Pediatrics

Question 0

Young woman with joint effusions, mild erythematous, non-puritic rash

Answer 0

Parvovirus 19 or erythema infectious

Question 1

1-2 min episodes of pain in a less than 2 year old

Answer 1

Intussusception

Question 2

Most appropriate antibiotic for cat scratch fever

Answer 2

Zithromax

Question 3

What is Bartonella Henselae

Answer 3

Cat scratch

Question 4

Most common cause of bronchiolitis?

Answer 4

RSV

Question 5

What is SCFE, who is at risk and what is the tx?

Answer 5

Slipped Capital Femoral Epiphysis, black males, and surgery.

Question 6

What causes 5ths Dx?

Answer 6

parvovirus 19

Question 7

Timing of rotavirus immunization

Answer 7

Do not start past 15 months or continued past 8 months

Question 8

How much Vit D do infants need?

When do you start it?

Answer 8

400 IU

Within 2 mos of birth

Question 9

Characteristics of infant seborrheic dermatitis

Answer 9

Resolved within a few months. Cradle cap most common but can affect face, skin folds and diaper area

Question 10

What is wheezing assoc with feeding usually due to?

Answer 10

Reflux

Question 11

What is the work up for an adolescent with hypertension?

Answer 11

Blood and urine testing, renal ultrasonography, evaluation for endorgan damage with retinal evaluation and echocardiogram

Question 12

What is the extrusion reflex and when does it go away?

Answer 12

Pushing foreign material out of the mouth with the tongue, around the age of four months

Question 13

What does a venous hum do with inspiration and diastole?

Answer 13

It gets louder

Question 14

What is a peripheral Paul my next enosis murmur (P P P S)?

Answer 14

Physiologic peripheral palm running stenosis – caused by physiologic changes in newborns, systolic murmur heard and axilla, disappears by nine months

Question 15

What is Eisenmenger syndrome?

Answer 15

Multiple abnormalities of the hearts with significant signs and symptoms

Question 16

When do you do chest compressions on an infant?

Answer 16

HR<60 bpm

Question 17

What does the double bubble sign on plain film indicate?

Answer 17

Midgut volvulus (Billy is vomiting and abdominal pain, feeding problems)

Question 18

What is pneumatosis intestinalis on plain film?

Answer 18

Gas in the intestinal wall which is diagnostic of necrotizing enterocolitis

Question 19

What is the age range for intussusception?

Answer 19

Three months to five years, 60% in the first year, usually after six months

Question 20

Most common congenital abnormality of the small intestine

Answer 20

Meckel’s diverticulum

Question 21

Difference often seen between Meckels and appendicitis?

Answer 21

You get Frank bleeding with Meckels

Question 22

What is the AAPA Recommendation for giving rotavirus vaccine?

Answer 22

2,4,6 mos

Question 23

What food should be avoided with diarrhea in kids?

Answer 23

Fruit juices, carbonated sodas (as Monica load can worsen diarrhea) and fatty foods.

Question 24

What causes cutaneous larva migrans?

Answer 24

Dog or cat hookworm (ancylostoma)

Question 25

What is hydatid disease (echinococcsis)

Answer 25

In the liver or lungs (occasionally in other places)

Question 26

What does dog or cat roundworm (toxocara) cause?

Answer 26

Visceral or ocular larva migrans (often found in playgrounds and sandboxes)

Question 27

Presents in March April and May in North America with itching and beefy redness around the anus and vulva and children ages 1 to 11 years?

Answer 27

Group a strep of the perineum

Question 28

How does a choledochal cyst present in an infant

Answer 28

Right upper quadrant pain, jaundice and a palpable mass

Question 29

How does intestinal malrotation present and at what age in an infant?

Answer 29

This is the same as midgut volvulus I believe and presents within the first four weeks of life and is characterized by bilious vomiting.