UWORLD - PEDIATRICS (Mixed) Flashcards

1
Q

Most common predisposing factor to bacterial sinusitis?

A

VIral URI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pt with varus of calcanus and talus and adduction of the foot - suspected diagnosis? Management?

A

Clubfoot

Serial casting immediately

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pt presents with thrombocytopenia, rash, and multiple infections - suspected diagnosis?

A

Wiskott-Aldrich

WIPE
Wiskott-Aldrich
Infections
Purpura (thrombocytopenia)
Ezcema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Von Geirkes vs Debranching emzyme deficiency?

A

Normal LFTs but elevated lactate and uric acid

Elevated LFTs, but normal lactate and uric acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Floppy baby with macroglossia and heart failure - suspected diagnosis? deficiency in?

A

Pompe’s disease

Acid maltase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cause of infant respiratory distress syndrome? Risk factors?

A

Surfactant deficiency

#Prematurity
#Maternal disbetes mellitus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pt with light brown skin spots, and precocious puberty?

A

McCune-Albright

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Birth defect of nail/digit hypoplasia - causal drug?

A

Phenytoin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Birth defect of thin upper lip - causal drug?

A

alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Acidified glycerl lysis test used to diagnose?

A

Spherocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CD55 and CD56 protein testing on RBCs used to diagnose?

A

Paroxysmal nocturnal hemoglobinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Only immunocompromised pts get this immunoglobulin upon exposure?

A

VZV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Treatment for tricyclic intoxication? (Why?)

A

Sodium Bicarb

Corrects acidosis and narrows QRS prolongation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Neonate presents with bilious vomiting and bloodstained stools - suspected diagnosis? best initial test? Most accurate?

A

midgut volvulus

Xray (to r/o pneumoperitoneum)

Upper GI series

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Neonate presents with non-bilious vomiting - suspected diagnosis?

Bilious vomiting?

A

pyloric stenosis

volvulus (intussception not found as neonate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Most common predisposing factor for orbital cellulitis?

A

bacterial sinusitis

17
Q

Child presents joint pain soon after viral illness - suspected diagnosis? Management?

A

Transient synovitis

Ibuprofen and rest (NOT joint tap)

18
Q

Primary deficiency if:

  1. Absent B-cells and low Immunoglobulins?
  2. Normal B-cells and decreased immunoglobulins
  3. Normal B-cells but low IgA
  4. Normal B-cells, low immunoglobulins expect for IgM?
  5. Normal B-cells and decreased IgG
A
  1. Agammaglobulinemia
  2. Common Variable immunodeficiency
  3. IgA deficiency
  4. Hyper-IgM
  5. IgG Subclass deficiency
19
Q

Triad of congential toxoplasmosis?

A
#chorioretinitis
#hydrocephalus
#intracranial cacifications
20
Q

Congenital Rubella triad?

A

Deafness, cateracts, and cardiac cardiac defects

21
Q

hepatospenomegaly, skin ulcerations, rhunorrhea

A

Congenital syphilis

22
Q

Sand-paper like rash - suspected diagnosis? Other ORAL findings?

A

Scarlet fever

#Strawberry tongue
#Gray exudates
23
Q

Hyperventilation can induce what type of seizure?

Sleep deprivation?

A

Absence

Juvenile myoclonic

24
Q

Treatment for RSV?

A
Palivizumab IF
#Preterm birth
#Lung disease of prematurity
#congenital heart disease
25
Treatment for Bullous vs non-bullous imetigo?
Oral Abx (cephalexin, dicloxacillin) vs topical (mupirocin)
26
Unilateral cervial adenitis - in otherwise healthy child treatment? if preschool-aged, nontender, and slower onset?
Clindamycin (Staph, strep) Macrolide (mycobacteria)
27
Mechanism of arthopathy in hemophilics?
iron/hemosidern deposition leading to synovitis and fibrosis
28
Microvesicular fatty liver vs macrovesicular fatty liver?
Reye syndrome (children) vs obesity/EtOH (adults)
29
Refeeding syndrome - surge in what hormone? Why deadly?
Insulin Promotes uptake of phosphorus, K, and Mg (as serum levels drop, pt can develop arrhythmias)
30
Pt with epistaxis, visable mass and bony erosion - suspected diagnosis?
Juvenile Angiofibroma