Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Disciplines II > Peds Infectious Disease > Flashcards

Peds Infectious Disease Flashcards

1
Q

Which vaccines are live-attenuated?

A
  1. MMR
  2. Varicella

*don’t give to pregnant ladies or immunocompromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Who should not get the influenza or yellow fever vaccine?

A

egg or chicken allergy

-this is old info

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hep B

A

3 shots

  • Birth
  • 2months
  • 6-9 months

life threatening allergy to baker’s yeast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Rotavirus

A

oral live attenuated

  • 2month
  • 4month
  • 6month

contraindications: intusseception, immunocompromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

DTap

A

5 shots

  • 2month
  • 4month
  • 6month
  • 15-18 month
  • 4-6 years
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Tdap

A

1 shot

  • 11-12 years old
    contraindication: seizure or encephalopathy, or allergy to latex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hib

A

4 shots

2 month
4 month
6 month
12-15 month

contraindication: <6 weeks old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pneumococcal PCV 13

A

4 shots

2month
4month
6month
15-18 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pneumococcal PPSV23

A

1 shot

HIGH RISK >2 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

IPV (Polio)

A

4 shots

2month
4month
6-18 month
4-6 years old

contraindicated for allergy to neomycin, streptomycin, polymyxin b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

MMR

A

2 shots (live)*

  • 12-15 months
  • 4-6 years old

contraindication: neomycin, gelatin allergy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Varicella

A

2 shots (live)*

  • 12-15 months
  • 4-6 years old
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hep A

A

2 shots

  • 12 months
  • 18 months

*required in AZ daycare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

HPV (Gardasil)

A

3 shots

11-12 years old

  • 1 month later
  • 6 months later
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Menigococcal MCV4

A

2 shots

  • 11-12 years old
  • Booster 16 years

**vaccinate all college freshman living in dorms, asplenia, complement deficiency

contraindications: anaphylaxis to diptheria toxoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Palivizumab

A

RSV immunoprophylaxis

-give to high risk children <2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Who gets the inactive flu vaccine?

A

anyone >6 months old

Kids getting vaccinated the first time need 2 shots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Who is elligible for the intranasal flu vaccine?

A

2-49 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the abnormal vaccine reactions

A
  1. Inconsolable crying for >3 hours
  2. Fever >104-105
  3. Seizure
  4. Neurological abnormalities
  5. Anaphyalxis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which Ig is inherited from Mom?

A

IgG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Primary immunodeficiency

A

-family history of PID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

IgA deficiency

A

MC immunodeficiency

  • can diagnose after age 4
  • Asymptomatic*
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Common Variable Immunodeficiency

A
  • Poor vaccine response**
  • Low IgG, IgA, IgM*
  • seen at puberty
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Severe combined immunodeficiency

A
  • Severe T-cell deficiency/dysfunction
  • No treatment will die by year 1
  • X-linked so affects males only
  • NO live vaccines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

DiGeorge Syndrome

A

-Chromosomal deletion (22q11.2)

  • Cardiac defects
  • Immune dysfunction (hypoplastic thymus gland*, tcell deficits)
  • Cleft palate
  • Hypocalcemia (parathyroiid hypoplasia–>tetany, seizure)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Ataxia-Telangiectasia

A
  • Chromosomal mutation on 11q22-23
  • Progressive cerebellar ataxia**, oculocutaneous telagiectasias

Complications: malignancy (mostly lymphoma)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Bacterial Meningitis

A

-opisthotontos posturing** (arched back, straight arms)

28
Q

Bacterial meningitis: TX

A

0-29 days: Ampicillin +/- gentamicin

1-2 months: Ceftriaxone + vanomycin

ABO tx within 1 hour

29
Q

Bacterial arthritis

A

-hip and knee

<3 months: Group B strept

3 months to 3 years: Group A strep

> 3 years: Group A strep

30
Q

Myocarditis

A

-viral in kids
Ex. enterovirus (Coxsackie group B), adenovirus, parvovirus B19, Epstein-Barr virus, cytomegalovirus, Human herpes virus 6

31
Q

Which GI infections are bloody?

