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EOR - Pediatrics > Smarty PANCE Practice Exam Shit I Got Wrong > Flashcards

Smarty PANCE Practice Exam Shit I Got Wrong Flashcards

1
Q

factor VIII concentrate is called

A

cryoprecipitate

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2
Q

what bleeding d.o is desmopressin used to tx

A

von willebrand’s

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3
Q

how much weight should a newborn gain in the first year of life

A

weight should triple by 1 yo

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4
Q

mc complication of kawasaki

A

coronary artery aneurysms

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5
Q

in infants, the eyes should move in parallel w.o deviation by the age of _

A

6 mo

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6
Q

infant turns its head toward anything that strokes its cheek or mouth, searching for the object by moving its head in seatdily decreasing arcs until the object is found

A

rooting reflex

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7
Q

rooting reflex should disapear by age _

A

2-3 mos

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8
Q

what type of fx is this

A

torus/buckle

occurs after minor fall on the hand

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9
Q

tx for torus/buckle fx

A

self resolve in 3-4 weeks
ace wrap vs anterior splinting

stable/less painful fx

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10
Q

what causes more force directed laterally during knee flexion and leads to retropatellar pain

A

increased q angle

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11
Q

HPI clue for slipped capital femoral epiphysis

A

overweight

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12
Q

fracture in the cortex of one side of the bone shaft w.o a break in the opposite cortex

A

greenstick fx

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13
Q

3-6 mo old w. poor appetite/feeding, sluggishness, constipation, enlarged abdomen, umbilical hernia, and enlarged tongue

A

congenital hypothyroidism

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14
Q

common presentation of phenylketonuria (4)

A

intellectual disability
cognitive/behavioral abnl
motor deficitis
convulsions

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15
Q

first step in managment of duodenal atresia

A

NG tube

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16
Q

dx and hallmark findings for hirschprung dz

A

rectal bx

absence of ganglion cells in both submucosal and muscular layers if involved bowel

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17
Q

duchenne’s muscular dystrophy mc affects what pt pop

A

toddler-aged males

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18
Q

-physiologically split S2
-grade III/IV high pitched, harsh, pansystolic murmur heard best at the 3rd/4th ICS
-radiation across the precordium

A

VSD

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19
Q

“palpable right ventricular lift” makes you think of

A

TOF

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20
Q

hep B vaccination schedule

A

3 doses:

birth
1-2 mos
6-18 mos

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21
Q

by what age should the posterior fontanel be closed

A

birth
2 mos at the latest

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22
Q

autosomal recessive d.o due to an extra x chromosome

A

klinefelter’s

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23
Q

typical presentation of klinefelters (5)

A

presents at puberty
incomplete masculinization
decreased body hair
gynecomastia
small phalus/testicles

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24
Q

short stature, web neck, pectus excavatum

A

noonan’s syndrome

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25
Q

short stature, webbed neck, phenotypical female

A

turner’s syndrome

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26
Q

tx of choice for duodenal atresia

A

duodenoduodenostomy

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27
Q

complication of tapeworm infxn

A

neurocysticercosis

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28
Q

abnl development of meningeal vasculature

A

struge-weber syndrome

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29
Q

deposition of unconjugated bilirubin in the brain

A

kernicterus

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30
Q

tx for homocystinuria

A

high dose B6

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31
Q

first line prophylactic tx for recurrent rheumatic fever

A

benzathine pen G q 4 weeks

erythromycin if penicillin allergy

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32
Q

2 rf for recurrent rheumatic fever

A

children
carditis during initial episode

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33
Q

6 indications for hospitalization w. bronchiolitis

A

hypoxia on room air
moderate tachypnea w. feeding difficulty
marked respiratory distress w. retractions
< 2-3 mos old
hx of apnea
underlying cardiopulmonary dz

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34
Q

indication for pediatric pt to receive the 23-valent polysaccharide vaccine (pneumovax)

A

children > 23 mos at increased risk for pneumococcal dz

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35
Q

indication for racemic epi + steroids in laryngotrachobonrchitis (viral croup)

A

stridor at rest

36
Q

t/f: use of a pacifier during sleeping is a current recommendation to decrease risk of SIDS

A

t!

37
Q

3 normal findings in a newborn that might sound scary but are just a result from mom’s hormones being transferred to the ftus in utero and via breastmilk

A

non purulent vaginal d.c
vaginal spotting
mammary enlargement

38
Q

most predominant pathogen in pt’s w. cystic fibrosis

A

pseudomonas

39
Q

common presentation of bacterial tracheitis

A

apparent improvement vs failed tx following recent viral URI (mc croup), followed by:
high fever
respiratory distress

40
Q

dx for bacterial tracheitis

A

lateral neck xray:
subglottic and tracheal narrowing

41
Q

mcc of gasteroenteritis in kiddos

A

rotavirus

42
Q

IVF of choice for severely dehydrated kid unable to tolerate oral rehydration (2)

A

20 mg/kg normal saline
OR
LR

43
Q

dx and findings for pyloric stenosis

A

upper GI contrast radiographs

narrowed distal stomach w. double tract of barium

44
Q

common presentation of transient tachypnea of the newborn (TTN)

