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Step 2 > Peds 3 > Flashcards

Peds 3 Flashcards

1
Q

cyanotic newborn that doesnt improve with O2

A

ToGV

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2
Q

newborn holosystolic murmur that worsens with inspiration

A

ebstein’s anomaly

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3
Q

Arrhythmia a/w ebstein’s anomaly

A

WPW syndrome

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4
Q

Newborn cyanotic with holosystolic murmur that requires a VSD or* ASD to survive, EKG w/ LVH

A

Tricuspid Atresia

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5
Q

CHD with increased pulmonary blood flow and biventricular hypertrophy

A

truncus arterosis

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6
Q

Harsh holosystolic murmur over left lower sternal border. Loud P2

A

VSD

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7
Q

fixed and split S2. systolic ejection murmur with diastolic rumble

A

Endocardial cushion defect

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8
Q

newborn with bounding pulses and widened pulse pressure

A

PDA

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9
Q

PDA a/w (2)

A

prematurity and congenital rubella

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10
Q

rosary bead appearance of ribs

A

Vit D deficiency

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11
Q

kid with murmur that increases with valsalva, standing and exercise

A

HCM

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12
Q

joint and chest pain, rash, elevated ESR, prolonged PR interval

A

acute rheumatic fever

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13
Q

Tx acute rheumatic fever

A

erythromycin 10d then prophylaxis until age 20

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14
Q

Tx meconium ileus

A

gastrografin enema BEFORE considering surgery

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15
Q

Tx pneumonia in CF

A

ceftazidime, piperacillin or tobramycin

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16
Q

asthma: daily and nightly cough, FEV1 less than 60. dx and tx

A

Severe persistent = albuterol, inhaled corticosteroid, long-acting BA (salmeterol), monteleukast +/- oral steroids

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17
Q

asthma 2x/wk no night sx, dx/tx

A

mild intermittent, tx = albuterol

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18
Q

asthma 4x/wk + nightly cough 2x/mo, normal PFTs, dx/tx

A

albuterol and inhaled corticosteroids

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19
Q

asthma daily + nightly cough 2x/wk and FEV 60-80, dx/tx

A

moderate persistent, tx = albuterol, inhaled CS and salumeterol (long acting BA)

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20
Q

common infxn in asthmatics

A

allergic bronchopulmonary aspergillus

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21
Q

hematuria only 1-2 DAYS after a runny nose/sore throat, dx?

A

Berger’s Disease = IgA nephropathy

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22
Q

smoky or cola- urine

A

PSGN

23
Q

subepithelial IgG humps

A

PSGN

24
Q

Dx PSGN

A

ASO titer

25
Q

hematuria and hemoptysis

A

Goodpasture’s

26
Q

hematuria and deafness

A

Alport’s, X-linked recessive

27
Q

Tx calcium oxalate stones

A

hydrochlorothiazide

28
Q

kid with FHx of renal stones, MC type?

A

cystein

29
Q

kid with indwelling catheter and alkaline urine, MCCs?

A

struvite stone = proteus, staph, pseudomonas or klebsiella

30
Q

Tx MCD

A

prednisone 4-6wks

31
Q

immunizations especially important in MCD

A

varicella and pneumococcus b/c they leak Ig’s into their urine

32
Q

kid with proteinuria suddenly develops flank pain, Dx?

A

renal vein thrombosis 2/2 peeing out ATIII, protein C/S –> stat renal US or CT

33
Q

sicke cell patient with respiratory distress that requires emergency tonsillectomy?

A

Waldyer Ring’s hyperplasia

34
Q

MCC death in sickle cell

A

acute chest syndrome 2/2 pulmonary infarct

35
Q

tx stroke in sickle cell

A

exchange transfusion! do NOT give tPA

36
Q

prophylaxis in sickle cell

A

Penicillin from 2mo-6yrs?

37
Q

Tx thalassemia

A

transfusion +/- deferoxamine

38
Q

Deficiencies in goat’s milk

A

folate and vit B12

39
Q

3 month old. Normal platelet. Normal WBC. Anemia. Increased RBC ADA and low reticulocytes. Triphalangeal thumb. Dx? Tx?

A

Blackfan Diamond Anemia

Tx = steroids, transfusions +/- stem cell transplant

40
Q

Pathophys Fanconi’s anemia, complications?

A

2/2 chromosomal breaks, complicationcs inculde increased risk AML and other cancers

41
Q

2yo with hyperactivity, developmental delay, abd pain and constipation

A

lead poisoning

succimer if >46, EDTA if>70

42
Q

epistaxis, heavy menses, petechiae. Normal platelets. Increased bleeding time and PTT. DX? Tx?

A

vWD

Tx = DDAVP + factor 8 replacement

43
Q

epistaxis, heavy menses, petechiae and DECREASED platelets, dx/tx

A

ITP

tx = IVIG, prednisone +/- splenectomy but do NOT give platelets (simply worsens consumptive coagulopathy)

44
Q

1st clotting factor to deplete

A

factor 7

45
Q

cloting factors NOT affected in Wilson’s disease

A

8 and vWF because they are made in ENDOTHELIAL cells

46
Q

causes of HUS (4)

A

E. coli, shigella, salmonella, campylobacter

47
Q

IgA and C3 deposition in skin

A

Henoch-Schlonen Purpura

48
Q

Kid with lower extremity rash, abd pain and joint pain

A

Henoch-Schonlein Purpura

49
Q

MC brain tumor in kids

A

pilocytic astrocytoma of cerebellum

50
Q

2nd MC brain tumor in kids, what is the worst prognostic factor?

A

Medulloblastoma, worst prognosis if in vermis

51
Q

kid with abd mass that doesn’t cross midline and HTN

A

Wilm’s Tumor

52
Q

Wilm’s tumor a/w?

A

WAGR = Wilms, aniridia, GU abnormalities, Retardation

Hemihypertrophy

Beckwith-Weidmann syndrome

53
Q
A

Step 2 (20 decks)

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