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Erwin Personal Flash Cards > Pedia > Flashcards

Pedia Flashcards

1
Q

Newborn Care. Neonate HR

A

Continue PPV

Start chest compression

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2
Q

Newborn Care. Neonate HR

A

Epi IV/ET

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3
Q

Factor to consider ET intubation in newborn.

A

Apnea/ HR

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4
Q

APGAR score with good cardiopulmonary adaptation

A

APGAR 8-10

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5
Q

APGAR with need for resuscitation, esp. ventilatory support

A

4-7

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6
Q

APGAR score with need for immediate resuscitation

A

0-3

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7
Q

GABHS type that causes throat infection

A

Type 12

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8
Q

GABHS type that causes skin infection

A

Type 49

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9
Q

Acute PSGN, what type of immune reaction

A

Type III

Immune complex mediated

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10
Q

C3 levels in If IgA nephropathy

A

Within normal

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11
Q

Latency period of PSGN from sore throat

A

1-2wks

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12
Q

Latency period of PSGN from pyoderma

A

3-6wks

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13
Q

Best single Ab titer to document GABHS skin infection

A

Anti DNase

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14
Q

Ab titer to document GABHS throat infection

A

ASO titer

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15
Q

Hypertension from Acute PSGN will normalize after?

A

4-6 wks

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16
Q

Microscopic hematuria from acute PSGN can persist how long from initial presentation?

A

12-24 months

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17
Q

Acute phase of PSGN generally resolves within

A

6-8 wks

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18
Q

Antibiotic used to treat Acute PSGN

A

10 day course of penicillin

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19
Q

Histopathologic hallmark of RPGN/CGN

A

Crescents in the majority of glomeruli

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20
Q

Tx to prevent progression of CGN in SLE, HSP, IgA neph, etc.

A

High dose steroid

Cyclophosphamide

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21
Q

Organisms that can cause Hemolytic Uremic Syndrom

A

Shigella dysenteriae type 1

E. coli O157:H7

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22
Q

Triad of Hemolytic Uremic Syndrome

A

Microangiopathic hemolytic anemia
Thrombocytopenia
Renal insufficiency

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23
Q

HUS is usually preceded by what

A

Gastroenteritis (fever, vomiting, abd pain, bloody diarrhea)

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24
Q

Laboratory criteria for diagnosing HUS

A

Anemia

Renal insufficiency

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25
Q

Differentiates TTP from HUS

A

CNS disturbance
Fever
Gradual onset

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26
Q

Characteristic of HUS on PBS

A

Helmet cells
Burr cells
Fragmented RBCs

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27
Q

Confirmatory of renal vein thrombosis

A

Doppler ultrasound

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28
Q

Viruses that can cause cystitis

A

Adenovirus 11 & 21 (boys)

Influenza A

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29
Q

UTI diagnostic reqt

A

Urine culture =/>50,000 cfu/mL cath specimen
Dipstick (+) LE or nitrites
microscopy: WBC +/- bacteria

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30
Q

Treatment of UTI >17yo or for resistant strains such as pseudomonas

A

Ciprofloxacin

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31
Q

Protein 1+

A

30mg/dL

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32
Q

Protein 2+

A

100mg/dL

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33
Q

Protein 3+

A

300mg/dL

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34
Q

Protein 4+

A

> 2000mg/dL

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35
Q

Most common identified cause of nephrotic syndrome

A

Minimal change disease (85%)

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36
Q

Most common cause of nephrotic syndrome

A

Idiopathic (90%)

37
Q

Most common histologic type of idiopathic nephrotic syndrome

A

Minimal change disease

38
Q

The major complication of NS

A

Infection

Spontaneously bacterial peritonitis: S. Pneumoniae, E. Coli

39
Q

Drugs used for eye prophylaxis

A

Erythromycin 0.5%

Tetracycline 1%

40
Q

Dose and route of Vit K in newborn care

A

1mg IM

41
Q

RA for newborn screening test

A

RA 9288

42
Q

Schedule for newborn screening

A

48hrs

43
Q

Schedule of newborn screening for preterm infants

A

5-7 days old

44
Q

If incorrect timing of NBS, may be repeated after

A

2wks

45
Q

NBS may be one on sick babies up to?

