Peds

Question 1

Gastroschesis

Answer 1

-Defect not at midline, usually right

Question 2

Omphalocele

Answer 2

• Associated with Tri 13, 18, beckwith wiederman

- Midline, covered

Question 3

Umbilical Hernia

Answer 3

-Midline, no bowel. Treat at 3-5 years

Associated with hypothyroid (Large tongue)

Question 4

Pyloric Stenosis

Answer 4

• Nonbillious

- Hypochloremic alkolosis

Question 5

Intestinal Atresia

Answer 5

• ASsociated with Tri 21

- Billious

Question 6

Malrotationa nd Volvulus

Answer 6

-Pain, X Ray
Ladds Bands (malroatation around SMA generally)

Question 7

Meconium Ileus

Answer 7

• CF

- Treatment is Gastrograffin Enema

Question 8

Bloody Diahrrea

Answer 8

• Necrotizing enterocolitis

- Pneumocystis intestinalis

Question 9

Intususeociion

Answer 9

Currant Jelly

Intermitent Pain

Question 10

Cryptorchid

Answer 10

• Not descended by 1 year do surgery

- US to diagnose, usually in inguinal canal

Question 11

Hypospadias

Answer 11

• Don’t circumcize, use foreskin in repair

- Renal issues

Question 12

CAH

Answer 12

-Ambiguous genetalia

Question 13

DMI

Answer 13

Cardiac, Caudal Regression

Question 14

DM2

Answer 14

• Hypoglycemia - siezures
• Hypocalcemia - sieures
• Polycythemia - Thrombosis
• Hyprebilirubimenima - Kernicturus
• RDS - insulni interferes with cortisol maturation

Question 15

Sepsis

Answer 15

-E coli, GBS, Listeria
-Treat emperically with amp and gent
Treat with amp and cefoxotime if think meningtitis

Question 16

Torch

Answer 16

Syphilis - hearing loss, saber shins, 
CMV - microcephaly, petichiea
Rubells - catarats, deafness
-Toxo - intracranial calcifications
-Caricella - scarring, limb hypoplasia

Question 17

Contraindications to breast feeding

Answer 17

Ilicit drug abuse, TB 2 weeks treated, active herpes, HIV, varicella, chemo

Question 18

Orbital cellulitis

Answer 18

Most commonly from bacterial sinusitis: strep pneumo, staph aureus, h flu
Treatment is for bug, vanc plus
Get CT to evaluate

Question 19

Polycythemia

Answer 19

Can cause RDS, renal vein thrombosis, plethora, etc

Complication of IUGR or DM

Question 20

Bacterial Sinusitis

Answer 20

Most common is strep pneumo, then Hib, then moraxella

Question 21

Hand foot and mounth

Answer 21

Has gray exudates on tonsils, Be careful of herpes, measles, rubella

Question 22

Breast feeding jaundice

Answer 22

Occurs when there is inadequate breast feeding, in contrast to breast milk which is adecuate and from enzymes in milk
-Dehydration is less wet than days old, redish stools (urate)

Question 23

ABO incompadibility

Answer 23

Most commonly in mothers that are O

Can also occur if mother is A, B and child is exact opposite, but usually O

Question 24

Niemann Pick

Answer 24

Spingomylinase
Red spot with abdominal complaints
Tay sachs is b hexoaminadse and has no abdominal

Question 25

Rubella

Answer 25

Less severe than measles, low fever, redish pharyngitis, posterior auricular
Measles has high fever, maliase, and koplik spots
Dx with PCR and serology

Question 26

VSD

Answer 26

Large can cause eisenmingers. Think about in patient that has FTT and is older with presentatoins of heart lesoin.
Cyanotic occur early
Can hear diastolic rumble at apex

Question 27

Post flu pneumon

Answer 27

Likely staph aureus, and even in CFers, S Aureus is more commin in the begining, later is pseundomdons

Question 28

CAP

Answer 28

Strep pneumo until proven ptherwise. Giv amoxiclin