OMEDED3

Question 1

Anaphylaxis + Transfusion + Minor equals? And why.

Answer 1

IgA deficiency
IgA is in the blood that is transfused so they body goes after it because it is foreign to the body because the person doesn’t have it.

Question 2

What is the first line treatment for croup?

Answer 2

Racemic epinephrine and dexamethasone

Question 3

Triad of wilms tumor to remember?

Answer 3

Flank mass, hematuria, unilateral kidney usually in an asymptomatic kid

Question 4

What is apnea of prematurity and what is the treatment?

Answer 4

Episodes of apnea greater than 20 seconds because the respiratory centers have not matured yet

Caffeine, o2,\

Question 5

What is going on with a low implantation of the ureter?

Answer 5

Basically the kid is always leaking urine when it comes through because the ureter connected to the urethra and not into the bladder so it bypasses the sphincter.

Question 6

Acute chest syndrome will often warrant what for treatment?

Answer 6

Exchange transfusion

Question 7

What are the 6 live vaccines

Answer 7

MMR, Varicella, Rotavirus and Intranasal influenza

Question 8

What is the sign for increased intracranial pressure in a Peds patient with meningitis?

Answer 8

Bulging anterior fontanelle

Question 9

What are the three steps of treatment for a pediatric patient with meningitis who has a contraindication to lumbar puncture?

Answer 9

Blood culture, antibiotics and CT

Question 10

What is the x ray finding for malrotation?
Duodenal Atresia?
Annular Pancreas?

Answer 10

Double bubble with distal air
Double bubble with no air distally
Double bubble with no air distally

Question 11

5 conditions where bilious vomiting occurs on day 1 of baby?

Answer 11

Malrotation
Duodenal atresia
Annular pancreas
Intestinal atresia
Volvulus

Question 12

What to use to treat bacterial sinusitits?

Answer 12

Amoxicillin clavulanate

Question 13

How do we describe extrophy of the bladder When the baby is born? What does it look like?

Answer 13

Red, wet, and lower than the umbillicus

Question 14

What is a very important clinical scenario mentioned that can cause new baby just born to not be able to pass meconium right away and what test would be done to diagnose it?

Answer 14

If mom is treated for pre eclampsia, then she is given magnesium, which means baby is given magnesium. This can cause the gut to slow down, so check a magnesium level in the presence of pre eclampsia when there are no obvious obstructive clinical signs.

Question 15

What if you are doing t he hip test on a new baby and they have a clicky hip, what will be next in the management?

Answer 15

US in 4 weeks

Question 16

What is the big time clinical sign for truncus arteriosus and how do we treat it?

Answer 16

No matter how much o2 is given to baby, there is persistent hypoemia, meaning no o2 is getting into the systemic circulation. In this case we need to keep the PDA open to keep a bay alive. Do this with prostaglandin. Remember indomethacin closes it.

Question 17

In a trauma patient with hematuria, what is the test of choice for image?

Answer 17

CT