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Deck Kat > Pedia > Flashcards

Pedia Flashcards

1
Q

Adolescent + palpable lymph nodes , splenomegaly and lymphocytosis with PAUL-Bunnell antibodies

A

EBV INFECTION which may lead to splenic rupture due to trauma in its 2nd week of illness

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2
Q

14 month old infant + high grade fever then generalized macular rashes as the fever lysed

A

Roseola infantum (6-15 months old)

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3
Q

Viral infection that has predilection for suppressing ALL CELL LINES (decreased cbc)

A

Roseola infantum / exanthem subitum or the 6th diease

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4
Q

Etiologic agent for EXANTHEM SUBITUM

A

HHV-6

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5
Q

Parent asked you how many days does the rashes from 6th disease lasts

A

1-3 days

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6
Q

Toddler presented with cough, cold and conjunctivitis with rashes that started from hairline and spread cephalocaudally

Dx? Etio agent? Incubation period? Period of communicability?

A

Dx: MEASLES/ rubeola
Etio agent: RNA VIRUS FROM PARAMYXOVIRIDAE
Incubation period: 8-12 days
Period of communicability: 4 days before and 4 days after the rash

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7
Q

Slapped cheek appearance

Etio?

A

Erythema infectiousum

Parvovirus B19

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8
Q

All stages of lesions

A

Varicella

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9
Q

Low Grade fever + maculopapular rash with post auricular, post occipital and post cervical lymphadenopathies

A

Rubella

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10
Q

Virus with predilection to affect ERYTHROID CELLS causing aplastic crisis

A

Parvovirus B19 causing erythema infectiousum

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11
Q

Most common congenital infection

A

Cytomegalovirus

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12
Q

CMV manifestations

A

CMV = blueberry muffin rash

calcifications, INTRACEREBRAL (periventricular distribution)
microcephaly
very large liver and spleen

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13
Q

Congenital toxoplasmosis triad

A

CDH

Chorioretinitis
Diffuse intracaranial calcifications
Hydrocephalus

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14
Q

Most common causative agent of atypical pneumonia in children

A

Mycoplasma pneumoniae

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15
Q

Most common cause of epiglottitis in an unvaccinated child

A

H. Influenzae

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16
Q

PAROXYSMAL cough + very high WBC with predominant lymphocytosis

A

Whooping cough by BORDATELLA PERTUSIS

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17
Q

3 phases of dengue and concomitant clinical issues

A

Febrile phase : dehydration
Critical : organ impairment
Recovery phase: fluid overload

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18
Q

Prophylaxis for a case of meningococcemia

A

Ciprofloxacin 500 mg PO SD
Ceftriaxone 125mg IM SD for less than 12yo
Rifampicin 10mg/kg q12 X4 doses
- 5mg/kg if less than one month old

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19
Q

Mainstay of diagnosis for enteric fever

A

Typhoid fever is diagnosed via a (+) blood culture (mainstay)
Stool and urine culture becomes positive after the first week of illness (on second week)

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20
Q

Unvaccinated child with sore throat and a whitish gray adherent pseudomembrane on pharynx. Dx? DOC?

A

Diphtheria

DOC: PEN G x 14 days

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21
Q

Fever + bloody diarrhea + abd pain with confusion

A

Shigella (mc cause of bloody stools)

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22
Q

DOC FOR SHIGELLA

A

Cefixime

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23
Q

Child with fishy odor and rice water consistency stools, dehydration

A

Cholera

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24
Q

Doc for cholera

A

> 8 yo tetracycline

<8 yo cotrimoxazole

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25
Q

Etio agent of syphylis?

A

Treponema pallidum

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26
Q

DOC for syphilis

A

PEN G x 14 days

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27
Q

Neonate with (+) bilous vomiting (+) double bubble sign in a mom with large volume of amniotic fluid

