Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediatrics > Pedi 8 > Flashcards

Pedi 8 Flashcards

1
Q

Cause heavy menstrual bleeding at an early age?

A

VWD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A complication of FVIII tx for hemophilia?

A

Development of anti FVIII Ab
Occur in 25% of population
The patient will have Tx resistant hemophilia
Increase severity of bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ALL epidemiology?

A

MCC of childhood tumor
2-5
Male > female

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CM?

A 
Non-specific Sx
Bone pain/tenderness(mainly affect long bone, femur, Tibia)
LDP
HSM
Pallor and petechia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Diagnosis?

A

> 25% lymphocyte in BM biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How to D/T from SLE?

A

In SLE joint swelling and effusion rather than bone tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

MC type of headache in children?

A

Migraine Headache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The typical age for OSD?

A

During rapid growth
Boys:13-14
Girls:10-12
Traction apophysitis in the site of the tibial tuberosity(G.P)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

CM?

A

Pain and tenderness at tibial tuberosity site
Exacerbate during activity
Mainly unilateral
No soft tissue swelling
Pain reproduced by knee extension against resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

managment?

A 
X-ray if atypical(soft tissue swelling)
Physical therapy
NSAID
Activity as tolerated
Sx resolve as ossification of the growth plate at adolescence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Giardiasis malabsorbiton mechanism?

A

Disruption of epithelial tight junction b/n enterocyte in the small intestine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A complication of Ch.jardiasis?

A

Malabsorption
Vitamin deficiency
Weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What will position be kept in hip septic arthritis?

A

Abducted, flexed and externally rotated to maximize joint space.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

D/T glycogen storage disease from Classic Galactosemia?

A

GSD: Hypoglycemia delay to 3-6 months and will have negative reducing sugar in the urine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Foreign body insertion in Nose CM?

A

Unilateral purulent nasal discharge
Epistaxis
Erythematous nasal turbine
Mostly age 1-6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Managment?

A

Positive pressure

Mechanical extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Complication?

A

Sinusitis

Periorbital celulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

a child with hearing loss can present with?

A

Poor language development
Lack of social skill
Self-isolation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Neonatal HIV manifestation?

A 
Failure to thrive
Chronic diarrhea
LDP
Candidiasis
PCP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Cryptorchidism risk factor?

A

Genetics
Low birth weight
IUGR
Prematurity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Complication?

A

Inguinal hernia
Testicular torsion
Infertility
Testicular ca(GCT)–Increase even after orchidopexy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

orchidopexy should be done?

A

< 1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When to do inpatient with clinically suspected of nephrotic syndrome?

A

Empiric steroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What immediate thing should be done in septic arthritis?

A

Immediate drainage and irrigation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Sickle cell disease HB pattern?

A

HbA–0%
HbS–85-95 %
HBF–5-15%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Sickle cell trait?

A

HBA-50-60%
HBS–35–45%
HBF–<2%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Turner associate behavioral disorder?

A

Cognition usually normal
Low non-verbal skill(Maths)
Poor executive function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Gonococalconjectivitis feature?

A

2-3 day
Eye Swelling
Purulent discharge
Periorbital Echemosis

29
Q

Managment and prevention?

A

P: Erythromycin ointment
T: IM 3rd gen cephalosporine

30
Q

First, tx in epiglottitis?

A

Maintain airway

31
Q

T1DM onset?

A

4-6 year

10-14 year

32
Q

CM?

A 
Polydipsia
Polyuria, enuresis, and nocturia
Wt loss
Blurring of vision
Fatigue
33
Q

Reye syndrome pathogenesis?

A

Using aspirin for MC in influenza and VZV infection
Asprin–Mitochondrial Toxine
Liver failure and encephalopathy
Aspirin in children and adolescents reserved for Kawasaki and rheumatologic disease

34
Q

Liver pathology?

A

Microvesicular hepatostetiaosis

35
Q

What if hepatic Macrovesicular hepatosteatiosis?

A

Alcoholic liver disease

Non-alcholic heapatosteatiosis

36
Q

erythema marginatum cxs lesion?

A

Pinc
Central cleared
Raised border
Multiple unlike Erythema Migrant(LD)

37
Q

papilledema fundoscopic finding?

A

Enlarged Blindspot
Blurred marigion
Congested vessel(splinter heamorage)

38
Q

Humoral immunodeficiency with Low B cell count?

