Peds 3

Question 1

stranger anxiety is normal until age

Answer 1

3 yrs

Question 2

diagnosed pyloric stenosis. next steps?

Answer 2

IVF and replace K (to decrease apnea after surgery)

pyloromyotomy

Question 3

microcolon on barium enema

• dx
• associated disorder

Answer 3

meconium ileus

CF

Question 4

management of hydrocele

Answer 4

reassurance!!! goes away in 1 year

if doesn’t go away, do surgery

Question 5

nonclassic congenital adrenal hyperplasia

- sxs

Answer 5

premature adrenarche/pubarche
cystic acne
accelerated linear growth
advanced bone age

Question 6

risk factors for child developing ARDS

Answer 6

premature
male
perinatal asphyxia
maternal diabetes
c section without trial of labor

Question 7

tx of milk/soy protein induced colitis

Answer 7

if breastfeeding: mom can eliminate all dairy and soy from diet
or can do hydrolyzed formula

Question 8

edema in turner syndrome patient is from

Answer 8

lymphedema

Question 9

CI to rotavirus vaccine

Answer 9

anaphylaxis
history of intussusception
uncorrected congenital malformation of GI tract
SCID

Question 10

by 12 months, height and weight

Answer 10

height up by 50%

weight times 3

Question 11

milk protein allergy sxs

Answer 11

vomiting
poor wt gain
bloody stools

Question 12

renal biopsy indications

Answer 12

greater than 10 and have nephrotic syndrome
nephritic syndrome
minimal change disease non responsive to steroids

Question 13

baby born with high pitched cry

Answer 13

neonatal abstinence syndrome from opioid withdrawal

Question 14

prenatal exposure to cocaine

Answer 14

jittery
hyperactive moro reflex
hyperactive sucking

Question 15

torticollis in child

• differential
• next step

Answer 15

retropharyngeal abscess
atlantoaxial subluxation

x ray

Question 16

age when child can sit, but propped up with hand

Answer 16

6 months

Question 17

age when child can sit unassisted

Answer 17

7 months

Question 18

stranger anxiety develops at age

Answer 18

6 months

Question 19

test to dx baby with HIV

Answer 19

HIV PCR

Question 20

management migraines in children less than 12 years old

Answer 20

NSAID or APAP

can try triptans if that doesn’t work

Question 21

risk factors for NEC

Answer 21

prematurity
hypotension
congenital heart disease
enteral feeding

Question 22

Beckwith Wiedemann syndrome

• surveillance
• complications

Answer 22

serum AFP
abd/renal US

Wilms tumor
hepatoblastoma

Question 23

management of pyloric stenosis

Answer 23

rehydration (to prevent post op apnea)

pyloromyotomy

Question 24

exception to vaccinating according to chronological age

Answer 24

Hep B - need to be at least 2 kg

Question 25

galactosemia

• sxs
• enzyme deficiency

Answer 25

failure to thrive
bilateral cateracts
jaundice
hypoglycemia
convulsions

galactose 1 phosphate uridyl transferase deficiency

Question 26

increasing head circumference in a few month old child.. next step

Answer 26

CT scan (might be hydrocephalus)

Question 27

how is intusussception in HSP different than other intusussception?

Answer 27

is more ileo-ileal

can’t be reduced with air or contrast enema, so need to be surgically reduced

Question 28

management developmental dysplasia of the hip

Answer 28

palpable clunk: orthopedic referral
asymmetry 2 wks to 6 mos: US
asymmetry 4-6 mos: x ray

Question 29

syndrome that increases breast cancer in males

Answer 29

Klinefelter syndrome