Prep / MKSAP/ NEJM

Question 1

Neonatal polycythemia definition

Answer 1

hct >65%

Question 2

Sever’s Disease

Answer 2

calcaneal apophysitis

heel pain in children

Question 3

When to refer for undescended testes

Answer 3

6 months

Question 4

Virus most commonly associated with asthma

Answer 4

rhinovirus

Question 5

Glumerulonephritis associated with decreased C3 and C4

Answer 5

SLE

Question 6

PIGN - complement

Answer 6

Low C3, Normal C4

Question 7

Anemia in cystic fibrosis patients

Answer 7

Vitamin E hemolytic anemia

Question 8

Testing for neuroblastoma

Answer 8

spot urine test for homovanillic acid and vanillylmandelic acid

Question 9

Celiac Disease: Triad of symptoms in pediatrics

Answer 9

diarrhea, failure to thrive, bloating

Question 10

Risk for recurrent febrile seizure vs risk of epilepsy

Answer 10

30% vs 2%

Question 11

Vitamin C Deficiency / Scurvy

Answer 11

bone pain
inflamed gums
osteopenia
perifollicular hemorrhage

Question 12

Vitamin C Deficiency Testing

Answer 12

leukocyte absorbic acid level (low, vitamin C stores)

Question 13

pre-septal/periorbital cellulitis organisms

Answer 13

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

Question 14

Prune Belly Triad

Answer 14

abdominal wall defect
Renal/urinary tract abnormalities
undescended testes

Question 15

Peds Sinusitis Definition (3)

Answer 15

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

Question 16

Wilms Tumor Associations

Answer 16

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

Question 17

Giardia treatment

Answer 17

3 d nitazoxanide
1 d tinidazole
5-10d flagyl

Question 18

Clue cells

Answer 18

bacterial vaginosis

Question 19

Free Water Deficit

Answer 19

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

Question 20

Intoeing in Kids

Answer 20

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

Usually resolves by 8-10

Question 21

Chronic Supportative Otitis Media - Organisms

Answer 21

Staph aureus

Pseudomonas

Question 22

Schwartz Formula

Answer 22

.413 x height / serum Cr

Question 23

Congenital Vertebral Malformations (CVM) associations

Answer 23

kidneys- obtain renal U/S

Question 24

Shwachman-Diamond syndrome

Answer 24

anemia
neutropenia –> chronic infections
pancreatitic insuff –> FTT

Question 25

Chronic Urticaria in Pediatrics

Answer 25

>6 weeks | associated with thyroid disorders, evaluate w/ TSH

Question 26

Large Vessel Vasculitis

Answer 26

Giant Cell Arteritis | Takayasu Arteritis

Question 27

Vasculitis in Peds

Answer 27

HSP, KD, Takayasu

Question 28

Giant Cell Arteritis - general

Answer 28

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

Question 29

Giant Cell Arteritis - blindness

Answer 29

ishemic optic neuropathy --> amaurosis fugax

Question 30

Giant Cell Arteritis - complications

Answer 30

``` polymyalgia rheumatic aortic involvement (AR, etc) ```

Question 31

Takayasu Arteritis

Answer 31

affects aorta and branches | pulselessness, bruits, HTN, stroke, claudication

Question 32

Polyarteritis Nodosa - Association

Answer 32

Hepatitis B

Question 33

Polyarteritis Nodosa - Symptoms

Answer 33

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

Question 34

Medium Vessel Vasculitis

Answer 34

PAN KD Primary Angiitis of CNS

Question 35

Small Vessel Vasculitis

Answer 35

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

Question 36

p-ANCA

Answer 36

against MPO | associated w/ MPA, EGPA

Question 37

c-ANCA

Answer 37

against PR3 | associated w/ GPA

Question 38

GPA clinical presentation

Answer 38

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

Question 39

GPA treatment

Answer 39

steroids + cyclophos | rituximab w/ releapse

Question 40

MPA

Answer 40

lung and kidney disease | p-ANCA (MPO)

Question 41

eGPA

Answer 41

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

Question 42

Cryoglobunilemic Vasculitis lab testing

Answer 42

low C4 | positive rheumatoid factor

Question 43

Atopic Dermatitis - location of rash

Answer 43

flexural surfaces - popliteal and antecubital fossae

Question 44

Atopic Dermatitis - rash description

Answer 44

excorications, lichenfication (thickening)

Question 45

xerosis

Answer 45

abnormally dry skin