UWORLD - PEDIATRICS (Mixed) Flashcards
Most common predisposing factor to bacterial sinusitis?
VIral URI
Pt with varus of calcanus and talus and adduction of the foot - suspected diagnosis? Management?
Clubfoot
Serial casting immediately
Pt presents with thrombocytopenia, rash, and multiple infections - suspected diagnosis?
Wiskott-Aldrich
WIPE Wiskott-Aldrich Infections Purpura (thrombocytopenia) Ezcema
Von Geirkes vs Debranching emzyme deficiency?
Normal LFTs but elevated lactate and uric acid
Elevated LFTs, but normal lactate and uric acid
Floppy baby with macroglossia and heart failure - suspected diagnosis? deficiency in?
Pompe’s disease
Acid maltase
Cause of infant respiratory distress syndrome? Risk factors?
Surfactant deficiency
#Prematurity #Maternal disbetes mellitus
Pt with light brown skin spots, and precocious puberty?
McCune-Albright
Birth defect of nail/digit hypoplasia - causal drug?
Phenytoin
Birth defect of thin upper lip - causal drug?
alcohol
Acidified glycerl lysis test used to diagnose?
Spherocytosis
CD55 and CD56 protein testing on RBCs used to diagnose?
Paroxysmal nocturnal hemoglobinuria
Only immunocompromised pts get this immunoglobulin upon exposure?
VZV
Treatment for tricyclic intoxication? (Why?)
Sodium Bicarb
Corrects acidosis and narrows QRS prolongation
Neonate presents with bilious vomiting and bloodstained stools - suspected diagnosis? best initial test? Most accurate?
midgut volvulus
Xray (to r/o pneumoperitoneum)
Upper GI series
Neonate presents with non-bilious vomiting - suspected diagnosis?
Bilious vomiting?
pyloric stenosis
volvulus (intussception not found as neonate)
Most common predisposing factor for orbital cellulitis?
bacterial sinusitis
Child presents joint pain soon after viral illness - suspected diagnosis? Management?
Transient synovitis
Ibuprofen and rest (NOT joint tap)
Primary deficiency if:
- Absent B-cells and low Immunoglobulins?
- Normal B-cells and decreased immunoglobulins
- Normal B-cells but low IgA
- Normal B-cells, low immunoglobulins expect for IgM?
- Normal B-cells and decreased IgG
- Agammaglobulinemia
- Common Variable immunodeficiency
- IgA deficiency
- Hyper-IgM
- IgG Subclass deficiency
Triad of congential toxoplasmosis?
#chorioretinitis #hydrocephalus #intracranial cacifications
Congenital Rubella triad?
Deafness, cateracts, and cardiac cardiac defects
hepatospenomegaly, skin ulcerations, rhunorrhea
Congenital syphilis
Sand-paper like rash - suspected diagnosis? Other ORAL findings?
Scarlet fever
#Strawberry tongue #Gray exudates
Hyperventilation can induce what type of seizure?
Sleep deprivation?
Absence
Juvenile myoclonic
Treatment for RSV?
Palivizumab IF #Preterm birth #Lung disease of prematurity #congenital heart disease
Treatment for Bullous vs non-bullous imetigo?
Oral Abx (cephalexin, dicloxacillin) vs topical (mupirocin)
Unilateral cervial adenitis - in otherwise healthy child treatment?
if preschool-aged, nontender, and slower onset?
Clindamycin (Staph, strep)
Macrolide (mycobacteria)
Mechanism of arthopathy in hemophilics?
iron/hemosidern deposition leading to synovitis and fibrosis
Microvesicular fatty liver vs macrovesicular fatty liver?
Reye syndrome (children) vs obesity/EtOH (adults)
Refeeding syndrome - surge in what hormone? Why deadly?
Insulin
Promotes uptake of phosphorus, K, and Mg (as serum levels drop, pt can develop arrhythmias)
Pt with epistaxis, visable mass and bony erosion - suspected diagnosis?
Juvenile Angiofibroma
