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UWORLD PEDS > UWORLD > Flashcards

UWORLD Flashcards

1
Q

Clubfoot Managment

A
  • Stretching and manipulations

- Can lead to abnormal gait and ulcerations

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2
Q

Management for foreign body swallowing

A
  • FLEXIBLE endoscopy

- symptomatic requires removal from body emergently, otherwise may be able to observe 24 hours

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3
Q

Presentation for Acute lymphoblastic leukemia

A
  • most common childhood cancer
  • nonspecific symptoms
  • bone pain, lymphadenompathy, hepatosplenomgaly
  • DX: bone marrow biopsy
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4
Q

Down Syndrome gives you an increase risk of….

A

ALL

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5
Q

Step-off of lumbrosacral area on low back

A

Spondylolisthesis

-urinary incontinence may be seen as well

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6
Q
  • gradual-onset hemoplegia
  • aphasia
  • neck pain
  • thunderclap headache
A

carotid injury

  • Fall with object in mouth
  • neck manipulation
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7
Q

Recurrent skin and soft tissue abscesses with catalase positive organisms

A

Chronic Granulomatous Disease

-pulmonary infections as well

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8
Q

What are the catalase positive organisms?

A
  • Staph aureus
  • serratia
  • Burkholderia
  • Aspergillus
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9
Q

Severe periodontitis

A

LAD

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10
Q

Wiskott-Aldrich Syndrome

A

-eczema, recurrent infections, and thrombocytopenia

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11
Q

McCune-Albright Syndrome

A

Precocious puberty, cafe au lait spots and multiple bone deformities(polyostotic fibrous dysplasia)

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12
Q

central lytic lesion, onion skinning, and a moth eaten appearance

A

ewings sarcoma

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13
Q
  • Tense and bulging fontonelle
  • Bulging scalp veins
  • poor feeding and fussiness
A

-hydrocephalus

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14
Q

Most common cause of vaginal bleeding and discharge in the neonatal period. “white, thin discharge with some blood streak”

A

Maternal withdrawal of estrogen

No treatment needed

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15
Q

“Grape-like nodule protruding from the vagina”

A

Rhabdomyosarcoma

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16
Q
  • Failure to thrive
  • Hypogammaglobulinemia
  • Markedly low T cell counts
  • Recurrent infections
A

Severe combined immunodeficiency (SCID)

—Burton’s have normal T cells

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17
Q

What is cradle cap?

A

Seborrheic dermatitis

-adherent greasy scales with mildly erythemtous base seen on scalp

18
Q

What is the most common pathogen in young children with CF?

A

Staphylococcus aureus, especially if they have influenza
Cefepime
Vancomycin if recurrent infection(methicillin resistance)

19
Q

Anti-tissue transglutaminase antibody assay IgA

A

Celiac disease

  • DERMATITIS HERPETIFORMIS
  • Iron def. Anemia
20
Q

Nuclei acid amplification test

A

Chlamydia trachomatis

Neisseria gonorrhoeae

21
Q

Asymmetrical inguinal skin folds

A 
Dysplasia of the hip 
- Galeazzi test (leg-length discrepancy ) 
- Barlow 
risk factors: breech, tight swaddling 
Treatment: pavlik harness
22
Q

Blue-grey macula on patients sacrum

A

Mongolian spot; benign skin lesion

23
Q

1 month refusal to talk in situation in which she is expected

A

Selective mutism

24
Q

Stranger anxiety

A

Begins in children 6-9 months, subsides by age 3

25
Q

Treatment for OCD in children ?

A

CBT
High dose SSRI: flouxetine
Clomoprhamine for treatment nonresponse
Deep brain stimulation for refractory (nucleus accumbens)

26
Q

What are people that have absence seizures usually diagnosed with?

A

ADHD ; inattentive subtype

27
Q

Upper Extremity HTN
Lower extremity hypotension and hypoxia
Diminished femoral pulses

A

Coarctation of the aorta: thickening of the tunica media

Heart failure with tachypnea, poor feeding, fussiness and lethargy

28
Q

Cystic Fibrosis!!!

A

infertility (congenital bilateral absences of vas deferens)
Pancreas (exocrine pancreatic insufficiency)
Binary cirrhosis
Obstruction

29
Q

Medulloblastoma

A
  • second most common posterior fossa tumor
  • MOST in cerebellar vermis; gait, coordination
  • b/c so close to meduloblastoma, obstructive hydrocephalus
  • treated aggressively
30
Q

Parinaud Syndrome

A
  • eyelid retraction occurs
  • pretectal region of midbrain
  • Limitation of upward gaze with a downward gaze preferences, light-near dissociation
  • Associated with pineal tumors
31
Q

More than 25% lymphoblastic is diagnostic for what?

A

ALL; most common in children
PAS staining positive
TDT

32
Q

Erythematous macule, paperless & pustules throughout the body , asymptomatic.
-changing in appearance

A

Erythema toxicum

33
Q

Steeple sign

A

Croup

34
Q

Small palpebral fissures
Smooth phitrum (vertical groove on upper lip)
Thin vermillion border
(Microcephalic often present)
Delays in motor and language milestones, social withdrawal

A

Fetal Alcohol Syndrome

35
Q

Triad for congenital rubella sydrome

A

Patent ductus arteriosus
Sensorineural hearing loss
Leukorcia (white pupillary reflex) from cataracts
—infant IgM confirms

36
Q

Large priorities lesion son the flanks

Vasomotor collapse

A

Waterhouse -Friderichsen syndrome

-adrenal hemorrhage

37
Q

Apgar scores

A

Less than 7 requires further evaluation and resuscitation

38
Q

Contraindications to pertussis vaccine

A
  • progressive neurological disorder

- Encephalopathy within a week of previous vaccine dose

39
Q

Treatment for Osteoid osteoma

A

NSAID; especially with night pain not related to physical activity
X-rays every 4-5 weeks to monitor lesion

40
Q

Treatment of infantile botulism

A

Human-derived botulism immune globulin

Soil & Honey!

UWORLD PEDS (1 decks)

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