pretest pediatrics

Question 1

cyanosis with feeding, better with crying

Answer 1

choanal atresia

babies are obligate nose breathers

Question 2

apt downey test

Answer 2

dist fetal hgb from maternal hgb to determine early source or bleed

Question 3

baby born to mom with GDM develops hypoglycemic like events 48-96 hours post birth?

Answer 3

hypocalcemia

hypomagnesemia

Question 4

subgaleal hem

Answer 4

bleed that crosses midline

-cardiac effects –> hypovolemic shock

Question 5

complication of polycythemia in neonate? how do you treat it?

Answer 5

hyperviscosity syndrome

tx: exchange transfusion with ringers

Question 6

how are compliance and lung volume effected in RDS?

Answer 6

decreased (both)

left to right shunts occur

Question 7

most common sign of ARF?

Answer 7

polyarthritis

Question 8

kids at greatest risk of infective endocarditis? how to diagnose?

Answer 8

unrepaired cyanotic heart defects

admit –> serial positive blood cultures

Question 9

how to treat SVT

Answer 9

carotid massage, valsalva, cold water

Question 10

findings of Ebsteins anomaly

Answer 10

• quadruple heart sounds
• tricuspid regurg
• mid diastolic murmur
• RVH
• right ventricular conduction defects

Question 11

do you have murmurs in WPW? what does it cause?

Answer 11

• no, but its associated with ebsteins, so you may hear murmurs
• causes paroxysmaly SVT

Question 12

EKG findings in tricuspid atresia?

Answer 12

left axis deviation due to hypoplastic RV

Question 13

heart defects seen in TAR?

Answer 13

TOF, ASD

Question 14

cardiac effect of neonatal lupus

Answer 14

congenital heart block

also thrombocytopenia, nuetropenia, rash, HM

Question 15

effects of Erb palsy and what test can you use to dx it

Answer 15

paralysis of brachial plexus AND diaphragm

can see on US

Question 16

quickly lethal complication of staph pneumonia?

Answer 16

Tension pneumo –> toxin mediated destruction of alveoli

Question 17

inspiratory stridor, think…..

biphasic stridor and high fever, think…… how should you treat?

Answer 17

croup

bacterial tracheitis –> intubate

Question 18

is there a genetic basis for PUD? abd pain during day or night?

Answer 18

nocturnal pain

family basis

Question 19

what day of life does jejunal atresia present?

Answer 19

day 1

Question 20

when in life does intussussception occur? what is both diagnostic and therapuetic?

Answer 20

6 months

air contrast enema

Question 21

when does malrotation cause sx

Answer 21

a few weeks

Question 22

signs of meconium ileus on prenatal screen/ enema

Answer 22

prenatal US – echogenic bowel

contrast enema – microcolon

Question 23

antibodies in UC

Answer 23

ASCA

pANCA

Question 24

rumination

Answer 24

behavioral issue inovoling regurgitation and reswallowing of food

Question 25

classify obstructive jaundice based on bili lab values

Answer 25

conjugated bili > 20% of total

Question 26

treatment for labial adhesions

Answer 26

monitor and estrogen cream

Question 27

hyperchloremic metabolic acidosis, plus glucosuria with no hyperglycemia

Answer 27

fanconi anemia

Question 28

how are low grade VUR treated? how is high grade VUR treated?

Answer 28

low grade –> antibiotic proph and 3-4 mo cultures

high grade–> surgical reimplantation

Question 29

risk for renal vein thrombosis in neonate

Answer 29

GDM –> LGA, polycythemia

blood in diaper and flank mass not noted in newborn physical

Question 30

GAS rheumatogenic strains are associated with……

nephritogenic strains associated with….

Answer 30

rheum –> pharyngitis

nephro –> skin and throat

Question 31

treatment of HUS

Answer 31

very closely supportive

Question 32

sudden onsent testicular pain in boy…

Answer 32

testicular torsion, get immediate surgery consult

Question 33

whats a feature that makes pseudoseizures distinct?

Answer 33

no loss of bladder or bowel control

Question 34

acute infantile hemiplegia

Answer 34

sudden hemiparalysis with eyes stuck gazing to opposite side

Question 35

neiman pick

Answer 35

sphingomyelinase

Question 36

tay sachs

Answer 36

b-hexoaminidase

Question 37

gaucher

Answer 37

b-galactosidase

Question 38

fabry

Answer 38

a-galactosidase

Question 39

features of gauche (misc)

Answer 39

hypogonadism, ptosis, cataracts