Peds

Question 1

Risk factor for TTN?

Answer 1

C-section, diabetic mother

Question 2

CXR findings on TTN?

Answer 2

Wet appearing lungs with perihilar streaking, interstitial and alveolar fluid, and fluid in pleural space and along the fissures (lateral views) No air bronchograms

Question 3

TTN management?

Answer 3

Symptomatic -> resolve in 24-48 hr Usually requires NG tube feed meanwhile because unable to nurse

Question 4

CXR findings of RDS?

Answer 4

Ground glass appearance and air bronchograms

Question 5

What respiratory syndrome are you at risk for for being intubated?

Answer 5

Bronchopulmonary dysplasia -> CXR shows atelectasis, inflammation, pulmonary edema, might see fibrosis and hyperinflation if severe

Question 6

Define hypoglycemia in newborns?

Answer 6

< 45 ?

Question 7

Verbal response criteria for GCS of children under 5 years old?

Answer 7

5: smiles, oriented to sounds, follows objects, interacts 4: cries but consolable, inappropriate interactions 3: inconsistently inconsolable, moaning 2: inconsolable, agitated 1: no verbal response

Question 8

Age you usually see roseola?

Answer 8

Less than 2 years old

Question 9

Most common manifestation of nontuberculous mycobacteria in children?

Answer 9

Lymphadenitis

Question 10

CBC in Kawasaki?

Answer 10

Elevated WBC Normochromic, normocytic anemia Elevated platelet count (not seen til second week of illness)

Question 11

7 criteria for dx of Kawasaki?

Answer 11

Clinical dx - fever lasting at least 5 days - changes in oral mucosa - extremity changes (redness/swelling) - unilateral cervical LAD - rash - conjunctivitis - no other apparent cause

Question 12

Percentage of Kawasaki pts presenting with coronary artery aneurysm and how far out does it present?

Answer 12

20-25% Almost always within 4 weeks of disease onset -> so should get echo during acute phase

Question 13

Risks for infants of an adolescent mother?

Answer 13

• vertically acquired infection (HIV, gonorrhea, syphilis)
• poorer outcome
• lower birth weight secondary to maternal HTN
• fetal death

Question 14

Risk factors for hyperbilirubinemia in infants?

Answer 14

• Mediterranean descent
• Breastfed

Question 15

Risks for a SGA baby?

Answer 15

Hypoglycemia, hypothermia, and polycythemia

Question 16

Testing for TORCH infection?

Answer 16

Toxoplasmosis: infant toxoplasma titers

Others: maternal HBsAg

Rubella: maternal and infant rubella titers

CMV: infant CMV urine culture

Herpes?

Question 17

Which eye infection does erythromycin ointmen prophylaxis prevent?

Answer 17

Gonococcal conjunctivitis

(doesn’t help with chlamydial one, which is actually more common. occurs later at 7-14 days)

Question 18

Urine culture positive within first how many weeks of life is dx for congenital CMV infection?

Answer 18

3 weeks of life

Question 19

Sequelae of congenital CMV and characteristics?

Answer 19

Hearing loss -> progressive

Intracranial calcification and microcephaly -> long-term delay and risk of cerebral palsy

Hepatosplenomegaly and rash -> resolves spontaneously within weeks

Question 20

What to do in infant with congenital CMV?

Answer 20

Tx w/ parenteral gancyclovir or oral valgancyclovir -> diminish progression of hearing impairment and intellectual delay

Question 21

Is active TB an absolute CI for breastfeeding?

Answer 21

Yes

Question 22

What 2 things do all states screen for in newborn screening?

Answer 22

PKU and hypothyroidism