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shelf PEDS > VIII > Flashcards

VIII Flashcards

1
Q

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

A

orchitis during adolescence

he has mumps

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2
Q

how long does chlamydial conjunctivitis take

A 
5-14 days
bilateral chemosis (thickening), eyelid swelling and watery discharge
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3
Q

first line for chlamydial conjunctivitis

A

oral erythromycin

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4
Q

how to prevent chlamydial conjunctivitis in neonate

A

maternal testing and treatment during pregnancy

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5
Q

what is disrupted in staph SSS

A

desmoglein 1

keratocyte adhesion in superficial epidermis

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6
Q

scarlet fever pathogen

A

group A beta hemoytic strep

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7
Q

pink stains or brick dust in diaper of neonate

A

uric acid crystals

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8
Q

when is birthweight regained by

A

10-14 days

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9
Q

what antibiotic is given empirically for septic arthritis

A

vanco

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10
Q

best Tx to prevent long term disability from septic arthritis

A

surgical drainage

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11
Q

clinical presentation of congenital rubella

A

hearing loss
intellectual disability
cardiac anoalies
cataracts and glaucoma

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12
Q

rubella (german measles) in chldren

A

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

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13
Q

Dx of rubella

A

PCR

acute and convalescent serology for anti-rubella IgM and IgG

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14
Q

common pathogens for osteomyelitis in children

A

group B strep
E coli
strep pyogenes

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15
Q

if exposed to chicken pox and un vaccinated, now what

A

give vaccine if within 3-5 days exposure

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16
Q

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

A

fontanelles still open so that is relieving pressure

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17
Q

what to give to child with lymes

A

amoxicillin

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18
Q

what vitamin helps with morbiditiy and mortality in measles

A

Vit A

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19
Q

most common pathogens of neonatal sesis

A

GBS

e coli

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20
Q

Tx for strep

A

penicillin and amoxicillin

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21
Q

bedwetting is normal until what age

A

5

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22
Q

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

A

retropharyngeal abscess

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23
Q

most common pathogens retropharyngeal abscesses

A

polymicrobial
strep pyogenes
staph aureus
anaerobes

24
Q

neonate with ulcerative leasions on feet

A

congenital syphilis

25
Q

late congenital manifestations of congenital syphlis

A

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

26
Q

Tx syphilis

A

parenteral penicillin G

27
Q

congenital rubella

A

blueberry muffin baby

28
Q

congenital CMV

A

hearing loss, HSM, microcephaly, chorioretinitis, periventricular calcifications

29
Q

rubella rash

A

head to toe in less than 3 days! fast

30
Q

measles

A 
more severe than rubella
high fevers
coryza
malaise
rash is slower and darker
31
Q

triad of HUS

A

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

32
Q

3 facial dysmorphisms in fetal alcohol syndrome

A

small palpebral fissures
smooth philtrum
thin vermillion border

33
Q

key features fragile X

A 
long narrow face
prominent forehead and chin
lare ears
macrocephaly
macroorchidism
34
Q

common site neuroblastoma

A

abdomen

35
Q

neuroblastoma from what cells

A

neural crest

36
Q

lab keys for neuroblastoma

A

increased serum and urine catecholamines and HVA and VMA

37
Q

long term sequelae of meningitis

A 
hearing loss
loss of cognitive functions
seziures
mental retardation
spasticity or paresis
38
Q

Tx absence seizures or petit mal

A

ethosuximide or valproic acid

39
Q

biggest risk factor for cerebral palsy

A

prematurity

40
Q

common complication in premature neonate

A

intraventricular hemorrhage

41
Q

choroid plexus cyst Tx

A

nothing

regress spontaneously

42
Q

medulloblastomas compress what other structure

A

cerebellar vermis

43
Q

key differences of homocystinuria and marfan

A

homocystinuria has thrombosis and intellectual disability

marfan syndrome has dilated aortic roots

44
Q

Dx homocystinuria

A

elevated homocystein and methionine

45
Q

Tx homocystinuria

A

vit B6
folate
B12

46
Q

Tay Sachs

A

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

47
Q

PKU signs

A

ID, fair complexion, eczema, musty body odor

48
Q

krabbe disease

A

disorder of deficient galactocerebrosidase

ID, blindness, deafness, paralysis, neuropathy, seizures

49
Q

fabry disease

A

a galactosidase deficiency

angiokeratomas, peripheral neuropathy and asymptomatic corneal dystrophy

50
Q

Dx for absent seizures

A

EEG

51
Q

best lab test to do if suspect guillain barre

A

spirometry function to obtain serial measurements of FVC

52
Q

deficiency in Niemann Oick

A

sphingomyelinase

53
Q

differentiate niemann pick and tay sachs

A 
both have cherry red macula
both auto recessive
hypotonia, loss of motor milestones
NP has A reflexia
TS has HYPERreflexia
54
Q

Hurler syndrome

A

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

55
Q

Dx PKU

A

quantitative aa analysis

shelf PEDS (13 decks)

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