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Step 2 Ck > Step 2 ck - peds > Flashcards

Step 2 ck - peds Flashcards

1
Q

herpangina vs herpetic gingivostomatitis
bug?
loc?
tx?

A

herpangina
coxA, post, support

herpetic
HSV1, ant, acyclovir

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2
Q

CGD - what cant happen?

why?

A

phagocytes can’t produce hydrogen peroxide in their lysosomes
why - defect NADPH oxidase

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3
Q

WASP tx

A

stem cell transplant

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4
Q

most common presentation of meckle’s

A

painless hematochezia

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5
Q

RDW in Fe def anemia

A

increased

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6
Q

kid drinks a lot of cow milk. what kind of anemia?

A

fe deficiency

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7
Q

vit def with seborrheic dermatitis

A

B2 (riboflavin)

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8
Q

3 risk factors for necrotizing enterocolitis

A

prematurity
VLBW
formula feeds

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9
Q

tinea capitis tx

A

ORAL griseofulvin or terbinifine

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10
Q

problems from refeeding syndrome due to increase in which hormone

A

insulin

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11
Q

hemoglobin electrophoresis for thalasemias minors?

alpha? beta?

A

alpha minor - normal

beta minor - incr HgA2

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12
Q

timing of rash in rubella vs measles

A

rubella - within 24 hours

measles - multiple days

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13
Q

fluid filled fissures

A

transient tachypnea of newborn

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14
Q

age for rotavirus shot

A

2-8 months

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15
Q

function of pineal gland

A

melatonin production

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16
Q

common location of neuroblstomas

A

adrenal gland

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17
Q

gonococcal conjunctivitis
ppx
tx

A

ppx - erythromicin ointment

tx - IM ceftriaxone or cefotaxime

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18
Q

chlamidial conjunctivitis

tx

A

oral erythromycn

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19
Q

which dz has ash leaf spots?

A

tuberous sclerosis

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20
Q 
NF1
eye-
skin-
bones-
nerve-
A

eye - optic glioma, lisch nodules
skin - cafe au lait, axillary/ing freckle
bones- scoliosis, psuedoarthrosis
nerve - neurofibromas

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21
Q

aplastic crisis vs splenic sequest?

A

aplastic - decr retic, norm pltlt

splenic sequest - incr retic, decr platelt

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22
Q

intissipated microcolon

A

CF

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23
Q

location involved in meconium ileus vs hirscprung

A

mec ileus - ileum

hirscprung - rectosigmoid

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24
Q

diseases associated with mec ileus and hirschprung

A

med ileus - CF

hirsch - downs

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25
Q

does nieman pick or tay sach have HSM? which has hyperreflexia?

A

HSM - niemann pick

tay sach - hyperreflexia

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26
Q

MCD moa

A

t cell mediated injury to podocytes

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27
Q

basement membrane findings for membranous glomerulonephritis

A

thick bm with subepith spikes

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28
Q

basement membrane finding for RPGN

A

cresents

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29
Q

normal person Hg electrophoresis:

HgA; HgS; HgF

A

HgA - 99
HgS - 0
HgF - 1

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30
Q

SCD Hg electrophoresis

HgA; HgS; HgF

A

HgA - 0
HgS - 85-95
HgF - 5-15

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31
Q

SCT Hg Electrophoresis

HgA; HgS; HgF

A

HgA - 50-60
HgS - 35-45
HgF - <2

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32
Q

kid <24 months with first febrile UTI gets what?

A

renal and bladder u/s

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33
Q

usually SCT only presents with these 3 symptoms

A
  1. papillary necrosis, hyposthenuria
  2. splenic infarct, priapism
  3. rhabdo
34
Q

