Ped #140 Flashcards

1
Q

In a patient with diarrhea: T/F Subdural hematomas may occur due to intracellular fluid loss.

A

T

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2
Q

In a patient with diarrhea: T/F Fluid should be given to rapidly reduce the serum Na in less than 24 hours

A

F.

The serum sodium level should be lowered slowly, no faster than 10-12 milliequivalents in 24
hours, due to the risk of cerebral edema and seizures.

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3
Q

What would you say is a key difference between erythema toxicum neonatorum VS Acne neonatorum?

VS Milia

A

Distribution: both look like rashes, with papules, pustules, but ETN locates mainly on trunk and extremities while acne is on the face.
Bang!

Milia consists of 1- to 2-mm pearly keratin plugs without erythema, and may occur on the trunk and limbs

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4
Q

Moderate acne not responsive to basic topical treatments like benzoyl peroxide should be
treated with _______ antibiotics such as ___________.

A

oral

minocycline

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5
Q

Accutane is reserved for _____ cases of acne that are unresponsive to__ antibiotics

A

severe

oral

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6
Q

with a couple of words, in Canada, Treatment of acne is:
Mild Acne:
Moderate Acne:
Severe Acne:

A

Mild Acne: Topical medications like Benzamycin or Benzaclin
Moderate Acne: Oral antibiotics like Minocycline
Severe Acne: Accutane

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7
Q

What’s the laboratory difference between Nephrotic syndrome and Glomerulonephritis?

A

. Typical laboratory findings of nephrotic syndrome include hyperlipidemia and fatty casts on urinalysis.

Glomerulonephritis:

The urinalysis in this scenario is significant for a tea-colored appearance, concentrated
urine, proteinuria, hematuria, and red blood cell casts. The presence of red blood cell casts
indicates that the origin of the bleeding is glomerular in nature, and thus is pathognomonic
for acute glomerulonephritis

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8
Q

in unrine test, ____ casts are seen in acute pyelonephritis, often manifested by high fever, and
costovertebral angle or flank pain and tenderness.

A

WBC

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9
Q

Positive serum antinuclear antibodies are associated with ___nephritis.

A

lupus

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10
Q

Urine eosinophils are seen in the ______________ nephritis.

A

drug-induced tubulointerstitial

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11
Q

Serum complement levels are reduced, not elevated, in various forms of acute glomerulopathies, including:__________________

A

poststreptococcal AGN.

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12
Q

During percutaneous placement of central venous lines, many complications are possible. In this case, the presence of a cold foot without pulses on the side ipsilateral to the line placement strongly
suggests:_____________________.

A

damage to the femoral artery

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13
Q

The Canadian Diabetes Association recommends that children and adolescents at increased
risk should be screened for type 2 diabetes at age ___
Screening should be performed every __ years.

A

10

2

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14
Q

T/F Among the spectrum of congenital anomalies seen in infants of diabetic mothers (IDM) is broad, and abdominal wall defects are typically seen.

A

F.
this is the correct statement:
Although the spectrum of congenital anomalies seen in infants of diabetic mothers (IDM) is
broad, abdominal wall defects are not typically seen.

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15
Q

T/F Sacral agenesis with lumbar vertebral anomalies, poor growth of the caudal region, distal
spinal cord disruption, and other anomalies are common in IDM

A

T

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16
Q

the only agents approved for treatment of type 2 diabetes mellitus
in children. are:

A

Metformin and insulin.