Pedia: Pulmonology

Question 1

What is the most common cause of bronchiolitis?

Answer 1

RSV

Question 2

Give the most common bacterial etiology of pneumonia:
0-28 days
3W-3M
4M-4Y 
5-15 years

Answer 2

0-28 days GBS
3W-3M strep pneumonia
4M-4Y strep pneumonia
5-15 years Mycoplasma and Chlamydophila pneumoniae

Question 3

TB dz is present if 3/5 of these ssx are present

Answer 3

Exposure
Ssx suggestive of TB
CXR
PPD
Other labs

Question 4

What etiology of pharyngitis causes sandpaper rash in the inguinal and ante cubical areas?

Answer 4

GABHS

Question 5

Drooling with hot potato voice in a patient with grossly infected molar extraction sites is probably due to?

Answer 5

Retropharyngeal abscess

Question 6

Culture of quinsy would usually yield?

Answer 6

GABHS and anaerobes

Question 7

A seal like barking cough with a steeple sign on xray is probably due to? How about sniffing dog position with a thumb sign on CXR?

Answer 7

LTB or croup parainfluenza

Epiglottis HIB

Question 8

A 6 month old swallowed a toy key where is it most likely located?
How about a 4 year old?

Answer 8

Larynx

R main stem bronchus

Question 9

What are the components of the dxtic criteria for TB ?

Answer 9

Exposure to person with active TB
PPD
SSx (cough fever 2 weeks, failure to gain weight, poor appetite, CLAD painless, no response to abx)
CXR
LABS

Question 10

4Cs of positive PPD at 5mm

Answer 10

Cxr
Contact
Compromise ICC
Clinical ssx

Question 11

Viral croup/ Epiglottis?

1. Stridor
2. HiB
3. Drooling with muffled voice
4. Lead sign

Answer 11

1. Viral croup the rest epiglottis