4-10 yo painless limp –> thigh pain

A

legg-calve-perthes

35
Q

legg -calve-perthes tx

A

cast

36
Q

5yo, cold –> limp, hip effusion

A

transient synovitis

37
Q

transient synovitis tx

A

bed rest x1 week and NSAIDs

38
Q

acute onset, F>101, ESR > 40, WBC < 12000

A

septic arthritis

39
Q

labs for JRA

A

incr ferritin
incr Ig
thrombocytopenia
Anemia

40
Q

two most common kid bone cancer

A 
#1 osteosarcoma
#2 ewing
41
Q

xray of ewing

A

central lytic lesion, onion skinning (periosteal rxn), moth eaten

42
Q

recurrent skin and mucosal bacterial infections

i.e. - omphalitis, periodontitis

A

leukocyte adhesion deficiency

43
Q

catalase positive organisms

A

s. aureus
serratia
burkholderia cepacia
aspergillus

44
Q

turners fsh and lh

A

increased

45
Q

niemann pick deficiency

A

sphingomyelinase

46
Q

tay sach deficiency

A

b-hexoaminidase A

47
Q

microcephaly, micrognathia, overlapping fingers, rocker bottom feet

A

trisomy 18 - edwards

48
Q

heart finding in neonatal lupus

A

congenital heart block/bradycardia

49
Q

congeintal melanocytic nevus vs dermal melanocytosis

A

mel nevus - hairy

dermal - mongolian, blue grey

50
Q

CVID tx

A

IVIG

51
Q

CGD tx

A

interferon gamma

52
Q

mumps complications

A

parotitis
orchitis
aseptic meningitis

53
Q

rash of scarlet fever

A

sandpaper, on palms and soles

54
Q

diabetes insipidis + lytic bone lesions + rash

A

langerhans cell histiocytosis

55
Q

episodic crying, emesis, bloody stool

A

intussusception

56
Q

intussusception tx

A

air or saline enema

57
Q

painless rectal bleeding

A

meckles

58
Q

tx for idiopathic precoc puberty

A

GnRH agonist to prevent premature epiphyseal plate fusion

59
Q

4 contraindications to rotavirus vaccine

A
  1. anaphylx
  2. h/o intuss
  3. meckels
  4. SCID
60
Q

bacterial meningitis
glucose?
protein?

A

glucose - decr (<40)

protein - incr (>250)

61
Q

fungal/tb meningitis
glucose?
protein?

A

glucose - decr (<10)

protein - incr (>250)

62
Q

viral meningitis
glucose?
protein?

A

glucose - normal

protein - decr (<150)

63
Q

kallman fsh and lh

A

low

64
Q

beckwith-wiedemann syndrome;
presents?
complications?
surveliannce?

A

big baby, big tongue, omphalacele or umb hernia
also - hyperinsulin –> hypoglycemia
complications - wilms, hepatoblastoma
surveilance - AFP, abd/renal u/s

65
Q

1 cause pediatric stroke

A

SCD

66
Q

moa of indirect inguinal hernia

A

patent processus vaginalis

67
Q

jaundice on first day of life -
what to test?
if positive, what is it?
if negative, what is it?

A

coombs test
positive - abo incompatibilty
negative - twin twin reaction

68
Q

VACTERL

A 
verterbral 
anal
cardiac
TE fistula
renal 
limb
69
Q

CHARGE

A 
coloboma
heart
atresia, choanal
retarded growth
genital
ear
70
Q

blue when eating, pink when crying

A

choanal atresia

71
Q

TORCH infections:
periventricular calcifications?
intracranial calcifications?

A

perivent - CMV

intracranial - toxoplasmosis

72
Q

rocker bottom feet

A

edwards (trisomy 18)

73
Q

prader willi vs angelman – what is deleted?

A

prader willi - del paternal csome 15

angelman - del maternal csome 15

74
Q

baby drinking goat milk deficieny in what?

A

folate

75
Q

1 risk factor for stroke

A

htn

76
Q

1 risk factor for AAA

A

smoking

77
Q

when to start statins?

A

in all diabetics age40-75

78
Q

what cancer if exposed to asbestos?

A

bronchogeic carcinoma

79
Q

1 cause primary aderenal insufficiency in devloped vs developing?

A

developed - autoimmune

developing - TB

80
Q

whooping cough labs

A

lymphocytosis

81
Q

whooping cough tx

A

14 days erythromycin for patient, fam, and friends

82
Q

bronchiolitis bug

A

RSV

Step 2 Ck (3 decks)

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