Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

SMLE QS > Safdar Notes > Flashcards

Safdar Notes Flashcards

1
Q

Measles, complication after many years?

A

Subacute panencephalitis

“100% mortality”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Vaccine associated w/Guillian Barre syndrome

A

Influnza vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pregnant + Hep B +ve + gave birth, what to give baby?

A

Immunoglobulin + Hep B vaccine

regardless of baby weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Type of transfusion in thalssaemia patients, & WHY?

A
  • Washd RBC.

- Because of chronic transfusion, to allow all (live & killed) vaccines to be given at all times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

when to give Killed Vaccine (ie; Hep A) after blood transfusion?

A

same time, no need for defering.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pt received Blood transfusion + Epidemic, can live vaccine be given

A

yes, measles & MMR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Most imp vaccine in cystic fibrosis:

A

Influnza + Pneumococcal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pedia + multiple enlarged lymph nodes (bull neck), which vaccine not taken?

A

Diphtheria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dtap, contraindicated in:

A

uncontrolled seizure or neurological disease, but can be given in febrile seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pt + Post splenectomy, which vaccine to give?

A

pneumococcal + Meningococcal.

IF both choices are there, go with pneumococcal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • 9 month vaccine

- 12 month vaccine

A
  • M&Ms: MCV4 & measles
  • POMM: PCV, OPV, MMR, MCV4

Remember, that MMR can’t be given before one year because of the presence of mumps.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Best way to precent nenoatum tetanum?

A

Dtap at 28wks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Asthma patient, how to decrease asthma exacerbation?

A

Influnza vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pt w/hx of still birth + want to get pregnant, what vaccine to give?

A

Rubella,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The only contraindication to Influnza vaccine?

A

Anaphylaxis after flu vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Medications used & duration of tx for Brucellosis in Pediatrics <8 yrs

A

TMP/SMX + Rifampin for

  • 3-6m if there’s cardiac/CNS involvement
  • 6wks if No cardiac/CNS involvement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Best Inv for brucellosis:

A

Agglutination test.

Stool culture takes too long.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cough + Deep inspiration in between each cough + age >3m, Dx

A

Staccato cough: Adenovirus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Mx of chlamydia or pertussis infection:

A

Macrolide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Conjunctivitis + Gastroenteritis + pneumonia + Age <3m, Dx?

A

chlamydia, give macrolide.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

MC organism after dental extraction:

A

S.Aureus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

MC organism for IE in

  • patient with damaged valve:
  • Prosthesis:
A
  • Virdians

- Epidermidis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

IE + Prosthetic valve, Mx:

A

Vancomycin, Rifampicin, Gentamycin.

“think of MRSA infection in Epidermidis”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Neonatal meningitis Mx

