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PANCE Exam Review > Pediatrics > Flashcards

Pediatrics Flashcards

1
Q

T/F: Risk of developing coronary artery aneurysms in Kawasaki is greatest for kids <1 yo.

A

True

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2
Q

Neonate with delayed meconium passage and abdominal distention. Dx?

A

Hirschsprung

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3
Q

At what age do we see Newborn Chlamydia PNA?

A

3-6 wks old

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4
Q

Dx for Meckel’s Diverticulum

A

Tech 99m scan

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5
Q

Recommendations to prevent Sudden Unexpected Death of Infancy (SUDI)

A

Supine sleeping, pacifiers, breastfeeding

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6
Q

Does Epiglottitis present with sudden or gradual onset?

A

Sudden

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7
Q

Initial Sxs: fever, irritability, generalized erythematous, painful rash groin, body orifices and axillae. (+) Nik.

A

Staphylococcal scalded skin syndrome (SSSS)

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8
Q

Mgmt for Developmental Dysplasia of the Hip (DDH)

A

Pavlik harness

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9
Q

Non-tender abdominal mass + hematuria. Dx?

A

Wilms Tumor (Nephroblastoma)

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10
Q

What does APGAR stand for?

A

Appearance, Pulse, Grimace, Activity, Respiration

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11
Q

In a pt. 6 mo to 5 yo having had a single tonic-clonic seizure lasting < 15 mins, NO Hx of seizures and fever, what is the likely cause?

A

Febrile Seizure

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12
Q

What is the Tx for Febrile Seizure? What if the seizure is >5 mins?

A
  • Supportive care

- Diazepam: gel, nasal, buccal or suppository

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13
Q

When treating Kawasaki with ASA, how long do we Tx for?

A
  • HIGH dose ASA until 48 hrs NO fever

- Low dose 6-8 wks after onset (indefinitely if coronary artery abnormalities)

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14
Q

MC pathos of Lymphadenitis

A

Staph aureus and Strep pyogenes

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15
Q

After HIGH fever subsides, rash starts at neck/trunk and spreads to face/extremities. Dx?

A

Roseola (Exanthem Subitum)

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16
Q

Infection with ____ virus can cause a transient aplastic crisis in SCD patients.

A

Parvovirus B19 (5th Disease)

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17
Q
  • HTN
  • Bradycardia
  • Diminished respiratory effort
A

Cushing Reflex

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18
Q

Tx for Pertussis

A

Macrolide - Azithromycin “-mycin”

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19
Q

Classic and consistent finding in Acute Appendicitis

A

Anorexia

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20
Q

Soft tissue mass. X-ray showing “Sunburst” pattern. Dx?

A

Osteosarcoma

21
Q

Ocular Erythromycin used for prophy against:

A

Gono

22
Q

MC patho of Bacterial Tracheitis

A

Staph aureus

23
Q

Tx for Laryngotracheitis

A

STEROIDS**, aerosolized epinephrine

24
Q

Definitive Dx for Hirschsprung

A

Rectal Bx

25
Q

What is a normal finding for Breast Milk Jaundice?

A

Meconium dark, sticky stools.

26
Q

MCC Epiglottitis in peds

A

Strep spp.

27
Q

What makes up Complex Febrile Seizures?

A

MULTIPLE seizures during the SAME febrile illness, lasting >15 mins, or focal component

28
Q

Diaper rash showing plaques and satellite lesions. Tx?

A

Topical antifungals

29
Q

Painless rectal bleeding in <5 yo. Dx?

A

Meckel’s Diverticulum

30
Q

Transient yellowing of eyes seen only during physical exertion, illness or stress. Dx?

A

Gilbert syndrome

31
Q

Baby with constipation, ptosis, generalized weakness, poor feeding. Dx? Cause?

A
  • Infant Botulism

- Eating honey

32
Q

When is MMR given?

A

1 yo and 4-6 yo

33
Q

What is CI with MMR vaccine?

A

Neomycin history of anaphylaxis D/T vaccine having trace amounts of Neomycin.

34
Q

What is the next step if FB (not a battery) swallowed and is in the mid-esophagus?

A
  • Repeat x-ray in a few hours.

- No eating or drinking.

35
Q

DTaP vaccine given 5 times before 7yo. If any are missed, what is the next step?

A

Tdap vaccine given between 7-11 yo

36
Q

When would we give Td (tetanus-diphtheria)?

A
  • Booster every 10 yrs.

- Can be given immediately after exposure to tetanus or diphtheriae.

37
Q

Tx for Chlamydial Conjunctivitis (not prophy, but Tx)

A

PO Erythromycin

38
Q

Large blue patches that are MC located over sacrum and shoulders.

A

Dermal Melanocytosis

39
Q

What is characteristic of the chickenpox rash?

A

Lesions appear over DAYS and with many stages of healing at the same time.

40
Q

MCC intestinal obstruction <2yo

A

Intussusception

41
Q

Young kid with recent URI, abdominal pain, arthralgia, rash that began on butt and lower extremities. Dx?

A

Henoch-Schonlein Purpura

42
Q

2 complications of Henoch-Schonlein Purpura

A

Nephropathy

Intussusception

43
Q

Breast milk jaundice vs. Breastfeeding jaundice

A

BMJ: 10 days old
BJ: within first few days of life

44
Q

With an elevated lead level, what is the next best step? What if the lead level is >45?

A
  • Make changes in the home

- Tx toxicity with Chelation (Succimer, CaNa2-EDTA)

45
Q

What is the method of sun protectant in <6 mo?

A
  • NO sunscreen!

- Use protective clothing and shade

46
Q

Rotavirus vaccine is contraindicated for an infant with a history of _____.

A

Intussusception

47
Q

If live vaccines are not given at the same office visit and the parents want to spread them out, when can the next live vaccine be given?

A

4 weeks later

48
Q

What is true regarding resistance training in the peds population?

A

It can begin as early as 6yo with appropriate supervision.

49
Q

What endo screening is needed in a newborn?

A

Hypothyroidism

PANCE Exam Review (32 decks)

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