PART 1 Flashcards
Vaccine given to preschoolers
Opv, dtap, mmr, varicella
Infection of 3 yo indicates sexual abuse
Syphilis and gonorrhea
Preterm with high ALP low phosphate
Osteopenia of prematurity
Newborn with respiratory distress immediately after birth+scaphoid abdomen. No breath sounds on left chest, initial management?
Intubate>NGT>resuscitation>surgery
Hazy cornea
Glaucoma
Rocker foot, single nostril, hypertelorism, small for GA, polydactyly, microcephaly. Syndrome?
Patau
Duchenne inheritance
X linked
Child with hepatosplenomegaly, coarse facial features, corneal clouding amd retinal degeneration. Syndrome?
Hurler
Five months old with respiratory symptoms high ammonia, hypoglycemia, negative ketone bodies. Dx?
Fatty acid oxidation defect
9 MO recurrent infections, eczema, thrombocytopenia. Lab to order?
Immunoglobulin level with specific antibody
Complement deficiency causes what kind of infection?
Extracellular (encapsulated) bacteria
In Rheumatic fever, major criteria include erythema marginatum or nodosum?
Marginatum
C difficile prevention?
Hand wash
Conjunctivitis and tonsillar exudate?
Adenovirus
Vaccine to give nephrotic syndrome?
PSV23
Epigastric pain and stool antigen +ve H pylori
Refer to GI for scope
What’s true in DKA
Bicarb 10
Vomiting, dehydration, high Na. Dx ?
Primary hyperaldosteronism
Commom between rheumatic fever and infective endocarditis?
Gallop rhythm
CF sudden right chest pain and tachypnea?
Pneumothorax
Deep joint swelling and bruises, PT and BT normal, PTT prolonged
Factor 8
Tumor lysis labs
High phosphorus, uric acid, and potassium. Low calcium
SCD with hemiperisis, tx
Exchange transfusion
Child took bactrim and became jaundiced
G6PD
Generalized lymphadenopathy + mediastinal mass
Lymphoma
12 hr fever, decreased concentration and vomiting, non blanchable petechae, hypotension. Organism?
Meningiococcemia
HCO reabsorption?
Proximal tubules
Girl uses Isotronion has blindness, investigation?
LP
Sickler with slapped cheeks, crisis ?
Aplastic
12 yr, intermittent fever, anorexia, weight loss. Imaging aortic insufficiency. Dx?
Brucellosis
Primary adrenal insufficiency labs
Low Na
High K
High renin
How long to treat pharyngitis to prevent rheumatic fever?
2 weeks
Periventricular calcification, organism?
CMV
Complication after intesusseption?
Mickels diverticulum
Absence seizure tx
Ethusuxemide
Normal coagulation profile, factor abnormal?
13
11 years, vaccine to give
Tdap
NEC with abdominal distension
RO colonic stricture
Best treatment for allergic rhinitis?
Loratidine
FTT, diarrhea, recurrent infection, skeletal abnormal, lab shows pancytopenia
Swachman diamond syndrome
PSGN lab
Low C3
Abdominal mass and periorbital ecchymosis
Neuroblastoma
Blue stippling sign
Lead poisoning
Dehydration associated with central pontine myelonosis
Hypernatremic dehydration
Difficulty swallowing, unilateral neck swelling, febrile, no palpable lymph nodes
Retro pharyngeal abscess
Infant was on mechanical ventilation suddenly he had acute deserting tachycardia and hypertension chest x-ray shows a shift of mediastinum to the other side and no lung marking on the affected side next to urgent step
Needle decompression
Infant with swelling overscan extending to orbital margin on low hemoglobin
Subglial hemorrhage
Infant has apnea runny nose paroxysm of cough dx Tx
Azithromycin
First symptom of salicylate toxicity
Hyperventilation
Severe menorrhagia Dx
vWF
Epistaxis BT prolonged
VWF
Hemophilia A test
PTT
Right upper quadrant pain and fever and visiting a farm Dx
Leishmaniasis
ET equation
Non cuffed
How to choose tube size?
Uncuffed: (Age/4)+4
Cuffed: (Age/4)+4-0.5
How many days after the onset of tonsillitis will amoxicillin be effective to prevent rheumatic frver
9 days
An infant was brought to you with history of severe bouts of cough and episodes of apnea, what is the
best treatment to give to this patient?
Azithromycin
Patient exposed to organophosphorus compound (cholinirgie) what is antidote:
Atropine
UTI +ve nitrite
PH 8
Organism?
Proteus
blood transfusion for b thalassemia how to test for overload ?
Screening: Ferritin
Best: liver and heart MRI
ADHD on Methylphenidate. SE?
Tics
Most common abdominal cause
Renal anomalies ( hydronephrosis as example)
Most common abdominal tumor
Teratoma
Most common malignant tumor
Neuroblastoma
Second Most common malignant tumor
Wilm’s tumor