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Miscellaneous USMLE Step 3 > Section 9: Pediatrics 3 > Flashcards

Section 9: Pediatrics 3 Flashcards

1
Q

State the classification of asthma

A
  • Intermittent
  • Mild persistent
  • Moderate persistent
  • Severe persistent
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2
Q

List the symptoms intermittent asthma

A
  1. Daytime asthma less than 2 days per week
  2. Night time awakening less than 2 times a month
  3. Rescue inhaler use less than 2 times a month
  4. No limitations of daily activities
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3
Q

List the symptoms mild persistent asthma

A
  1. Daytime asthma symptoms more than 2 days per week (less than daily)
  2. 3-4 night time awakening per month
  3. Rescue inhaler use > 2 times a week
  4. Minor limitations during daily activities
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4
Q

List the symptoms moderate persistent asthma

A
  1. Daily asthma symptoms
  2. Night time awakening > 1 time per week
  3. Daily use of rescue inhaler
  4. Some limitations of daily activities
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5
Q

List the symptoms severe persistent asthma

A
  1. Daily asthma symptoms
  2. Night time awakenings every night
  3. Rescue inhaler use several times a day
  4. Extreme limitations of daily activities
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6
Q

Rx of intermittent asthma

A

Short acting beta agonist as needed

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7
Q

Rx of mild persistent asthma

A
  • SABA
  • Low dose inhaled corticosteroid
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8
Q

Rx of moderate persistent asthma

A
  • SABA (as needed) plus
  • Low dose inhaled corticosteroids plus
  • Long acting beta agonist (LABA)

OR

  • SABA (as needed) plus
  • Medium dosse inhaled corticosteroids alone
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9
Q

Rx of severe persistent asthma

A
  • SABA (as needed) plus
  • Medium dosse inhaled corticosteroids plus
  • LABA

OR

  • SABA (as needed) plus
  • High dosse inhaled corticosteroids plus
  • LABA
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10
Q

List some common pediatric exanthem

A
  • Enterovirus infection
  • Roseola infantum
  • Rubella
  • Rubeola
  • Scarlet fever
  • Erythema infectiosum
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11
Q

What are the causative organisms for the following exanthem:

  1. Enterovirus infection
  2. Roseola infantum
  3. Rubella
  4. Rubeola
  5. Scarlet fever
  6. Erythema infectiosum
A
  1. Echo virus (most common)
  2. HHV-6 (Human herpesvirus 6)
  3. Rubella virus
  4. Measles virus
  5. Streptococcal infection
  6. Parvovirus B-19
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12
Q

Describe the pattern of enterovirus infection exanthem

A

Mild, nonspecific upper respiratory symptoms followed by a mild truncal rash (most common)

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13
Q

Describe the pattern of Roseola infantum exanthem

A

High fever in infants for 2-3 days, followed by rose-pink rash

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14
Q

Describe the pattern of Rubella exanthem

A

High fever and red maculopapular rash occur together

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15
Q

Describe the pattern of Rubeola exanthem

A

Rash and fever occur together

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16
Q

Describe the pattern of Scarlet fever exanthem

A

Confluent rash preceded by pharyngitis

17
Q

Describe the pattern of Erythema infectiosum exanthem

A

Lacy reticular rash

Rash declares noninfectivity

18
Q

What are the distinguishing features for the following exanthem:

  1. Enterovirus infection
  2. Roseola infantum
  3. Rubella
  4. Rubeola
  5. Scarlet fever
  6. Erythema infectiosum
A
  1. None
  2. “Rose-pink rash”
  3. Occipital adenopathy
  4. Prodrome of cough, coryza, and koplik spots
  5. Strawberry tongue
  6. Rash looks like “mottked skin”; “slapped cheeks”
19
Q

List the indications for admitting a patient with anorexia nervosa

A

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</xml><![endif]–>Physiologic instability or electrolyte abnormalities
2. Severe malnutrition (under 75% of ideal weight)
3. Acute medical or psychiatric emergencies
4. Cardiac arrhythmias
5. Acute food refusal
6. Failure of outpatient therapy

20
Q

How do you distinguish candidal diaper infection from diaper dermatitis?

A

Candidal diaper infection can be distinguished from diaper dermatitis by the presence of tomato-plaques, satellite papules, and compromise of the genitocrural folds

21
Q

Rx and duration of Rx for latent TB resistant to INH (isoniazid) in:

  1. Children
  2. Adults
A
  1. Rifampin for 6 months
  2. Rifampin for 4 months
22
Q

Rx duration for infants and children with tuberculosis

23
Q

Diagnosis and Rx of condition with following presentation:

  • Adolescence, especially in obese patients
  • Painful limp
  • Externally rotated leg
  • X-ray shows widening of joint space

Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 438). Kaplan Medical Test Prep. Kindle Edition.

A

Diagnosis: Slipped capital femoral epiphysis

Rx: Internal fixation with pinning

24
Q

Diagnosis and Rx of condition with following presentation:

  • Ages 2–8
  • Painful limp
  • X-rays show joint effusions and widening

Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 438). Kaplan Medical Test Prep. Kindle Edition.

A

Diagnosis: Legg-Calvé-Perthes
disease (avascular
necrosis of
femoral head)

Rx: Rest and NSAIDs
Follow with surgery
on both hips: If one
necroses, eventually
so will the other

Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 438). Kaplan Medical Test Prep. Kindle Edition.

25
Q

Diagnosis and Rx of condition with following presentation:

  • Infants; Usually found on newborn exam screening
  • Ortolani and Barlow maneuver
  • “Click” or “clunk” in the hip

Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 438). Kaplan Medical Test Prep. Kindle Edition.

A

Diagnosis: Congenital hip dysplasia

Rx: Pavlik harness

Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 438). Kaplan Medical Test Prep. Kindle Edition.

Miscellaneous USMLE Step 3 (11 decks)

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