peds - heme, endo, psych

Question 1

At what BMI %ile are children considered obese

Answer 1

greater than 95 %ile

overweight = 85th-94th %ile

Question 2

Clinical manifestations of AML

Answer 2

Clinical manifestations of AML are insidious and include weakness, fatigue, pallor, musculoskeletal pains, lymphadenopathy, hepatosplenomegaly, infections, and hemorrhage (e.g., gingival bleeding, epistaxis, ecchymoses)

Question 3

CBC in AML

Answer 3

normocytic normochromic anemia with thrombocytopenia and morphologic platelet abnormalities

Myeoblast, auer rods = pathognomonic

Question 4

what is russel sign

Answer 4

calloused knuckles from forced vomiting

Question 5

first line for bulimia

Answer 5

Fluoxetine is the first-line medication for bulimia nervosa, with alternative selective serotonin reuptake inhibitors serving as second-line therapy.

Question 6

best initial lab test for child w short stature

Answer 6

If a child has an impaired height velocity and the child is growing slower than expected for their age, the bone age of the patient should be determined from a radiograph of the hand and wrist.

Question 7

PE findings of congenital hypothyroidism?

Answer 7

lethargy, coarse facies, hoarse cry, hypotonia, dry skin, and hypothermia

Question 7

what lead levels call for intervention

Answer 7

Interventions are considered in children with blood lead levels > 3.5 mcg/dL. Lead levels between 15 and 44 mcg/dL should be confirmed within 1 to 4 weeks
* >45, admission and chelatio

Question 8

what is conduct diorder? how is it different from Oppositional defiant dis?

Answer 8

disruptive behavior disorder in children characterized by a repetitive and persistent pattern of defiant, dissocial, and aggressive behaviors that violate age-appropriate social norms

similar to conduct disorder in that children are defiant, disobedient, and hostile toward authority figures, however, they do not violate societal norms or rules and are not violent toward other people or animals

Question 9

what is the hallmoark lab finding of refeeding syndrome?

complications?

Answer 9

hypophosphatemia

Tissue hypoxia, myocardial dysfunction, hemolysis, rhabdo, seizures

Question 10

how is diagnosis of growth hormone deficiency confirmed after IGF’s are low?

Answer 10

growth hormone stimulation tes

Question 11

Reed-sternberg cells are pathogneumonic for what?

Answer 11

Hodgkin lymphoma

Question 12

what is the primary presenting signs/symptoms of hodgkin lymphoma?

Answer 12

painless lymphadenopathy and mediastinal mass

Question 13

what is the most common childhood cancer?

Answer 13

ALL
highest incidence between 2-5 y/o