Peds3

Question 1

Chronic inspiratory stridor that begins in the neonatal period and worse in supine position.

Answer 1

Laryngomalacia (collapse of supraglottic structures during inspiration)

Question 2

Exudative effusion with high triglycerides and lymphocytic predominance:

Answer 2

Chylothorax (disrupted lymphatic flow through thoracic duct)

Question 3

Rx for cat bites:

Answer 3

amoxicillin/clavulanate. Prophylaxis against Pasteurella multocida (gram neg coccobacilli)

Question 4

Is breast milk jaundice conjugated or unconjugated bili?

Answer 4

Unconjugated

Question 5

Infant with IUGR, hepatosplenomegaly, jaundice, and maculopapular rash on buttocks and feet that desquamates.

Answer 5

Congenital Syphilis. May also present with rhinorrhea and abnormal long bone radiographs

Question 6

When is rotavirus vaccine administered?

Answer 6

at 2-8 mo old

Question 7

Alternative to stimulant meds for ADHD

Answer 7

Atomexatine (SNRI) is first line alternative.

Second line = a2AR agonists (clonidine, guanfacine) and antidepressants (bupropion and TCA)

Question 8

Rx for chlamydial conjunctivitis:

Answer 8

PO macrolide (erythromycin)

Question 9

Rx for cyclical vomiting syndrome:

Answer 9

Sumatriptan. It is considered a type of mesenteric migraine. Generally about 2/3 children with CVS have spontaneous resolution in 5-10 years.

Question 10

small for gestational age infant with cataracts, PDA, and sensorineural hearing loss:

Answer 10

congenital rubella.