Peds ID

Question 1

viral pharyngitis cause

Answer 1

adeno, entero, EBV

Question 2

bacterial pharyngitis cause

Answer 2

group a strep

Question 3

mcisaac

Answer 3

fever >38.5, cervical LA, age 3-14, no cough, red tonsils with exudate

Question 4

strep throat tx

Answer 4

pen V, amoxicillin or erythromycin

Question 5

scarlet fever cause

Answer 5

GAS

Question 6

scarlet fever symptoms

Answer 6

fever, sore throat, strawberry tongue, then SANDPAPER rash 24-48h later, peeling

Question 7

scarlet fever symptoms

Answer 7

pen, amox, erthryo

Question 8

rheumatic fever symptoms

Answer 8

subcut nodules, pancarditis, arthritis, chorea, eryth marginatum

Question 9

rheum fever dx

Answer 9

CLIN, culture throat, rapid ag, ASOT

Question 10

rheumatic fever tx

Answer 10

pen, erythro, prednisone for carditis

Question 11

mono cause

Answer 11

EBV, incubation 1-2 mo

Question 12

mono dx

Answer 12

heterophil ab test, EBV titres, CBC diff (atypical lymphocytes, Downey cells)

Question 13

pertussis cause

Answer 13

bordetella pertussis

Question 14

pertussis s&s

Answer 14

prodrome coryza/cough, paroxsyms of coughing/whoop/vomiting up to 6mo

Question 15

pertussis dx

Answer 15

urti then cough, afebrile, lymphocytosis, pcr of np swab

Question 16

pertussis tx

Answer 16

support, erythromycin

Question 17

roseola cause

Answer 17

HHV6

Question 18

roseola s&s

Answer 18

high fever 3-5 days, cough/urti, red throat

fever ceases then rash appears (pink, non-prur)

Question 19

measles cause

Answer 19

morbillivirus

Question 20

measles s&s

Answer 20

prodrome cough coryza conjunctivitis, Koplik spots. maculopapular rash

Question 21

mumps cause

Answer 21

paramyxovirus

Question 22

mumps s&s

Answer 22

fever, headache, parotitis, myalgia, malaise

comp: meningoencephalomyelitis

Question 23

rubella cause

Answer 23

rubivirus

Question 24

rubella s&s

Answer 24

URTI then maculopap rash face to body, pruritic

Question 25

erythema infectiosum, fifth, slap cheek cause

Answer 25

parvovirus b19

Question 26

fifth/EI s&s

Answer 26

flu like illness, fever, then rash macpap on cheeks

Question 27

reye syndrome s&s

Answer 27

vomiting, hypervent, tachy, decer, resp fail, delirium coma death

Question 28

reye cause

Answer 28

virus plus ASA, acute hepatic fatty infiltration and encephalopathy, mitochondrial injury

Question 29

croup cause

Answer 29

parainfluenza, flu a/b, rsv, adeno

Question 30

croup tx

Answer 30

o2, dex, racemic epi

Question 31

epiglottitis cause

Answer 31

h flu, b-hem strep

Question 32

epiglottitis tx

Answer 32

intubate, abx

Question 33

bacterial tracheitis cause

Answer 33

s aureus, h flu, alpha hem strep, m cat, pneumo

Question 34

bacterial tracheitis tx

Answer 34

o2, dex, racemic epi

Question 35

bronchiolitis

Answer 35

RSV, parainfluenza, flu, rhino, adeno

Question 36

bronchiolitis s&s

Answer 36

prodrome urti, resp distress

Question 37

nephritic syndrome s&s

Answer 37

hematuria, rbc casts, proteinuria, azotemia, htn, oliguria

Question 38

nephritic cause

Answer 38

group a beta-hem strep, complement, glomerulonephritis

Question 39

nephritic tx

Answer 39

fluid restrict, antihtn, diuretics, HD/PD, abx

Question 40

nephrotic s&s

Answer 40

Proteinuria (severe), hypoAlbumin, hyperLipid, Edema

Question 41

nephrotic causes

Answer 41

minimal change age 2-6, membranous GN, Fsgs, membranoprolif gn

Question 42

nephrotic tx

Answer 42

salt, water restrict, diuretic, protein, prednisone, cytotoxic agent

Question 43

HUS pathology

Answer 43

E coli 0157:h7 verotoxin, shiga, bloody diarrhea, fragmented rbcs, renal failure

Question 44

HUS triad

Answer 44

acute renal fil, tcp, microangiopathic hemolytic anemia