Peds Flashcards
tx for Otitis Externa is:
topical / drops abx/steroids
ofloxacin
exam findings related to otitis media:
Bulging tympanic membrane
Redness
Limited or absent mobility of tympanic membrane
Air/fluid levels behind the tympanic membrane
Otorrhea
Hypoxemic, cyanotic episodes seen in children with tetralogy of Fallot are known as:
Tet’s spells
“lead point” during intussusception may represent:
Meckel diverticulum,
intestinal polyps,
lymphomas,
cystic fibrosis
Most common lower respiratory illness in infants and children < 2 years of age.
Bronchiolitis
Sever carditis seen in Rheumatic fever Dz is treated with:
Steroids
pain and swelling in front of and below ear corresponds to:
Mumps
sausage-shaped mass
IIntussusception
Painful oral ulcers,
low grade fever
gray-red vesicles on hands and feet
descriptive of:
Foot, hand and mouth disease
which manuever dislocates the hip?
Barlow
Familiar short statue are demonstrated on growth curve as:
Deceleration on growth curve during the fist two year with
normal linear acceleration afterwards
Most common heart murmur in children is:
Still murmur
Minor Criteria for Rheumatic Fever
fever,
arthralgia,
elevated ESR and/or c-reactive protein,
prolonged PR interval on ECG
presentation of a child with subluxation of the radial head
child holds arm in pronated position
in flexed position and refuses to extend the arm and use it.
Murmur heard in coartation of aorta is described as:
Blowing systolic murmur in left axilla
children with constitutional delay of growth and puberty have a bone age that is _________ their chronologic age
less than
Hand-Foot-and-Mouth Disease is caused by:
Coxsackie A16
most Failure to Thrive is due to:
environmental/social causes
viral pneumonia in children is most commonly caused by:
RSV
Parainluenza
Influenza
Maculopapularerythematous rash beginning face and progressing to toes is indicative of:
Rubella (German measles)
head to toe rubella
100% comprehensible speech at:
4 years old.
Most common congenital heart disease is:
Ventricular Septal Defect
potty training
24-36 m.o
Limited or absent mobility of tympanic membrane is a signs of:
Otitis Media
Bralow manuever
internal rotation of hip
adduction
normal weight loss after birth during the first week is:
10%
Blueberry Muffin baby reffers to:
Infant with Congenital Rubella
Rubella Blueberry Muffin
Varicella rash stages
- Papular stage
- Vesicular stage - dew drops on a rose petal
- Scabing/crusting stage - not contageous
X ray findings seen in Hyaline Membrane Disease:
ground glass appearance
bilateral atelectasis
air bronchograms
tx for Group B pneumonia is:
Penicillin
Ampicillin
Lacy, pink macular rash on torso and extemities is indicative of:
Erythema Infectiosum
“Fifth Disease”
“Slapped Cheek Syndrome”
Lacy Fifth
Rubella is caused by:
Rubivirus
Steeple sign on X ray is indicative of:
Croup
Bronchiolitis is caused by:
Respiratory Syncytial Virus
tx for Strep pneumo, pneumonia in kids is:
Amoxicillin
Penicillin
Cephalosporins
piece of intestinal tissue that protrudes into the bowel lumen during intussesception is known as:
“lead point”
in neonates, pneumonia is most often caused by what microrganism?
