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Pediatric PANCE Questions > Pediatric Questions > Flashcards

Pediatric Questions Flashcards

1
Q

German Measles is also known as

A

Rubella

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2
Q

Bruises may be purple, green, yellow, and brown. How many days old is a yellow bruise?

A

Purple- 1-5 days, Green 5-7 days, yellow 7-10 days, brown 10-14 days

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3
Q

Pain with movement of the pinna or tragus should make you think of what diagnosis?

A

otitis externa

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4
Q

what is the first line treatment for pertussis?

A

Erythomycin

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5
Q

By what age should a child be able to hold up her head?

A

3 months

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6
Q

a salter harris type 1 fracture affects what area of the bone?

A

only the physis (growth plate)

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7
Q

By what age should a child be able to sit up?

A

6 months

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8
Q

A 15-year-old overweight boy presents to your office limping with knee pain. What is the most likely diagnosis?

A

Slipped capital femoral epiphysis

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9
Q

A premature infant with hyaline membrane disease will have what appearance on chest x-ray

A

Bilateral atelectasis or groundglass appearance

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10
Q

Atypical or walking pneumonia is caused by what pathogen?

A

Mycoplasma

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11
Q

What anabiotic is the first line treatment for mycoplasma pneumonia?

A

A macrolide, erythromycin or azithromycin

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12
Q

A patient is having seizures along with a mouse like odor from the urine. What diagnosis should you be thinking of?

A

Phenylketonuria

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13
Q

The description of a dewdrop on a rose petal should make you think of what diagnosis?

A

Chickenpox

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14
Q

By what age should a child be able to kick a ball?

A

24 months

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15
Q

A child with a fever lasting longer than five days should make you think of what diagnosis?

A

Kawasaki syndrome

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16
Q

A widely split fixed S2 should make you think of what diagnosis?

A

Atrial septal defect

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17
Q

Nasal polyps should make you think of what diagnosis?

A

Cystic fibrosis

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18
Q

In order to diagnose rheumatic fever what one thing must you have?

A

Evidence of a strep infection either positive titer or positive culture. In addition to that you need 2 major criteria or 1 major and 2 minor criteria

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19
Q

Forcheimer spots are associated with what disease?

A

Rubella

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20
Q

A Salter-Harris type three fracture affects what area of the bone?

A

The physis (growth plate) as well as the epiphysis

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21
Q

A lacy pink rash on the face of a child should make you think of what diagnosis?

A

Erythema infectiosum a.k.a. fifth disease a.k.a. slapped cheek

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22
Q

Unilateral purulent rhinitis should make you think of what diagnosis?

A

Foreign body

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23
Q

What is the medical term for cross eyed?

A

Strabismus

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24
Q

What organism is the most common cause of a Otitis media?

A

Strep pneumonia

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25
Q

At what age should a child begin to say mama and dadda

A

12 months

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26
Q

Which heart valve is most associated with rheumatic fever?

A

Mitral

27
Q

You hear a loud harsh holosystolic murmur in a child. It is best at the LLSB. What is the most likely diagnosis?

A

Ventricular septal defect

28
Q

A child presents with paroxysmal abd pain, nausea, vomiting, and diarrhea. What is the most likely diagnosis?

A

Intussusception

29
Q

Is an upper respiratory infection which includes hoarseness most likely bacterial or viral?

A

Viral

30
Q

At what age should a child begin to feed himself?

A

6 months

31
Q

Current jelly stool should make you think of what diagnosis?

A

Intussusception

32
Q

Describe Barlow’s test

A

Adduct and internal rotation of the hips

33
Q

A chest x-ray findings of notched ribs in a child should make you think of what diagnosis?

A

Coarctation of the aorta

34
Q

How long should you wait for a swallowed marble to pass through the body before considering surgery?

A

24 hours

35
Q

A four-year-old boy presents between October and March with wheezing, coughing, runny nose and increased respiratory rate. What is the most likely pathogen?

A

Respiratory syncytial virus

36
Q

Describe the pattern of weight gain in an infant over the following time periods: week one, 6 months, 12 months, 3 years old and 4 years old

A

Newborns lose 10% of their birth weight initially but are back to birthweight at 10 days, 6m=2x birth weight, 12m= 3x birth weight, 3y/o= 30 lbs and 30 inches, 4 y/o= 40lbs and 40 inches

37
Q

What is the medical term for lazy eye?

A

Amblyopia

38
Q

A patient presents with a staccato cough but no fever. What is the most likely diagnosis?

A

Chlamydia pneumoniae

39
Q

What is the most serious complication of Kawasaki syndrome?

A

Aortic aneurysm

40
Q

A musical vibratory murmur best heard at the apex in a child she make you think of what diagnosis?

A

Stills murmur

41
Q

A palpable olive-shaped epigastric mass in a one month old should make you think of what diagnosis?

A

Pyloric stenosis

42
Q

At what age should a child be able to use a spoon in stack 3 to 4 blocks?

A

18 months

43
Q

What is the x-ray finding that supports diagnosis of a slipped capital femoral epiphysis

A

Ice cream falling off the cone

44
Q

Which viral exanthem often has conjunctivitis as one of its symptoms?

A

Measles/ rubeola

45
Q

What is the most common congenital heart defect?

A

Ventricular septal defect

46
Q

A boot shaped heart on chest x-ray should make you think of what diagnosis?

A

Tetralogy of Fallot

47
Q

During a physical exam of a child, you feel a tubular or sausage shaped mass. What is the most likely diagnosis?

A

Intussusception

48
Q

What is the treatment for a volvulus in a child?

A

Barium enema

49
Q

By what age should a child be able to roll over?

A

4 months

50
Q

What is pertussis more commonly referred to as?

A

Whooping cough

51
Q

Pale and boggy nasal mucosa should make you think of what diagnosis?

A

Allergic rhinitis

52
Q

List the five major Jones criteria for diagnosing rheumatic fever

A

Polyarthritis, carditis, subcuticular nodes, erythema marginatum, Chorea

53
Q

Describe erythema marginatum

A

Pink rings on the trunk and inner surfaces of the limbs

54
Q

A child with bulky greasy stool should make you think of what diagnosis?

A

Cystic fibrosis

55
Q

At what age should an infant be cooing?

A

2 months

56
Q

What is the most common cause of an upper respiratory tract infection?

A

Rhinovirus

57
Q

Koplik spots are white clustered lesions on the buccal mucosa. What virus are they pathognomonic for?

A

Measles / rubeola

58
Q

What is the first line anabiotic for a Otitis media?

A

Amoxicillin

59
Q

How do you treat a patient with respiratory syncytial virus

A

Albuterol, steroids and fluids

60
Q

A child 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 the symptoms?

A

Coxsackie virus

61
Q

What is the gold standard for the diagnosis of cystic fibrosis?

A

Sweat chloride test

62
Q

By what age should a child be able to walk?

A

12 months

63
Q

If you believe there may be a foreign body obstructing a child breathing what type of chest x-ray should you order?

A

Expiratory view looking for hyperinflation due to air trapping

Pediatric PANCE Questions (1 decks)

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