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peds incorrects Flashcards

1
Q

TCA overdose presents as what?

A

anticholinergic

cardiac effects

hallucinations

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2
Q

bronchiolitis symptoms?

A

upper resp infection for 2-3 days

then presents with resp difficulties, nasal flaring, intercostal retractions

expiratory wheezing + crackles

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3
Q

epiglottis symptoms?

A

dysphagia, drooling, distressed

stridor, muffled voice, leaning forward in tripod position

thumb sign

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4
Q

laryngotracheitis symptoms?

A

hoarseness, stridor, barking cough

steeple sign

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5
Q

ambiguous genitalia in female, what to check?

A

17 hydroxyprogesterone level

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6
Q

precocious puberty in females, what to do if no other symptoms?

A

histrelin GnRH analog to preserve growth potential

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7
Q

most common cause of meningitis from 3 months to 9 years old?

A

strep pneumonia

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8
Q

most common cause of meningitis in infants up to 3 months?

A

group b strep, then e coli

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9
Q

twin to twin transfusion syndrome, what happens?

A

one twin gets more amniotic fluid. the other less

one twin has jaundice ( recipient)

other gets anemia, hypovolemia (donor)

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10
Q

how does biliary atresia present?

A

jaundice, dark urine, acholic stools

high indirect and direct bilirubin

hepatosplenomegaly

few weeks after birth

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11
Q

fanconi anemia presennts as

A

pancytopenia from birth

short stature

small thumbs

cafe au lait spots

microcephaly

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12
Q

mccune albright syndrome presents as?

A

cafe au lait skin pigmentation

autonomic endocrine dysfunction

polyostotoic fibrous dysplasia

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13
Q

fanconi anemia people at higher risk for

A

AML because of impaired dna repair

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14
Q

retropharyngeal abscess symptoms?

A

muffled voice, worse with extension

fever, neck pain, cant open mouth, voice change, swelling of posterior pharynx

can be due to trauma or recent infection such as sinus infection

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15
Q

peritonsillar abscess presents as

A

5-7 days of fever, sore throat, dysphagia, halitosis, neck swelling, muffled voice , drooling

swelling and anterior displacement of tonsil

contralateral displacement of uvula

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16
Q

laryngortracheabronchitis is

A

croup

barking cough, inspiratory stridor, respiratory distress

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17
Q

most common cause of community acquired pneumonia in kids?

A

strep pneumo

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18
Q

strep pneumonia symptoms?

A

lobar consolidation

fever, cough, tachypnea, vomiting

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19
Q

mycoplasma pneumonia?

A

“walking symptoms”

low grade fever, cough, malise

interstitial iniltrates, school aged

azithro to treat

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20
Q

choanal atresia symptoms, what to do?

A

pink while crying, blue while feeding, put an ng tube in there

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21
Q

rubella symptoms?

A

pain with eyemovement, suboccipital lymphadenopathy, rash that starts on face, petechiae on palate

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22
Q

caput saccadenum?

A

caused by passage of head through birth canal

edema that crosses suture lines

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23
Q

cephalohematoma?

A

swelling of head that does not cross suture lines

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24
Q

congenital rubella symptoms?

