PEDS

Question 1

Intralobar sequestration

Answer 1

Both are on the left

treatment is surgery

non-anatomic arterial supply

Question 2

Tetrology of fallot

Answer 2

VSD
R vent hypertrophy
over riding aorta

Question 3

Pediatric maintenance fluids

Answer 3

4 cc For the first 10 kg
40 mL

2 cc for the next 10 kg
20 mL

1cc for the rest

21 kg baby gets 61 mL fluid

Question 4

Resuscitation food for pyloric stenosis baby

Answer 4

1/2 normal sailing 20 mL / kg bolus

21 kg baby gets 401 ml

Add to maintenance fluid with D5 1/4 normal

Question 5

urine output for baby

Answer 5

1-1.5 ml /kg/ hr

Question 6

air pressure for pneumatic reduction of intussusception

Answer 6

“normal systolic blood pressure”

80 – 120 mmHg

Question 7

hydrostaticreduction of intussusception

Answer 7

3 feet water column

Three minutes

Three tries (in radiology)

recur two times before surgery

Question 8

the ultimate procedure for TPN dependent shortcut syndrome

Answer 8

Bowl transplant with simultaneous liver transplantation

Question 9

What should you give kid who has lost his ilium and has massive diarrhea

Answer 9

Cholestyramine
Octreotide
PPI
Imodium

Question 10

Resuscitation in kid with pyloric stenosis

Answer 10

Initial resuscitation half normal saline

Add maintenance of D5 1/4 NS : 4:2:1

21 kg child:
61 mL / hr

Question 11

Normal laboratory values chem

Answer 11

Sodium 140
Potassium 4
Cl 97
Bicarb 27
BUN 7 (7-20)
Creatinine 0.7

Question 12

double bubble is found in

Answer 12

Malrotation
Duodenal atresia
Annular pancreas

Question 13

Treatment of metals diverticulum

Answer 13

If there is gastric mucosa and need to perform sleeve resection so that all of the tissue is removed

Question 14

Pneumatic pressure to reduce intussusception

Answer 14

80 – 120 mmHg

Goal is to see air make it to the small bowel

Question 15

Best antibiotics for kids with perforated appendicitis

Answer 15

Amp and gent (has the most data)

Flagyl is also good

Zosyn is probably good did not study his much

Question 16

Where is a brachial cleft cyst go and what is treatment

Answer 16

Type I:
Angle of jaw
external auditory canal

Type II 
SCM
goes between internal and external carotid arteries! 
Tonsil fossa
Most common!

“Core it out”
‘Often don’t have to go all the way’

Question 17

Management of a hydrocele in pediatric patients

Answer 17

If premi:

Wait till 5 pounds to repair

Question 18

Management of a hydrocele and a 60-year-old

Answer 18

Inguinal incision

If not draining or communicating pushy testicle up

Exciting window in the hydrocele

Evert the tissue and suture back around to the back of The testicle

This will then be absorbed