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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
Q

CXR: thumb print/ leaf sign

A

Epiglottitis

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26
Q

CXR FINDINGS: air trapping on the right lung w/ mediastinal shift towards the right lung

A

Foreign body

Atelectasis - at/towards

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27
Q 
What classification?
(+/-) exposure
(+) PPD
NO S/sx
(-) CXR fx
A

TB infection

C II

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28
Q

In viral croup what is the pathogen involved?

A

Parainfluenza virus

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29
Q

CXR: hyperinflattion w/ bilateral interstitial infiltrates and periorbronchial cuffing

A

RSV

Respiratory synsitial virus

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30
Q

CXR FINDINGS: steeple sign

A

Croup

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31
Q

Most infectious stage of pertussis?

A

Catarrhal stage

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32
Q

Common among 3-4 y/o
More on males
Hot potato voice/ muffled voice

A

Retropharyngeal abscess

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33
Q

In epiglottitis the pathogen involved is?

A

H. Influenza type B

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34
Q

Type of cough: what is the causative agent?

Brassy

A

Staphylococcus

35
Q

CXR: right sided hilar adenopathy

A

TB

36
Q

3-7yrs

Viral or epiglottitis

A

Epiglottitis

37
Q

Hx of eye discharge during 1st 5-14 days of neonatal period

A

Chlamydia

38
Q

PE fx:

In a tripod position, stridor occurs late, large, cherry red swollen epiglottis by laryngoscopy

A

Acute Epiglottitis

39
Q

The organism that causes whooping cough?

A

Bordetella pertussis (gm- coccobacilli)

40
Q

CXR FINDINGS: thumb’s sign

A

Epiglottitis

41
Q

Type of cough: what is the causative agent?

Barking “seal”

A

Parainfluenza

42
Q

Pt has his own aviarium in his home

A

Psittacosis

43
Q

What sinuses are pneumatized at 4 y/o?

A

Sphenoid

44
Q

CXR: steeple sign

A

Viral croup

45
Q

Pt is a teen/ young adult
Lives in a dormitory
Initial cough is non productive

A

Mycoplasma

46
Q

Type of cough: what is the causative agent?
Whooping
Post tusive vomiting

A

Bordetella

47
Q

Hx of prolonged use of topical or oral decongestant

A

Rhinitis medica mentosa

48
Q

Target temperature of NB?

A

36.5-37.5 C

49
Q

Large for gestational age babies are at risk for

A

Hypoglycemia

Polycythemia

50
Q

APGAR SCORE OF

0-3

A

Severely depressed

Resuscitate

51
Q

APGAR score of

4-6

A

Moderately depressed

52
Q

APGAR score of 7-10

A

Excellent condition

53
Q

On what day of life is NBS done?

A

48 hours old

54
Q

RA? Newborn screening test

A

RA 9288

55
Q

If blood was collected <24H old, repeat at

A

2 weeks

56
Q

For preterms the ideal time for NBS should be at

A

5-7 days old

57
Q

For sick babies NBS can be done until

A

1 mo old

58
Q

Expanded NBS cover ______ diseases

A

28

59
Q

sluggish, feeding difficulties, hypothermia are a Common manifestation of

A

Congenital hypothyroidism

60
Q

MCC of congenital hypothyroidism

A

Thyroid Dysgenesis

61
Q

Autosomal recessive disorders of cortisol biosynthesis

A

Congenital adrenal hyperplasia

62
Q

Deficiency of 21-hydroxylase enzyme

A

Congenital adrenal hyperplasia

63
Q

Marked elevation of 17-hydroxyprogesterone

A

Congenital adrenal hyperplasia

64
Q

Galactosemia hah 3 distinct enzyme deficiency

A 
Galactose-1-phosphate uridyltransferase deficiency (GALT)
Galactokinase deficiency (GALK)
Galactose-4-epimerase deficiency (GALE)
65
Q

Immune to malaria

A

G6PD deficiency

66
Q

Episodic or chronic hemolytic anemia

A

G6PD def

67
Q

Symptoms develop 1-2 days after exposure to a substance with oxidant properties

A

G6PD def

68
Q

What is the enzyme deficient in phenylketonuria?

A

Phenylalanine hydroxylase

69
Q

Most common manifestation without treatment in phenylketonuria

A

Developmental delay

70
Q

Unpleasant musty odor is seen in

A

Phenylketonuria

71
Q

Genetic metabolic disorder resulting from the defective activity of enzyme branched chain alpha-keto acid dehydrogenase complex

A

Maple syrup urine disease

72
Q

Manifests with irritability, poor feeding, maple syrup odor, enecphalopathy, central respiratory failure

A

MSUD

73
Q

Small, white occasionally vesiculopustular papules on an erythematous base develop after 1-3 days. Contains eosinophils

A

Erythema toxicum

74
Q

Vesiculopustular eruption over a dark macular base around the chin, neck, back, and soles. Contains neutrophils.

A

Pustular melanosis

75
Q

Cysts appearing on the hard palate which is composed of accumulations of epithelial cells

A

Epstein pearls

76
Q

Pink macular lesions on the nape, glabella, upper eyelids or nasolabial region

A

Nevus simplex

77
Q

Mottling of the skin with venous prominence. Cobblestone, lacy appearance

A

Cutis marmorata

78
Q

Arm abducted, pronated, internally rotated, hx of excesive traction on the head, intact hand grasp reflex

A

Brachial plexopathy

79
Q

Location can extend across the sutures

A

Caput succedaneum

80
Q

Caput succedaneum resolves in

A

48-72 H

3 days

81
Q

Cephalhematoma resolves in

A

2-3 weeks

82
Q

Does not cross the sutures

A

Cephalhematoma

83
Q

Subgaleal hemorrhage resolves in

A

Over 2-3 weeks

84
Q

Location is beneath epicranial aponeurosis; may extend to orbits, nape of neck

A

Subgaleal hemorrhage

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