p253

Question 1

Slipped capital femoral epiphysis

SCFE. How you make the Dx

Answer 1

Anteroposterior
and frog-leg lateral x-rays of both hips are taken.

if x-rays are normal: Ultrasonography
and MRI are also useful

Question 2

pain in the thigh related to entrapment of the lateral femoral
cutaneous nerve, often attributed to____________
Dx

Answer 2

excessively tight clothing

Meralgia paresthetica

now called: Lateral femoral cutaneous nerve injury

Question 3

The hallmark of SCFE on
examination is

Slipped capital femoral epiphysis

Answer 3

limited internal rotation of the hip

Question 4

Patients with scoliosis usualy come to you complaining about:

Answer 4

fatigue in the lumbar region after prolonged sitting or standing.
Muscular backaches in areas of strain (eg, in the lumbosacral angle) may follow.

Question 5

At what degree, is an scoliosis curve considered Significant?

Answer 5

> 10°.

If less than that, do not monitor.

Question 6

Scoliosis. When to: do nothing, observation or brace, surgery

Answer 6

> 10°. monitor
20° monitor or brace
30° bracing
40° surgery

Question 7

T/F painful breasts during a boy’s puberty is a pathological finding always

Answer 7

F.

It can be totally normal in puberty

Question 8

T/F Menarche usually precedes peak height velocity

Answer 8

F
The normal stages of female pubertal development in order are:
thelarche (breast budding),
adrenarche (pubic and axillary hair), peak height velocity, and menarche.

Question 9

T/F Ovulation must occur before menses can begin

Answer 9

F

Often the first bleeding is not ovulatory

Question 10

T/F Regular ovulatory cycles occur about 2 years after menarche

Answer 10

T

Question 11

Neonatal conjunctivitis - Chlamydia. Tx

Answer 11

Erythromycin or azithromycin PO

Question 12

Neonatal conjunctivitis - Chlamydia Vs Neisseria gonorrhoeae. Onset after birth?

Answer 12

Chlamydia 5–14 days
Neisseria gonorrhoeae 2–7 days
en fin. Chlamydia es la más común y de aparición más tardía, los síntomas son casi los mismos.

Question 13

Neonatal conjunctivitis - Neisseria gonorrhoeae. Tx

Answer 13

IV or IM 3rd generation cephalosporin (e.g., ceftriaxone or cefotaxime) for both mothers and newborns.

Question 14

A 5-year-old boy is found to have unusual cravings for dirt and ice. He has also been seen
eating paint chips of the walls. What is the most likely condition to be found in this child?

Answer 14

Lead poisoning