VIII

Question 1

fever malaise and enlargement parotid glands
no vaccines
what is he at risk for

Answer 1

orchitis during adolescence

he has mumps

Question 2

how long does chlamydial conjunctivitis take

Answer 2

5-14 days
bilateral chemosis (thickening), eyelid swelling and watery discharge

Question 3

first line for chlamydial conjunctivitis

Answer 3

oral erythromycin

Question 4

how to prevent chlamydial conjunctivitis in neonate

Answer 4

maternal testing and treatment during pregnancy

Question 5

what is disrupted in staph SSS

Answer 5

desmoglein 1

keratocyte adhesion in superficial epidermis

Question 6

scarlet fever pathogen

Answer 6

group A beta hemoytic strep

Question 7

pink stains or brick dust in diaper of neonate

Answer 7

uric acid crystals

Question 8

when is birthweight regained by

Answer 8

10-14 days

Question 9

what antibiotic is given empirically for septic arthritis

Answer 9

vanco

Question 10

best Tx to prevent long term disability from septic arthritis

Answer 10

surgical drainage

Question 11

clinical presentation of congenital rubella

Answer 11

hearing loss
intellectual disability
cardiac anoalies
cataracts and glaucoma

Question 12

rubella (german measles) in chldren

Answer 12

low grade fever
conjunctivitis, coryza, cervical lymphadenopathy, forschheimer spots
cephalocaudal spread of blanching erythematous maculopapular rash

Question 13

Dx of rubella

Answer 13

PCR

acute and convalescent serology for anti-rubella IgM and IgG

Question 14

common pathogens for osteomyelitis in children

Answer 14

group B strep
E coli
strep pyogenes

Question 15

if exposed to chicken pox and un vaccinated, now what

Answer 15

give vaccine if within 3-5 days exposure

Question 16

why is a head CT not needed for LP in young infants

Answer 16

fontanelles still open so that is relieving pressure

Question 17

what to give to child with lymes

Answer 17

amoxicillin

Question 18

what vitamin helps with morbiditiy and mortality in measles

Answer 18

Vit A

Question 19

most common pathogens of neonatal sesis

Answer 19

GBS

e coli

Question 20

Tx for strep

Answer 20

penicillin and amoxicillin

Question 21

bedwetting is normal until what age

Answer 21

5

Question 22

fever, dysphagia, drooling, neck stiffness, muffled voice and trismus

Answer 22

retropharyngeal abscess

Question 23

most common pathogens retropharyngeal abscesses

Answer 23

polymicrobial
strep pyogenes
staph aureus
anaerobes

Question 24

neonate with ulcerative leasions on feet

Answer 24

congenital syphilis

Question 25

late congenital manifestations of congenital syphlis

Answer 25

frontal bossing, high arched palate, hutchinson teeth, interstitial keratitis, saddle nose, perioral fissures

Question 26

Tx syphilis

Answer 26

parenteral penicillin G

Question 27

congenital rubella

Answer 27

blueberry muffin baby

Question 28

congenital CMV

Answer 28

hearing loss, HSM, microcephaly, chorioretinitis, periventricular calcifications

Question 29

rubella rash

Answer 29

head to toe in less than 3 days! fast

Question 30

measles

Answer 30

``` more severe than rubella high fevers coryza malaise rash is slower and darker ```

Question 31

triad of HUS

Answer 31

anemia, thrombocytopenia and renal failure in the setting of abdominal pain with bloody diarrhea

Question 32

3 facial dysmorphisms in fetal alcohol syndrome

Answer 32

small palpebral fissures smooth philtrum thin vermillion border

Question 33

key features fragile X

Answer 33

``` long narrow face prominent forehead and chin lare ears macrocephaly macroorchidism ```

Question 34

common site neuroblastoma

Answer 34

abdomen

Question 35

neuroblastoma from what cells

Answer 35

neural crest

Question 36

lab keys for neuroblastoma

Answer 36

increased serum and urine catecholamines and HVA and VMA

Question 37

long term sequelae of meningitis

Answer 37

``` hearing loss loss of cognitive functions seziures mental retardation spasticity or paresis ```

Question 38

Tx absence seizures or petit mal

Answer 38

ethosuximide or valproic acid

Question 39

biggest risk factor for cerebral palsy

Answer 39

prematurity

Question 40

common complication in premature neonate

Answer 40

intraventricular hemorrhage

Question 41

choroid plexus cyst Tx

Answer 41

nothing | regress spontaneously

Question 42

medulloblastomas compress what other structure

Answer 42

cerebellar vermis

Question 43

key differences of homocystinuria and marfan

Answer 43

homocystinuria has thrombosis and intellectual disability | marfan syndrome has dilated aortic roots

Question 44

Dx homocystinuria

Answer 44

elevated homocystein and methionine

Question 45

Tx homocystinuria

Answer 45

vit B6 folate B12

Question 46

Tay Sachs

Answer 46

auto recessive deficient beta hexosaminidase A have ID, weakness, seizures and cherry red macula

Question 47

PKU signs

Answer 47

ID, fair complexion, eczema, musty body odor

Question 48

krabbe disease

Answer 48

disorder of deficient galactocerebrosidase | ID, blindness, deafness, paralysis, neuropathy, seizures

Question 49

fabry disease

Answer 49

a galactosidase deficiency | angiokeratomas, peripheral neuropathy and asymptomatic corneal dystrophy

Question 50

Dx for absent seizures

Answer 50

EEG

Question 51

best lab test to do if suspect guillain barre

Answer 51

spirometry function to obtain serial measurements of FVC

Question 52

deficiency in Niemann Oick

Answer 52

sphingomyelinase

Question 53

differentiate niemann pick and tay sachs

Answer 53

``` both have cherry red macula both auto recessive hypotonia, loss of motor milestones NP has A reflexia TS has HYPERreflexia ```

Question 54

Hurler syndrome

Answer 54

lysosomal storage disorder from lysosomal hydrolase deficiency coarse facial features, inguinal or umbilical hernias, corneal clouding, HSM

Question 55

Dx PKU

Answer 55

quantitative aa analysis