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Pedia PLE DES > Pulmonology/ neonatology > Flashcards

Pulmonology/ neonatology Flashcards

1
Q

What are the stages of pertussis?

A

Catarrhal
Paroxysmal
Convalescent

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2
Q

Absent breath sounds on right lung. T is 3 y/o

A

Foreign body

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3
Q

Associated sx: barking cough, hoarseness

A

Viral croup

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4
Q

Wheezes are heard loudest over the trachea. Persistent wheezing never seems to go away

A

Chondromalacia

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5
Q

Hx of viral infection among the family members. Px is 2 y/o

A

Bronchiolitis

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6
Q

what are the sinuses present at birth?

A

ME
Maxillary
Ethmoid

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7
Q

Type of cough: what is the causative agent?

Cough disappears with sleep

A

Habitual cough

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8
Q

What causes optic neuritis in TB drugs?

A

Ethambutol

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9
Q 
What classification?
3 or more of the ff criteria:
1. Exposure with active TB disease
2. (+) PPD
3. S/sx suggestive of TB
4. Abnormal CXR fx
5. Lab fx
A

TB disease

C III

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10
Q

What sinuses begin to develop at 7-8 y/o?

A

Frontal sinus

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11
Q

Presents with fever, cough, colds

In 1st 2 yrs of life

A

Bronchiolitis

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12
Q 
What classification?
(+) exposure to an adult/adolescent with active disease
(-) PPD
NO s/sx 
(-) CXR fx
A

TB exposure

C I

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13
Q

Type of cough: what is the causative agent?

Staccato

A

Chlamydia

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14
Q

Associated Sx: muffled voice, drooling

A

Epiglottitis

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15
Q

Paroxysms of cough leaving the baby breathless & subconjunctival hemorrhages

A

Pertussis

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16
Q

CXR FINDINGS: patchy infiltrates & ragged tracheal column

A

Bacterial tracheitis

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17
Q

3 mos to 3 yrs

Viral croup or epiglottitis

A

Viral croup

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18
Q

CXR FINDINGS: subglottic narrowing

A

Croup

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19
Q

Persistent rhinorrhea with onset in the 1st 3 mos of life (snuffles)

A

Syphillis

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20
Q

What condition in which upon PE there is asymmetric tonsillar bulge with a displaced uvula

A

Peritonsillar abscess

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21
Q

Tx for croup

A

Racemic epinephrine

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22
Q

Pt has CF
Pt has CGD
Pt is a burn pt
Pt is neutropenic

A

Pseudomonas

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23
Q

CXR: hyperinflated lungs with patchy atelectasis

A

Bronchiolitis

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24
Q

Type of cough: what is the causative agent?

