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Step 2 > Pediatrics > Flashcards

Pediatrics Flashcards

1
Q

gonorrhea vs chlamydia in child

A

gonorrhea is diagnostic of sexual abuse, chlamydia may be contracted during labor and remain + for up to 3 years

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2
Q

Cyanotic heart defects (5)

A

5 T’s:

Truncus arteriosis, TOGV, Tricuspid atresia, ToF, TAPVR

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3
Q

Noncyanotic heart defects (3)

A

3 D’s:

VSD, PDA, ASD

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4
Q

MCC congenital heart disease

A

VSD

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5
Q

peds heart cond. ass. with Kawasaki disease

A

coronary artery aneurysms

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6
Q

CHD ass. with congenital rubella

A

PDA

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7
Q

peds heart cond. ass. with neonatal lupus

A

heart block

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8
Q

CHD ass. with Downs

A

ASD and endocardial cushion defects

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9
Q

Peds heart cond. ass. with maternal DM

A

asymmetric septal hypertrophy and ToGV*

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10
Q

peds heart cond. ass. with maternal Li intake

A

Ebstein’s anomaly

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11
Q

Tx PDA

A

indomethacin

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12
Q

Cyanosis in left arm and legs vs. normal right arm

A

coarctation of the aorta (post vs pre ductal)

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13
Q

Drug to keep PDA open

A

PGE1

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14
Q

DiGeorge Syndrome CATCH 22

A 
Cardiac (ToF)
Abnormal facies
Thymic aplasia
Cleft palate
Hypocalcemia
22q11 del
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15
Q

RF for ToF (2)

A

Maternal PKU, DiGeorge Syndrome

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16
Q

Single S2

A

think ToF (overriding aorta)

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17
Q

Boot shaped heart

A

ToF

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18
Q

Tx tet spells (hypercyanosis) (5)

A

O2, propranolol, phenylephrine, fluids, knee-chest position

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19
Q

6 conditions associated with Down’s

A

CHD, Hirschsprung’s, duodenal atresia, ALL, hypothyroidism, early-onset Alzheimer’s

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20
Q

Rocker-bottom feet, micrognathia, clenched hand

A

Trisomy 18 (Edwards syndrome)

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21
Q

polydactyly, microphthalmia, microcephaly, holoprosencephaly

A

Patau’s Syndomre (Trisomy 13)

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22
Q

Tetrology of Fallot (PROVe)

A

pulmonary stenosis, overriding aorta, RVH, VSD

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23
Q

+ Sweat chloride test cut-off

A

> 60mEq/L

24
Q

fair skin, eczema, blond hair.blue eyes, musty odor

A

PKU

25
Q

Fabry’s has increased risk of:

A

RF and MI (TOE)

26
Q

Tx PKU

A

limit phenylalanine, increase tyrosine

27
Q

severe neuropathic limb pain, angiokeratomas and telangiectasias

A

Fabry’s disease

28
Q

Trisomy ass. with horseshoe kidneys

A

Trisomy 18

29
Q

LSD with progressive CNS degeneration

A

Krabbe’s disease

30
Q

Glucocerebrosidase deficiency, crinkled paper histology

A

Gaucher’s disease

31
Q

Hexosaminidase deficiency

A

Tay-Sachs

32
Q

LSD with cherry red spot but NO HSM, developmental decline

A

Tay-Sachs

33
Q

Sphingomyelinase deficiency

A

Niemann-Pick disease

34
Q

LSD with cherry red spot and HSM

A

Niemann-Pick

35
Q

X-linked recessive Lysosomal storage diseases (2)

A

Hunter’s, Fabry’s

36
Q

Anaphylactic transfusion reaction, think…

A

Think IgA deficiency

37
Q

LSD with corneal clouding, gargoylism

A

Hurler’s

38
Q

Wiskott-Aldrich Syndrome “WIPE”

A

Wiskott-aldrich
Infections (OM)
Purpura (thrombocytopenic)
Eczema

39
Q

Tx IgA deficiency

A

NOT IVIG bc it will form anti-IgA IgG ab’s, simply treat recurrent infections

40
Q

Infections in chronic granulomatous disease (6)

A

Organisms are catalase +: s aureus, e coli, candida, klebsiella, pseudomonas, aspergillus

41
Q

decreased IgM

A

Wiskott-Aldrich syndrome

42
Q

Dx CGD

A

nitroblue tetrazolium

43
Q

Tx CGD

A

daily bactrim +/- IFN-gamma

44
Q

delayed separation of umbilicus

A

Leukocyte adhesion deficiency

45
Q

Wounds with no pus and minimal inflammation

A

leukocyte adhesion deficiency

46
Q

immunodef. with increased PYOGENIC infxns

A

Chediak-Higashi syndrome

47
Q

Job’s Syndrome “FATED”

A 
coarse Facies
Abscesses (S. aureus)
retained primary Teeth
hyper-IgE
Dermatologic (eczema)
48
Q

abd mass with rosette pattern histology

A

Neuroblastoma

49
Q

Differentiate scarlet fever and kawasaki d/s

A

both have strawberry tongue, desquamative hands, rash but scarlet fever will NOT have chapped lips or conjunctivitis

50
Q

oculocutaneous albinism, peripheral neurophathy and neutropenia

A

Chediak-Higashi Syndrome

51
Q

Tx Kawasaki d/s

A

high dose ASA and IVIG

52
Q

Kawasaki “CRASH and BURN”

A

Conjunctivitis, Rash, Adenopathy, Strawberry tongue, Hands (desquamation), BURN (fever>104F for 5+ days)

53
Q

What medication can induce tumor lysis syndrome?

A

Corticosteroids

54
Q

abd mass with myoclonus, HTN and crosses midline

A

Neuroblastoma

55
Q

abd mass with aniridia, hemihypertropy, HTN and does NOT cross the midline

A

Wilm’s Tumor

56
Q

Still’s Disease

A

systemic JIA with recurrent high fever, HSM, and salmon-colored macular rash

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