Pediatric Review Flashcards
German measles is also known as what disease?
Rubella
Bruises may be purple, green, yellow and brown. How many days old is a yellow bruise?
Purple day 1-5, Green day 5-7, Yellow 7-10, Brown 10-14.
Pain with movement of the pinna or tragus should make you think of what diagnosis?
Otitis externa
What is the first line treatment for pertussis?
Erythromycin
By what age should a child be able to hold up her head?
3 months
A salter harris type I fracture affects what area of the bone?
Only the physis (growth plate).
By what age should a child be able to sit up?
6 months
An overweight 15 year old boy with a limp presents to your office complaining of knee pain. There is no history of trauma. What is the most likely diagnosis?
Slipped capital femoral epiphysis
A premature infant with hyaline membrane disease will have what appearance on CXR?
Bilateral atelectasis or ground glass appearance.
Atypical or walking pneumonia is caused by what pathogen?
Mycoplasma
What antibiotic is the first line treatment for mycoplasma pneumonia?
A macrolide (azithromycin or erythromycin).
A patient is having seizures along with a mouse like odor from the urine. What is the most likely diagnosis?
Phenylketonuria
The description of a dew drop on a rose petal should make you think of what diagnosis?
Chickenpox
Pale and boggy nasal mucosa should make you think of what diagnosis?
Allergic rhinitis
List the five major Jones criteria for diagnosing rheumatic fever.
Polyarthritis, carditis, subcuticular nodes, erythema marginatum, chorea
Describe erythema marginatum.
Pink rings on the trunk and inner surfaces of the limbs.
A child with bulky greasy stool should make you think of what diagnosis?
Cystic fibrosis
At what age should an infant begin cooing?
2 months
What is the most common cause of an upper respiratory tract infection?
Rhinovirus
Koplik spots are clusters of white clustered lesions on the buccal mucosa. What virus are they pathognomonic for?
Measles/Rubeola
What is the first line antibiotic for otitis media?
Amoxicillin
How do you treat a patient with respiratory syncytial virus?
Albuterol, steroids and fluids
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 these symptoms?
Coxsackie virus
What is the gold standard for the diagnosis of cystic fibrosis?
Sweat chloride test
By what age should a child be able to walk?
12 months