Pead 2

Question 1

Rash of scarlet fever Cxs?

Answer 1

Rapidly developing
Involve trunk, groin, and axilla
Peeling of skin in hand and foot when the rash resolve

Question 2

Cephalehematoma feature?

Answer 2

Bleeding B/N periosteum and skull
Don't cross the midline
Firm and non-confluent
The overlying skin is normal
increase hyberbulinimia risk
Resolve within month

Question 3

Subgalial hemorrhage?

Answer 3

develop hours after birth
B/n periostum and gala aponurotica
Can expand over days
Soft and fluctuant
Diffuse and cross midline
Overlying skin bruising
Can result in life-threatening blood loss

Question 4

Caput Succedaneum?

Answer 4

Present at birth
subcutaneous
Soft and fluctuant
Diffuse and cross midline
The overlying skin is normal
Self-resolve within days

Question 5

radial head subluxation CM?

Answer 5

Pronated and extended arm

No visible deformity, tenderness, or swelling

Question 6

managment?

Answer 6

Hyperpronate arm,or

Supinate and flex elbow

Question 7

Managment of HUS?

Answer 7

IV fluid
Transfusion
Dialysis

Question 8

Gastrochiasis Intrautrinf feature?

Answer 8

Intestine floating in amniotic fluid
Elevated AFP level
IUGR and Oligohydramnios(loss of nutrient by Ex.bowel)
Chronic inflammation–Thickened bowel and Obstruction and NEC—-Short bowel syndrome

Question 9

managment after delivery?

Answer 9

Saline dressing and a plastic bag of bowel
NG tube
AB administered
Surgical repairing

Question 10

NFT type 1?

Answer 10

Cafe -au-lait maccule
Multiple neurofibromas
Lisch nodules
Frekling in akine fold
15 % develop Low grade optic glioma(proptosis + optic nerve conpresion symptome)

Question 11

Common cause of fever due to bacterial infection in infants?

Answer 11

UTI

Question 12

precipitating factor?

Answer 12

Constipation

Question 13

CM?

Answer 13

Poor feeding
Fever
Fufiness
Lower adominal discomfort/tenderness
Decrease urine output
AB:prevent pylonephritis and renal scaring

Question 14

What first thing to do in hemodynamicaly stable patient with GBS?

Answer 14

Spirommetery(FVC,Inspiratory effort)

Question 15

Idication to intubation in GBS?

Answer 15

FVC<=20ml/kg
Respiratory distress
Autonomic dysregulation
Widened pulse presure

Question 16

D/T SSSS from TEN?

Answer 16

TEN involve mucosal area

Question 17

Why neonates are at risk of Vit K deficiency?

Answer 17

Low placental transfer
Sterile Gut
Since breast milk have low Vit K level
Imature liver-Inceficientlry use Vit K

Question 18

CM?

Answer 18

Present 2-7 day
I.PT
I.PTT in sever case

Question 19

Complication of DM in infant?

Answer 19

1stTM:(S.Abortion,CHD,NTD and small left colon)
3rdTM:(Polycytrmia,Organomegaly,neonatal hypoglycemia,macrosomia)

Question 20

Macrosomia complication?

Answer 20

Shoulder dystocia
Clavicular #
Brachial Nerve pulsy
PNA
Hypoxic encephalophaty

Question 21

Acute trachoma menifestation?

Answer 21

clear eye discharge
Follicular conjunctivitis
URTI sign(rhinoriha and congestion)
Neovascularization(pannus formation in cornea)
Contagious
Chlaymedia A,B,C

Question 22

Chronic complication?

Answer 22

Scaring of eyelid and inversion

Corneal injury due to rubbing–blindness

Question 23

What about (CT, AND NG) conjunctivitis?

Answer 23

Eye swelling
Discharge/watery/plurent
Common in neonate
Periorbital edema
if Clymedia-DIK

Question 24

Kawasaki disease pathogenesis?

Answer 24

Medium vessel vasculitis

MCC in children < 5

Question 25

CM?

Answer 25

Fever>5 day
Conjunctivitis(non-exudative and bilateral)
Cervical lymphadenitis
Mucositis
Rash
Erythema,edema and dequantization in extremity(last finding)

Question 26

Lab finding?

Answer 26

Elevated ESR
Sterile pyuria
Thrombocytosis
Leukocytosis

Question 27

Managment?

Answer 27

Asprin
Immunoglobulin
Both prevent coronary artery aneurysm