SG 2 Flashcards

1
Q

How do you differentiate scalded skin syndrome from SJS?

A
  • SJS: mucosal involvement (mouth, eyes, genitalia)
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2
Q

What is the cause of SJS?

A

allergic

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3
Q

what is the cause of scalded skin syndrome?

A

exfoliative toxin

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4
Q

A 4-yo boy got bit by the neighbor’s dog. There is a puncture erythromatic puncture wound that is passively painful. What is your major concerns?

A
  • Rabies
  • Pasturella
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5
Q

What is the ABx for pasturella in dog bite?

A

Augmentin

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6
Q

Local staph presentation presents as?

A
  • Impetigo
  • Abscess
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7
Q

What stool test is used to Dx IBS?

A

Fecal calprotectin

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8
Q

In UC there is no {{BLANK}} sparing

A

rectal

Extend GIT to rectum

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9
Q

In {{BLANK}} there is intense inflammation w/ crypt abscesses

A

UC

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10
Q

Biopsy of terminal ileum shows disease in the colon but the rectum is spared. What is the Dx?

A
  • Crohn’s Dx
  • Non-caseating granulomas
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11
Q

What is the 1st primary tooth to erupt?

A
  • lower incisors around 4-6 mo
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12
Q

When do you talk to parents about oral care for their child? Why?

A
  • 4-6 mo
  • First tooth erupts then (lower incisors)
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13
Q

When should fluoride varnish be applied?

A

6 mo then q6mo until dentist

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14
Q

What bacteria causes majority of dental caries?

A

S. mutans

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15
Q

What is the formula for air tube size?

A

Age ÷ 4 + 4

Age + 16 ÷ 4

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16
Q

How do you assess if bagging is giving good ventilation?

A

Chest rise/fall

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17
Q

14-yo girl is an athlete w/ a painful tibial tubercle. What is the Dx?

A

Osgood Schlatter

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18
Q

Best way to assess stress fracture?

A

3-phase bone scane (gold standard)

Inj. & time consuming

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19
Q

A runner has lateral knee pain & positive ober test. What is the Dx?

A

IT band syndrome

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20
Q

To avoid injury, runners should increase their strain of exercise (mileage, intensity, terrain, etc.) by how much at a time?

A

10%

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21
Q

A patient presents with impetigo. They have a recurrence 12-days after successful Tx. What happened?

A

Recolonization

E.g., improper fomite care

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22
Q

How do you Tx impetigo?

A
  • C&S
  • Tx for both MSSA + MRSA (bacitracin, TMP/SMX)
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23
Q

How do you Tx an abscess?

A

In all cases, an abscess must undergo I&D

Must be drained, will no go away

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24
Q

What organisms cause perirectal abscesses? What is the Tx?

A
  • Mostly anaerobes
  • Clindamycin
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25
Q

What is the most likely cause of axillary lymphadenitis?

A
  • Kids: Cat-scratch
  • Adults: Cancer
26
Q

FUO can only be ruled out as a Dx if your patient is?

A

Immunologically competent

27
Q

If you suspect FUO, you probably want to?

Hint: Lungs

A

CXR for PNA

28
Q

The most common pediatric outpatient Dx is?

A

Otitis media

29
Q

Due to vaccinations, a lot of otitis media cases are due to?

A

Viruses

30
Q

How do we Tx otitis media if a patient is over 2 yo?

A

Watch & wait

31
Q

How do we Tx otitis media in a pt < 2 yo?

A

ABx (Amoxil)

32
Q

What is the most common pathogen causes croup?

A

Parainfluenza virus

33
Q

What is the most effective Tx for croup?

A
  • O2
  • Suction
  • Racemic epi
34
Q

How do you Dx PNA?

A
  • PMH
  • Auscultation (crackles & rails)

Don’t need CXR – won’t display early PNA

35
Q

What pathogen leads to pseudomembranous colitis?

A

C. difficile

36
Q

What is the Tx for c. difficile colitis?

A

Metronidazole + PO Vancomycin

37
Q

A pediatric patient has a fever, abdominal pain w/ cramps, elevated CBC & bands, and diarrhea w/ mucus & blood. What is the most likely Dx?

A

Shigellosis

38
Q

What is the Tx for PUD due to H. pylori?

A

H2RA (cimetidine)

Along w/ other meds (combo: 3-4 drugs)

39
Q

In GH deficiency, how do you determine the bone age of the child?

A

XR of non-dominant wrist

Use ossification to determine bone age

40
Q

What is the only disease causing short stature that can be determined via karyotyping?

A

Turners syndrome

41
Q

What is the most common cause of hyperpituitarism?

A

Pituitary adenoma

42
Q

Early puberty is important in girls because…

A
  • 2-yrs post-menarche their height is determined (won’t grow taller)
  • May or May not Tx (talk to pt & parents)
43
Q

What is the most common cause of secondary amenorrhea?

A

Pregnancy

44
Q

What is the intervention for PCOS?

A
  • Decrease insulin resistance
  • Periods restart
45
Q

Once you’ve treated hyperthyroidism, you should continue monitoring for?

A

Hypothyroidism

46
Q

What syndrome is assoc. w/ hypoparathyroidism?

A

DiGeorge (CATCH-22)

47
Q

If a patient has distortion of the face when tapping CN VII & a carpal spasm when placing a BP cuff. What is the Dx?

A
  • Hypocalcemia

Chvostek’s & Trosseau’s signs; due to parathyroid dysfunction

48
Q

A patient presents with a round face, short stature, obesity, skin hyperpigmentation, short thick neck, shortening metatarsals (esp. 4th tarsal), and mental retardation. What is the Dx?

A

Albirght’s Hereditary Osteodystrophy

X-linked

49
Q

MEN syndromes are assoc. w/?

A

Hyperparathyroidism

50
Q

A patient presents with hyponatremia, hypokalemia, hypoglycemia, and acidosis. What is the Dx?

A

Hypo-functioning adrenal glands

51
Q

In adrenal hyperplasia, what is the difference between males & females?

A
  • Males: advanced sex development
  • Females: Virilization
52
Q

A patient presents with hyponatremia, hyperkalemia, hypochloremia, increased 17-hydroxyprogesterone w/ 21-alpha-hydroxylase deficiency. These are labs for?

A

Congenital adrenal hyperplasia

53
Q

What is the most common deficiency causing congenital adrenal hyperplasia?

A

21-alpha-hydroxylase

54
Q

What is the most common causes of Cushings syndrome?

A

Exogenous admin. of steroids

55
Q

If a patient has DM & severely dehydrated. Why do you not use the usual regimen for rehydration?

A
  • Brain has adj. to hyperosmolarity
  • If you dilute too quickly, will cause brain to swell
56
Q

Turner Stage I

A

M&F: no hair

57
Q

Turner Stage II

A
  • M: enlargement; change in texture; sparse hair @ base of penis
  • F: hair along labia; breast budding (areola & papilla)
58
Q

Turner Stage III

A
  • M: Growth in length & circumference; darker, coarser, curlier hair
  • F: Darker, coarser, curlier hair/ cont. breast enlargement
59
Q

Turner Stage IV

A
  • M: Development of glans penis; darkening of scrotal skin; decreased distribution but adult patterned hair
  • F: Adult pattern but decrease distribution; Areola & papilla form secondary mound
60
Q

Turner Stage V

A
  • M: Adult genitalia; hair is adult quantity & type w/ spread to medial thighs
  • F: Hair is adult quantity & type w/ spread to medial thighs; mature female breasts