A

1- Ampicillin: GBS+ Listeria
2- Gentamycin: gram -ve
3- Cefotaxime: gram -ve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
3d neonate + B-Hemolyisis bacteria + | catalase +ve, Ab to give?
Ampicillin | GBS
26
7Yr + Meningitis, Mx:
- Steroid: for hemophilus influnza. - Ceftrixone - Vancomycin
27
MC organism in viral meningitis
Enterococcus
28
7yr + Meningeal signs + Headache + Fever + Family came from africa + Sore throat + lymphadenopathy, CSF: lymphocytosis only. Dx?
EBV
29
fever 6d + Tender spleenomegaly, culture needed?
Blood cultures | "Septicemia, typhoid, bruceloosis, IE"
30
meningitis + papilladema, complication?
hearing loss
31
3m baby + Mc bacterial cause of meningitis
Strep pneumonia
32
Contact management in GABHS, Pertussis, Nisseria, Hemophillus
- GABHS: No need - Pertusis: Macrolide - Nisseria: Rifampin - Hemophillus: Rifampin
33
MC virus of otitis media:
RSV - Rhinovirus. BUT mc is bacterial cause, don't forget
34
Child + Fever + Knee pain & swelling, Most imp inv
always joint aspiration
35
Septic arthritis MC organism:
Staph aureus.
36
Pedia + Eczema + treated by steroid + now itching & Pustular leison, grape like pattern, Organism?
Staph Aureus. | "impetigo"
37
Mx of Impetigo
Topical Mupicin
38
3 Yrs + Crying + Red current jelly stool + Vomitting, X-ray findings.
Susage mass
39
recurrence rate of intussuption
After enema is 10%, After surgical reduction 5%, after resection <1%
40
1st Mx of intussuption
ABCD. | Hydration
41
Best Confirmatory & initial Inv of Intussption
- Confirmatory: Enema | - Initial: US
42
When to opt for surgery in Intussuption
After 3 Failed attempts of reduction
43
MC site for intussuptio
Ileocolic
44
5wks old+ Non-billous vomitting + mass at epigastric area, Dx?
Pyloric stenosis
45
Time of sx of duodenal atresia:
At birth.
46
SE of erythromycin use in babies.
Pyloric stenosis
47
Pyloric stenosis Mx:
Initital: Hydration with KCL Def: Pyloromyotomy
48
Pedia + Eat out + Abdo pain + diarrhea after 8 hrs, Organism?
Staph aureus. "30min to 8hrs" other infection w/short IP: Cholera & perferngies. "2hrs to 48hrs"
49
9m baby + weight not increasing from 6m, initial test?
Celiac disease (6m introduction of food) - Initial: Tissue transglutiminase - Best: Dudeonal biopsy
50
Food to be avoided in celiac disease:
Barly, wheat, Rye, Oats
51
Celiac disease Pt + Anti endomysal Ab +Ve + anti-transglutiminase test +ve, Next step?
Gluten free diet. Two antibodies No need for biopsy. if one only, do biopsy. if you did the biopsy & findings inconclusive: do challenge test & repeat biopsy
52
Celiac patient + Rash, dx?
Dermatitis herpitformis
53
Celiac patient + Pruritic rash in extensor, back & buttock + Biopsy +ve IgA immunofluroscence, Mx?
Gluten free diet + Dapsone cream (Dermatitis herpitformis)
54
Malignancy that can decrease by gluten free diet in celiac disease?
Intestinal lymphoma.
55
1 Yr + Vomitting + Diarrhea + Greenish stool + Mx?
hydration
56
1 Yr + Vomitting + Diarrhea + Greenish stool + MC organism?
Rota virus (Viral gastroenteritis)
57
5Yr + Vomitting + Diarrhea + Bloody stool + Mx?
Bacterial Gastroenteritis, give hydration
58
When to consider Ab in bacterial gastroenteritis
- According to organism: Shigella, Clostridium difficile - According to Condition: illness >1w, severe dehydration - According to patient: immunocompromised
59
HUS, organism
Sheiga toxin in E-coli
60
10 Yr + Amoebic abscess + Mx?
Oral metronidazole followed by paromomycin
61
Inv of sheigella
Stool culture
62
15yr + Lower abdominal pain + Blood with mucus in stool + fever, Initial & best diagnostic test:
This is amoeba infection - Initial: Stool analysis showing cyst pr trophozoite - Best: Serology PCR or ELISA
63
2m + deep jaundice + Pale stool + Healthy & growing well, Dx?
Billiary atresia. (obstruction) | Direct bilirubn >20% of total.
64
Dx of meckel diverticulum
Nuclear scan
65
Pedia + billous vomitting + bloody stool, dx? (Recuurrnt obstruction & bleeding)
Volvulus
66
Volvulus sign in x-ray
Coffee bean sign
67
9m + abdominal distension + small amount stool + meconium passed at 2nd day of life, best test
This is herschspurgr disease; suction Biopsy
68
14d baby + abdo distension + billous vomitting + passed meconium in first day of life + passing pellet stool, dx?
Herschspurge
69
2m + excess crying + diarrhea + mom shifted cow milk to soy milk + face exzema + still excessive crying, dx?
Cow milk allergy | “They usually have coexistent allergy against soy milk”
70
Hilar lymphadenopathy + on and off cough + hypercalcemia + biopsy shows non- caseating granuloma
this is sarcoidosis - give steroid if symptomatic
71
Sudden scrotal pain + high testis + tender + erythmatous, mx?
Surgical exploration
72
Elderly + hypertensive + gradual decr in cognitive function + MRI showed periventricular white matter hyper intensity
Vascular dementia
73
Trauma + wide mediastinum + hypotension + trachea shifter, dx?
Ruptured aortic root

SMLE QS (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions