Peds

Question 1

When should you start a work-up for primary ammenorhea?

Answer 1

13/16 Primary amenorrhea is the failure of menses to occur by age 16 years, in the presence of normal growth and secondary sexual characteristics. If by age 13 menses has not occurred and the onset of puberty, such as breast development, is absent, a workup for primary amenorrhea should start.

Question 2

Blood test findings that support septic joint vs transient synovitis

Answer 2

Oral temperature > 101.3° F (38.5° C)

Refusal to bear weight on affected leg

ESR > 40 mm per hour

Peripheral white blood cell count > 12,000 cells per mm3 (12.0 × 109 cells per L)

CRP level > 2.0 mg per dL (20.0 mg per L)

Question 3

when should a breast fed infant start vitamin D

Answer 3

The breastfeeding infant should receive vitamin D supplementation for a year, beginning shortly after birth in doses of 10–20 lg/day

Question 4

Medications that can cause elevated calcium levels

Answer 4

Lithium
Thiazide diuretics
Teriparatide (parathyroid)

Question 5

Treatment for bronchiolitis

Answer 5

No albuterol, no steroids, no oxygen if O2 stays greater than 90%. keep hydrated.