MTB - Pediatrics - Infectious Disease

Question 1

Treatment for neonatal sepsis?

Answer 1

Ampicillin and Gentamicin

Question 2

TORCH?

Answer 2

Toxoplasmosis
Other (Syphilis)
Rubella
CMV
HSV

Question 3

Child presents with chorioretinitis, and hydocephalus - suspected diagnosis? Best initial test? Most accurate test? Treatment?

Answer 3

Toxoplasmosis

elevated IgM

PCR

Pyrimethamine and sulfadiazine

Question 4

Child presents with frontal bossing, 8th nerve palsy and rash? Best initial test? Most accurate test? Treatment?

Answer 4

Syphilis

VDRL or RPR

FTA or dark field

Penicillin

Question 5

Child presents with cataracts, deafness and thombopenic rash - suspected diagnosis? Cardiac exam finding?
Test? Treatment?

Answer 5

Rubella; PDA

IgM and clinical diagnosis

Supportive

Question 6

Child presents with chorioretinitis, deafness, microencephaly and periventricular calcifications - suspected diagnosis? Best initial test? Most accurate test? Treatment?

Answer 6

CMV

Urine/Saliva viral titiers; Urinve/Saliva viral PCR

Ganciclovir if end organ damage

Question 7

Newborn presents with shock and DIC within 1st week of life. In second week, develops rash - suspected diagnosis? If untreated, will develop what in 3rd week? Best initial test? Most accurate test? Treatment?

Answer 7

HSV; Encephalitis

Tzanck smear; PCR

Acyclovir and supportive care

Question 8

Child presents varicella - rash begins where? Best initial test? Most accurate test? Treatment?

Answer 8

Face

Tzank smear; viral culture

Supportive

Question 9

Child presents with fever and URI progressing to diffuse rash - suspected diagnosis?

Answer 9

Roseola

Question 10

Child presents with diffuse red rash, red tongue, and pharyngitis - suspected diagnosis? Cause? Treatment?

Answer 10

Scarlet fever; Strep pyogenes

Penicillin, azithromycin or cephalosporins