Pediatrics 2

Question 1

lead toxicity symptoms

Answer 1

fatigue, GI symptoms, irritable, renal change
cog/behavioral changes irreversible

Question 2

major risk factor contributing to development of severe hyperbilirubemia

Answer 2

jaundice observed in first 24 hours

Question 3

pathologic jaundice causes

Answer 3

increased production d/t hemolysis
decreased removal d/t maternal/fetal endo prob
poor feeding

Question 4

sickle cell disease highly susceptible to

Answer 4

infection due to functional asplenia

Question 5

sickle cell disease medication prophylaxis

Answer 5

PCN twice daily
fever can be life threatening

Question 6

failure of bone marrow indicated by

Answer 6

abnormal RBC, WBC, plt

Question 7

most common leukemia children

Answer 7

acute lymphocytic leukemia (ALL)

Question 8

leukemia symptoms

Answer 8

anorexia, wt loss
hepatosplenomegaly
fever
bleeding
bone pain
lymphadenopathy

Question 9

rules about lymph nodes

Answer 9

> 10 mm is enlarged

EXCEPT
epitrochlear >5mm
inguinal >15mm
cervical >20mm

Question 10

inhaled corticosteroid affect children

Answer 10

1-2 inches shorter than their peers

Question 11

cystic fibrosis

Answer 11

autosomal recessive
excessive loss of sodium via sweat, channels don’t effectively transport Cl

Question 12

cystic fibrosis symptoms

Answer 12

thick mucus
frequent LURI
greasy stools

Question 13

if pulses are unequal/weak suspect

Answer 13

coarc of aorta

Question 14

first dyslipidemia screening

Answer 14

at age 9

Question 15

bmi percentile

Answer 15

child’s bmi to peers of same age/gender
85-95 overweight
>95 obese

Question 16

screening in children for DM

Answer 16

asymptomatic children, teens who have started puberty and overweight with one risk factor

Question 17

grade 1 murmur

Answer 17

faintest sound that can be detected, no thrill

Question 18

grade 2 murmur

Answer 18

soft murmur readily detected
no thrill

Question 19

grade 3 murmur

Answer 19

louder than 2 murmur but no thrill

Question 20

grade 4 murmur

Answer 20

palpable thrill

Question 21

grade 5 murmur

Answer 21

very loud, audible with stethoscope lightly placed on chest
palpable thrill

Question 22

grade 6 murmur

Answer 22

audible with stethoscope off chest
palpable thrill

Question 23

innocent murmur clues

Answer 23

grade 2 or less
softer intensity when upright
musical quality

Question 24

colic

Answer 24

rule of 3
crying for no apparent reason for >3 hours/day
occurs >3 days/wk
otherwise healthy infant <3 months

Question 25

pyloric stenosis symptoms

Answer 25

4-6 weeks old boy projectile vomiting olive like mass

Question 26

pyloric stenosis diagnosed with

Answer 26

ultrasound

Question 27

GERD red flags infants

Answer 27

choking with eating poor wt gain ab tenderness fever

Question 28

lifestyle modifications to help with GERD peds

Answer 28

breastfeeding keep infant upright x20 min small frequent feeding 1-2 week trial hypoallergenic formula avoid overfeeding, smoke

Question 29

pharm management gerd treatment infants

Answer 29

ppi x2 weeks, if s/s improve continue for 3-6 months

Question 30

gerd in infants usually resolved by

Answer 30

age 1

Question 31

intussusception affects those age

Answer 31

6-36 months

Question 32

classic triad intussusception

Answer 32

sudden onset of crampy progressive abdominal pain (child pulls knees to chest) bloody mucousy "currant jelly stools" tender palpable mass

Question 33

intussusception imaging

Answer 33

abdominal US

Question 34

management for recent constipation children

Answer 34

sorbitol containing juice/purees/ high fiber foods glycerin suppository

Question 35

encopresis definition

Answer 35

involuntary soiling of stool in child over 4 yrs

Question 36

encopresis underlying problem is typically

Answer 36

constipation

Question 37

most common gu disorder in boys

Answer 37

undescended testes

Question 38

if only one palpable teste in scrotum, refer to urology at age

Answer 38

1

Question 39

hydrocele normally resolves by age

Answer 39

1

Question 40

ortolani and barlow maneuvers test

Answer 40

hip instability

Question 41

nursemaids elbow commonly occurs in

Answer 41

age 1-4 present with child arm straight at side with refusal to bend

Question 42

scoliosis defined as curvature of the spine over

Answer 42

10 degrees

Question 43

osgood schlatter dx

Answer 43

anterior knee pain increases over time usually unilateral overuse injury

Question 44

legg calve perthes dx

Answer 44

avascular necrosis pain to hip/medial aspect of knee worsens with activity positive trendelenburg

Question 45

slipped capital femoral epiphysis (SCFE)

Answer 45

several weeks/months of hip/knee pain with intermittent limp positive trendelenburg

Question 46

trendelenburg test

Answer 46

standing on affected leg causes pelvic tilt: positive positive in: SCFE, legg calve perthes, developmental dysplasia of hip

Question 47

transient synovitis of hip

Answer 47

most common cause of hip pain acute limp, hip pain