pretest pediatrics Flashcards

1
Q

cyanosis with feeding, better with crying

A

choanal atresia

babies are obligate nose breathers

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2
Q

apt downey test

A

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

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3
Q

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

A

hypocalcemia

hypomagnesemia

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4
Q

subgaleal hem

A

bleed that crosses midline

-cardiac effects –> hypovolemic shock

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5
Q

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

A

hyperviscosity syndrome

tx: exchange transfusion with ringers

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6
Q

how are compliance and lung volume effected in RDS?

A

decreased (both)

left to right shunts occur

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7
Q

most common sign of ARF?

A

polyarthritis

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8
Q

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

A

unrepaired cyanotic heart defects

admit –> serial positive blood cultures

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9
Q

how to treat SVT

A

carotid massage, valsalva, cold water

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10
Q

findings of Ebsteins anomaly

A
  • quadruple heart sounds
  • tricuspid regurg
  • mid diastolic murmur
  • RVH
  • right ventricular conduction defects
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11
Q

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

A
  • no, but its associated with ebsteins, so you may hear murmurs
  • causes paroxysmaly SVT
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12
Q

EKG findings in tricuspid atresia?

A

left axis deviation due to hypoplastic RV

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13
Q

heart defects seen in TAR?

A

TOF, ASD

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14
Q

cardiac effect of neonatal lupus

A

congenital heart block

also thrombocytopenia, nuetropenia, rash, HM

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15
Q

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

A

paralysis of brachial plexus AND diaphragm

can see on US

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16
Q

quickly lethal complication of staph pneumonia?

A

Tension pneumo –> toxin mediated destruction of alveoli

17
Q

inspiratory stridor, think…..

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

A

croup

bacterial tracheitis –> intubate

18
Q

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

A

nocturnal pain

family basis

19
Q

what day of life does jejunal atresia present?

20
Q

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

A

6 months

air contrast enema

21
Q

when does malrotation cause sx

A

a few weeks

22
Q

signs of meconium ileus on prenatal screen/ enema

A

prenatal US – echogenic bowel

contrast enema – microcolon

23
Q

antibodies in UC

A

ASCA

pANCA

24
Q

rumination

A

behavioral issue inovoling regurgitation and reswallowing of food

25
classify obstructive jaundice based on bili lab values
conjugated bili > 20% of total
26
treatment for labial adhesions
monitor and estrogen cream
27
hyperchloremic metabolic acidosis, plus glucosuria with no hyperglycemia
fanconi anemia
28
how are low grade VUR treated? how is high grade VUR treated?
low grade --> antibiotic proph and 3-4 mo cultures high grade--> surgical reimplantation
29
risk for renal vein thrombosis in neonate
GDM --> LGA, polycythemia blood in diaper and flank mass not noted in newborn physical
30
GAS rheumatogenic strains are associated with...... nephritogenic strains associated with....
rheum --> pharyngitis nephro --> skin and throat
31
treatment of HUS
very closely supportive
32
sudden onsent testicular pain in boy...
testicular torsion, get immediate surgery consult
33
whats a feature that makes pseudoseizures distinct?
no loss of bladder or bowel control
34
acute infantile hemiplegia
sudden hemiparalysis with eyes stuck gazing to opposite side
35
neiman pick
sphingomyelinase
36
tay sachs
b-hexoaminidase
37
gaucher
b-galactosidase
38
fabry
a-galactosidase
39
features of gauche (misc)
hypogonadism, ptosis, cataracts