A

Duodenal atresia

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28
Q

(+) dilated proximal colon and an obstructed distal colon

A

Hirschsprung disease

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29
Q

Common site of Hirschsprung disease

A

Rectosigmoid

30
Q

Gold standard for diagnosing of Hirschsprung disease

A

Rectal suction biopsy

31
Q

Sudden onset of Abd pain + retching and emesis

A

Volvulus

Mc sites are cecum and sigmoid

32
Q

Intermittent painless rectal bleeding and brick colored stools

A

MECKEL DIVERTICULUM

33
Q

Intermittent abdominal pain +’currant jelly like consistency stools

A

Intussusception

34
Q

Bird’s beak sign

35
Q

Double bubble sign

A

Duodenal atresia

36
Q

Double track sign

A

Pyloric stenosis

37
Q

Coiled spring sign

A

Intussusception

38
Q

Unvaccinated child with high grade fever, muffled voice, drooling in a tripod position

A

Acute epiglottitis sec to H. INFLUENZA B

39
Q

A child with a complete immunization status had high grade fever, muffled voice, drooling in a tripod position. Dx? Mc etio agents?

A

Acute epiglottitis

Step. Pyogenes, Step. pneumoniae and Staph. Aureus

40
Q

Treatment for acute epiglottitis?

A

Secure airway thru intubation

41
Q

Xray showed a thumb print or leaf sign

A

Acute epiglottitis

42
Q

Barking cough and stridor upon inspiration dx?

A

LTB (croup)

43
Q

Steeple sign or subglottic narrowing

A

CROUP/ LTB

44
Q

Most common causative agent of LTB

A

Parainfluenza virus

45
Q

Most common cause of bronchiolitis in patients less than 2 years old

46
Q

Low grade fever +’cough + colds and fever with wheezing

A

Bronchiolitis

47
Q

Treatment for bronchiolitis

A

Supportive. Cause is viral

48
Q

Dry hacking cough with clear breath sounds

Dx?

A

Acute bronchitis

49
Q

Fever + tachypnea + cough dx?

50
Q

PAROXYSMAL COUGH

51
Q

Coughing at night without any prodrome

A

Spasmodic croup

52
Q

Persistent cough and occasional bibasal fine rales in a 3week to a 3 month old infant. Xray findings of mild diffuse interstitial infiltrates. imp?

A

Atypical pneumonia

53
Q

Most common cause of atypical pneumonia in 3wks to 3 months old

A

Chlamydia trachomatis

54
Q

Treatment for chlamydia trachomatis infection

A

Macrolides x 14 days
Erythromycin
Azithromycin
Clarithromycin

55
Q

Cough colds and brassy cough. Xray showed pseudomembrane detachment in the trachea. What finding will you expect?

A

Thick copious purulent secretion

Dx: bacterial tracheitis

56
Q

Metallic Barking cough

A

Spasmodic croup

57
Q

Brassy cough

A

Bacterial tracheitis

58
Q

MC cause of bacterial tracheitis

Tx?

A

STAPH. AUREUS

Vanco or clinda + 3rd gen cephalosporin

59
Q

Criteria for TB DISEASE DX

A

EPALS

EXPOSURE TO TB
Positive PPD
ABN CXR
LAB FINDINGS
SYMPTOMATIC
60
Q

Tb classifications

A

Class 1 : tb exposure
Class 2: tb infection
Class 3: tb disease
Class 4: inactive tb

61
Q

APGAR SCORE THAT IS LAST TO DISAPPEAR IN A DYING NEONATE.

A

Cardiac rate

62
Q

Feeding started then bloody stools

Dx? Expected xray findings?

A

NEC

Pneumatosis intestinalis

63
Q

DOC for NEC

A

Ampi + genta + metro

64
Q

MC HEMOLYTIC DISEASE of THE NB?

A

ABO incompatibility

65
Q

What is the factor in breastmilk that causes jaundice?

A

Glucoronidase

66
Q

DOC for neonatal sepsis

A

Ampi+genta

67
Q

Duration o dx prolonged rupture of membranes which makes a child susceptible for sepsis?

A

18 hours of RBOW

68
Q

MC ORGANISMS INVOLVED IN NEONATAL SEPSIS

A

BACTERIAL : GEL
GBS, E.COLI AND LISTERIA MONOCYTOGENES

VIRAL: HE
HSV and ENTEROVIRUSES

69
Q

DOB in a post term infant delivered via CS

70
Q

DOB in a premature neonate

71
Q

Early onset vit k def usually presents on the

A

First two weeks of life

Late onset - beyond 2 weeks

72
Q

Early sepsis manifests in the first _____ of life

A

7days of life beyond this is late onset

Deck Kat (9 decks)

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