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PANCE > Peds > Flashcards

Peds Flashcards

1
Q

tx for Otitis Externa is:

A

topical / drops abx/steroids

ofloxacin

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2
Q

exam findings related to otitis media:

A

Bulging tympanic membrane
Redness
Limited or absent mobility of tympanic membrane
Air/fluid levels behind the tympanic membrane
Otorrhea

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3
Q

Hypoxemic, cyanotic episodes seen in children with tetralogy of Fallot are known as:

A

Tet’s spells

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4
Q

“lead point” during intussusception may represent:

A

Meckel diverticulum,

intestinal polyps,

lymphomas,

cystic fibrosis

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5
Q

Most common lower respiratory illness in infants and children < 2 years of age.

A

Bronchiolitis

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6
Q

Sever carditis seen in Rheumatic fever Dz is treated with:

A

Steroids

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7
Q

pain and swelling in front of and below ear corresponds to:

A

Mumps

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8
Q

sausage-shaped mass

A

IIntussusception

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9
Q

Painful oral ulcers,

low grade fever

gray-red vesicles on hands and feet

descriptive of:

A

Foot, hand and mouth disease

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10
Q

which manuever dislocates the hip?

A

Barlow

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11
Q

Familiar short statue are demonstrated on growth curve as:

A

Deceleration on growth curve during the fist two year with

normal linear acceleration afterwards

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12
Q

Most common heart murmur in children is:

A

Still murmur

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13
Q

Minor Criteria for Rheumatic Fever

A

fever,

arthralgia,

elevated ESR and/or c-reactive protein,

prolonged PR interval on ECG

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14
Q

presentation of a child with subluxation of the radial head

A

child holds arm in pronated position

in flexed position and refuses to extend the arm and use it.

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15
Q

Murmur heard in coartation of aorta is described as:

A

Blowing systolic murmur in left axilla

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16
Q

children with constitutional delay of growth and puberty have a bone age that is _________ their chronologic age

A

less than

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17
Q

Hand-Foot-and-Mouth Disease is caused by:

A

Coxsackie A16

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18
Q

most Failure to Thrive is due to:

A

environmental/social causes

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19
Q

viral pneumonia in children is most commonly caused by:

A

RSV

Parainluenza

Influenza

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20
Q

Maculopapularerythematous rash beginning face and progressing to toes is indicative of:

A

Rubella (German measles)

head to toe rubella

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21
Q

100% comprehensible speech at:

A

4 years old.

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22
Q

Most common congenital heart disease is:

A

Ventricular Septal Defect

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23
Q

potty training

A

24-36 m.o

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24
Q

Limited or absent mobility of tympanic membrane is a signs of:

A

Otitis Media

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25
Q

Bralow manuever

A

internal rotation of hip

adduction

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26
Q

normal weight loss after birth during the first week is:

A

10%

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27
Q

Blueberry Muffin baby reffers to:

A

Infant with Congenital Rubella

Rubella Blueberry Muffin

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28
Q

Varicella rash stages

A
  1. Papular stage
  2. Vesicular stage - dew drops on a rose petal
  3. Scabing/crusting stage - not contageous
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29
Q

X ray findings seen in Hyaline Membrane Disease:

A

ground glass appearance

bilateral atelectasis

air bronchograms

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30
Q

tx for Group B pneumonia is:

A

Penicillin

Ampicillin

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31
Q

Lacy, pink macular rash on torso and extemities is indicative of:

A

Erythema Infectiosum

“Fifth Disease”

“Slapped Cheek Syndrome”

Lacy Fifth

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32
Q

Rubella is caused by:

A

Rubivirus

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33
Q

Steeple sign on X ray is indicative of:

A

Croup

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34
Q

Bronchiolitis is caused by:

A

Respiratory Syncytial Virus

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35
Q

tx for Strep pneumo, pneumonia in kids is:

A

Amoxicillin

Penicillin

Cephalosporins

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36
Q

piece of intestinal tissue that protrudes into the bowel lumen during intussesception is known as:

A

“lead point”

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37
Q

in neonates, pneumonia is most often caused by what microrganism?

