MISC

Question 1

Bony mass separated from the bone

Answer 1

extraskeletal (heterotopic) ossification typically following blunt soft tissue trauma

Question 1

What is the triad of reactive arthritis?

Answer 1

conjunctivitis, urethritis, arthritis

Question 2

98% of myelomeningocele patients have what associated brain malformation?

Answer 2

chiari malformation type 2

Question 3

What are findings of a spermatocele on exma/

Answer 3

painless collection of fluid around the epididymis, contains nonviable sperm

Question 4

What are clinical features of dyshidrotic eczema?

Answer 4

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

Question 5

What is the first sign of salicylate poisoning?

Answer 5

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

Question 6

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

Answer 6

<20 degrees

Question 7

What are the types of Salter-Harris injuries?

Answer 7

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

Question 8

What is an osteochondroma?

Answer 8

benign cartilage-forming tumor

Question 9

What is the number one site of ewing saroma?

Answer 9

pelvis

Question 10

What is radiographic finding of ewing sarcoma?

Answer 10

“moth eaten”

Question 11

What osseous lesion is associated with neurofibromatosis type 1

Answer 11

sphenoid dysplasia or thinning of the long bone cortex

Question 12

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

Answer 12

> 5 yo

Question 13

When do you give tetanus vaccine AND immunoglobulin?

Answer 13

dirty would and either <3 immunizations OR unknown immunizations

Question 14

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

Answer 14

4-6 months, rec supplementing at 4 months

Question 15

What is incontinentia pigmenti?

Answer 15

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

Question 16

What is the thought of how gastroschisis is caused?

Answer 16

vascular accident involving the right umbilical vein or right omphalomesenteric artery

Question 17

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

Answer 17

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

Question 18

What is a bone manifestation of congenital syphilis?

Answer 18

pseudoparalysis - painful periostitis

Question 19

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

Answer 19

salicylates (!!)

Question 20

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

Answer 20

aspiration pneumonitis

Question 21

What is the FABER test and what is its use?

Answer 21

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

Question 22

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

Answer 22

PRSS1 – PancReatitiSS

Question 23

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

Answer 23

dyshidrotic eczema

Question 24

What is the treatment for dyshidrotic eczema?

Answer 24

topical steroids

Question 25

What is a CONTRAINDICATION for RV vaccine?

Answer 25

history of intussusception

Question 26

What is the highest density source of potential energy?

Answer 26

fats (9 kcal/g) vs protein 4 kcal/g

Question 27

What are infectious triggers of SJS?

Answer 27

CMV and mycoplasma pneumoniae

Question 28

What are the four erythema … skin rashes?

Answer 28

*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

Question 29

what acid/base disturbance does salicylate poisoning cause?

Answer 29

initially respiratory alkalosis by increasing RR –> then compensates and forms a metabolic acidosis by getting rid of bicarb as well as ketone formation

Question 30

What does low AFP in pregnancy indicate?

Answer 30

down syndrome

Question 31

fish-like scales are seen in what

Answer 31

ichthyosis vulgaris –> also expect accentuated palmar and plantar markings

Question 32

signs of serum sickness include

Answer 32

rash acute urticaria, generalized malaise, headache, diarrhea, fever, lymphadenopathy, facial edema, arthralgias

Question 33

tennis elbow vs golf elbow

Answer 33

tennis = lateral because tennis players move laterally
golf = medial because they want the ball to stay in the middle of the course