group B strep
Short early systolic ejection murmur in kids is known as:
Still’s murmur
organisms that cause ottitis media are:
Streptococcus Pneumoniae
Haemophilus influenza
Streptococcus pyogenes
Moraxella Catarrhalis
Children with familial short stature have a bone age ___________ their chronologic age
equal
shallow respirations, expiratory grunting, retractions and cyanosis
are sings of:
Neonatal/Infant Respiratory Distress Syndrome /
Hyaline Membrane Disease
Definitive methode to diagnose ottitis media is:
Pneumatic Otoscopy
will demonstrate immobility of tempanic membrane
barking cough,
hoarseness and inspiratory stridor
are sx of:
Viral Croup
double birth weight at
6 m.o
URI / common cold is often caused by:
Rhinovirus
Ortalani reduces or dislocates the hip
reduces
X ray view nessesary for SCFE diagnosis are:
AP and frogleg lateral
Mumps is caused by:
Paramyxovirus
Mumps=Paramyxovirus
Still’s murmur is best heard at:
heart Apex
Left Sternal border
Separation of growth plate is known as:
Type I fracture
S=Separatoin
A
L
T
E
R
in Slipped Capital Femoral Epiphysis the head of the femur is displaced:
posteriorly and medially
Dematological manifistation of Measles:
Maculopapular rash–over neck and trunk first
Congenital Rubella consists of:
Hearing loss
Congenital cataracts
Congenital heart dz (patent ductus)
Purpuric rash (Blueberry Muffin)
Fx that reduces growth plate is known as
Type V fracture
S
A
L
T
R=Reduction of physis
High fever followed by a rasha is a sign of:
Roseola
severe croup is treated with:
Racimic Epinephrine
Slipped Capital Femoral Epiphysis is manifested by pain where?
hip
and
knee
1st line of treatment of otitis media is:
Amoxicillin
Jones criteria for Rheumatic Fever
2 major
OR
1 major and 2 minor
babble at:
6 m.o
six babbles
In a pneumonia, low WBC suggest what cause?
viral
Loud, harsh, blowing holosystolicmurmur in kids is suggestive of:
Ventricular Septal Defects
virus that causes croup is:
Parainfluenza
Major Criteria for Rheumatic Fever
carditis,
polyarthritis,
chorea,
erythema marginatum,
subcutaneous nodules
Nursemaid’s Elbow is:
Subluxation of the radial head
Measles/Rubeola is caused by:
Morbillivirus
Unique sx of chlamydia pneumonia in child <6 m.o is
Stoccato cough
no fever
S_TD=Stoccato_
Fx that goes through growth plate but exits above it is known as:
Type II fracture
S
A=physis
L
T
E
R
Increased resp rate (tachypnea)
wheezing
resp distress
thick nasal congestion
in a chid <2 y.o
are signs of:
Bronchiolitis
Bronchiolits less than 2
1 step command
2 step command
1 step at 1 y.o
2 step at 2 y.o
scribbling, spoon holding, brushin at:
18 m.o
scibble your name at 18 years old
Croup is also known as:
laryngotracheobronchitis
Foreign body chest X ray should be ordered as:
Expiratory to appreciate hyperinflation due to ball-valve effect
in Bacterial pneumonia, WBC will be:
WBC>15,000
Musty / mouse like urine and sweat order is seen in children with:
Phenylketonuria
Fx that goes transverse through ephyphisis, physis and metaphisis is known as
Type IV fracture
S
A
L
T=Transverse/Through
E
R
S2 is widely split and fixed is suggestive of:
Atrial Septal Defect
“dew drops on a rose petal” is descriptive of:
Varicella
Ortolani manuever is:
Abduction of hips (out)
external rotation of hips
Ortolani = out
Erythema Infectiosum
“Fifth Disease”
“Slapped Cheek Syndrome”
in a pregnant pt. causes:
hydrops fetalis
hydrops fivedrops
combining words, 50% comprehesible at:
24 m.o
Physical findings of pyloric stenosis
“Olive” –palpable pyloric mass
sit at:
6 m.o
sit = six
Tx for Chorea seen in Rheumatic Fever Dz is:
Chlorpromazine or haloperidol
tx for Broncholitis is:
Albutorol inhailor
Kawasaki syndrome
long lasting fever
fever
Mucosal changes/conjunctivitis
lymphoadenopathy
neck swelling
hand/feet swelling
most common organism that cause otitis externa are:
Pseudomonas aeruginosa
and
Staphylococcus aureus
mild croup is treated with:
Steroids
walk at:
12 m.o
twelve mile walk
Leading cause of short statue is:
Nutritional
tx for Chlamydia pneumonia is:
Erythomycin
Ezythromycin
Clarithromycin
tripple birth weight at:
12 m.o
Still’s murmur is produced as a result of:
Blood whirling in the left ventricle
mama, dada at:
12 m.o
complications of Kawasaki syndrome:
development of coronary aneurysm
Sx of Ventricular Septal Defects
Feeding intolarance
Failure to thrive
Resp. sx
Erythema Infectiosum
“Fifth Disease”
“Slapped Cheek Syndrome”
casused by:
Parvovirus B19
Aspirin in kids may lead to:
Rey Syndreme
(acute encephalopathy:
brain and liver damage)
self feed, reach at:
6 m.o
reach for six pack
PDA is associated with which maternal condition?