A

group B strep

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38
Q

Short early systolic ejection murmur in kids is known as:

A

Still’s murmur

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39
Q

organisms that cause ottitis media are:

A

Streptococcus Pneumoniae
Haemophilus influenza
Streptococcus pyogenes
Moraxella Catarrhalis

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40
Q

Children with familial short stature have a bone age ___________ their chronologic age

A

equal

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41
Q

shallow respirations, expiratory grunting, retractions and cyanosis

are sings of:

A

Neonatal/Infant Respiratory Distress Syndrome /

Hyaline Membrane Disease

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42
Q

Definitive methode to diagnose ottitis media is:

A

Pneumatic Otoscopy

will demonstrate immobility of tempanic membrane

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43
Q

barking cough,

hoarseness and inspiratory stridor

are sx of:

A

Viral Croup

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44
Q

double birth weight at

A

6 m.o

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45
Q

URI / common cold is often caused by:

A

Rhinovirus

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46
Q

Ortalani reduces or dislocates the hip

A

reduces

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47
Q

X ray view nessesary for SCFE diagnosis are:

A

AP and frogleg lateral

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48
Q

Mumps is caused by:

A

Paramyxovirus

Mumps=Paramyxovirus

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49
Q

Still’s murmur is best heard at:

A

heart Apex

Left Sternal border

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50
Q

Separation of growth plate is known as:

A

Type I fracture

S=Separatoin

A

L

T

E

R

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51
Q

in Slipped Capital Femoral Epiphysis the head of the femur is displaced:

A

posteriorly and medially

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52
Q

Dematological manifistation of Measles:

A

Maculopapular rash–over neck and trunk first

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53
Q

Congenital Rubella consists of:

A

Hearing loss
Congenital cataracts
Congenital heart dz (patent ductus)
Purpuric rash (Blueberry Muffin)

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54
Q

Fx that reduces growth plate is known as

A

Type V fracture

S

A

L

T

R=Reduction of physis

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55
Q

High fever followed by a rasha is a sign of:

A

Roseola

56
Q

severe croup is treated with:

A

Racimic Epinephrine

57
Q

Slipped Capital Femoral Epiphysis is manifested by pain where?

A

hip

and

knee

58
Q

1st line of treatment of otitis media is:

A

Amoxicillin

59
Q

Jones criteria for Rheumatic Fever

A

2 major

OR

1 major and 2 minor

60
Q

babble at:

A

6 m.o

six babbles

61
Q

In a pneumonia, low WBC suggest what cause?

A

viral

62
Q

Loud, harsh, blowing holosystolicmurmur in kids is suggestive of:

A

Ventricular Septal Defects

63
Q

virus that causes croup is:

A

Parainfluenza

64
Q

Major Criteria for Rheumatic Fever

A

carditis,

polyarthritis,

chorea,

erythema marginatum,

subcutaneous nodules

65
Q

Nursemaid’s Elbow is:

A

Subluxation of the radial head

66
Q

Measles/Rubeola is caused by:

A

Morbillivirus

67
Q

Unique sx of chlamydia pneumonia in child <6 m.o is

A

Stoccato cough

no fever

S_TD=Stoccato_

68
Q

Fx that goes through growth plate but exits above it is known as:

A

Type II fracture

S

A=physis

L

T

E

R

69
Q

Increased resp rate (tachypnea)

wheezing

resp distress

thick nasal congestion

in a chid <2 y.o

are signs of:

A

Bronchiolitis

Bronchiolits less than 2

70
Q

1 step command

2 step command

A

1 step at 1 y.o

2 step at 2 y.o

71
Q

scribbling, spoon holding, brushin at:

A

18 m.o

scibble your name at 18 years old

72
Q

Croup is also known as:

A

laryngotracheobronchitis

73
Q

Foreign body chest X ray should be ordered as:

A

Expiratory to appreciate hyperinflation due to ball-valve effect

74
Q

in Bacterial pneumonia, WBC will be:

A

WBC>15,000

75
Q

Musty / mouse like urine and sweat order is seen in children with:

A

Phenylketonuria

76
Q

Fx that goes transverse through ephyphisis, physis and metaphisis is known as

A

Type IV fracture

S

A

L

T=Transverse/Through

E

R

77
Q

S2 is widely split and fixed is suggestive of:

A

Atrial Septal Defect

78
Q

“dew drops on a rose petal” is descriptive of:

A

Varicella

79
Q

Ortolani manuever is:

A

Abduction of hips (out)

external rotation of hips

Ortolani = out

80
Q

Erythema Infectiosum

“Fifth Disease”

“Slapped Cheek Syndrome”

in a pregnant pt. causes:

A

hydrops fetalis

hydrops fivedrops

81
Q

combining words, 50% comprehesible at:

A

24 m.o

82
Q

Physical findings of pyloric stenosis

A

“Olive” –palpable pyloric mass

83
Q

sit at:

A

6 m.o

sit = six

84
Q

Tx for Chorea seen in Rheumatic Fever Dz is:

A

Chlorpromazine or haloperidol

85
Q

tx for Broncholitis is:

A

Albutorol inhailor

86
Q

Kawasaki syndrome

A

long lasting fever

fever

Mucosal changes/conjunctivitis

lymphoadenopathy

neck swelling

hand/feet swelling

87
Q

most common organism that cause otitis externa are:

A

Pseudomonas aeruginosa

and

Staphylococcus aureus

88
Q

mild croup is treated with:

