Pediatrics

Question 1

Age of child who can stand unassisted, walk with assistance, say mama and dada and can stack 2 blocks?

Answer 1

12 months

Question 2

APGAR score of baby with pink trunk and blue extremities. Infrequent breathing with weak cry. FLexion of limbs but weak. Pulse is 10-5. Weak grimace.

Answer 2

6

1 - breathing infreq
1 - wk flexion
2 - HR>100
1 - wk grimace
1 - pink with blue extremities

Question 3

tx of NEC?

Answer 3

stop enteral feeds, start parenteral, abx (amp, cefotax, metro), if int perf then surgery

Question 4

tx of newborn with fever and seizure?

Answer 4

amp with cefotaxime or amp with gent

can add on acyclovir

Question 5

7 year old girl with 10 day history of fever. Bilateral eye redness, cracked red lips, and swelling of hands. Cervical LAD. Dx? Tx?

Answer 5

kawasaki dx

aspirin, IVIG

Question 6

dx of cystic fibrosis?

Answer 6

sweat chloride test

Question 7

Sore throat and fever in 12 year old boy. PEx shows diffuse erythematous rash on trunk and extremities that spare palms and soles. Rash blanches and is rough to the touch. Red nontender tongue. Tx? Dx?

Answer 7

scarlet fever

PCN V

Question 8

3 week old who has tachypnea and tachycardia. Dependent on mechanical ventilation. Continuous machine-like heart murmur is heard at mid-left sternal border. Medication to tx condition?

Answer 8

indomethacin or ibuprofen

Question 9

Tetralogy of fallot physical defects?

Answer 9

RV outflow tract obstruction, RVH, VSD, overriding aorta

Question 10

TORCH infections?

Answer 10

Toxoplasmosis
Other (syph)
Rubella
CMV
HSV

Question 11

5 year old girl admitted to hospital with 5 days of worsening abd pain and bloody diarrhea. Lab shows hgb 8.7, platelets of 90,000, and creatinine 2.7. Organism?

Answer 11

E coli (HUS)

Question 12

Features of WAGR syndrome?

Answer 12

Wilms tumor
Aniridia
GU anomalies
Retardation

Question 13

7 day old newborn has purulent discharge from both eyes. Culture reveals chlamydia trach. Tx?

Answer 13

erythromycin oral for 14 days

Question 14

Tx of pertussis in 16 year old girl?

Answer 14

azithro or clarithro

Question 15

Teratogen associated with ebstein cardiac anomaly?

Answer 15

lithium

Question 16

Teratogen associated with clear cell adenocarcinoma of the vagina?

Answer 16

diethylstilbestrol

Question 17

Teratogen associated with microcephaly, intellectual disability, smooth philtrum?

Answer 17

fetal alcohol

Question 18

Teratogen associated with grey baby syndrome?

Answer 18

chloramphenicol

Question 19

Teratogen associated with phocomelia?

Answer 19

thalidomide

Question 20

Teratogen associated with craniofacial anomalies, fingernail hypoplasia, developmental delay?

Answer 20

phenytoin

Question 21

2 days of cough, congestion, eye redness followed by maculopapular rash with white-gray spots on buccal mucosa. Tx? Dx?

Answer 21

measles, supportive care, vit A

Question 22

Immunodeficiency with recurrent bacterial infections after the age of 6 months?

Answer 22

X-linked agammaglobinulinemia

Question 23

Immunodeficiency with recurrent sinopulmonary infections and anaphylactic reaction to blood transfusion?

Answer 23

IgA defn

Question 24

Immunodeficiency with thymic aplasia and T cell defn and hypocalcemia?

Answer 24

DiGeorge

Question 25

Immunodeficiency with severe recurrent infections by variety of organisms?

Answer 25

SCID

Question 26

Immunodeficiency with thrombocytopenia, eczema, and recurrent infections?

Answer 26

Wiskott-Aldritch Syndrome

Question 27

Tx of absence seizures?

Answer 27

ethosuximide

Question 28

6 week old with scleral icterus. No jaundice at birth. Darkening of urine and lightening of stool color. Elevated serum bili and liver aminotransferases. Imaging and dx?

Answer 28

biliary atresia

cholangiogram

Question 29

tx of 21-hydrolase deficiency?

Answer 29

glucocorticoid

mineralocorticoid

Question 30

8 year old boy has gross hematuria and generalized edema. Elevated BP. UA shows RBCs, RBC casts and proteinuria with throat infection 3 weeks ago. Tx? Dx?

Answer 30

post strep glomerulonephritis

supportive care, Na/H20 restriction, diuretic

Question 31

4 year old boy has difficulty climbing stairs and frequent falls. Uses hands to lift himself up. Prox muscle weakness and calf muscles hypertrophied; Medication for tx? and dx?

Answer 31

duchenne muscular dystrophy

glucocorticoids