Most sever in the morning

A

Cystic fibrosis

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25
CXR: thumb print/ leaf sign
Epiglottitis
26
CXR FINDINGS: air trapping on the right lung w/ mediastinal shift towards the right lung
Foreign body Atelectasis - at/towards
27
``` What classification? (+/-) exposure (+) PPD NO S/sx (-) CXR fx ```
TB infection | C II
28
In viral croup what is the pathogen involved?
Parainfluenza virus
29
CXR: hyperinflattion w/ bilateral interstitial infiltrates and periorbronchial cuffing
RSV | Respiratory synsitial virus
30
CXR FINDINGS: steeple sign
Croup
31
Most infectious stage of pertussis?
Catarrhal stage
32
Common among 3-4 y/o More on males Hot potato voice/ muffled voice
Retropharyngeal abscess
33
In epiglottitis the pathogen involved is?
H. Influenza type B
34
Type of cough: what is the causative agent? | Brassy
Staphylococcus
35
CXR: right sided hilar adenopathy
TB
36
3-7yrs | Viral or epiglottitis
Epiglottitis
37
Hx of eye discharge during 1st 5-14 days of neonatal period
Chlamydia
38
PE fx: | In a tripod position, stridor occurs late, large, cherry red swollen epiglottis by laryngoscopy
Acute Epiglottitis
39
The organism that causes whooping cough?
Bordetella pertussis (gm- coccobacilli)
40
CXR FINDINGS: thumb's sign
Epiglottitis
41
Type of cough: what is the causative agent? | Barking "seal"
Parainfluenza
42
Pt has his own aviarium in his home
Psittacosis
43
What sinuses are pneumatized at 4 y/o?
Sphenoid
44
CXR: steeple sign
Viral croup
45
Pt is a teen/ young adult Lives in a dormitory Initial cough is non productive
Mycoplasma
46
Type of cough: what is the causative agent? Whooping Post tusive vomiting
Bordetella
47
Hx of prolonged use of topical or oral decongestant
Rhinitis medica mentosa
48
Target temperature of NB?
36.5-37.5 C
49
Large for gestational age babies are at risk for
Hypoglycemia | Polycythemia
50
APGAR SCORE OF | 0-3
Severely depressed | Resuscitate
51
APGAR score of | 4-6
Moderately depressed
52
APGAR score of 7-10
Excellent condition
53
On what day of life is NBS done?
48 hours old
54
RA? Newborn screening test
RA 9288
55
If blood was collected <24H old, repeat at
2 weeks
56
For preterms the ideal time for NBS should be at
5-7 days old
57
For sick babies NBS can be done until
1 mo old
58
Expanded NBS cover ______ diseases
28
59
sluggish, feeding difficulties, hypothermia are a Common manifestation of
Congenital hypothyroidism
60
MCC of congenital hypothyroidism
Thyroid Dysgenesis
61
Autosomal recessive disorders of cortisol biosynthesis
Congenital adrenal hyperplasia
62
Deficiency of 21-hydroxylase enzyme
Congenital adrenal hyperplasia
63
Marked elevation of 17-hydroxyprogesterone
Congenital adrenal hyperplasia
64
Galactosemia hah 3 distinct enzyme deficiency
``` Galactose-1-phosphate uridyltransferase deficiency (GALT) Galactokinase deficiency (GALK) Galactose-4-epimerase deficiency (GALE) ```
65
Immune to malaria
G6PD deficiency
66
Episodic or chronic hemolytic anemia
G6PD def
67
Symptoms develop 1-2 days after exposure to a substance with oxidant properties
G6PD def
68
What is the enzyme deficient in phenylketonuria?
Phenylalanine hydroxylase
69
Most common manifestation without treatment in phenylketonuria
Developmental delay
70
Unpleasant musty odor is seen in
Phenylketonuria
71
Genetic metabolic disorder resulting from the defective activity of enzyme branched chain alpha-keto acid dehydrogenase complex
Maple syrup urine disease
72
Manifests with irritability, poor feeding, maple syrup odor, enecphalopathy, central respiratory failure
MSUD
73
Small, white occasionally vesiculopustular papules on an erythematous base develop after 1-3 days. Contains eosinophils
Erythema toxicum
74
Vesiculopustular eruption over a dark macular base around the chin, neck, back, and soles. Contains neutrophils.
Pustular melanosis
75
Cysts appearing on the hard palate which is composed of accumulations of epithelial cells
Epstein pearls
76
Pink macular lesions on the nape, glabella, upper eyelids or nasolabial region
Nevus simplex
77
Mottling of the skin with venous prominence. Cobblestone, lacy appearance
Cutis marmorata
78
Arm abducted, pronated, internally rotated, hx of excesive traction on the head, intact hand grasp reflex
Brachial plexopathy
79
Location can extend across the sutures
Caput succedaneum
80
Caput succedaneum resolves in
48-72 H | 3 days
81
Cephalhematoma resolves in
2-3 weeks
82
Does not cross the sutures
Cephalhematoma
83
Subgaleal hemorrhage resolves in
Over 2-3 weeks
84
Location is beneath epicranial aponeurosis; may extend to orbits, nape of neck
Subgaleal hemorrhage

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