A

microcephaly, intracranial calcifications, hearing loss

blueberry muffin rash

cataracts

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25
congenital CMV symptoms?
hearing loss, jaundice, growth retardation, chorioretinitis
26
congenital toxo?
chorioretinitis, hydrocephalus, intracranial calcifications
27
how long are measles patients contagious?
for 4 days after onset of rash
28
meckel diverticulum?
painless rectal bleeding
29
treatment for persistent bradycardia despite positive pressure ventilation?
epinephrine
30
triad of hirschsprung?
failure to pass meconium within 48 hours abdominal distention bilious vomiting
31
test for rocky mountain spotted fever?
IFA
32
treatment for congenital adrenal hyperplasia?
IV hydrocortisone
33
staph scalded skin syndrome?
less than 5 yrs, fever, bullae formation, sheetlike desquamation of skin
34
sjs/ten occurs in
older children
35
roseola symptoms?
fever 3-5 days fever goes away, rash comes
36
klumpke palsy leads to what?
paralysis of intrinsic hand muscles "claw hand" horner syndrome ulnar nerve palsy
37
reyes syndrome?
treated at home with aspirin develop fever, seizures, coma
38
febrile seizures?
seizures due to high fever
39
alagille syndrome?
``` pulmonic stenosis bile duct issues heart defects skeletal defects coarse facial features butterfly vertebrae ```
40
beckwith wiedemann syndrome?
macroglossia, organomegaly, hyperglycemia after birth | gu defects, wilms tumor
41
williams syndrome
elvin syndrome, overly friendly, aortic stenosis,hypercalcemia
42
when is a body alert to sounds, smiles, follow moving objects? what else do they do?
3 months, cooing, can slightly lift themselves up, open and close hands
43
what can a 6 month infant do?
roll both ways reach, transfer object hand to hand stranger anxiety babbly, recognize name
44
what can a 9 month infant do?
hold a bottle, throw an object | crawls, can say mama papa
45
12 month old does
``` shy with strangers feeds themselves can say 1-3 words can grab objects can stand ```
46
15 month does
goes up stairs builds tower blocks walks holding an object can follow a one step command
47
what is neonatal abstinence syndrome? what happens?
maternal use of opiates opiate withdrawl 24-72 hours after birth cry, convulsions, irritability sweating, diarrhea, vomiting
48
does cocaine have effects on the baby?
no, maybe more suckling, but can cause pprom
49
newborn male with urinary obstruction, what is it and how to test for it?
posterior urethral valves voiding cysturethrogram
50
wernig hoffman disease symptoms?
tongue fasiculations absent reflexes paradixical breathing by 6 months
51
how to test for wernig hoffman disease
genetic testing
52
necrotizing fasciitis primarily affects
premature or low birthweight kids
53
what does a 1 month do?
lifts chin holds hand follows voice
54
what does a 2 month old do?
reciprocal smiling responds to sounds recognize mother lift head in prone
55
what is eagle belly syndrome?
``` prune belly, wrinkled belly cryptorchidsm gu/gi abnormalities renal dysplasia pulmonary hypoplasia ```
56
how to treat congental cmv?
ganciclovir
57
what two tests do all new borns get tested for?
phenoketonuria, hypothyroidism
58
boys with klinefelter are at risk for
extragonadal germ cell tumors
59
what are the symtoms of niacin deficiency?
dementia, diarrhea, dermatitis, death
60
what causes niacin deficiency?
IBD malabsorption alcohol
61
how to confirm duodenal atresia?
upper gi series
62
what test confrims graves disease? if that is nt positive then what to you do?
thyroid stimulating immunoglobulin, TSH antibody
63
whats the difference between orbital and periorbital cellulitis /
no increased intraoptic pressure with periorbital
64
what is first line tourettes treatment?
antidopaminergic such as tetrabenzine ,aripiprazole and haloperidol
65
oral ulcers with abdominal issues and weight loss in kids, what could it be?
crohns
66
what causes hypoglycemia in preterm births?
reduced glycogen stores
67
when to repair cleft lift?
3-6 months of age
68
most common heart defect with patau syndrome?
VSD
69
symptoms of patau syndrome
polydactyly holoprosencephaly congenital malformations low b HCG
70
sypmtos for psuedotumor cerebri?
intracranial hypertension young obese female using vitamin A , tetracycline or contraceptives heading, blurred vision. nerve VI palsy
71
pseudotumor cerebri testing?
MRI then lumbar punture
72
how to differntiate fetal + maternal blood after pregnancy?
apt test
73
initial tests for syphilis?
rapid plasmin reagin VDRL
74
confirmation test for syphiilis?
dark field microscopy fluorescent treponemal antibody absorption
75
fiagnose hep A?
anti Hav igm
76
galactosemia prsents as what
vomiting high bilirubin failure to thrive jaundice susceptible to ecoli

Comquest incorrects (20 decks)

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