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abfm questions > Peds > Flashcards

Peds Flashcards

1
Q

Tx of otitis media w/ effusion

A

observation, f/u in 3 mo. No abx required

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2
Q

Unexplained hip/groin/thigh/knee pain in adolescent (8-15)

A

SCFE, now seen in boys and girls due to higher prevalence obesity

PE: limited internal rotation of involved hip
W/u: bilateral, frog view hip X-ray

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3
Q

Age for Legg calve perthes

A

<10

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4
Q

apophysitis of the ant sup iliac spine: presentation

A

overuse injury– runners, dancers, ice hockey, soccer

ages 14-18

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5
Q

Facial feat fetal alcohol syndrome

A

-smooth philthrum
-shortened palpebral fissures
-thin vermilion border of upper lip

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6
Q

when to do lab w/u for precocious puberty (females)

A

development of secondary sex characteristics before age 8

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7
Q

management of premature adrenarche?

A

-sweat, BO, acne

  • if no secondary sex characteristics, can watch and wait
  • do labs if HIEGHT blows up during this time
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8
Q

most common cause HTN in peds

A

renal parencyhmal disease
-glomerulonehp
- reflex nephropathy

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9
Q

Indications for DDH screening

A

breech in 3T
fam fx of DDH
hip instability on exam

(other risks are female, first born, oligohydramnios, LGA)

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10
Q

cause of SIDS, recurrent PNA, FTT

A

GERD

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11
Q

iron supplementation for preterm infants

A

start at 1 month of age and continue through first year of life

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12
Q

dx/tx of hemangioomas

A

appear by one month, stop growing by 5 mo. Can leave telangiectasia, fibrofatty tissue, redundant skin, atrophy, dyspigmentatino, scarring

Tx:
- proopanolol
- intralesional steroid for small lesions
- surgical excision once involution has occurred

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13
Q

premature adrenarche

A

pubic hair and axillary odor

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14
Q

age of precocious puberty

A

9 boys, 8 girls

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15
Q

best topical for non-diffuse impetigo

A

mupirocin

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16
Q

asthma tx

A

intermittent= prn saba (<2 days/week, <2 nights/month, inhaler <2days/week)
mild persistent= ICS
mood persistent= LABA ICS
severe= ‘’

17
Q

indication for O2 in bronchiolitis

A

SpO2 < 90%

18
Q

cardiac findings marfans

A

MVP –> can lead to aortic insufficiency

19
Q

physiologic gynecomastia

A
  • Common, up to 50% adolescent males
  • Usually bilat, or L side
  • Resolves 6-24 months –> can do watchful waiting

red flags: >2 years, hard, immobile, non tender, >5cm, discharge, testicle mass, weight loss

20
Q

AAP age to start screening peds for BP

A

3yo

21
Q

Antihistamines not recommended under age….?

A

4

22
Q

ICS vs PO steriod in URI for young child

A

ICS “safer” because less likely to impact growth than systemic

23
Q

Age restrictions for rotavirus

A

Cannot give after 3.5mo
Complete by 8 mo

related to benefit over risk of intussusception

24
Q

% bronchitis in kids that is viral

A

90-99%

ie <10% would be bacterial like mycoplasma

25
Q

tx of CAP

A

Amoxicillin 1st line. Do not need confirmatory radiography

Doxy as alternative after age 7

26
Q

indications for Pavulizumab (RSV vaccine)

A

Infants born <29 weeks for first year of life OR <32 weeks with chronic lung dz

Only continue after 1yr old if chronic lung disease with on going tx

27
Q

tx of croup

A

steroids in outpatient setting or raceimic epi/steroids in ED

clinical diagnosis, doesn’t require imaging

28
Q

management of toddler’s fracture

A

pain in lower tibia after low mech injury–> might not show up on xray so put in CAM boot and repeat films in one week

29
Q

when to get screening EKG on sports phys

A

only if poositive oon 14 questions AHA/ACC questionnaire

30
Q

murmur of HOCM

A

crescendo/decrescendo at LLSB that INC with Valsalva (dec venous return>dec preload> decrease volume in heart> hear more)

31
Q

first line tx HOCM

A

BB

32
Q

marfans concerns (3)

A
  • aortic dissection
  • lens dislocation
  • pneumothorax

abfm questions (11 decks)

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