A

Steroids

89
Q

walk at:

A

12 m.o

twelve mile walk

90
Q

Leading cause of short statue is:

A

Nutritional

91
Q

tx for Chlamydia pneumonia is:

A

Erythomycin

Ezythromycin

Clarithromycin

92
Q

tripple birth weight at:

A

12 m.o

93
Q

Still’s murmur is produced as a result of:

A

Blood whirling in the left ventricle

94
Q

mama, dada at:

A

12 m.o

95
Q

complications of Kawasaki syndrome:

A

development of coronary aneurysm

96
Q

Sx of Ventricular Septal Defects

A

Feeding intolarance

Failure to thrive

Resp. sx

97
Q

Erythema Infectiosum

“Fifth Disease”

“Slapped Cheek Syndrome”

casused by:

A

Parvovirus B19

98
Q

Aspirin in kids may lead to:

A

Rey Syndreme

(acute encephalopathy:

brain and liver damage)

99
Q

self feed, reach at:

A

6 m.o

reach for six pack

100
Q

PDA is associated with which maternal condition?

A

Rubella

101
Q

normal varient of short statue are:

A

Familiar short statue

Constitutional growth delay

102
Q

pincer grasp

A

at 9 m.o

103
Q

Definition of Failure to Thrive is:

A

weight below 5th %

or weight reduction that crosses 2 or more major % lines

104
Q

“Machinery murmur”

A

PDA

105
Q

pain with movement of pinna or tragus is indicative of:

A

Otitis Externa/Swimmer ear

106
Q

Most common cause of lazy eye/amblyopia is:

A

Strabismus

107
Q

facial flushing “slapped-cheek” appearance is known as:

A

Erythema Infectiosum

“Fifth Disease”

“Slapped Cheek Syndrome”

108
Q

Hyperinflation due to ball-valve effect is seen in:

A

Foreign body obstructiong airways

109
Q

Description of Still’s murmur

A

benign

musical

vibratory

110
Q

Bulous myringitis (infection of the eardrum) in a teenage is indicative of:

A

pneumonia caused by Mycoplasma pneumoniae

111
Q

2nd line of treatment in otitis media:

A

Augmentin

Cephalosporin

112
Q

Constitutional growth delay is manifested by:

A

Delayed bone age and puberty (late onset of menarche)

113
Q

Turbulence in subclavian and jugular veins in kids produces a sound known as:

A

Venous Hump

114
Q

Roseola is caused by:

A

HHV 6

6 roses

115
Q

Leading endocrine causes for short statue are:

A

low GH

Cushing syndrome

Hypothyroidism

116
Q

Fx that goes through growth plate but exits lower it is known as:

A

Type III fracture

S

A

L=Lower physis

T

E

R

117
Q

Short stature is defined as

A

height more than two standard deviations below the mean for age

(less than the 3rd percentile)

118
Q

crawl, pull to stand up at

A

9 m.o

nine crawl

119
Q

paroxysmal abdominal pain with screaming and drawing up of the knees:

A

Intussusception

120
Q

Prevention of reoccurence of

Rheumatic Fever Dz medicine is:

A

Benzathine penicillin monthly

121
Q

Post-prandial, projectile, non-bilious vomiting

A

Pyloric Stenosis

122
Q

prodrome of Measles/Rubeola:

A

cough,

conjunctivitisand

coryza

Koplik’s spots

123
Q

Phenylketonuria is manifested by:

A

increased phenylalanine

decreased tyrosine

124
Q

Most common type of Salter Harris fx is:

A

Type II

through and above

125
Q

tx of otitis meida in a pt with penicillin allergy:

A

Erythromycin

126
Q

Roll over at:

A

4 m.o

4 weel drive roll over

127
Q

Normal growth velocity, history of delayed puberty in parents may produce what growth delay?

A

Constitutional delay of growth

128
Q

Valsalva, sitting or standing will _______ Still’s murmur

A

reduce/diminish

129
Q

Short parents, projected height consistent with midparental height is example of:

A

Familial short stature

130
Q

most common organism in pneumonia in pt. under 5 is

A

viral

131
Q

sx of primary hyperPTH

A

bones,

stones,

abdominal
groans,

psychic moans,

with fatigue overtones

132
Q

Hypercalcemia is ususally caused by:

A

increased PTH

133
Q

most common cause of secondary hyperPTH

A

CKD

134
Q

signs of hyporPTH

A

• Chvostek sign
• Trousseau phenomenon
• Cataracts
• Thin and brittle nails
• Dry, scaly skin
• Hair loss (eyebrows)
• Hyperactive deep tendon reflexes

135
Q

lab values of HypoPTH

A

low CA

low PTH

136
Q
A

PANCE (20 decks)

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