A

1month

46
Q

Enzyme deficiency in congenital adrenal hyperplasia

A

21-hydroxylase enzyme

47
Q

Increased in serum of patients with CAh

A

17-hydroxyprogesterone

48
Q

Electrolyte imbalance in CAH

A

Hyperkalemia

Hyponatremia
Hypocholiridemia

49
Q

Classic form of galactosemia

A

Galactose-1-phosphate uridyltransferase deficiency (GALT)

50
Q

Substances that precipitate hemolysis in G6PD

A 
Sulfonamides
Chloramphenicol
Nalidixic acid
Nitrofurantoin
Antimalarials
Vitamin K analogs
ASA
Benzene
Napthalene
51
Q

Enzyme deficiency in Phenylketonuria

A

Phenylalanin hydroxylase

52
Q

Birth injury, subperiosteal bleed that does not cross the suture lines

A

Cephalhematoma

53
Q

Birth injury, subperiosteal bleed that crosss the suture lines, involves the presenting part

A

Caput succedaneum

54
Q

Birth injury associated with vaccum delivery, beneath the occipitofrontalis aponeurosis, from rupture of the emissary veins

A

Subgaleal hematoma

55
Q

Erb duchene palsy injured nerves

A

C5-C6

56
Q

Klumpke palsy nerves injured

A

C8-T1

57
Q

Most commonly fractured bone during delivery

A

Clavicular fracture

58
Q

Congenital eye defect on the iris, lens, or retina (cleft/notch)

A

Coloboma

59
Q

Congenital eye defect, absent iris

A

Aniridia

60
Q

Congenital eye defect, tearing, photophobia, cornea >1cm

A

Glaucoma

61
Q

Hydrocele usually resolves after __

A

12 mos

> 12 mos hydrocelectomy

62
Q

Undescended testis usually resolves commonly when?

A

1-3mos

63
Q

Fate of undescended testis at 4mos

A

Will remain undescended

64
Q

Surgicall treatment of undescended testis is ideally dine when?

A

9-15mos old

65
Q

Low birth weight

A
66
Q

Very low birth weight

A
67
Q

Extremely low birth weight

A
68
Q

IUGR

A

BW is

69
Q

LGA

A

> 90th percentile for gestational age

70
Q

Post term infants

A

42 wks

71
Q

Physiologic jaundice

A 
48hrs after
TB increase not more that 5mg/dl/day
TB peaks at 14-15mg/dL
DB not more than 10% of TB
Reseolves in 1wk term (2wk preterm)
72
Q

Most common cause of hemolytic disease of the newborn

A

ABO incompatibility

73
Q

Most common Rh incompatibility are due to

A

D-antigen (90%)

74
Q

Pure red cell aplasia AKA

A

Diamond-Blackfan syndrome

75
Q

Diamond-Blackfan Syndrome PBS

A

Macrocytic, reticulocytopenia

76
Q

Most common hmatologic disease of infancy and childhood

A

Iron deficiency anemia

77
Q

Iron deficiency anemia PBS

A

Hypochromic microcytic

78
Q

Most important sign of IdA

A

Pallor

79
Q

Hgb level that warrants admission and BT

A

4mg/dL

80
Q

Differentiates IdA from anemia of chronic disease

A

High TIBC

Both have low serum iron levels

81
Q

Treatment of IdA

A

Elemental iron 4-6mg/kg/day

82
Q

Repletion of iron stores with elemental iron supplementation occurs at

A

1-3months

Also best time to do rpt cbc

83
Q

Anemia with absent Beta-globin production

A

Cooley’s anemia (Beta-thalassemia Major)

84
Q

Definitive diagnosis of Beta Thalassemia

A

Hb Electrophoresis

85
Q

Most common cause of thrombocytopenic purpura in childhood

A

Idiopathic thrombocytopenia purpura

86
Q

Diagnosis os ITP

A

Thrombocytopenia

Increased megakaryocytes on BMA along with normal marrow elements

87
Q

Treatment of ITP

A

IVIg & Plt Transfusion

Prednisone

88
Q

The most common inherited bleeding disorder

A

von Willebrand’s Disease

89
Q

Newborn Care. Neonate HR

A

Provide PPV

Erwin Personal Flash Cards (16 decks)

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