pediatrics Flashcards

1
Q

foreign body in kinderen

A

sudden onset of respiratory distress, geen koorts, unilateral wheezing, vaak rechts, en op de x thorax hyperinflation of the right lung with mediastinal shift to the left , to be removed by rigid bronchoscopy from the right main bronchus, to make the diagnosis hard you also need rigid bronchoscopy

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2
Q

kwashiorkor

A

have access to carbohydrates, bread grains or starches but no access to proteins, vocht in de buik = ascites

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3
Q

marasmus

A

deficiency of all macronutrients; M arasmus = M useebah; atrophy everywhere

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4
Q

how to calculate the expected height of a child

A

mid parental height is important or most important bedside test to evaluate short stature and it is of highest diagnostic value

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5
Q

insulin like growth factor

A

growth hormone defi, should you treat it immediately? no, evaluate after 1 year

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6
Q

consitutional growth delay

A

low igf1 but normal serum growth hormone with delay in teh grouth without other abnormalaities

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7
Q

nutritional rickets management?

A

give daily administration of vitamin D3

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8
Q
A
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9
Q

which combinations of rickets you might see?

A

low calcium, mildly high PTH, very high alkaline phsophatase, and widening of the growth plates on x ray

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10
Q

high calcium, low phsophate, lower leg long bone angulation and distal bone hypertrophy

A

familial hypophosphatemia rickets

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11
Q

the correct way to write an order of vitamin D?

A

vitamin D 400 units daily

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12
Q
A
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13
Q

een oude man met gastritis tgv nsaids met ijzer deficiencie

A

geen ijzer tabletten, alleen ijzer iv

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14
Q

een dame van 50 jaar oud, status na AVR met nu anemie en reiculocyte count percentage is high, hb laag , wbc en bloedplaatjes normaal

A

in the perpheral smear you see schistocytes and burr cells

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15
Q

een baby met ijzer defic

A

give iron supplements

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16
Q

ijnzer intox

A

to stop giv desferrioxamine iv
iron of 90 could be within normal range for some children but it could also indicate intox, so give desferrioxamine

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17
Q

recommended vaccines at 6 years old

A

mmr, varicella, dtp, en opv, these are pre schoold vaccination

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18
Q

most important quesiton in the assessment for the vaccination

A

whether the child has recently received ivig; intravenous imunoglobulin

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19
Q
A
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20
Q

hiv child from his mother with low t cell count

A

do not give them live vaccin such as varcella or mmr

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21
Q

in a mother with crohns disease on biological theray and azathiorpine, which vaccines should you avoid

A

live aatenuated vaccines for a period of 12 months
opv seems to be also live aatenautided

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22
Q

BCG is also live vaccine and it should not be given in verdenking immunodeiciency

A

true

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23
Q

is hepatitis b vaccine safe to any child with immunodeficieny or verdenkinging daarop ?

