Pedi Flashcards
German measles is also known as what disease?
Rubella
Bruises may be purple, green, yellow, and brown. How many days old is a yellow bruise?
Purple day 1-5, Green day 5-7, Yellow day 7-10, Brown day 10-14
Pain with movement of the pinna or triages should make you think of what diagnosis?
Otitis externa
What is the first-line treatment for pertussis?
Erythromycin
By what age should a child be able to hold up her own head?
3 months
A Salter-harris type I fracture affects what area of the bone?
Only the physis (growth plate)
By what age should a child be able to sit up?
6 months
A 15 year old overweight boy presents to your office limping with knee pain. What is the most likely diagnosis?
Slipped capital femoral epiphysis
A premature infant with hyaline membrane disease will have what appearance on CXR?
Bilateral atelectasis or ground glass appearance
Atypical or walking pneumonia is caused by what pathogen?
Mycoplasma
What antibiotic is first line treatment for mycoplasma pneumonia?
A macrolide, erythromycin or azithromycin
A patient is having seizures along with a mouse-like odor from the urine. What diagnosis should you be thinking of?
Phenylketonuria
The description of a dew drop on a rose petal should make you think of what diagnosis?
Chickenpox
Pale and boggy nasal mucosa should make you think of what diagnosis?
Allergic rhinitis
List the five major jones criteria for diagnosing rheumatic fever
Polyarthritis, carditis, subcuticular nodes, erythema marginatum, chorea
Describe erythema marginatum
Pink rings on the trunk and inner surfaces of the limbs
A child with bulky greasy stool should make you think of what diagnosis?
Cystic fibrosis
At what age should an infant begin cooing?
2 months
What is the most common cause of an upper respiratory tract infection?
Rhinovirus
Kopek spots are white clustered lesions on the buccal mucosa. What virus are they pathognomonic for?
Measles/Rubella
What is the first line antibiotic for otitis media?
Amoxicillin
How do you treat a patient with RSV?
Albuterol, steroids, and fluids
A patient presents with painful ulcers in his mouth. On physical exam you find more of the same type of ulcers on his feet and hands. What virus is most likely causing these symptoms?
Coxsackie virus
What ist he gold standard for the diagnosis of cystic fibrosis?
Sweat Chloride test
By what age should a child be able to walk?
12 months
If you believe there may be a foreign body obstructing a child’s breathing what type of CXR should you order?
Expiratory view looking for hyperinflation due to air trapping
What is the medical term for a lazy eye?
Amblyopia
A patient presents with a staccato cough but no fever, what is the most likely diagnosis?
Chlamydia pneumoniae
What is the most serious complication of Kawasaki syndrome?
Aortic aneurysm
A musical vibratory murmur best heard at the apex in a child should make you think of what diagnosis?
Still’s murmur
A palpable olive-shaped epigastric mass in a one month old should make you think of what diagnosis?
Pyloric stenosis
At what age should a child be able house a spoon and stack 3-4 blocks?
18 months
What is the x-ray finding that supports diagnosis of a slipped capital femoral epiphysis?
Ice cream falling off the cone
Which viral exanthem often has conjunctivitis as one of its symptoms?
Measles/rubella
What ist he most common congenital heart defect?
VSD
A boot-shaped heart on CXR should make you think of what diagnosis?
Tetralogy of Fallot
During a physical exam of a child, you feel a tubular or sausage shaped mass. What is the most likely diagnosis?
Inussusception
What ist he treatment for a volvulus in a child?
Barium enema
By what age should a child be able to roll over?
4 months
What is pertussis more commonly referred to as?
Whooping cough
Which valve is most associated with rheumatic fever?
Mitral
You hear a loud harsh holosystolic murmur in a child. It is best heard in the LLSB. What is the most likely diagnosis?
VSD
A child presents with paroxysmal abdominal pain, nausea, vomiting, and diarrhea. What is the most likely diagnosis?
Intussusception
At what age should a child being to feed himself?
6 months
Currant jelly stool should make you think of what diagnosis?
Intussusception
Is a URI that includes hoarseness viral or bacterial?
Viral
Describe Barlow’s test
Adduct and internal rotation of the hips
A CXR finding of notched ribs in a child should make you think of what diagnosis?
Coarctation of the aorta
How long should you wait for a swallowed marble to pass through the body before considering surgery?
24 hours
A 4 year old boy presents between october and March with wheezing, coughing, a runny nose and increased respiratory rate. What is the most likely pathogen?
RSV
By what age should a child be able to kick a ball?
24 months
A child with fever lasting longer than 5 days should make you think of what diagnosis?
Kawasaki disease
A widely split fixed S2 should make you think of what diagnosis?
ASD
Nasal polyps should make you think of what diagnosis?
Cystic fibrosis
In order to diagnose rheumatic fever what one thing must you have?
Evidence of strep infection either positive titer or positive culture
Forchheimer spots are associated with what disease?
Rubella
A salter-harris type III fracture affects what area of the bone?
The physis (Growth plate) as well as the epiphysis
A lacey pink rash on the face of a child should make you think of what diagnosis?
Erythema infectious aka fifth disease aka slapped cheek
Unilateral purulent rhinitis should make you think of what diagnosis?
Foreign body
What is the medical term for cross-eyed?
Strabismus
What organism is the most common cause of otitis media?
Strep pneumonia
At what age should a child begin to say momma and dadda?
12 months
