Peds EOR - Qbank Flashcards

1
Q

Type of kidney damage a/w NSAIDs, hyaline casts

A

AIN (acute interstitial nephritis)

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2
Q

Soft tissue mass at metaphysis of long bones, “sunburst” pattern on X-ray, pain that is often preceded w/ blunt trauma

A

osteosarcoma

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3
Q

Osteosarcoma risk factor

A

previous ionizing radiation

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4
Q

Genetic dz: blue sclera, hearing problems + multiple fractures

A

osteogenesis imperfecta

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5
Q

Genetic dz: hypotonia beginning at 6mo, blindness

A

Tay Sachs

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6
Q

Nasal polyps on PE prompt eval of

A

cystic fibrosis

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7
Q

Extensor/flexor spasms in infant, hypsarrhythmia on EEG suggestive of

A

infantile spasms aka West Syndrome

tx: ACTH, anti-epileptic

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8
Q

drug classes CI in childhood

A

FQs (exception otic drops)
tetracyclines (teeth discoloration, give amox if 8 or under)
aspirin (Reyes syndrome)

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9
Q

palpable mass w/ onion peel appearence on X-ray

A

Ewing sarcoma

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10
Q

rib notching xray

A

coarcation aorta

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11
Q

in addition to humidified air/racemic epi, what’s another thing done in the hospital for moderate croup

A

dexamethasone (reduces hospital stay length)

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12
Q

grey discharge, clue cells on wet mount, positive whiff

A

BV (gardenella vaginalis)

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13
Q

frothy green discharge

A

trichomonas

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14
Q

tx for pertussis

A

azithromycin or erythromycin

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15
Q

SE of PGE1

A

platelet aggregation, HOTN, fever, apnea

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16
Q

breasts but no pubic hair/period

A

complete androgen insensitivity hormone (looks female but vagina ends in blind pouch)

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17
Q

male w/ small testes and breast buds

A

Kleinfelter syndrome (47 XXY)

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18
Q

mid-systolic crescendo-descrendo murmur, s4 gallop, young male, enhanced w/ valsalva

A

hypertrophic cardiomyopathy

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19
Q

syncope w/ exertion in non-dehdyrated male

A

hypertrophic cardiomyopathy

20
Q

meds to avoid w/ hypertrophic cardiomyothpathy

A

nitrates and positive inotropes as they worsen obstruction

21
Q

tx for hypertrophic cardiomyopathy

A

CCB or BB

22
Q

indication for pRBC transfusion for pt w/ Fe-def anemia

A

pt in heart failure or extremis (can be tachycardic w/ Hgb of 1-2 and just need oral supplementation)

23
Q

target sign on US

A

pyloric stenosis

24
Q

GI complication of HSP

A

intussusption (ileo-icecal)

25
Q

break-bone fever

A

dengue fever

26
Q

painful bullous lesions after a URI that do not effect below the epidermis nor the mucous membranes

A

SSSS

27
Q

harsh holosystolic murmur at LLSB

A

VSD

28
Q

MC congential heart dz

A

VSD

29
Q

fixed systolic ejection murmur, fixed S2 splitting

A

ASD

30
Q

ASD tx

A

usually none until age 3, then surgical closure

31
Q

VSD tx

A

often self-resolve, but if pulm HTN, FTT then surgical repair

32
Q

early systolic murmur @ apex

A

Still’s murmur (benign)

“musical”

33
Q

MCC epiglottitis aside from Hib

A

GAS

34
Q

tx (besides airway stablization) for epiglottitis

A

amp/sulbact (need beta-lactamase inhib) IV x 10d

add SMP/TMX if MRSA suspected

35
Q

cardiac manifestation of Marfan syndrome

A

mitral valve prolapse

late systolic murmur

36
Q

displaced PMI cardiac dz

A

VSD

37
Q

what portion of heart - membranous or muscular - is the VSD usually in?

A

membranous

38
Q

MCC Guillan Barre

A

Campylobacter jejuni

39
Q

What’s the Galezzi sign

A

uneven knee heights

40
Q

MCC hemolytic dz of the newborn

A

ABO incompatability

41
Q

erythema toxicum neonatum tx

A

supportive care

42
Q

blue dot sign

A

torsion of appendix testes

43
Q

MCC osteomyelitis, and what’s an additional common cause in kids w/ sickle cell

A

MC: S. aureus
sickle: Salmonella

44
Q

type of jaundice in breastfed infant who is gaining wt appropriately but jaundiced on day 10 of life

A

breast milk jaundice

patho: increased enterohepatic cycling

45
Q

green meconium stools, wt loss, dehydrated, and jaundice breastfed infant - what is this type of jaundice called?

A

breastfeeding jaundice

46
Q

sever’s dz presentation

A

calcaneal pain that worsens w/ activity, inflammation of apophysis, analagous to osgood-sclatter

47
Q

tet spell tx

A

knee-chest position, morphine if refractory (can cause seizures if iuntreated)