Pediatrics Flashcards
Nontender abdominal mass a/w elevated VMA and HVA
Neuroblastoma
Most common type of tracheoesophageal fistula (TEF). Dx?
Esophageal atresia w/ distal TEF (85%). Unable to pass NG tube.
Not contraindications to vaccination.
Mild illness and/or low-grade fever, current abx therapy, and prematurity
Tests to r/o shaken baby syndrome
Ophthalmologic exam, CT, and MRI
A neonate had meconium ileus
Cystic fibrosis (Hirchsprung’s dz is a/w failure to pass meconium for 48 hours).
Bilious emesis w/I hours after the first feeding
Duodenal atresia
2 mo baby present w/ nonbilious projectile emesis. Dx? What are the appropriate steps in management?
Pyloric stenosis. Correct metabolic abn; then correct pyloric stenosis with pyloromyotomy
The most common 1` immunodeficiency
Selective IgA deficiency
An infant has a high fever and onset of rash as fever breaks. What is he at risk for?
Febrile seizure (due to roseola infantum)
What is the immunodeficiency: A boy has chronic respiratory infections. Nitroblue tetrazolium test is (-)
Chronic granulomatous dz
What is the immunodeficiency: child has eczema, thrombocytopenia and high levels of IgA
Wiskott-Aldrich syndrome
What is the immunodeficiency: 4 mo boy has life-threatening Pseudomonas infxn
Bruton’s X-linked agammaglobulinemia
Acute-phase tx for Kawasaki dz
High-dose ASA for inflammation and fever; IVIG to prevent coronary artery aneurysms
Tx for mild and severe unconjugated hyperbilirubinemia
Phototherapy (mild) or exchange transfusion (severe). (Do not use phototherapy for conjugated hyperbilirubinemia)
Sudden onset of mental status changes, emesis, and liver dysfunction after ASA intake
Reye’s syndrome
A child has loss of red light reflex (white pupil). Dx? The child has an increased risk of what cancer?
Suspect retinoblastoma. Osteosarcoma
Vaccinations at a 6-mo well-child visit
HBV, DTaP, Hib, IPV, PCV, rotavirus
Tanner stage 3 in a 6 y/o girl
Precocious puberty
Infxn of small airways w/ epidemics in winter and spring
RSV bronchiolitis
Cause of neonatal RDS
Surfactant deficiency
A condition a/w red “currant-jelly” stools, colicky abd pain, bilious vomiting, and a sausage-shaped mass in the RUQ.
Intussusception
A congenital heart dz that causes 2` Htn. What would you find on physical exam?
Coarctation of the aorta; decreased femoral pulses
First-line tx for otitis media
Amoxicillin x 10 days
Most common pathogen causing croup
Parainfluenza virus type 1
Homeless child is small for his age and has peeling skin and a swollen belly
Kwashiorkor (protein malnutrition)
Defect in an X-linked syndrome w/ mental retardation, gout, self-mutilation, and choreoathetosis.
Lesch-Nyhan syndrome (purine salvage problem w/ HGPRTase deficiency)
Newborn girl has a continuous “machinery murmur”. What drug would you give?
Patent ductus arteriosus (PDA). Indomethacin is given to close the PDA
Newborn w/ a posterior neck mass and swelling of the hands
Turner’s syndrome
