Peds Path, Dow 10Q

Question 1

presentation erythema toxicum

Answer 1

small bloctchy erythematous areas with yellow white center
trunk, palms, soles
1st week- 10 days
harmless
goes away without Tx

Question 2

atopic dermatitis in children

Answer 2

6 mo- 10 yr
diaper area spared!! everywhere else
ill defined, red, pruritic papules and plaques
erythema and scaly acutely

Question 3

Tx atopic dermatitis

Answer 3

topical steroids
antihistamines for itching
moisturize quickly after showers with thick ointment

Question 4

abdominal pain
rash on legs
arthritis in ankles
normal labs
blood in UA

Answer 4

HSP

palpable purpura!!

Question 5

HSP complication

Answer 5

renal involvement in first month
acute glomerulonephritis
HTN uncommon

Question 6

stills murmur

Answer 6

lower left sternal area "musical"
3 y.o- adolescence
low pitch- bell with stethoscope
dec or disappear with valsalva 
no clicks
non turbulent not high velocity

Question 7

stills murmur

Answer 7

lower left sternal area "musical"
3 y.o- adolescence
low pitch- bell with stethoscope
dec or disappear with valsalva 
no clicks
non turbulent not high velocity

Question 8

Sx of large PDA

Answer 8

bounding pulse, murmur
tachypnea
poor feeding habits
SOB
sweating while feeding
tiring very easily

Question 9

Tetralogy of Fallot

Answer 9

VSD
Overriding aorta
RV outflow obstruction
RV hypertrophy

Question 10

steeple sign

Answer 10

croup
subglottic narrowing of trachea
inspiratory stridor

Question 11

Sx croup

Answer 11

croupy cough

hoarseness & stridor

Question 12

Tx croup

Answer 12

severe, inhaled epinephrine

oral steroids

Question 13

important cause of chronic cough in toddler

Answer 13

nasal foreign body- unilateral purulent drainage

foul smelling

Question 14

Tx labial adhesions

Answer 14

mechanical separation then petroleum ointment to diminish irritation
estrogen cream

Question 15

simple febrile seizure

Answer 15

5-10 minutes

followed by period of drowsiness or confusion (30 minutes post-ictal)

Question 16

complex febrile seizure

Answer 16

last longer than 15minutes
just one part of body
occurs again same illness

Question 17

osgood schlatter

Answer 17

traction apophysitis of tibial tubercle

tenderness/swelling at tibial tuberosity

Question 18

virus that causes hand foot mouth

Answer 18

coxsackie A 16

Question 19

signs hand foot mouth

Answer 19

painful shallow yellow ulcers surrounded by red halos
buccal mucosa
exanthem palmar, plantar and interdigital surface hands and feet

Question 20

erythema infectiousum

Answer 20

Parvo B19

rash on face “slapped cheek”

Question 21

rash in rocky mountain spotted fever

Answer 21

begins distally
erythematous blanching
fine maculopapular
spreads centripetally
Tx with doxy

Question 22

Tx strep GAS

Answer 22

ampicillin amoxicillin

clindamycin