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PGY-3 and 4 > Prep / MKSAP/ NEJM > Flashcards

Prep / MKSAP/ NEJM Flashcards

1
Q

Neonatal polycythemia definition

A

hct >65%

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2
Q

Sever’s Disease

A

calcaneal apophysitis

heel pain in children

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3
Q

When to refer for undescended testes

A

6 months

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4
Q

Virus most commonly associated with asthma

A

rhinovirus

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5
Q

Glumerulonephritis associated with decreased C3 and C4

A

SLE

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6
Q

PIGN - complement

A

Low C3, Normal C4

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7
Q

Anemia in cystic fibrosis patients

A

Vitamin E hemolytic anemia

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8
Q

Testing for neuroblastoma

A

spot urine test for homovanillic acid and vanillylmandelic acid

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9
Q

Celiac Disease: Triad of symptoms in pediatrics

A

diarrhea, failure to thrive, bloating

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10
Q

Risk for recurrent febrile seizure vs risk of epilepsy

A

30% vs 2%

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11
Q

Vitamin C Deficiency / Scurvy

A

bone pain
inflamed gums
osteopenia
perifollicular hemorrhage

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12
Q

Vitamin C Deficiency Testing

A

leukocyte absorbic acid level (low, vitamin C stores)

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13
Q

pre-septal/periorbital cellulitis organisms

A

S aureus
GAS
H flu, S pneumo less likely due to vaccination

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14
Q

Prune Belly Triad

A

abdominal wall defect
Renal/urinary tract abnormalities
undescended testes

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15
Q

Peds Sinusitis Definition (3)

A

Symptoms more than 10 days
Temp + purulent rhinorrhea for 3 days
Worsening symptoms after 3-4 days of improved symptoms

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16
Q

Wilms Tumor Associations

A

WAGR- wilms, anirdia, GU malformation, intellectual instability
Beckwith-Wiedmann

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17
Q

Giardia treatment

A

3 d nitazoxanide
1 d tinidazole
5-10d flagyl

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18
Q

Clue cells

A

bacterial vaginosis

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19
Q

Free Water Deficit

A

.6 x weight x (sodium/140 -1)

20
Q

Intoeing in Kids

A

Often noticed when they start walking, around 12-18 months

Usually resolves by 8-10

21
Q

Chronic Supportative Otitis Media - Organisms

A

Staph aureus

Pseudomonas

22
Q

Schwartz Formula

A

.413 x height / serum Cr

23
Q

Congenital Vertebral Malformations (CVM) associations

A

kidneys- obtain renal U/S

24
Q

Shwachman-Diamond syndrome

A

anemia
neutropenia –> chronic infections
pancreatitic insuff –> FTT

25
Q

Chronic Urticaria in Pediatrics

A

> 6 weeks

associated with thyroid disorders, evaluate w/ TSH

26
Q

Large Vessel Vasculitis

A

Giant Cell Arteritis

Takayasu Arteritis

27
Q

Vasculitis in Peds

A

HSP, KD, Takayasu

28
Q

Giant Cell Arteritis - general

A

branches of aorta (subclavian, carotid, opthalamic, temporal)
headache, jaw claudication, temporal tenderness

29
Q

Giant Cell Arteritis - blindness

A

ishemic optic neuropathy –> amaurosis fugax

30
Q

Giant Cell Arteritis - complications

A 
polymyalgia rheumatic
aortic involvement (AR, etc)
31
Q

Takayasu Arteritis

A

affects aorta and branches

pulselessness, bruits, HTN, stroke, claudication

32
Q

Polyarteritis Nodosa - Association

A

Hepatitis B

33
Q

Polyarteritis Nodosa - Symptoms

A

MSK- arthritis, arthralgias
Skin- nodules, purpura, necrotic lesions
Neuro - neuropathy, mononeuritis multiplex
+/- Renal

34
Q

Medium Vessel Vasculitis

A

PAN
KD
Primary Angiitis of CNS

35
Q

Small Vessel Vasculitis

A

ANCA: GPA, MPA, EGPA
HSP/IGA
Cryoglobulinemia’s
Hypersensitivities

36
Q

p-ANCA

A

against MPO

associated w/ MPA, EGPA

37
Q

c-ANCA

A

against PR3

associated w/ GPA

38
Q

GPA clinical presentation

A 
Upper Airway/ENT: saddle nose, performation
Tracheo-Bronchial
Resp:  Nodules, Pulmonary Hemorrage
Renal:  pauci immune GN
Eyes : uveitis, scleritis
39
Q

GPA treatment

A

steroids + cyclophos

rituximab w/ releapse

40
Q

MPA

A

lung and kidney disease

p-ANCA (MPO)

41
Q

eGPA

A

h/o asthma, sinusitis, nasal polyps….
pulm infitrates + peripheral eosinophilia
p-ANCA (MPO)

42
Q

Cryoglobunilemic Vasculitis lab testing

A

low C4

positive rheumatoid factor

43
Q

Atopic Dermatitis - location of rash

A

flexural surfaces - popliteal and antecubital fossae

44
Q

Atopic Dermatitis - rash description

A

excorications, lichenfication (thickening)

45
Q

xerosis

A

abnormally dry skin

PGY-3 and 4 (13 decks)

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