A

increased WOB and progressive tachypnea w.in 2 hr of delivery

45
Q

pathophys of TTN

A

delayed resorption and clearance of alveolar fluid -> pulmonary edema

46
Q

what is this showing

A

bilateral perhilar streaking
hyperinflation of lungs
pulmonary edema

TTN

47
Q

tx for TTN

A

beingn
self resolves by day 2 of life
supportive tx

48
Q

initial sx of iron poisoning (2)

A

vomiting
bloody diarrhea

49
Q

presentation of osteogenesis imperfecta (3)

A

blue sclerae
recurrent fx
persenile deafness

50
Q

radiolucent nidus surrounded by osteosclerosis

A

osteoid osteoma

51
Q

first line tx for lyme dz in kido < 8 yo

A

amoxicillin
vs
cefuroxime

52
Q

how do you calculate cobb angle

A

AP and lateral xray films of the entire length of the spine

53
Q

6 yo f w lbp that ardiates to the abdomen and difficulty walking x 1 week - low grade fever x severeal days - restricted forward flexion and extension 2/2 to pain - area of cellulitis from an insect bite on left scapula

A

discitis

54
Q

6 rf for developmental hip dysplasia

A

(+) fam hx
ligamentous laxity
breech presentation
female
large fetal size
first born

55
Q

indications for tympanocentesis for AOM (5)

A

-failed 2 courses of appropriate abx (ex amoxicillin and augmentin)
-bilateral chronic OM w. effusion for 3 mo or longer AND documented hearing loss
-3 mo or longer plus reduced quality of life
-3 episodes x 6 mos OR 4 episodes in 12 mos with effusion
-at risk - permanent hearing loss, speech/language delay, developmental d.o

56
Q

how do you evaluate for hearing loss in children < 3 yo

A

auditory evoked potentials

57
Q

what is this showing

A

epiglottitis

58
Q

presentation of niemann-pick dz (3)

A

loss of motor milestones
hyporeflexia
cherry red spot on macula
hepatosplenomegaly

59
Q

niemann pick dz is caused by a deficiency in

A

sphingomyelinase

60
Q

3 ways to differentiate niemann-pick dz from tay sachs dz

A

niemann pick dz presents with:
hepatosplenomegaly
hyporeflexia/areflexia
foamy appearance to affected cells

61
Q

how does tay sachs affect reflexes

A

hyperreflexia

62
Q

UA findings of IgA nephropathy

A

cola colored urine
2+ protein
2+ Hgb
negative for WBC/casts/bacteria

63
Q

presentation of reye syndrome (5)

A

post viral infxn
lethargic/drowsy
vomiting
(+) babinski/hyperreflexia
hepatomegaly

64
Q

leading cause of injury related death in children btw 1 and 19 yo

A

firearms

65
Q

who is most likely to sexually abuse a child

A

family member

66
Q

tx for tinea capitis

A

oral girseofulvin x 4-8 weeks

67
Q

tx for extensive bullous impetigo

A

oral dicloxacillin

68
Q

typical presentation of rubeola (measles) (4)

A

3 c’s: cough, conjunctivitis, coryza
thick copis rhinorrhea
fever
white papules on buccal mucosa

69
Q

bright red-purple deep vascular nodule/plaque that often develops at birth and may enlarge

A

hemangioma

70
Q

recommended age range for initial MMR vaccination

A

12-15 mos

71
Q

erythematous, scaling crusty lesions on vertex of scalp

A

seborrheic dermatitis (cradle cap)

72
Q

management of seborrheic dermatitis (3)

A
  1. olive oil compress
  2. baby shampoo
  3. mild hydrocortisone cream
73
Q

3 indications for admit w. black widow spider bite

A

children
pregnant
preexisting CVD

74
Q

8 yo w. 2 day hx of spreading non pruritic maculopapular rash on an erythematous base on trunk w. accentuation in skin folds -cervical LAD - preceded by fever, sore throat, rhinorrhea

A

scarlatina rash

75
Q

scarlatina rash is caused by

A

GAS

76
Q

what 2 prophylactic tx are recommended for a 13 mo old w. SSA

A

folic acid
pen v

77
Q

genetic marker for klinefelter

A

47 XXY

78
Q

tx for osteomyelitis causd by staph or salmonella

A

cefoxatime

79
Q

what does this child have

A

fragile X syndrome:
protruding ears
male
long face
large jaw
macrocephaly
frontal bossing

80
Q

following puberty, kids w. fragile X syndrome often develop (8)

A

macroochordism
strabismus
connective tissue dysplasia
MVP
hyperextensible joints
ADD
hand flapping/hand biting
averting gase
mild-severe mental retardation

81
Q

fragile x syndrome is caused by

A

CGG trinucleotide expantion w.in FMR1 gene on X chromosome

82
Q

growth chart findings of constitutional growth delay (3)

A

normal birth weight/height
deop in %iles btw 6 mos and 3 yo
reestablishment of normal rowth

83
Q

which growth chart corresponds w. constitutional growth delay

A

B

84
Q

t/f: kids w. constitutional growth delay have normal adult height

A

t!

85
Q

what scabicide has been associated w. neurotoxicity in infants and young kids

A

lindane (kwell)

EOR - Pediatrics (15 decks)

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