peds other 2 Flashcards

1
Q

How is food allergy diagnosed? What is the reliability of IgE testing?

A

IgE testing is not reliable.
The diagnosis should be based on double blind oral food challenge.

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2
Q

Which is the most frequent glomerulonephritis type?

A

IgA nephropathy.

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3
Q

Which is the most common cause of strangulation ileus?

A

Incarcerated hernia.

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4
Q

Which are the 4 presenting symptoms of diabetes mellitus?

A
  • Polyuria,
  • Polydipsia,
  • Weight loss with good appetite,
  • Fatigue-weakness.
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5
Q

What is the choice of imaging modality if acute osteomyelitis is suspected?

A

MRI

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6
Q

What is the prognosis of West-syndrome or infantile spasm?

A

Usually poor.

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7
Q

At what age do the fontanelles close at the latest?

A

Posterior fontanelle: by 3 months
Anterior fontanelle: by 18 months.

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8
Q

The final therapy of biliary atresia is liver transplantation. There is a surgical bridging therapy before transplantation. What is the name of this operation?

A

Kasai porto-enterostomy.

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9
Q

In which part of the bone does osteomyelitis start?

A

In the metaphysis.

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10
Q

Name the condition of infants associated with abdominal pain in which bowel movements are
preceded by tension and crying lasting for about 10 minutes?

A

Infantile dyschezia

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11
Q

The most frequent pathogen of sinusitis and otitis media?

A

Streptococcus pneumoniae

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12
Q

What is the first therapeutic choice in Crohn’s disease?

A

Exclusive enteral nutrition.

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13
Q

What is chicken pox (varicella) reactivation called?

A

Herpes zoster.

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14
Q

How do we give oxygen to a conscious patient in an emergency situation who is breathing spontaneously?

A

Through a face mask with a reservoir, with high flow oxygen (10-15 l/min).

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15
Q

Which bacterium is the most frequent cause of childhood pneumonia?

A

Streptococcus pneumoniae

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16
Q

What glucose levels are diagnostic for diabetes mellitus?

A

Fasting blood glucose level higher than 7 mmol/l
Or more than 11.1 mmol/l at any time or at any point during an oral glucose tolerance test (OGTT).

17
Q

How can we estimate the body weight between the ages of 2-8 years?

A

(2 x years) + 8.

18
Q

List the signs of increased work of breathing!

A
  • Use of respiratory accessory muscles
  • Intercostal retraction
  • Jugular retraction
  • Nasal flaring
  • Paradoxical breathing
  • Grunting.
19
Q

Which muscles are affected in juvenile polymyositis?

A

Proximal muscles of the limbs.

20
Q

When is it suggested to introduce cow’s milk for children?

A

After 12 months of age.

21
Q

How can you diagnose perforation in a critically ill baby with necrotizing enterocolitis if you cannot move them in the incubator?

A

Horizontal X-ray from side position while the baby is lying on the back.

22
Q

What is the ideal age for closing the soft palate defect?

A

Between 9 and 18 months.

23
Q

Age limits of puberty?

A

Boys: 9-14 years.
Girls: 8-13 years.

24
Q

Which cultured pathogen from throat swabs warrants antibiotic treatment?

A

Streptococcus pyogenes
(Group A strep)

25
Q

What is the most common presentation of cow’s milk protein allergy in infants?

A

Bloody stool

26
Q

What is the treatment of immune thrombocytopenia (first- and second-line treatment.)?

A

IVIG
Corticosteroid

27
Q

What are the 4 most important indications of adenoidectomy?

A
  • Recurrent infections of the upper respiratory tract
  • Recurrent otitis media
  • Inhibition of nasal breathing
  • Obstructive sleep apnea.
28
Q

What kind of diseases are included in atopic march and in which order?

A
  • Atopic dermatitis
  • Food allergy
  • Asthma bronchiale
  • Allergic rhinitis.

This order: Atopic dermatitis food allergy - asthma bronchiale - allergic rhinitis

29
Q

What is the most common type of malignancy in childhood?

A

ALL.

30
Q

What percentage of the mortality is caused by accidents in Hungary in children older than 1 year?

A

36-40%, this is the main cause of death in children older than 1 year.

31
Q

What are the most important diseases which can be easily diagnosed and followed up by cranial ultrasound?

A

Brain hemorrhage and hydrocephalus.

32
Q

What are the B-symptoms in lymphoma?

A

Fever
Night sweats
Weight loss.

33
Q

What does precocious puberty mean in the case of girls?

A

If the secondary sexual characteristics appears before the age of 8 years

34
Q

What are the serum electrolyte disturbances in case of tumor lysis syndrome?

A

Elevated potassium, phosphate and uric acid
Decreased calcium.

35
Q

What is the most modern therapeutic method of type-one diabetes?

A

Insulin pump with an integrated glucose sensor.