Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

1- Peds clerkship > Uworld Wrongs > Flashcards

Uworld Wrongs Flashcards

1
Q

laryngomalacia

A

gets worse in supin eposition
inspiratory stridor
reassurae parents that it will go away in 2 years
diagnosis via flexible fibrooptic laryngoscopy (omega shaped epiglottis )

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

how to dignose laryngomalacia

A

flexible fiberoptic laryngoscopy

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

what makes laryngomalacia worse

A

supine position –gets worse around 2 to 4 months

URI

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

how does coanal atresia presents

most common presentation and least common presenttion

A

baby turn blue when feeding due to occlusion of the canal and turns pink when crying
most common occurs unilateally causing nasal discharge
bilaterally causes cyanosis and noisy breathing
can be associated with CHARGEsyndrome ( coloboma, heart defects, atresia, growth retardation and genital and ear abnormalities

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

how is chonal atresia diagnosed

A

inability to ;pass nasal catheter ;past nasopharynx and confirmation via CT scan or nasal endoscopy

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

management of epiglottitis

A

endotracheal intubation and antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

inspiratory stridor,horsness and rhinorheea

A

epiglotitis

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

two cauative agents in otitis externa

A

pseudomans and staph aureus

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

wha tincreases risk of otitis externa

A

swimming -excessive cleaning -removal or ceroman - loss of barriers as in eczema psoriasis and trauma

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

white mass posterior to the tympanic memebrane

A

choleasteotoma presents with hearing loss due to sq epti abnormal growth

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

bark caough- fever and horseness

A

croup

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

dysphagia,drooling and respiratory distress

A

epiglotitis

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

risk factors for cholesteatoma

A

recurrent otitis media, chronic middle ear effusion and tympanostomy tube placement

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

laryngomalacia makes what kind of noise (expiratory or inspirtaory or is it sstridor or wheezing

A

inspiratory stridor

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

does otosclerosis present with drainage

A

no !

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

complication of acute otitis media

A

mastoditis and conductive hearing loss and meningitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Steatorgea is more common in what kind of endocrine problem

A

Pancreatic insufficiency morning diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Other signs of creatinism

A

Jaundice, loud hars breathing, difficulty breathing, refractory macrocytic anemia and hypothermia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Symptomsn8n warning Hoffman syndrom

A

Floppy baby syndrome, anterior horn and cranial nerve degeneration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When does gonococal conjunctivitis present compared to chlamydia ?how do you treat it ?

A

Chlamydia presents around 4-15days of life, mild for mucopurulent discharge and must be treated with ORAL MACROLIDE, Complifations of macrolide include pyloric stenosis

Gonorrhea presents with virulent discharge and extreme swelling, treatment includes IM 3rd gene cephalosporin, prophylaxis include oral macrolide

Azitromycin has less rates of pyloric stenosis

21
Q

How does dacrostenosis present ? How to treat

A

Unilateral watery discharge from eyes, treat with massaging nasiolabial duct

22
Q

Premature adrenarche

A

Normal bone age, precaosiuos puberty and increased pubic hair and acne but no breast development

23
Q

0rematuren theoarche

A

Precocious puberty, breast development normal bone age

24
Q

Risk factors for vitamin d deficiency

A

Colored skin
Exclusive best milk feeding
No sunkightnexposure
No vit d suplementation

Bowing happens after the kid starts walking since increased weight on the legs causes the bowing

25
Q

Symptoms of vit d defici

A

Increased gaps between bones
Delayed fontanelle closure
Bowing only if the kid bears weight on the legs (notnseen in a 6 months old or less)

26
Q

Differentiate between viral bacterial and allergic eye discharge

A

Viral lasts 5 days after fever and cough symptoms and its continuous watery
Bacterial is mucous and virulent discharge
Allergic is intermittent watery discharge

27
Q

Clavicle fracture in infants effect what reflex

A

Moro reflex would be abnormal

28
Q

Maternal hyperglycemia and gestational hyperglycemia effects on infants

A

Maternal hyperglycemia during first trimester causes cardiac malformations since fetal insulin is not produced during first trimester
Gestational diabetes does not effect organogenisis since it happens after first trimester organogensis is complete

29
Q

Glucocerebroeidase deficiency symptoms

A

No lactic acidosis , or hypoglycemia but there is bone pain, organomegalyn
Glucocerebrosidase accumulates in bone marrow

30
Q

Describe strabismus and treatment

A

Strabismus is ocular misalignment
Treat with either penalization therapy to make normal blurry so the affected eye can correct itself over time or use an eye patch on the normal eye or use prescription glasses or surgery

31
Q

Complication of strabismus

A

Diplopia or amblyopia

32
Q

Cafe aulait spots, litsch nodules

A

Nf1
Gene 17
Optic gliomas, aulait spots and lisch nodules

33
Q

Does gaucher disease cause delayed puberty

A

Yes a!! Along with bone pain, thrombocytopenia organomegaly

34
Q

breath holding spells

A

cyanotic BHSis folowed by crying forced expiration apnea limpness andloss of consciousness

35
Q

how to dignose and treat idiopathic intracraninial hypertentiion

A

dignosis =neuroimaging and lmbar puncture

treatment =weight loss and acetazolamide

36
Q

when do you give equin ederived immunogobulins comp;ared to human drived immunoglobulins

A

human drived for inesting spores

equine derived for ingesting toxin

37
Q

somplications of bacterial meningitis

A

inetlectual disability
hearin gloss
cerebral palsy
epilepsy

38
Q

list three signs seen after or duringa seizure

A

tongue iting
urinary incionctinence
perioral cyanosis
(slipiness happens after generalised seixure and is not seen with vasovagalsyncope 0

39
Q

premature patietns presenting with hypotonia lethargy apnea and seixeure

A

interventricular hemmorhage

40
Q

lead toxicity causes irritability and hyperactivity fatigue and abdominal pain but doesnt cause ataxia

A

f

41
Q

differentiate between tay sachs and neiman pecks

A

neiman pecks have hepatoslenomgaly and tay sachs has hyperrefelxia

42
Q

list feaures of neurofibromatosis 1

A 
scoliosis 
cafeaulait spos
pseudoarthorsis 
optic glioma 
lish nodules 
axillary freckling 
inguinalfreakling 
scoliosis
43
Q

cephaloematoma

A

does not cross sutures lines

44
Q

how do youmaange GBS (buillian barr

A

give plasmapapharesis and immunoglobulins

45
Q

GBS (guillan abrr) happen following what kind of infection

A

respiratory and agstrointestinal

46
Q

describe features of rett syndrome

A

respiratoy dysfunction
gait abnomaliies
repetitive hand movements
loss of social anf verbal skilla

47
Q

describes features of mastoiditis and how to check and the complications and treatment

A

features - tnder mastoid, followed by acute otitis media, ear more pronounced
complications include - spread of brain abcess, meningitis \ extrACRANIAL INCLUDE hearing loss, palsy and labyrinth
treatment - antibiotics
check via- CT with contrast and MRI
most common cause is strep pneumo

48
Q

lenox gestaout syndrome

A

eeg shows spike and wave patterns

presents beore the age of 5 with varying seizures types and intelectual disability

49
Q

what drugs can increase intracranial pressure

A

tricycline, isotriretnoin and growth hormones

1- Peds clerkship (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions