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Comquest incorrects > peds incorrects > Flashcards

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
Q

congenital CMV symptoms?

A

hearing loss, jaundice, growth retardation, chorioretinitis

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26
Q

congenital toxo?

A

chorioretinitis, hydrocephalus, intracranial calcifications

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27
Q

how long are measles patients contagious?

A

for 4 days after onset of rash

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28
Q

meckel diverticulum?

A

painless rectal bleeding

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29
Q

treatment for persistent bradycardia despite positive pressure ventilation?

A

epinephrine

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30
Q

triad of hirschsprung?

A

failure to pass meconium within 48 hours
abdominal distention
bilious vomiting

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31
Q

test for rocky mountain spotted fever?

A

IFA

32
Q

treatment for congenital adrenal hyperplasia?

A

IV hydrocortisone

33
Q

staph scalded skin syndrome?

A

less than 5 yrs, fever, bullae formation, sheetlike desquamation of skin

34
Q

sjs/ten occurs in

A

older children

35
Q

roseola symptoms?

A

fever 3-5 days

fever goes away, rash comes

36
Q

klumpke palsy leads to what?

A

paralysis of intrinsic hand muscles “claw hand”

horner syndrome

ulnar nerve palsy

37
Q

reyes syndrome?

A

treated at home with aspirin

develop fever, seizures, coma

38
Q

febrile seizures?

A

seizures due to high fever

39
Q

alagille syndrome?

A 
pulmonic stenosis
bile duct issues
heart defects
skeletal defects
coarse facial features
butterfly vertebrae
40
Q

beckwith wiedemann syndrome?

A

macroglossia, organomegaly, hyperglycemia after birth

gu defects, wilms tumor

41
Q

williams syndrome

A

elvin syndrome, overly friendly, aortic stenosis,hypercalcemia

42
Q

when is a body alert to sounds, smiles, follow moving objects? what else do they do?

A

3 months, cooing, can slightly lift themselves up, open and close hands

43
Q

what can a 6 month infant do?

A

roll both ways
reach, transfer object hand to hand
stranger anxiety
babbly, recognize name

44
Q

what can a 9 month infant do?

A

hold a bottle, throw an object

crawls, can say mama papa

45
Q

12 month old does

A 
shy with strangers
feeds themselves
can say 1-3 words
can grab objects
can stand
46
Q

15 month does

A

goes up stairs
builds tower blocks
walks holding an object
can follow a one step command

47
Q

what is neonatal abstinence syndrome? what happens?

A

maternal use of opiates
opiate withdrawl 24-72 hours after birth
cry, convulsions, irritability
sweating, diarrhea, vomiting

48
Q

does cocaine have effects on the baby?

A

no, maybe more suckling, but can cause pprom

49
Q

newborn male with urinary obstruction, what is it and how to test for it?

A

posterior urethral valves

voiding cysturethrogram

50
Q

wernig hoffman disease symptoms?

A

tongue fasiculations
absent reflexes
paradixical breathing

by 6 months

51
Q

how to test for wernig hoffman disease

A

genetic testing

52
Q

necrotizing fasciitis primarily affects

A

premature or low birthweight kids

53
Q

what does a 1 month do?

A

lifts chin
holds hand
follows voice

54
Q

what does a 2 month old do?

A

reciprocal smiling
responds to sounds
recognize mother
lift head in prone

55
Q

what is eagle belly syndrome?

A 
prune belly, wrinkled belly
cryptorchidsm
gu/gi abnormalities
renal dysplasia
pulmonary hypoplasia
56
Q

how to treat congental cmv?

A

ganciclovir

57
Q

what two tests do all new borns get tested for?

A

phenoketonuria, hypothyroidism

58
Q

boys with klinefelter are at risk for

A

extragonadal germ cell tumors

59
Q

what are the symtoms of niacin deficiency?

A

dementia, diarrhea, dermatitis, death

60
Q

what causes niacin deficiency?

A

IBD
malabsorption
alcohol

61
Q

how to confirm duodenal atresia?

A

upper gi series

62
Q

what test confrims graves disease? if that is nt positive then what to you do?

A

thyroid stimulating immunoglobulin,

TSH antibody

63
Q

whats the difference between orbital and periorbital cellulitis
/

A

no increased intraoptic pressure with periorbital

64
Q

what is first line tourettes treatment?

A

antidopaminergic such as tetrabenzine ,aripiprazole and haloperidol

65
Q

oral ulcers with abdominal issues and weight loss in kids, what could it be?

A

crohns

66
Q

what causes hypoglycemia in preterm births?

A

reduced glycogen stores

67
Q

when to repair cleft lift?

A

3-6 months of age

68
Q

most common heart defect with patau syndrome?

A

VSD

69
Q

symptoms of patau syndrome

A

polydactyly
holoprosencephaly
congenital malformations
low b HCG

70
Q

sypmtos for psuedotumor cerebri?

A

intracranial hypertension
young obese female using vitamin A , tetracycline or contraceptives

heading, blurred vision. nerve VI palsy

71
Q

pseudotumor cerebri testing?

A

MRI

then lumbar punture

72
Q

how to differntiate fetal + maternal blood after pregnancy?

A

apt test

73
Q

initial tests for syphilis?

A

rapid plasmin reagin

VDRL

74
Q

confirmation test for syphiilis?

A

dark field microscopy

fluorescent treponemal antibody absorption

75
Q

fiagnose hep A?

A

anti Hav igm

76
Q

galactosemia prsents as what

A

vomiting
high bilirubin
failure to thrive
jaundice

susceptible to ecoli

Comquest incorrects (20 decks)

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