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Congenital Heart > Random - 1.20 > Flashcards

Random - 1.20 Flashcards

1
Q

6 months milestones

A 
sit w/o support
reach for objects
transfer objects
roll over in both direction
localize sound 
babble
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2
Q

6 mo vaccinations

A

HBv #3
DtAp #3
IPV #3
PCV-7 #3

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3
Q

2 mo milestones

A

hold head
smile at face / voice
stare at a spot
head lag on pull to sit

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4
Q

2 mo milestones

A 
HBV #2
DtAp #1
IPV #1
PCV-7 #1
Hib #1
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5
Q

3 mo milestones

A

No head lag on pull to sit
bring hands to midline
Lift head/chest from prone position
sustained social contaact

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6
Q

3 mo vaccines

A

none

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7
Q

4 mo milestones

A

Grasp for objects

Laugh

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8
Q

4 mo vaccines

A

dtap#2
IPV#2
PCV#2
Hib #2

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9
Q

cat bite; infxn + prophylaxis

A

pasturella + staph aureus

Augmentin (amoxi-clavulanic acid)

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10
Q

when to renal u/s AND what do we find?

A

urinary obstruction
abscess
stone
-any boy w/ a UTI, any girl < 3 + UTI, anyone w/ recurrent UTI

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11
Q

when to give VCUG?

A

renal scarring / reflux
only after completion of UTI
(otherwise reflux bacteria in kidneys)

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12
Q

scabies - where do you find them?

A

finger webs, elbows, groin, buttocks

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13
Q

scabies treatment

A

permethrin cream

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14
Q

clotrimazole

A

topical cream for fungal infxn

tinea corporis

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15
Q

when do you give DTAp vaccine?

A

2, 4, 6 mo
15-18 mo
4-6 yrs

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16
Q

DTAP vs. Tetanus Ig after tetanus exposure

A

clean wound - less than 3 doses of DTAP, given DTAP vaccine

dirty wound + less than 3 doses of dTAP; give both Ig & DTAP

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17
Q

gaucher’s disease

A 
autosomal recessive
glucocerebrodase deficiency
lysosomal storage
hepatosplenomegaly, thrombocytopenia, bone abnormalities (distal femur widening, avascular necrosis, osteopenia)
treatment: enzyme replacement
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18
Q

4 yo milestones

A

drawing a square
4 word sentences
4 colors, counting to 4

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19
Q

6 yo milestones

A

staircase w/ cube

20
Q

5 yo milestones

A

triangle drawing
10 syllable sentences
draw a person w/ 10 parts

21
Q

7 yo milestones

A

repeat 5 digits
repeat 3 digits backwards
draw a diamond
draw a person w/ 22 parts

22
Q

alport syndrome

A

kidneys failure, deafness, hematuria

23
Q

mc-cune albright

A

precocious puberty, cafe-au-lait spots, bone disease (polyostotic fibrous dysplasia)

24
Q

beta thalessemia

A

microcytic anemia
nL iron
nL reticulocyte

25
Q

treatment beta-thalessemia

A

post-transfusion, given defirasirox for chelation

26
Q

marfan

A

defect in fibrillin gene
AD
connective tissue, skeletal, cardiac

27
Q

symptoms of marfan’s

A

hyper-extensible skin
myopia / ectopic lentis
aortic root dilation
mitral valve prolapse

28
Q

elher’s danlos

A

connective tissue - lysol hydroxylase - collagen defect

29
Q

nephrotic syndrome

A

hypoalbuminia
proteinuria
non-dependent edema
hyperlipidemia (high serum cholesterol / triglycerides)

30
Q

nephrotic syndrome work-up

A

24 hr urine

31
Q

nephrotic syndrome associations

A

commonly minimal change disease in kids

32
Q

nephrotic syndrome treatment

A

steroids

33
Q

cat scratch disease

A

bartonella hensilae
non-tender lymphadenopathy
fever, fatigue, myalgia
warren-starry stain

34
Q

whooping cough

A

pertussis

several min. non-productive cough followed by emesis

35
Q

3 stages

A

catarrhal
paroxysmal
convalescent

36
Q

impetigo contagiosa

A

staph au / strep pyogenes infxn
discrete thin wall vesicles (yellow crusting)
treat w/ penicillin / cephalosporin
compare to tinea corporis (scaly edge / no crusting)

37
Q

chronic granulomatous disease

A

-x-linked immunodeficiency
-no NADPH oxidase
-nitroblue / tetrazolium test +
-neutrophils cannot generate reactive O2 intermediates
catalase-producing infxns -(staph aureus / pseudomonas sepatia, serratia marsens, nocardia, aspergillus)
-recurrent granuloma / abscesses

38
Q

complement deficiency

A

-recurrent neisseria/strep pneumo

39
Q

CHF treatment in newborn

A

furosemide, digitalis

40
Q

hirschsprung disease eval

A
  • manometry (no relaxation)
  • barium enema - megacolon (proximal to rectal sigmoid)
  • rectal bx (definitive)
  • down syndrome / boys
41
Q

truncus arteriosus

A
  • diGeorge syndrome
  • LOUD S2
  • sytrustolic ejection murmur
  • EKG: biventricular hypertrophy
42
Q

truncus arteriosus

A

CHF / cyanosis present w/in 1st wk

43
Q

transposition of the great vessels

A
  • most common cyanotic heart in newborn
  • must have PDA to survive (prostaglandin)
  • cyanosis at birth (degree varies based on mixing lesions)
  • can survive w/ VSD (PDA alone cannot be sufficient)
44
Q

transposition of the great vessels cxr

A

egg-on a string

narrow mediastinal

45
Q

transposition of the great vessels heart sounds

A

single S2 +/- VSD

46
Q

VSD murmur

A

low/high pitched

holosystolic murmur

Congenital Heart (12 decks)

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