PEARLS

Question 1

Triple birth weight at

Answer 1

12 months

Question 2

Walks well without support at

Answer 2

15 months

Question 3

Throws ball forward at

Answer 3

15 months

Question 4

MCC of severe visual impairment in children

Answer 4

ROP

Question 5

Jaundice secondary to inadequate breastfeeding at first week of life

Answer 5

Breastfeeding jaundice

Question 6

Treatment of choice for SIADH

Answer 6

Water restriction

Question 7

Type of RTA associated with Fanconi syndrome with impaired HCO3 absorption

Answer 7

Type 2

Question 8

Erythematous papular vesicular rash common in neonates that develops after beth involving eosinophils

Answer 8

Erythema toxicum

Question 9

Newborn with apgar 8,9 develops tachypnea and occasional grunting 1 hour later, CXR showed prominent vascular markings and fluid in lung fissures with no cyanosis

Answer 9

Transient tachypnea

Question 10

Confirmatory test for diagnosis of feral-maternal hemorrhage

Answer 10

Kleihauer-Betke acid elution test

Question 11

MC intestinal emergency occurring in preterm infants in NICU

Answer 11

NEC

Question 12

Pathognomonic radio findings of NEC

Answer 12

Pneumatosis intestinalis

Question 13

DOC for early onset sepsis

Answer 13

Ampi genta

Question 14

7 mo. old diarrhea, soft to watery, non bloody, 3 weeks, associated with switching to cows milk, occ episodes of vomiting, abdominal distention, poor weight gain

Answer 14

Food-induced enteropathy

Question 15

Normal RR for children 2-12 mos

Answer 15

Less than 50

Question 16

4 y/o, 4-day history of cough, runny nose, low-grade fever, rash 1 day ago spread from forehead to upper trunk

Answer 16

Measles (rubeola)

Question 17

MCC of death in measles

Answer 17

Pneumonia

Question 18

MC complication of measles

Answer 18

AOM

Question 19

Treatment for measles shown to decrease mortality and morbidity

Answer 19

Vitamin A

Question 20

10 y/o 5-day low-grade fever, headache, malaise, anorexia, onset of rash on 3rd day spread from face and neck quickly toward whole body, sub occipital and post auricular lymphadenopathy the following day

Answer 20

Rubella

Question 21

Oral ulcers in patients with exanthem subitum

Answer 21

Nagayama spots

Question 22

Where are nagayama spots specifically seen in the oral cavity

Answer 22

Uvulopalatoglossus

Question 23

What are Forschheimer spots

Answer 23

Fleeting enanthem seen as small, red spots (petechiae) on the soft palate in 20% of patients with rubella

Question 24

Sudden onset high fever for 2 days, sore throat, discrete 1-2 mm vesicles and ulcers surrounded by erythema in the retropharyngeal wall and soft palate

Answer 24

Herpangina

Question 25

CXR showing hyper expansion of chest, peribronchial thickening, and some interstitial infiltrates

Answer 25

Bronchiolitis

Question 26

Hydrocephalus, chorioretinitis, intracerebral calcifications

Answer 26

Toxoplasmosis

Question 27

DOC for congenital toxoplasmosis

Answer 27

Sulfadiazine-Pyrimethamine

Question 28

Cataracts, PDA, blueberry muffin rash

Answer 28

Rubella

Question 29

MC congenital infection

Answer 29

CMV

Question 30

Leading cause of sensorineural hearing loss

Answer 30

CMV

Question 31

Mother had varicella 2 days before giving birth, what should be given to the baby

Answer 31

VZIG and Acyclovir

Question 32

Recurrent pneumonia, profound B cell deficiency

Answer 32

Bruton’s agammaglobulinemia

Question 33

Thrombocytopenia, atopic dermatitis, recurrent infections

Answer 33

WAS