MTB - Pediatrics - Pulmonary

Question 1

Barking cough - suspected diagnosis? Next step if mild? Severe? Caused by?

Answer 1

Croup; Steroids; Racemic Epi (not CXR)

parainfluenza virus > RSV

Question 2

Child presents with fever and drooling - suspected diagnosis? Management?

Answer 2

Epiglottitis

#Intubation
#Ceftriaxone
#Rifampin

Question 3

Whooping Cough - stages?

Answer 3

#Catarrhal - URI symptoms
#Paroxysmal - Whooping cough
#Convalescent - Cough improving

Question 4

Whooping cough - when to give erythromycin?

Answer 4

Catarrhal stage

Question 5

Butterfly pattern on XR suggests? Diagnostic test?

Answer 5

Whooping cough; PCR

Question 6

Child presents with 7-10 days of productive cough and fever - suspected diagnosis? Inflammation of? Diagnose by? Treatment?

Answer 6

Bronchitis; airways

clinical; supportive

Question 7

Child presents with cervical lymphadenopathy, fever of 104 and renal insufficiency - suspected diagnosis? Inflammation of? Diagnose by? Treatment?

Answer 7

Strep Pharyngitis; pharynx

Rapid DNAse; Oral penicillin or macrolides

Question 8

Child presents with pseudomembranes - suspected diagnosis? Inflammation of? Diagnose by? Treatment?

Answer 8

Diptheria; pharynx

Culture; Antitoxin (NO ABX)

Question 9

Infant with hip laxity - suspected diagnosis? Diagnose by? Treatment?

Answer 9

Congenital hip dysplasia;

Clicking hip

Pavlik harness

Question 10

Child with painful limp- suspected diagnosis? Diagnose by? Treatment?

Answer 10

Legg-Calve-Perthes (avascular necrosis)

XR shows joint effusions and widening

Rest and NSAIDs followed by surgery on BOTH hips

Question 11

Teen presents with painful limp and externally rotated leg - suspected diagnosis? Diagnose by? Treatment?

Answer 11

Slipped capital femoral epiphysis

XR shows widening of joint space

Internal fixation and pinning