeningocele patients have what associated brain malformation?

A

chiari malformation type 2

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3
Q

What are findings of a spermatocele on exma/

A

painless collection of fluid around the epididymis, contains nonviable sperm

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4
Q

What are clinical features of dyshidrotic eczema?

A

hyperhidrosis, outbreaks of highly pruritic, painful, inflammatory vesicles/bullae, in symmetric pattern on palms, soles, lateral aspects of fingers/feet

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5
Q

What is the first sign of salicylate poisoning?

A

salicylates stimulate respiratory drive –> increase RR –> respiratory alkalosis –> loss of bicarb and potassium in urine –> kidneys attempt to save K in expense of H –> acidic urine

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6
Q

What degree of scoliosis is considered mild and not causing limitation?

A

<20 degrees

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7
Q

What are the types of Salter-Harris injuries?

A

1 - S - straight across
2 - A - above
3 - L - lower
4 - T - Two or through
5 - (e)R - Rammed together

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8
Q

What is an osteochondroma?

A

benign cartilage-forming tumor

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9
Q

What is the number one site of ewing saroma?

A

pelvis

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10
Q

What is radiographic finding of ewing sarcoma?

A

“moth eaten”

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11
Q

What osseous lesion is associated with neurofibromatosis type 1

A

sphenoid dysplasia or thinning of the long bone cortex

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12
Q

At what age can do healthy children no longer require catch up for HiB vaccine?

A

> 5 yo

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13
Q

When do you give tetanus vaccine AND immunoglobulin?

A

dirty would and either <3 immunizations OR unknown immunizations

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14
Q

When do iron stores become depleted in infants, requiring iron supplementation in breastfed infants?

A

4-6 months, rec supplementing at 4 months

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15
Q

What is incontinentia pigmenti?

A

x-linked dominant disorder –> impaired dentition, alopecia, nail changes, 4 cutaneous phases:
1. crops of inflammatory vesicles and bullae w peripheral eosinophilia
2. vesicles clear spontaneously, irregular linearly distributed verrucous lesions on ext/hands/feet
3. thin bands of brown, bluish-gray picgmentation that darken before slowly fading in adolescents
4. streaks of atrophy and hypopigmentation

16
Q

What is the thought of how gastroschisis is caused?

A

vascular accident involving the right umbilical vein or right omphalomesenteric artery

17
Q

when do you need 2 vs 3 doses of HPV vaccine?

A

If 1st dose is administered <15 yo, you only need 2 doses. If the 1st dose is >15 yo, then 3 doses.

18
Q

What is a bone manifestation of congenital syphilis?

A

pseudoparalysis - painful periostitis

19
Q

What OTC medication should be avoided for 6 weeks after varicella?

A

salicylates (!!)

20
Q

What is the most common sequela of hydrocarbon (gasoline) ingestion?

A

aspiration pneumonitis

21
Q

What is the FABER test and what is its use?

A

“figure 4 test” –> flexion of hip/knee, abduction and external rotation of hip
Used to identify intraarticular hip pathology –> septic arthritis of SI joint

22
Q

What gene is the most common known genetic mutation for hereditary pancreatitis?

A

PRSS1 – PancReatitiSS

23
Q

intense pruritus, lesions on palms, soles, lateral aspects of fingers, recurrent condition, lesions are vesicles…

A

dyshidrotic eczema

24
What is the treatment for dyshidrotic eczema?
topical steroids
25
What is a CONTRAINDICATION for RV vaccine?
history of intussusception
26
What is the highest density source of potential energy?
fats (9 kcal/g) vs protein 4 kcal/g
27
What are infectious triggers of SJS?
CMV and mycoplasma pneumoniae
28
What are the four erythema ... skin rashes?
*nodosum - "NO" don't touch -- look like bruises and hurt *Marginatum - thin MARGINS around patches *multiform - FORMS MULTIPLE target-like lesions, +/- small central vesicle *Migrans - lyme disease
29
what acid/base disturbance does salicylate poisoning cause?
initially respiratory alkalosis by increasing RR --> then compensates and forms a metabolic acidosis by getting rid of bicarb as well as ketone formation
30
What does low AFP in pregnancy indicate?
down syndrome
31
fish-like scales are seen in what
ichthyosis vulgaris --> also expect accentuated palmar and plantar markings
32
signs of serum sickness include
rash acute urticaria, generalized malaise, headache, diarrhea, fever, lymphadenopathy, facial edema, arthralgias
33
tennis elbow vs golf elbow
tennis = lateral because tennis players move laterally golf = medial because they want the ball to stay in the middle of the course
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