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qs Flashcards

1
Q

mc abd complication of fitz hugh curtis

A

SBO - adhesions

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2
Q

mg mechanism

A

antibotides to ACH receptor at NMJ

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3
Q

inhibits ACH release at synapse

A

botox

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4
Q

superoxide dismutase

A

ALS

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5
Q

dx and treatment MG

A

ice test shows imporovement, sxs get worst at end of day, tx ACHE i pryidostigmine, assn with thymoma, sxs get worse with edrophonium- fasciuclaritons and resp depression

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6
Q

mc location aortoenteric fistula

A

duodenum

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7
Q

med with high risk of tardive dyskenisai

A

haldol

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8
Q

cavernous sinus thrombosis causes whihc CN abnormality

A

CN IV LR

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9
Q

casues of low phos? severe low phos

A

etoh, malnutrition, sepsis, diurteics, BUT DKA IS SEVERE

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10
Q

whats the one thing thats low in Tumor lysis syndrome

A

htyperca

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11
Q

weber test 3 results

A

normal no lateralizaiton, to affected- conduction loss, to opposite- sensorinerual loss

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12
Q

rinne test

A

at mastoid - then to ear, if you can hear at hear then AC>BC and normal

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13
Q

3 dz with airborn precautions

A

measels (rubeolA) varicella, TB

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14
Q

mangmeent of acute angle glaucoma

A

timolol, apraclonidine, pilocarpine (after IOP decreased), acetazolamine, mannitol

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15
Q

what are kanavels 4 signs

A

tendernes along flexor tendon, fusiform swelling, pain with apssive extension, flexed posture of finger

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16
Q

tx HAPE an dHACE

A

HAPE - nifedipine, HACE - dexcadron, o2

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17
Q

what drugs prevent renal failure in TLS

A

allopurinol or rasburicase- prevent conversion of urinc acid

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18
Q

patient with chest tube coughs and bubbles form in water seal chamber

A

air leak

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19
Q

tx for stable V tach

A

procainamide, amio

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20
Q

unconscious patient with torsades

A

DEFIB- mgsulfate if awake

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21
Q

newborn cant pass meconium, what is dx, work up

A

hirschprungs- congenital agenesis of ganglion cells in distal colon- mnaometry or biopsy

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22
Q

terminal R wave in AVR

A

TCA tox- from sodium channel blockade- dont give pnehytoin bc of sodium blockade- give NA bicarb

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23
Q

newborn CPR compresison sot ventilations

A

3:1

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24
Q

tx pheo w. htn emergency

A

phentolamine

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25
Q

how are they going to trick you about HEELP

A

RUQ pain chole

26
Q

projectile vomiting at end of feeding

A

pyloric stenoss, 4 weeks, boys

27
Q

child with bloody diarrhea and seizure

A

shigella

28
Q

mcc blood in infants stool

A

allergic colitis to cows milk or soy, also anal fissue

29
Q

bloody diarrhea day 3-10, major RF prematurity

A

NEC

30
Q

mcc readmissionf or neonate

A

jaundice - physiologic- due to hemolysis of fetal RBC - too mch for liver to handle, peak during day 2-4 of life- , usually pweaks at 5-6

31
Q

breast milk jaundice cause and bili level

A

glucuronly transfrerase inhibitors in breast milk - peaks at 10-27 by day 10-21, stops if breast feeding stopped (lvl 20 or greater)

32
Q

which is concerning type of bili in neonate

A

direct conjugated- obstruction like atresia - high bili can cause kernicterus

33
Q

mcc bowel obstruction in child

A

intuss- RLQ - US - sudden pain sudden relif - sausage mass

34
Q

BRUE

A

resolved < 1 year < 1 min - cyanosis, pallor, muscle tone, LOC

35
Q

high risk BRUE

A

premature, < 60 days, >1 event

36
Q

BRUE work up for low risk

A

educate, pertussis, EKG, pulse ox, obs

37
Q

mcc death from 1 month to 1 year

A

SIDS- RF fam hx, multiple kids, drug abuse, prematurity, kids need to SLEEP ON BACK - no co sleeping

38
Q

mc pneumonia is neonates

A

GBS- treat preg women for gbs - acquired in utero or during birth

39
Q

child with staccato cough, conjunctivitis, hypernflation

A

chlamydia

40
Q

pediatric 6th n palsy

A

hydrocephalus

41
Q

bugs and tx for neonatal meningits < 2 months

A

gbs listeria e coli- add ampicillin for listeria plus cefotaxime or gent

42
Q

highest mortality in meningitis childen over 2 months

A

strep pneumo- ceftriaxone

43
Q

mcc congenital shunt

A

tetrology - VSD and RV outflow obstruction Rto L shunting, Knee to chest helps bc it increases peripheral resistance and slows R to L shunt

44
Q

boot shaped heart in peds, no pulmonary vasculature visable

A

TET

45
Q

% transmission kids from omther with HIV

A

15-30%, get growth retardation, hsm, nodes

46
Q

autoimmune vasculitis of small and medium blood vessels

A

mucucutaneous lymph node syndrome- kawasakis

47
Q

child with fever, rash, non pruritic, cracked lips and oral redness, swelling of hands and feet, lymphadenopathy, conjunctiivits

A

kawasakis – fever for 5 days - IVIG, ASA

48
Q

mc deadly genetic disorder in causcaisna

A

CF- thick mucuous, recurrent resp infxn, high SWEAT CHLORIDE- hypochloremic alkalosis

49
Q

ppresentations of CF in kids

A

neonatal SBO, intuss, FTT, diarrhea, recurret resp ifnx, dehdyration with hypochloremic alkalosis

50
Q

paplpable purpura, extennsor surfaces, renal, GI bleed, normal coags

A

HSP

51
Q

microangiopathic hemolytic anemia with tcp but noral PT PTT fibrinogen

A

HUS- bloody stool- similar to TTP except has kidney invlvement vs CNS invovlement in TTP

52
Q

peds maintance IVF

A

100mlkg first 10, 50 ml kg next 10, 20 mlkg each kg of weight OVER 24 hours

53
Q

peds j/kg for Defib and CV

A

2 vs .5

54
Q

peds ETT size

A

16+age / 4

55
Q

mc arrest rhythm kids? tx of choice

A

asystole- from resp causes- give epi - ABC always do airway first

56
Q

APGAR

A

activity, pulse, grimace, appearance color, respiratiory

57
Q

peds bradycardia cuase

A

hypoxia- rr > 60 concerning

58
Q

fever + uti in peds

A

pyelo

59
Q

when to test for UTI

A

girls < 2, uncirc <2, circ < 1

60
Q

abd pain in kid over 3 what to check for

A

strep throat

61
Q

labs on kdi with inborn error, tx

A

hypoglycemia, metabolis acidosis - tx NPO to stop metabolic pathway - bicarb, glucose, fluids

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