Online Med Lecture 3

Question 1

4 Cs of prodrome of measles?

Answer 1

Cough, Coryza, conjunctivitis, and coplick spots

Question 2

Measles can lead to what later in life if someone gets it?

Answer 2

Subacute sclerosing pan encepahlitis

Question 3

Roseola rash presents?

Fever presents what?

Answer 3

Fever then rash

Rash goes from feet to head, opposite of measles

Question 4

How does fever and rash present in measles?

Answer 4

Fever and rash at same time

Question 5

What pathogen causes hand foot and mouth?

Answer 5

Cocksackie virus a

Question 6

Most common clinical picture of mumps?

Answer 6

Boy with parotid glands enlarged and orchitis

Question 7

What is unique about subdural hematoma in kids?

Answer 7

Takes a tremendous amount of force to do it and they usually end up in coma. Super young, usually trauma

Question 8

1 identifier of mild concussion?

Answer 8

LOC less than 60

Question 9

4 clinical identifiers of severe concussion?

How to treat/manage?

Answer 9

LOC, focal neuro deficit, headache, amnesia
Get CT to rule out bleed
Back to sports in step wise fashion

Question 10

How to prevent SIDS? 3 things.

Answer 10

On Back to sleep
Don’t share bed with baby
Parent stop smoking

Question 11

Don’t give what vaccine to someone with an allergy to eggs?

Answer 11

Yellow fever

Question 12

Who should not get live vaccines?

Answer 12

Profoundly immunocompromised

Question 13

What do we give to baby if mom is hep b positive?

Answer 13

Hep b vaccine and hep b IG

Question 14

How many tetanus doses do kids get?

Answer 14

5

Question 15

Who gets Tdap?

Answer 15

Everyone at least once after 11

Question 16

Gross motor developmental of following ages?

2 months, 4 months, 6 months, 1, 2, 3, 4, and 5 years?

Answer 16

Lift head, roll over, sit up, walk, steps/stairs, tricycle, hopping, skipping.

Question 17

What are the 3 ages groups to remember for social and what are they?

Answer 17

2 months - smile
6 months - stranger anxiety
1 year - separation anxiety

Question 18

Language of 2,4 6, 9, 12 months

1,2,3,4,5 years?

Answer 18

Coos, babble, babble, kind of mamma, mama and daddy

1 word, 2 word, 3 word 4 word 5 word

Question 19

For fine motor, when should a kid be able to draw a circle, cross and triangle?

Answer 19

3,4,5

Question 20

What is the complication of diaphragmatic hernia that we are worried about and how to treat?

Answer 20

Hypo-plastic lung

Steroids

Question 21

How do you diagnose biliary atresia?

Answer 21

US and don’t see biliary tree

Do HIDA scan only after phenobarbital to induce growth of biliary tree

Question 22

Two ways to treat high unconjugated bilirubin?

Answer 22

Phototherapy

Exchange transfusion for really high levels

Question 23

X ray sign of malrotaiton?

Answer 23

Double bubble with normal air after

Question 24

X ray sign of intestinal atresia?

Answer 24

Double bubble plus multiple air/fluid levels

Question 25

2 non bilious emesis causes?

Answer 25

Pyloric stenosis and TE fistula

Question 26

Big time clinical identifier or TE fistula? 2 things.

Answer 26

NG tube that coils and gurgling and bubbling

Question 27

3 failure to pass meconium diseases?

Answer 27

Imperforate anus, meconium ileus, hirshsprung

Question 28

What does x ray show for bronchopulmonary dysplasia?

How to treat?

Answer 28

Ground glass opacities

Surfactant and steroids

Question 29

Fever + premie + bloody diarhrea =?

Answer 29

NEC