Pance Pediatric 6/9/20

Question 1

when does the anterior fontanelle close

Answer 1

24 months

Question 2

when does the posterior fontanelle close

Answer 2

3 months

Question 3

what pathology has a third fontanelle

Answer 3

down syndrome

Question 4

what pathology is delayed stool > 48 hours after birth may indicate

Answer 4

Hirschsprungs

Question 5

dorsal displacement or urethera

Answer 5

epispadia

Question 6

ventral displacement or urethera

Answer 6

hypospadia

Question 7

when is the babinski reflex integrated

Answer 7

2 years

Question 8

what test by the provider is designed to dislocate the kids hip

Answer 8

Barlow

Question 9

what test by the provider is designed to relocate the kids hip

Answer 9

ortolani

Question 10

what medication closes the PDA

Answer 10

indomethacin

Question 11

what murmur has a musical quality

Answer 11

stills

Question 12

what pediatric murmur is best heard in the second intercostal space

Answer 12

pulmonary ejection murmur

Question 13

for 200 please describe truncus arteriousis

Answer 13

1 vessel instead of 2 (aorta and pulmonary)

Question 14

what is transposition of great arteries

Answer 14

2 vessels switched (aorta and pulmonary artery)

Question 15

what is tricuspid atrisa

Answer 15

no tricuspid valve

Question 16

what are the 4 conditions associated with tetralagy of fallot

Answer 16

• overriding arorta
• Right ventricle outflow obstruction
• RVH
• ventricular septal defect

Question 17

what is the most common congenital heart disease

Answer 17

VSD

Question 18

how do you dx VSD

Answer 18

echo

Question 19

do VSD close on their own

Answer 19

yes most within 10 years.

Question 20

what pediatric cardiac pathology is “egg on a string or egg on it’s side for CXR”

Answer 20

Transposition of great arteries

Question 21

what pediatric cardiac pathology “wide fixed S2”

Answer 21

ASD

Question 22

what pediatric cardiac pathology right to left shunt

Answer 22

tetralogy of follot

Question 23

What pathology
“rib notching:
“3 sign”

Answer 23

• coarctation of the aorta

Question 24

coarctation of the aorta

Answer 24

surgical correction

Question 25

Infant respiratory distress is due to what

Answer 25

insufficiency of surfactant

Question 26

insufficiency of surfactant what would you see on X ray

Answer 26

ground glass

Question 27

when do you give steroids to the mother

Answer 27

when she is going to deliver between 24-36 weeks

Question 28

what is assocciated with post mature delivery

Answer 28

meconium aspirations

Question 29

when does sids happen

Answer 29

between 1 month and one year

Question 30

what sleeping postion increases SIDS

Answer 30

prone sleeping

Question 31

what reduces the risk of SIDS (4)

Answer 31

supine position firm mattress room sharing pacifier use

Question 32

what is kernicterus

Answer 32

cerebral dysfunction and encephalopathy

Question 33

when are infants at risk for kernicterus

Answer 33

when bilirubin is above 20

Question 34

what are the two treatments in jaundice of the newborn

Answer 34

1. phototherapy | 2. exchange transfusion

Question 35

what is a function outlet obstruction in a child < 12 weeks

Answer 35

- pyloric stenosis

Question 36

olive shaped mass on abdominal X ray

Answer 36

pyloric stenosis

Question 37

what type of vomiting for pyloric stenosis

Answer 37

non billious projectile

Question 38

what pathology is associated with a string sign on GI series

Answer 38

pyloric stenosis

Question 39

what adult abdominal pathology string sign on abdominal X ray

Answer 39

crohns

Question 40

how do you tx pyloric stenosis 2

Answer 40

- fluids | - surgery

Question 41

intestinal segment invaginates telescopes into intestinal lumen

Answer 41

Intusseception

Question 42

what pediatic pathology - vomiting - abdominal pain - passage of blood per rectum

Answer 42

Intusseception

Question 43

"sausage shaped abdominal mass"

Answer 43

Intusseception

Question 44

Intusseception tx

Answer 44

barrium air insufflation

Question 45

_ absense of enterig ganlion cells | - bilious vommiting

Answer 45

hirschsprungs

Question 46

hirschsprungs dx 2

Answer 46

anorectal manometry | rectal biopsy: definitive dx

Question 47

hirschsprungs tx

Answer 47

surgical resection of bowel

Question 48

Presents immediately after birth with excessive oral secretions

Answer 48

esophageal atresia

Question 49

esophageal atresia tx

Answer 49

surgical ligation

Question 50

"double bubble sign on abdominal X ray"

Answer 50

- duodenal atresia

Question 51

duodenal atresia vomiting

Answer 51

bilious vommiting

Question 52

complete absence or closure of duodenum

Answer 52

duodenal atrisa

Question 53

how do you tx duodenal atrisa

Answer 53

- decompression of the GI tract | - surgery

Question 54

what is the other name for roseola

Answer 54

sixths disease

Question 55

what is the only rash that starts in the trunk

Answer 55

roseola

Question 56

high fever followed by a rash

Answer 56

roseola

Question 57

what is the tx for roseola

Answer 57

supportive

Question 58

what causes hand foot mouth disease

Answer 58

coxsackie

Question 59

describe hand foot mouth disease

Answer 59

vesicular lesions on an errthemaouts base

Question 60

what is the MC cause of pericarditis and myocarditis

Answer 60

coxackie

Question 61

what are the 3 C's associated with rubeola (measles)

Answer 61

cough conjunctivitis coryza

Question 62

rubeola (measles) tx

Answer 62

none, supportive

Question 63

"koplick spots"

Answer 63

measles

Question 64

where is the lympadeonpathy for rubella

Answer 64

- posterior cervical | - posterior auricular

Question 65

What are the TORCH disease

Answer 65

- toxoplasmosis - syphilis - Rubella - CMV - Herpes

Question 66

what disease is slapped cheeks

Answer 66

fifth disease | erythema infectiosium

Question 67

fifth disease AKA erythema infectiosium is causes by?

Answer 67

parvo B-19

Question 68

what virus can cause aplastic crisis in patients with sickle cell

Answer 68

Parvo B-19

Question 69

blockage of sweat glands in neonates

Answer 69

Miliara

Question 70

1-2 mm perly white and yellow papules especially seen on the cheeks forehead, chin and nose

Answer 70

Milia

Question 71

cafe au lait spots are associated with what NF

Answer 71

one

Question 72

what pathology - circumoral pallor - strawberry red tongue

Answer 72

scarlet fever

Question 73

what is the tx for scarlet fever

Answer 73

Pen G

Question 74

Females with absent genitalia | what condition

Answer 74

Turners | - 45 XO

Question 75

short staute web neck wide nipples low hairline

Answer 75

turners syndrome | - 45XO

Question 76

males with an extra X chromosome

Answer 76

Kleinfelters XXY

Question 77

males with absent genitalia

Answer 77

Kleinfelters XXY