Peds Wk 1

Question 1

Toxoplasmosis Triad

Answer 1

Chorioretinitis
Hydrocephalus
Intracranial calcifications

Question 2

Rubella causes

Answer 2

Ears, eyes, heart issues.
Growth retardation
Petechiae and purpura (blueberry muffin lesions)

Question 3

Congenital CMV

Answer 3

Most common congenital infxn
Leading cause of sensorineural hearing loss
CMV retinitis

Question 4

Congenital HSV manifestations

Answer 4

Sepsis
Liver 
Lungs
Seizures
Encephelopathy

Question 5

Maternal Medications

Answer 5

ACE, ARB
Anticonvulsant
Antineoplastics
Thalidomide, retinoic acid
Lithium
Tetracycline, sulfas

Question 6

S/S of FAS

Answer 6

Low Nasal bridge
Short nose
Small eye opening
Small head circumference
Thin upper lip
Hockey stick palm crease
Low IQ, SGA

Question 7

High-altitude is a risk factor for?

Answer 7

PDA

Question 8

Trisomy 13

Answer 8

Most die of heart failure or infxn in infancy.

Question 9

Deletion 22q11 syndrome

Answer 9

Most have congenital heart dz and cleft palate.
Affects all body systems
Learning difficulties are common

Question 10

Turner Syndrome

Answer 10

XO
Rare female dz
Renal abnormalities
Heart defect
Thyroiditis

Question 11

Turner syndrome dysmorphic features

Answer 11

Low posterior hairline
Short stature
Gonadal dysgenesis
Lymphedema
Webbing of neck

Question 12

Kleinfelter Syndrome

Answer 12

XXY
Hypogonadism in men
Tall, wide arm span
Female habitus
Behavioral problems
Gynecomastia

Question 13

Fragile X

Answer 13

Males and females
Mental retardation
Large ears, testicles
Autistic like behavior

Question 14

Marfans Tx

Answer 14

Beta blockers

Lorsartan?

Question 15

Phenylketonuria (PKU)

Answer 15

Most common amino acid metabolism disorder.
Hypopigmentations
Neuro abnormalities
Severe mental retardation

Question 16

PKU affects conversion of what to what?

Answer 16

Phenylalinine to tyrosine

Question 17

PKU diet

Answer 17

Basically vegan

Avoid aspirtame

Question 18

Galactosemia

Answer 18

Autosomal recessive
Brain damage, cataracts, jaundice, hepatomegaly, kidney damage.
Eliminate galactose from diet

Question 19

Two types of neural tube defects

Answer 19

Ancephaly
Spina bifida
Use folic acid supplementation

Question 20

Cleft palate is associated with?

Answer 20

Other congenital abnormalities

Question 21

Cerebral Palsy

Answer 21

Caused by static encephelopathy

Brain injury before, during or after birth.

Question 22

CP features

Answer 22

Muscle spasticity
Dyskinesia
Ataxia
Epilepsy
Retardation
Strabismus
Hip dislocation

Question 23

How does weight change from birth weight in one year?

Answer 23

It triples

Question 24

Bilious vomiting

Answer 24

Partial or complete bowel obstruction.

Vomit has bile (green)

Question 25

Non-bilious vomiting

Answer 25

Generally indicates food intolerance, GERD

Question 26

Newborn with persistent emesis?

Answer 26

Intestinal atresias

Question 27

Toddler with emesis?

Answer 27

Intussesception

Question 28

When does pyloric stenosis presents at what age?

Answer 28

3-6 weeks

Question 29

Meckels diverticulum

Answer 29

Congenital diverticular growth

results in rectal bleeding, obstruction

Question 30

Intussusception

Answer 30

Telescoping of intestine into itself.

Nausea, (bilious) vomiting, bleeding, obstruction

Question 31

What is heard with a PDA?

Answer 31

Continuous machine like murmur.

WIdened pulse pressure

Question 32

Amblyopia

Answer 32

Uni or bilateral reduction in central visual acuity without lesion.
Can only occur during first decade of life.

Question 33

Amblyopia diagnosis

Answer 33

FIxation test

Indirect Cover test

Question 34

Stabismus

Answer 34

MIsalignment of the visual axis of the 2 eyes.

Question 35

Esotropia

Answer 35

Inward turning of the eye

Question 36

Exotropia

Answer 36

Outward turning of the eye

Question 37

When do night terrors occur?

Answer 37

In 4-12 year olds in the first third of sleep.