Rubella
normal varient of short statue are:
Familiar short statue
Constitutional growth delay
pincer grasp
at 9 m.o
Definition of Failure to Thrive is:
weight below 5th %
or weight reduction that crosses 2 or more major % lines
“Machinery murmur”
PDA
pain with movement of pinna or tragus is indicative of:
Otitis Externa/Swimmer ear
Most common cause of lazy eye/amblyopia is:
Strabismus
facial flushing “slapped-cheek” appearance is known as:
Erythema Infectiosum
“Fifth Disease”
“Slapped Cheek Syndrome”
Hyperinflation due to ball-valve effect is seen in:
Foreign body obstructiong airways
Description of Still’s murmur
benign
musical
vibratory
Bulous myringitis (infection of the eardrum) in a teenage is indicative of:
pneumonia caused by Mycoplasma pneumoniae
2nd line of treatment in otitis media:
Augmentin
Cephalosporin
Constitutional growth delay is manifested by:
Delayed bone age and puberty (late onset of menarche)
Turbulence in subclavian and jugular veins in kids produces a sound known as:
Venous Hump
Roseola is caused by:
HHV 6
6 roses
Leading endocrine causes for short statue are:
low GH
Cushing syndrome
Hypothyroidism
Fx that goes through growth plate but exits lower it is known as:
Type III fracture
S
A
L=Lower physis
T
E
R
Short stature is defined as
height more than two standard deviations below the mean for age
(less than the 3rd percentile)
crawl, pull to stand up at
9 m.o
nine crawl
paroxysmal abdominal pain with screaming and drawing up of the knees:
Intussusception
Prevention of reoccurence of
Rheumatic Fever Dz medicine is:
Benzathine penicillin monthly
Post-prandial, projectile, non-bilious vomiting
Pyloric Stenosis
prodrome of Measles/Rubeola:
cough,
conjunctivitisand
coryza
Koplik’s spots
Phenylketonuria is manifested by:
increased phenylalanine
decreased tyrosine
Most common type of Salter Harris fx is:
Type II
through and above
tx of otitis meida in a pt with penicillin allergy:
Erythromycin
Roll over at:
4 m.o
4 weel drive roll over
Normal growth velocity, history of delayed puberty in parents may produce what growth delay?
Constitutional delay of growth
Valsalva, sitting or standing will _______ Still’s murmur
reduce/diminish
Short parents, projected height consistent with midparental height is example of:
Familial short stature
most common organism in pneumonia in pt. under 5 is
viral
sx of primary hyperPTH
bones,
stones,
abdominal
groans,
psychic moans,
with fatigue overtones
Hypercalcemia is ususally caused by:
increased PTH
most common cause of secondary hyperPTH
CKD
signs of hyporPTH
• Chvostek sign
• Trousseau phenomenon
• Cataracts
• Thin and brittle nails
• Dry, scaly skin
• Hair loss (eyebrows)
• Hyperactive deep tendon reflexes
lab values of HypoPTH
low CA
low PTH
