q18 p230 Flashcards
Vesicoureteral reflux predisposes children to recurrent _____ and renal ______.
Ultimately, renal ______, and the cardiovascular complication of VUR is:______.
pyelonephritis
scarring
insufficiency.
hypertension,
Which one is the most appropriate screening test for vesicoureteral reflux in the initial evaluation of a child with a urinary tract infection?
Voiding cystourethrography
A 5-year-old girl complains of a sore throat and fever for 2 weeks. There is cervical adenopathy and a sand paper like rash on physical exam. diagnosis :
and what method would you use to do get it
Scarlet fever
acutely: a throat swab/ culture
you can also use Rapid antigen detection testing (rapid strep test)
A child has developed a scaling yellowish rash over scalp and face.
What is the most likely diagnosis?
Seborrheic dermatitis
What is the condition most commonly mistaken for appendicitis in children?
Mesenteric lymphadenitis
All of the following are associated with Turner syndrome, except:
a) Short stature
b) Amenorrhea
c) Coarctation of the aorta
d) Hirsutism
e) Webbed neck
d) Hirsutism
How to differentiate apendicitis from Mesenteric lymphadenitis on physical examination?
Asking the child to turn to the left side will demonstrate this shift as the area of pain and
tenderness will move along with the bowel to the left.
A baby born prematurely develops tachypnea, tachycardia, bounding peripheral pulses,
and a machine like murmur. What is the most likely cause of this?
Patent ductus arteriosus
What bacteria is the most common cause of recurrent and persistent acute
otitis media in children?
Penicillin-resistant Streptococcus pneumoniae
A 4-month-old child has been noticed to have episodes where he tenses his arms and leans
his head forward. He has also had poor feeding and a history of upper respiratory infections.
What is the most likely diagnosis?
Infantile spasms
What is the most suggestive sign of selective mutism in a child?
Child who does not speak with teachers and classmates
