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Bina's Step 2 CK Flascards > Peds High Yield > Flashcards

Peds High Yield Flashcards

1
Q

Baby born w/ Erb-Duchenne. Where is lesion?

A

C5-6

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2
Q

Physical exam signs of PKU?

A

Fair hair/eyes/skin, musty smell

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3
Q

1d old baby, bili 14, direct 0.5. What does he have, and next test?

A

Pathologic jaunice, get Coombs

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4
Q

In kernicterus, indirect bili collects where?

A

BG, brainstem nuclei

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5
Q

When to do surgery for diaphragmatic hernia?

A

Let lungs mature 3-4d first

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6
Q

Baby born w/ respiratory distress, excess drooling

A

TE fistula

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7
Q

How to diagnose respiratory distress in baby before he is born?

A

L/S

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8
Q

38w old baby born by C-section now w/ dyspnea/grunting. Rx?

A

Transient tachypnea of newborn, O2 and self-resolves

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9
Q

Omphalocele associated w/ 3 disorders

A

Edwards, Patau, Beckwith Wiedemann

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10
Q

How to dx meconium ileus in baby?

A

Gastrograffin (not barium) enema, also the treatment

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11
Q

Gonorrhea vs. Chlamydia conjunctivitis?

A

Chlamydia - later (1-2 wk), mucoid. Gonorrhea - purulent

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12
Q

18 yo M, lanky, mild MR, gynecomastia, hypogonad

A

Klinefelter’s

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13
Q

2 yo w/ multiple ear, GI, and pulm infx. No tonsils

A

Bruton agammaglobulinemia

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14
Q

3 wk M w/ seizure, truncus arteriosus, micrognathia

A

DiGeorge (Cardiac, A, T, C, H)

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15
Q

Transposition of the great arteries MC in infants of moms w/

A

DM

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16
Q

7 year old girl presents with vague chest pain, pain in several different joints over the past few days, and a rash. Her ESR is elevated, and her EKG shows prolongation of the PR interval.

A

Acute rheumatic fever (heart, joint, rash)

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17
Q

Sore throat, joint pain, fever, pinpoint rash on face that spreads down

A

Rubella

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18
Q

Baby w/ poor feeding, vescicles on mouth, palms, soles. Rash on butt.

A

Hand-foot-mouth (Coxsackie A16)

19
Q

6 yo from NC, camping. Fever, myalgia, abd pain. Rx?

A

Rocky Mountain Spotted fever. Doxy for ALL ages

20
Q

Rx for Otitis Externa?

A

Cipro (for pseudomonas)

21
Q

MCC pna in neonates

A

GBS, E. Coli, Listeria

22
Q

MCC pna in 1-3mo

A

C. trachomatis, RSV, parainfluenza, S. pna

23
Q

Staccato cough suggests

A

Chlamydia pna (picture a clam in Little Mermaid singing a song)

24
Q

5 y/o M initially w/ a cold 1wk ago now presents w/ a limp & effusion in the hip. X-rays are normal and ESR is high, T = 99.8, WBCs = 10K. Rx?

A

Transient Synovitis. Bed rest + NSAIDS

25
Q

12 y/o F w/ 2 wk history of daily fevers to 102 and a salmon colored evanescent rash on her trunk, thighs and shoulders. Her left knee and right knee are swollen. Rx?

A

JRA (arthritis + rash). 1st - NSAID, 2nd - Mtx, 3rd - steroids

26
Q

Dx DM (3 criteria)

A

Fasting glucose >125 x2, OGTT >200, Any glucose >200 w/ sx

27
Q

Best 1st test in Kawasaki?

A

EKG + Echo

28
Q

MCC sepsis in SC?

A

S. pna

29
Q

MCC osteo in SC?

A

Salmonella

30
Q

Goat mlk diet predisposes you to this anemia

A

Folate def

31
Q

Kid w/ anemia and triphalangeal thumbs

A

Blackfan-Diamond

32
Q

Kid w/ anemia and no thumbs

A

Fanconi (also low WBC, low plt)

33
Q

2 y/o baby presents w/ hyperactivity, impaired growth, abdominal pain and constipation.

A

Lead poisoning

34
Q

Rx for hemophilia?

A

DDAVP

35
Q

Rx for TTP-HUS?

A

Dialysis. DON’T give platelets, DON’T give abx

36
Q

2 year old hypertensive child with asymptomatic abdominal mass. Next step?

A

Wilm’s tumor. Abd CT + CXR (lung met)

37
Q

4 year old with jerking movements of eyes and legs, bluish skin nodules and an tender abdominal mass (“Dancing eyes, dancing legs”)

A

Neuroblastoma

38
Q

Rx for ALL?

A

Chemo + INTRATHECAL MTX

39
Q

A 6mo old is brought in for multiple symmetric contraction episodes of neck, trunk and extremities that occur in spells. Rx?

A

Infantile spasms. ACTH

40
Q

8y/o w/ difficulty w/ balance while walking, no Friedrich Ataxia
DTRs, bilateral Babinski and “explosive, dysarthric speech”.

A

Friedrich Ataxia

41
Q

2y/o w/ gait disturbance, loss of intellectual fxn, Metachromatic
nystagmus and optic atrophy. Cresyl violet metachromatic staining.

A

Metachromatic leukodystrophy

42
Q

12y/o w/ decreased school performance, behavior changes, ataxia, spasticity, hyperpigmentation, ↑K, ↓Na, acidosis

A

Adrenoleukodystrophy

43
Q

Absent B cells

A

Bruton’s agammaglobulin

44
Q

Nl B cells but low Ig levels

A

Common variable immunodeficiency

Bina's Step 2 CK Flascards (3 decks)

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