A 
E. coli
Salmonella 
Shigella
Campylobacter
C. diff
32
Q

Hemolytic uremic syndrome

A

E.coli

  1. Acute renal failure
  2. Microangiopathic hemolytic anemia
  3. Non-immune thrombocytopenia
33
Q

Sinuses

A

Present at birth: Ethmoid, Maxillary

Present after birth: Frontal, Sphenoid

34
Q

Which pathogens cause rhinosinusitis infections in kids

A
  1. Haemophilus influenzae
  2. Strep pneumo
  3. Moraxella catarrhalis
35
Q

TX for sinus infection

A

Augmentin

36
Q

How is mastoiditis dx?

A

CT with contrast

37
Q

Treatment for periorbital cellulitis?

A

Ceftriaxone IM + Augmentin

38
Q

Orbital cellulitis tx?

A

Ceftriaxone, Vancomycin, Clindamycin, Antifungal IV

39
Q

Cellulitis and abscess

A

-staphylococcus aureus

Tx: drainage and Clindamycin

40
Q

Necrotizing fasciitis

A
  • Pain out of proportion**
  • GAS or beta-hemolytic streptococci
  • fever, crepitus edema

Tx: Cabapenem + Vancomycin + Clindamycin

-Immediate surgery consult**

41
Q

Mastitis Tx

A

Well appearing >2 months: Keflex, Clindamycin

Ill appearing >2 months: IV antibiotics Clindamycin or Vancomycin

*need surgical consult, don’t I&D this

42
Q

Neonatal mastitis: Tx

A

Vancomycin IV, Nafcillin

43
Q

Dog and Cat bite: pathogen

A

Pasteurella species

44
Q

Human bite: pathogen

A

Eikenella

45
Q

Bite tx:

A

Augmentin

46
Q

Croup: cause

A

Parainfluenza virus

47
Q

Epiglottitis: cause

A

Haemophilus influenzae type B

48
Q

When to suspect bacterial tracheitis?

A

If acute onset airway obstruction in setting of viral infection with

  • fever
  • appear toxic
  • poor response to tx with epi or glucocorticoids
49
Q

Bronchiolitis: cause

A

RSV

50
Q

PNA: community acquired antibiotics

A

6mo to 5yrs: Strep pneumo
Tx: Amoxicillin

> 5yrs: Mycoplasma pneumoniae, Chlamydia pneumoniae

Tx: Azithromycin

51
Q

Pertussis: During which stage are children most contagious

A
  1. Incubation
  2. Catarrhal*** (rhinorrhea, malaize, fever, sneezing)
  3. Paroxysmal
  4. Convalescent
52
Q

Who usually gets Pertussis?

A

unvaccinated kid, under 10

*nasal discharge remains watery

53
Q

What lab would raise suspicion for pertussis?

A

Leukocytosis with lymphocytosis

> 20,000, and >50 percent lymphocytes

54
Q

Pertussis treatment:

A

hospitalize and start azithromycin

55
Q

Rickettsial infection: presentation

A

rash on hands, ankles, wrists and spreads to trunk

56
Q

Rickettsial infection: Tx

A

Doxycycline

57
Q

Parvovirus B19 causes what

A

Erythema infectiosum (Fifth disease)

  • slapped cheeks
  • lacy rash on trunk and extremities

TX: supportive

58
Q

Roseola

A
  • Human herpes virus 6
  • 3-5 days of fever that exceed 40 degrees Celsius followed by rash
  • starts on neck and trunk

Tx: supportive

59
Q

Chicken pox: rash

A

head then trunk then extremities

60
Q

Measles

A
  • Morbillivirus
  • Koplik spots
  • Diarrhea is most common complication
61
Q

Mumps

A
  • paramyxovirus
  • parotitis
  • self-limited
  • orchitis, or oophoritis
62
Q

Rubella

A

-Rash begins on face and spreads downward

63
Q

Hand, Foot, Mouth Disease

A
  • Coxsackie virus A16
  • rash on hands, feet, mouth - mouth and throat painful

Tx: pain control, oral hydration

64
Q

Molluscum contagiosum

A

-central umbilicated lesion

Tx: leave it alone

65
Q

Malaria

A
  • cyclic fevers

- if traveling

Clinical Disciplines II (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions