Pre-Test 2 Flashcards

1
Q

Risk of congenital heart disease in general population? if another kid has one but isn’t part of a syndrome?

A

1%
2-6% if another kid had one
20-30% if two kids had one

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2
Q

VSD murmer

A

Harsh blowing murmur on left lower sternum

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3
Q

MCC of myocarditis in kids

A

Adenovirus and Cox A

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4
Q

Epstein anomaly murmur

A

Quadruple rhythm (s3 and s4), murmur of tricuspid regurg, and mid systolic murmur at left sternal border

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5
Q

Spindle shaped swelling of finger joints think what?

A

Juvenile RA

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6
Q

LVH seen in what cyanotic murmur

A

Tricuspid atresia (only what with left enlargement

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7
Q

Snowman X-ray with what congenital heart disease

A

Total anomalous pulmonary return

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8
Q

Single S2 with

A

TGA

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9
Q

What is TAR syndrome? associated heart defect?

A

Thrombocytopenia-Absent Radius

worry about TOF and ASD

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10
Q

What is Noonans syndrome? worry about?

A

Male turners

Worry about pulmonic stenosis

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11
Q

AR congenital long QT associated with

A

Deafness

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12
Q

Good test for Erb-Duchhene palsy

A

Chest US to look for asymmetric diaphragmatic movement

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13
Q

Bronchiolitis CXR

A

Patchy infiltrates with flat diaphragms

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14
Q

Complete whiteout on one lung in CXR think

A

Empyema

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15
Q

Inhalation of gas management

A

Supportive, monitor pulse ox

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16
Q

Idiopathic pulmonary hemosiderosis features

A

Recurrent lower lobe PNA, hemoptysis, microcytic anemia

BAL with reveal hemosiderin-laden macrophages

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17
Q

Biphasic stridor in a kid who you think has croup think

A

Bacterial tracheitis

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18
Q

Dirt eating kids can get what infection

A

Toxocara

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19
Q

When do sphenoid sinuses develop

A

3-5 years of life

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20
Q

2 sinuses large enough to harbor infection from infancy

A

Maxillary and ethmoid

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21
Q

Most swallowed foreign bodies lodge where

A

Below cricopharyngeal muscle at level of aortic arch

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22
Q

What looks like congenital diaphragmatic hernia but stomach below diaphragm

A

Congenital cystic adenomatoid malformation

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23
Q

Mod persistant asthma

A

Daily symptoms and nighttime symptoms more than once a week

24
Q

Acid-base of diarrhea

A

Metabolic acidosis with respiratory compensation

25
Q

Stool filled anal canal on X-ray when poor rectal tone in well grown child supports the diagnosis of

A

functional constipation

26
Q

Eosinophilic esophagitis tx

A

Corticosteroids

27
Q

Malrotation barium xray buzzword

A

“curly q”

28
Q

Meconium ileus, think what disease

A

CF*

29
Q

ANCA for UC

A

P-ANCA

30
Q

Consider what in kid with intractable constipation without soiling

A

Hirschsprung (rectal manometry can dx)

31
Q

What is Sandifer syndrome

A

Bending of neck caused by GERD

32
Q

Crohn’s triad

A

Diarrhea, weight loss, and abdominal pain

33
Q

What is rumination? tx?

A

Rumination is where patients regurgitate, richer, and reswallow food
Tx is behavioral therapy

34
Q

Lots of dehydration exam findings without hypernatremia % dehydrated

A

5-9%

35
Q

Why hyperglycemia in hypernatremic dehydration

A

Decreased insulin secretion and cell sensitivity to insulin

36
Q

First teeth to come in

A

Mandibular central teeth

37
Q

Congenital indirect hernia from? Indirect?

A

Incomplete closure of the processus vaginalis

Indirect from weakness in musculature of inguinal canal

38
Q

Charcoal works for ingestion of what drugs

A

Phenobarbital, TCAs, sustained release drugs (theophylline)

39
Q

Culture for ETEC

A

sorbitol-MacConkey agar

40
Q

Small streaks of blood in vomiting after lots of vomiting

A

Mallory-Weiss tear

41
Q

Vit A def besides eye stuff

A

Eye and skin drying

Can also see poor growth and impaired cognition

42
Q

Preferred test for reflux in kids

A

esophageal pH probe

43
Q

Labial fusion in a baby tx

A

Estrogen cream

44
Q

Gray d/c in a newborn girl likely

A

Physiologic d/c related to estrogen withdrawal

45
Q

Prune belly syndrome

A

Lax abdominal wall, dilated urinary tract, intra-abdominal testiuclar tissue

  • Oligohydramios seen*
  • Can also see club feet and congenital hip dislocation*
46
Q

Labs of Fanconi’s

A

Glucosuria but normal blood sugar
Abnormally high urine pH w/ hyperchloremic metabolic acidosis
Mild albuminuria w/ normal serum protein

47
Q

Kidney stone imaging

A

Non-contrast spiral CT

48
Q

Low grade VUR management

A

Close observation, daily low dose antibiotics, and UA and culture every 3-4 months

49
Q

Wedge shape w/ UTI on contrast CT of kidney

A

Acute lobar nephronia (b/w pyelo and an abscess)

50
Q

When to operate on undescended testicles

A

6 months of age

51
Q

Idiopathic hypercalcuria dx? symptoms

A

serum and urine calcium levels

Symptoms include recurrent gross hematuria (constant microscopic), dysuria, and abdominal pain

52
Q

MCC of pediatric vulvovaginitis

A

Chemical

53
Q

Varicocele cause

A

Dilation of the pampiniform venous plexus

54
Q

4 big alports things

A

Hearing loss
Hematuria (after URI esp, can lead to ESRD)
Ocular abnormalities
Rare –> Leiomyomatosis of esophagus or respiratory tree

55
Q

How can oligohydramnios cause clubfoot

A

Constraint deformaties

56
Q

Barter’s syndrome features

A

Hypokalemia, hypercalciuria, alkalosis, hyperaldosteronism, and hyperreninemia

57
Q

Hemihypertrophy associated malignancy

A

Wilms tumor