Peds MSK/ Skin

Question 1

crossed adduction sign

Answer 1

tapping one patella adducts contralateral leg “upper motor neuron”

Question 2

adrenoleukodystrophy

Answer 2

emotional lability after normall motor and cognitive development around 7 years old X-linked

Question 3

adrenoleukodystrophy mutation?

Answer 3

mutation in ABCD1 gene that results in defective oxidation of long-chain fatty acids in peroxisomes. Very long-chain fatty acids accumulate in myelin, adrenal glands, and elsewhere. Phenotypes can be milder, with adrenal insufficiency in adrenomyeloneuropathy and spastic paraplegia.

Question 4

digital amputations strands of tissue attached to hands

Answer 4

amniotic band sequence occurs randomly Tissue strands may also transect head and body

Question 5

Giant Congenital nevi

Answer 5

greatest risk of malignancy

Question 6

osgood schlatter name

Answer 6

traction apophysitis

Question 7

Patellar Tendonitis

Answer 7

repetitive kicking

anterior knee pain at inferior pole of patella

Question 8

Prepatellar Bursitis

Answer 8

Chronic irritation of anterior knee

pain with direct pressure and superficial swelling

Question 9

tibial osteomyelitis

Answer 9

bone infection

refusal to bear weight .

Pain does not remit with rest (ddx. Osgood Schlatter)

Question 10

Patellofemoral syndrome

Answer 10

overuse in runners

knee pain worsens with descending steps or hills

Question 11

Onset of Duchennes, Beckers, Myotonic

Answer 11

Question 12

Genetic Inheritence of Duchennes, Beckers, Myotonic

Answer 12

Question 13

which MD has testicular atrophy

Answer 13

Myotonic

Question 14

which MD has scoliosis

Answer 14

Duchennes

Question 15

what is cause of death in Myotonic MD

Answer 15

respiratory or heart failure

Question 16

unable to release hand after hand shake

Answer 16

think myotonic MD

Question 17

describe Erysipelas

Answer 17

red, indurated, tender plaque with overlying bullae/vesicles… lympatic streaking

Fever Chills Malaise

Question 18

Erythema Toxicum Neonatorum

Answer 18

Benign neonatal rash with blanching papules. Numerous eosinophils present

Question 19

treatment for HSV or Varicella

Answer 19

immediate acyclovir

Question 20

sandpaper rash following strep

Answer 20

Scarlet Fever

Question 21

erythema marginatum following strep

Answer 21

rheumatic fever

Question 22

high fever,

bullous lesions,

painful oral erosions

Answer 22

Stevens-Johnson

Question 23

Strawberry Hemangioma

Answer 23

Superficial Hemangioma

Question 24

Strawberry hemangioma tx

Answer 24

B-blockers

Question 25

purpura fulminans

Answer 25

black hemorrhagic purpuric lesions fever, hypotension, evidence of DIC

Question 26

purpura fulminans from what

Answer 26

Neisseria or Strep Pneumo

Question 27

Conjuctivitis lips toungue rash desquamation of hands and feet cervical lymphadenopathy * CRP, Neutrophilia, sterile pyuria, reactive thrombocytosis

Answer 27

Kawasaki

Question 28

Kawasaki

Answer 28

Conjuctivitis lips toungue rash desquamation of hands and feet cervical lymphadenopathy CRP, Neutrophilia, sterile pyuria, reactive thrombocytosis

Question 29

hand, foot, mouth

Answer 29

coxsackie

Question 30

fever, buccal blisters, cutaneous lesions on palms and soles Name and treatment

Answer 30

Coxsackie (hand, foot, mouth) self-resolves 2-3 days

Question 31

sandpaper rash

Answer 31

scarlet fever

Question 32

Ewing Sarcoma

Answer 32

onion skin appearance osteolytic lesion

Question 33

osteoid osteoma

Answer 33

central nidus of lucency pain that is worse at night and releived by NSAIDS

Question 34

aseptic necrosis of femoral head

Answer 34

complication of Sickle Cell Disease. occlusion of end arteries supplying femoral head, bone necrosis, collapse of periarticular bone and cartilage

Question 35

Match: Cafe au lait Ash leaf port wine

Answer 35

NF Tuberous Sclerosis Sturge Weber

Question 37

soft palate damage... damage to what vessel

Answer 37

think internal carotid

Question 38

supracondylar fracture of humerus... worry about what

Answer 38

Brachial artery injury

Question 39

complication of supracondylar humerous fractures other than artery injury

Answer 39

compartment syndrome

Question 40

Torticollis dx

Answer 40

get X-ray

Question 41

equinus positin of foot

Answer 41

Question 42

talipes equinovarus what is tx? when do tx?

Answer 42

Club foot (talipes equinovarus) is a deformity of the foot and ankle that a baby can be born with Tx. stretching and casting START TREATMENT IMMEDIATELY

Question 43

how to tell if rash is fungal

Answer 43

it will have satellite lesions

Question 44

urticaria

Answer 44

comes and goes

Question 45

erythema multiforme what bugs

Answer 45

HSV or mycoplasma

Question 46

TEN vs. Steven Johnson

Answer 46

\<10% = Steven Johnson \>30% = TEN

Question 47

image

Answer 47

pustular melanosis

Question 48

Answer 48

milia

Question 49

hemangioma over eye

Answer 49

think Sturge Weber port wine stain (if on mandible .. could be infiltrating the subglottic area)

Question 50

parvo rash

Answer 50

spares area around nose and mouth

Question 51

eczema herpeticum tx

Answer 51

acyclovir

Question 52

which acne causes scarring

Answer 52

inflammatory

Question 53

charcots joint

Answer 53

Loss proprioception Loss pain temp arthritis (not really sure about this)

Question 54

what causes charcots joint

Answer 54

syringomyelia dec B12 Tabes Dorsalis

Question 55

Boy with repeat fractures

Answer 55

Osteogenesis imperfecta... type one collagen high yeild!!

Question 56

Osteogenesis Imperfecta

Answer 56

Blue Sclera blue-gray teeth from discolored dentin hearing loss recurrent fractures autosomal dominant

Question 57

Pectus Excavatum

Answer 57

Marfans or Ehler's Danlos

Question 58

Blueberry muffin rash

Answer 58

CMV or Rubella or... metastatic neuroblastoma maybe

Question 59

Ospits Sign

Answer 59

pull scab back and it bleeds in Psoriasis

Question 60

Impetigo tx

Answer 60

Mupriocin