A

X-Linked(brutton) gamaglobulinimia

39
Q

Normal B-Cell count?

A

100-600

40
Q

When will be maternal IgG wean?

A

at 6 month

41
Q

Foreign body ingestion approach?

A

Imaging on X-ray and CT if not visible

42
Q

If in esophagus: stomach what to do?

A

Symptomatic–Endoscopic removal
Asymptomatic–If high risk(2 magnets, battery, and sharp object)–Immediate removal.
Asymptomatic and low risk(non-sharp and small, one magnet..coin)–manage with serial X-ray after 24 hours–If not progressing–Endoscopic removal but if progressing leave it

43
Q

Magnet complication?

A

atach d/t bowel–necrosis–perforation/fistula

44
Q

If beyond stomach?

A

Colonoscopy and serial X-ry(4-6 hr)
Polyethylene glycol(Laxative) can hasten
SYmptomatic–surgical removal

45
Q

Barium contrast in the Foreign body is C/I why?

A

Risk of aspiration

Obscure visualization by endoscopy

46
Q

A complication of I.Mono?

A

Acute airway obstruction
Hemolytic anemia
Thrombocytopenia
Splenic rupture

47
Q

Acute airway obstruction sign?

A

Marked oropharyngeal infn and tonsillar enlargement
Hyper oral secretion
Respiratory disease

48
Q

Managment?

A

Steroid

49
Q

Conj rubella syndrome sign?

A

SN hearing loss
Cataract
PDA
Other(HSM, Blue me fine rash and growth restriction)

50
Q

Maternal Sx?

A

In first TM
Fever
Mild/no rash
arthritis/arthralgia

51
Q

prevention?

A

Prenatal screening for immunity and Vaccination

52
Q

Recurent respiratory papilomatosis?

A

Multiple finger-shaped papules in vocal cord
HPV 6 and 11 are risks
Usually aquired by vertical transmission
Prevented by maternal HPV vaccination

53
Q

complication?

A 
Voice change
Airway obstruction
recurrent surgery(Papilloma is tx with surgery,antiviral are not effective)
54
Q

the pattern of joint pain based on cause?

A

Septic–Constant,not bear wight,acute
Infl/rhu–Worse in the morning, able to bear weight,chronic
Neoplastic–Worse in evening/night

55
Q

Systemic juvenile idiopathic arthritis CM?

A

> 2 weeks of daily fever
6 weeks fixed arthritis with inf/rhu cxs
Pink macular rash worse during fever
Unlike poly/monoarticular form(no fever and rash)

56
Q

Lab?

A

Leukocytosis
Thrombocytosis
Anemia
Increase inflammatory marker

57
Q

managment?

A

NSAID

58
Q

CM of the vaginal foreign body?

A 
Prepubertal girl
Malodoures, purulent vaginal discharge
Spotty bleeding
urinary sx..dysuria
No trauma sign: No laceration
Usually toilet paper
59
Q

Managment?

A

Warm irrigation

Vaginoscopy under sedation/anesthesia

60
Q

why not speculum in prepubertal?

A

Narrow Vagina

Sensitive hymen due to low estrogen

61
Q

The most common cause of Macrocytic anemia in SCD?

A

Folate deficiency

62
Q

How do we d/t normal separation anxiety (6-18 months) with separation anxiety syndrome?

A

In SAS there will be panic attach and vomiting

63
Q

Traumatic carotid artery injury cause?

A

Fall while holding the object on the mouth (ICA located just posterior to tonsillar pillars
Penetrating trauma
Neck manipulation(yoga,sport)

64
Q

CM?

A

Neck pain
Thunderclap headache
Gradual onset ischemic stroke sign(hemiplegia, aphagia..)

65
Q

diagnosis?

A

CT/MRI angiography

66
Q

How to d/t from CAV malformation induced SAH?

A

SAH
Spontaneous
Acute headache, vomiting and AMS

67
Q

What about hemipelagic migraines?

A

Aura
Transient heamiplagia
Px headache Hx

68
Q

Disease-associated with IgA deficiency?

A

Autoimmune disease like Celiac
Allergic-Eczema disease like asthma
Anaphylaxis during Transfusion(wear an alert bracelet and should recive IgA reduced blood or from IgA deficient donor)

69
Q

In which type of LDP do we consider benign and only reassure?

A 
Size < 2 CM
Soft
Mobile
Localized
Absent systemic sx

Pediatrics (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions