Random Flashcards

1
Q

Potential energy from dietary fat

A

9 kcal/g

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2
Q

Potential energy from carbs

A

4 kcal/g

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3
Q

Potential energy from protein

A

4 kcal/g

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4
Q

How many half lives for a drug to reach steady state (97%)

A

5 half lives

Ex: drug with 6hr half life x5 = 30 hours to reach steady state

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5
Q

47, XXY

A

Klinefelter syndrome
Barr body (inactive X chromosome)
-Gynecomastia
-Small, fibrotic testes
-Eunuchoid body shape, female hair pattern
-Tall with long extremities but normal arm span
-Low testosterone, high FSH and LH and estrogen

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6
Q
Aplasia cutis congenita
Cleft lip/palate
Microcephaly
Polydactyly, overlapping fingers
GU anomalies
A
Trisomy 13 (Patau)
C/b meiotic nondisjunction
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7
Q
Supravalvular aortic stenosis / PPS
Cocktail party personality
Elfin facies
Hypersensitive to sound
Hypercalcemia
A

Williams syndrome

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8
Q
Infant <6mo
Irritable
Fever
Soft tissue swelling
Xray: cortical hyperostosis of the mandible (also ulna, rib, clavicle, scapula, skull, ilium)
A

Caffey disease

Infant cortical hyperostosis

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9
Q

Baby at birth with:

  • Hypoglycemia
  • Micropenis
  • Direct hyperbili
  • Normal wt/length
A

Congenital growth hormone deficiency

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10
Q

When is chickenpox contagious

A

1-2d prior to the rash and until the lesions are crusted over

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11
Q

Who needs prophylaxis for meningococcal disease and what is the ppx

A
  • Same household
  • Child care contacts within previous 7d
  • Direct secretion exposure (kissing, sharing utensils, intubating, mouth to mouth) within previous 7d of <24h of starting abc
  • Passenger on a flight >8h sitting directly next to them

Rifampin 600mg BID x2d
(or rocephin x1, cipro x1)

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12
Q

Progressive distal weakness and sensory loss
No DTRs
High arched feet (pes cavus)
Muscle atrophy and “stork legs”

A

Charcot-Marie-Tooth (CMT) disease

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13
Q

Birth weight doubles

A

5 mo

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14
Q

birth weight triples

A

1 year

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15
Q

Birth length doubles

A

4 years

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16
Q

Average birth length

A

50cm

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17
Q

What and when to do autism screening

A

MCAT

18 and 24 months

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18
Q

Average birth head circumference

A

35 cm

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19
Q

Craniosynostosis (coronal sutures)
Midface hypoplasia
Proptosis

A

Crouzon syndrome

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20
Q

Craniosynostosis
Syndactyly
Mitten hands
Intellectual disability

A

Apert syndrome

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21
Q

Rooting reflex

A

Present at birth

Gone by 4 mo

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22
Q

Parachute reflex

A

Present 6-9 mo

Stays for life

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23
Q

Moro reflex

A

Present at birth

Gone by 3-6 mo

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24
Q

Babinski

A

Upgoing until 12mo is normal

Still upping after 2-3 years: CNS lesion

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25
Q

Tonic neck response

A

Fencing reflex
Present at 35 weeks gestation
Most prominent at 1mo
Gone by 6 mo

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26
Q

Stepping reflex

A

Gone by ~2mo

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27
Q

Palmar grasp reflex

A

Gone by 3-4mo

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28
Q

Calculate age based on kids drawing of a person

A

1/4 point for each:
2 eyes, 2 ears, nose, mouth, hair, 2 arms, 2 legs, 2 hands, 2 feet, neck, trunk.

Base of 3 then add points

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29
Q

MC type of craniosynostosis

A

Scaphocephaly / dolichocephaly
Premature fusion of the midline sagittal suture
Long narrow skull

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30
Q

Mid parental height for a boy

A

(Dad + Mom + 5in)/2

(Dad + Mom + 13cm)/2

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31
Q

Mid parental height for a girl

A

(Dad + Mom - 5in)/2

(Dad + Mom - 13cm)/2

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32
Q

Eyes follow 180 degrees

A

2 mo

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33
Q

Cooing

A

2 mo

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34
Q

Lifts head and chest prone

A

2 mo

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35
Q

Laughs

A

4 mo

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36
Q

Rolls front to back

A

4 mo

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37
Q

Voluntary grasp

A

5 mo

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38
Q

Babbles

A

6 mo

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39
Q

Rolls back to front

A

6 mo

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40
Q

Sits

A

6 mo

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41
Q

Transfers toys hand to hand

A

6 mo

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42
Q

Rakes with 4 fingers

A

6 mo

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43
Q

Object permanence

A

9 mo

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44
Q

Stranger anxiety

A

9 mo

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45
Q

Babbles

A

9 mo

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46
Q

Dada/mama nonspecific

A

9 mo

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47
Q

Crawls

A

9mo

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48
Q

Pulls to stand

A

9 mo

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49
Q

Pincer grasp (immature)

A

9 mo

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50
Q

Pincer grasp (mature)

A

12 mo

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51
Q

Points

A

12 mo

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52
Q

Dada/mama specific

A

12 mo

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53
Q

1-2 words

A

12 mo

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54
Q

First independent steps

A

12 mo

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55
Q

Walks well independently

A

15 mo

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56
Q

Squats to pick up

A

15 mo

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57
Q

Crawls up steps

A

15 mo

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58
Q

Drops objects in and take out of container

A

15 mo

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59
Q

3 cube tower

A

15 mo

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60
Q

4 cube tower

A

18 mo

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61
Q

6 cube tower

A

2y

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62
Q

Name 2-4 body parts

A

18 mo

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63
Q

10-25 words

A

18 mo

64
Q

Scribbles

A

18 mo

65
Q

Throws ball while standing

A

18 mo

66
Q

Parallel play

A

2y

67
Q

Scoops well with spoon

A

2y

68
Q

50 words

A

2y

69
Q

50% understandable

A

2y

70
Q

2 word phrases

A

2y

71
Q

Jumps with 2 feet

A

2y

72
Q

Runs well

A

2y

73
Q

Throws ball overhand

A

2y

74
Q

Stairs 2 feet per step

A

2y

75
Q

Walks up stairs alternating feet

A

3y

76
Q

3 word sentences

A

3y

77
Q

75% understandable

A

3y

78
Q

Draws a circle

A

3y

79
Q

9 cube tower

A

3y

80
Q

Imaginative play

A

3y

81
Q

Cooperative play

A

3y

82
Q

Dress/undresses

A

4y

83
Q

100% understandable

A

4y

84
Q

Counts to 4

A

4y

85
Q

Names 4 colors

A

4y

86
Q

Draws cross

A

4y

87
Q

Buttons

A

4y

88
Q

Walk backwards

A

5y

89
Q

Pneumococcal routine series

A

PCV13
4 doses
2, 4, 6, 12-18mo

90
Q

PCV13 catch up for healthy kids

A

1 dose for age 2-5yo with any incomplete PCV13 series

91
Q

PCV13 catch up for at risk kids

A

2 doses 8 weeks apart

At risk=SCD, asplenia, CSF leaks, cochlear implants, HIV

92
Q

Who gets PPSV23, when, how many

A
Give 8 weeks after last PCV13
1 dose: SCD, asplenia, HIV, CSF leaks, cochlear implants, chronic heart/lung, DM
2 doses (5y later): SCD, asplenia, HIV, immunocompromised
93
Q

Rotavirus routine schedule

A

2, 4, +/- 6 mo

94
Q

Rotavirus contraindications

A

Hx of intussusception

SCID

95
Q

Rotavirus age limitations

A

First dose: 6wks to <15wks

Finish by 8mo

96
Q

IM needle sizes

A

Newborn: 5/8”
Infants: 1”
Adolescents: 5/8-1.5”

97
Q

Varicella routine series

A

12mo, 4y

98
Q

Varicella catch up

A

2 doses at least 3mo apart for age <12y

(>12y: 2 doses 4 wks apart)`

99
Q

Age when you only need 1 dose of flu for the first time instead of 2

A

Starting at 9yo

Ages 6mo-8yo require 2 doses 4 wks apart for the first year

100
Q

When can HIV+ get MMR and varicella shots

A

If CD4 >= 15% x 6mo

Or CD4 >= 200 for kids >5yo

101
Q

Which vaccine is contraindicated with hx of anaphylaxis to neomycin or gelatin

A

MMR

102
Q

Patient got IVIG: What shots need to be delayed and how long

A

MMR, Varicella, MMRV

Delayed by 8-10 mo following IVIG

103
Q

Patient got steroids: What shots need to be delayed for what doses of steroids?

A

High dose PO steroids for >14d (2 mg/kg/d or 20mg/d)

Delay MMR and varicella by 1mo

104
Q

Vaccine required to be stored in a freezer (-50 to -15 degrees C)

A

Varicella containing (varicella or MMRV)

105
Q

Vaccine contraindicated if the kid is living with an immunocompromised person

A

live attenuated flu

106
Q

Vaccines given subcu

A

MMR, var, MMRV

107
Q

Vaccines given subcu or IM

A

IPV, PPSV23

108
Q

Vaccines given nasally

A

LAIV

109
Q

Vaccines given orally

A

Rota

110
Q

White lines across the teeth, chalk-brown enamel discoloration, dental pitting

A

Fluorosis

111
Q

Blue line along the gums with bluish-black edging to the teeth

A

Burton lines

Chronic lead poisoning

112
Q

Dyslipidemia screening

A

Universal: 9-11y and again at 17-21y

113
Q

First primary tooth to erupt

A

Mandibular central incisors

114
Q

First permanent tooth to erupt

A

Lower central incisors and 1st molars (6y molars)

115
Q

Timeline of primary teeth eruption

A

Begin at 6mo (5-10mo), complete by 24-36mo

116
Q

Timeline of permanent teeth eruption

A

Begin at 6-7yo, complete by 13-14yo

117
Q

Number of primary teeth rule

A
7+4 rule
7mo: 1st tooth
11mo: 4 teeth
15mo: 8 teeth
......
27mo: 20 teeth
118
Q

When to refer to dentist if no primary teeth

A

18 mo

119
Q

Total number primary teeth

A

20

120
Q

Measles prophylaxis for infants traveling abroad

A

All infants 6-11mo should get one dose of MMR vaccine (does not count toward regular 2 dose series)

121
Q

Vaccine adverse effect: extreme irritability and crying >3h

A

Pertussis containing vaccine

122
Q

Vaccine adverse effect: thrombocytopenia

A

MMR

123
Q

How long after thelarche can you expect menarche

A

2-2.5y

124
Q

Cardiac complication associated w/ anorexia and what is the PE finding

A

Mitral valve prolapse

Late systolic murmur at the apex preceded by a click

125
Q

First sign of puberty in boys

A

Increase in testicular volume

126
Q

Peak height velocity in boys: average age and what SMR

A

13.5y

SMR 3-4

127
Q

Peak height velocity in girls: average age and what SMR

A

11.5y

SMR 2-3

128
Q

Asymptomatic genital ulcer
Inflamed superficial and deep inguinal nodes (“groove sign”)
Buboes (unilateral painful inguinal lymph nodes)
Fistulas

A
Lymphogranuloma venereum (LGV)
C/b L1, L2, L3 servers of Chlamydia trachoomatis
129
Q

Lymphogranuloma venereum treatment

A

Doxy 100mg PO BID x3 weeks

130
Q

Treatment of primary syphilis

A

Penicillin G benzathine 2.4 M units IM x1

131
Q

Treatment of tertiary and late latent syphilis

A

Penicillin G benzathine 2.4 M units IM weekly for 3 weeks

132
Q

Treatment of uncomplicated chlamydia

A

Azithromycin 1g PO x1
OR
Doxy 100mg PO BID x7d
Retest in 3 months

133
Q

Painful grouped vesicles that rupture to form shallow, painful ulcers

A

Herpes genitalis c/b herpes simplex virus

134
Q

Painless ulcer, “punched out”, clean appearing ulcer with sharp, firm, slightly elevated borders

A

Primary syphilis chancre

135
Q

Rash: scaly, hyperkeratotic palmar skin rash with lesions on the trunk that follow lines of cleavage

A

Rash of secondary syphilis

136
Q

Treatment of neurosyphilis

A

Penicillin G 3-4 M units IV q4h for 10-14d

137
Q

Painful, shallow, soft, friable ulcer with ragged margins and a foul-smelling necrotic purulent exudate

A

Chancroid

Haemophilus ducreyi

138
Q

Treatment of chancroid (H ducreyi)

A

Azithromycin 1g PO x1
or
Ceftriaxone 250 mg IM x1

139
Q

Painless, friable, progressive, beefy-red ulcerative lesion

A

Granuloma inguinale
Donovanosis
Klebsiella granulomatis

140
Q

Treatment of granuloma inguinale

A
azithro
or
doxy
or 
cipro
141
Q

Wright stain: rod shaped, oval, deep purple intracellular inclusions
Safety pin shaped encapsulated bacilli

A

Donovan bodies
Klebsiella granulomatous
Granuloma inguinale (Donovanosis)

142
Q

Painless genital ulcer

Unilateral tender inguinal and/or femoral LAD (“groove sign”)

A

Lymphogranuloma venereum

Chlamydia trachoma’s L1, L2, L3

143
Q

Treatment of lymphogranuloma venereum

A

doxy

or erythro or azithro

144
Q

Female athlete triad

A

Disordered eating
Menstrual dysfunction
Low bone mineral density

145
Q

Female athlete triad: labs

A

Loss of pulsatile GnRH secretion

Low LH, FSH, and estrogen

146
Q

Diagnostic criteria for Tourette syndrome

A

Multiple motor and vocal tics for at least 1 year
No tic-free interval >3mo
Onset prior to 18yo
No underlying medical cause

147
Q

OTC can cause false positive UDS

A

Ibuprofen can cause positive screening for PCP, cannabinoids, barbiturates, bentos
PPIs can cause false positive for cannabis

148
Q
Dilated pupils
Hyperthermia
Tachycardia
HTN
Profuse diaphoresis
Flushing
A

LSD ingestion

149
Q
Slurred speech
Lacrimation
Salivation
Perioral rash
Stupor
A

Inhalant abuse

150
Q

Ataxia
Diplopia
Lateral nystagmus
Euphoria

A

Barbiturates

151
Q

Bruxism
Hyperthermia
Muscle rigidity
Anxiety

A

MDMA

152
Q

Excessive salivation
Involuntary tongue and limb movements
Anxiety
Laryngospasm

A

Ketamine abuse

153
Q
Increased energy
Alertness
Euphoria
Insomnia
Weight loss
Dry mouth
Tooth decay
Irritability, aggression
Anxiety
Suspicious, paranoid
Hallucinations
A

Methamphetamine use

154
Q
Increased alertness
Extreme pleasure
Confidence
Hallucinations
Psychosis
Seizures
Headaches
Cerebral hemorrhage
Focal neuro symptoms
Coma
Tachycardic
HTN
Dysrhythmias
Ischemia
MI
A

Cocaine abuse

155
Q
AMS
Drowsiness
Hypotension
Hypotonia
Nystagmus
Ataxia
Resp depression
A

Benzo overdose

156
Q

Inheritance pattern of Duchenne muscular dystrophy

A

X linked recessive

157
Q

Acute GI illness after eating pork intestines (“chitterlings” or “chitlins”)

A

Yersinia enterocolitica gastro-enteritis