A

yes

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24
Q
A
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25
26
moeder met chronishce hepatiis b, nu zwanger
geef het kind en het vaccine en immunoglobulin
27
een kind met nefrotisch syndroom en krijgt steroids, wanneer vaccineren
over 6 maanden en niet direct
28
contraindication vaccine during preganncy
live vaccines such as varcella , infleunza is safe
29
30
31
high fever alone is generally not a reason to dealy or withhold subsequent vaccines
true
32
33
34
child with diarrea came vaccination
give all if there are no concerning symptoms
35
what to do for child came for vaccines but he on antibiotics course
do NOT delay till finishing his ab
36
een kid die verkouden is met koorts maar verder stabiel en oogt niet erg ziek, zou je hem vaccineren als je al een afspraak heeft
ja proceed with vaccination
37
38
a
39
at birth
40
which vaccins should you give at 2 months old baby
41
vaccins at 4 months?
42
43
1 year vaccination
OPV, MMR, PCV, VARECILLA
44
45
d
46
47
egg allergy and vaccines
before you give yellow fever vaccination you should be assessed by an immunology specialist
48
Dtap vaccine least side effect
redness
49
which inidcate poor ivig response
increased crp
50
pilgrims vaccine required
meningitis
51
bed wetting overnight in 8 years old
detrusor muscle and pelvci floor weakness
52
bed wetting bij een kid die het al goed doet maar nu plotseling bed wetting
uwi
53
c
54
until which age is bed wetting considered normal behavior
5
55
56
treatment of congenital hypothyroidisim
lifelong levothyroxine
57
58
vertel wat je weet over cycstoic fibrosis
59
how to confirm the diagnosis
sweat chloride test in a sibling is important screening tool but to conifrm the diagonsins you need genetic testing (also in a sibling); hereditary autosomal recessive
60
nasal polyps are common in cystic fibrosis
61
chronic productive couf recurrent chest infections and sinusitits and poor growth
denk aan cystic fibrosis
62
In almost all cases of meconium ileus, cystic fibrosis is the underlying disease.An intestinal obstruction caused by failure to pass meconium. Typically manifests in the first three days of life with abdominal distension
cystic fibrosisi is usually the underlying caause
63
most common compliction of cystic fibrosisi
bronchiectasis
64
cf
65
a
66
c
67
multiple duodenal erosions or subtotal villous atrophy
celiac disease
68
abdomnal bloating , diarree, crampy pain, watery loos stool, mucus in stool, tissue transglutaminase IgA posititve, no blood in stool
celiac disease
69
skin lesion in celiac disease
dermatitis herpitiform
70
d
71
a
72
diagnosis celiac dsiease
positive serological test can confirm the diagnossi
73
celiac dsiease heb je vaak ijzer def
geef ijzer iv
74
d
75
d; inappropriate relaxation of the lower esophageal; vaak in pre term kinderen
76
b
77
hirschsprung disease presentation
constipation sicnce birth, empty rectum maar after finger..
78
hirschsprung disease diagnosis and treatment
treatment: refer to surgery; leveling colostomy
79
normal and abnormal crying
80
infantile colic
81
infentile colic behandeling
82
c
83
infentile colic wil resolve
at 6 months and associate with excessive passage of flatus
84
ileocolic
85
intussusception gold standard investigation and treatment
barium enema
86
intussusception best initial test
abdoimanl ultrasound; target sign; anders contrast enema where you see pneumatic insufflation
87
a
88
A
89
D
90
pyloric stenosis presentation
91
pyloric stenosis diagnosis
92
dd vomiting newborn
93
Gastroesophageal reflux in infants
94
Gastroesophageal reflux disease in infants
95
intussusception risk factors, prsentation , diagnosis and treatment
96
pyloric stenosis lab findings
hypochloremic, hypokalemic metabolic alkalosis
97
pyloric stenosis first steps in the behandeling
iv infuus (normal saline) en potasium suppletie, daarna ok
98
pyloric stenosis sign
single bubble, olive
99
pyloric stenosis best diagnostic
ultrasound
100
IgA vasculitis also colled (Henoch-Schonlein purpura); clinical presentation
most important LWII paar weken eerderer + petechial rash ; kan ook buik klachten, behandeling mainly supportive maar in bepaalde gevallen zoals bij LgAV nephritis of vervelende buik pijn of rectal bleeding, je kan systemaic glucocorticoids geven knee en ankle most affected joints
101
IgA vasculitits
102
b
103
diphteria presentation
104
most common cause of ear infection or otitis media in children
is bacteria
105
most common virus causing acute otitis media
rhinovirus
106
d but if only budling tympanic membrane the it is acute otitis media
107
conductive hearing loss because of
could be becuase of recurrent otitis media
108
109
limited range of motion at the hip joint
femoral slipped capital epiphyseal plate
110
honey colored crusted lesion
impetigo
111
impetigo presentation
staph aureus or streptococcus pygogenes, vaak geen koorts, geen ziek geweest , not itchy
112
tot rond 194
113