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Peds Shelf Wrongs > Wrongs > Flashcards

Wrongs Flashcards

1
Q

treatment for gonococcal septic arthritis

A

IV ceftriaxone

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2
Q

next step in evaluating a kid who drank drain cleaner?

A

admit for esophageal endoscopy

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3
Q

treatment for GI salmonella infection?

A

reassurance

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4
Q

findings of chlamydia pna?

A

PNA, eye discharge, and peripheral epsinophila

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5
Q

treatment for chlamydia pna

A

oral erythromycin

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6
Q

common stroke in kid who has headache, syncope, one sided facial drooping and hemiparesis

A

occlusion of the middle cerebral artery

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7
Q

what should school do for kid with dyslexia?

A

make IEP

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8
Q

kid locked in hot care, has increased creating kinase (rhabdo). what other electrolyte imbalance is associated with rhabdo?

A

hyperkalemia

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9
Q

what test do you followup with after aninfants first febrile UTI?

A

renal US

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10
Q

abx treatment for cat scratch fever?

A

azithromycin

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11
Q

most common neurologic impairment associated with congenital CMV?

A

sensorineural hearing loss

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12
Q

chronic cough, unilateral pna unresponsive to treatment?

A

foreign body aspiration

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13
Q

prophylactic treatment after mammal bite to a vital area (hands, feet, face, genitals, tendon?

A

amoxicillin-clavulanate

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14
Q

treatment after mammal bite in non-vital area?

A

cleansing and observation

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15
Q

treatment after human bite?

A

amoxicillin-clavulanate

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16
Q

little girl with pinworms. treatment?

A

mebendazole

17
Q

kid who eats dirt and get sick?

A

visceral larva migricans

18
Q

whcih antibody can cross the placenta?

A

IgG (gestation)!!!!

19
Q

kid with short stature and no other problems? dx?

A

growth hormone deficiency; left wrist and hand radiograph

20
Q

treatment for infant with meconium staining and respiratory distress (meconium aspiration syndrome?

A

surfactant through ET tube

21
Q

heart rate in SVT?

A

over 205

22
Q

unilateral leukocoria with strabismus OR b/l leukocoria?

A

retinoblasatoma

23
Q

hearing loss in a child with a strong family history of deafness. what other sx do you wanna check for?

A

Alport Syndrome; microscopic hematuria

24
Q

acute onset abdominal pain with bilious emesis?

A

volvulus

25
Q

diagnostic study for volulus?

A

upper GI contrast/barium study

26
Q

newborn infant who has respiratory distress and cyanosis who turns pink when he cries?

A

bilateral choanal atresia (babies are obligate nose breathers)

27
Q

contraindications to brestfeeding in a newborn:

A
  • Infant:
    • galactosemia
  • mom:
    • active, untreated TB (expressed milk may be used)
    • active herpes simples on moms breast (expressed milk may be used)
    • varicella 5 days before-2 days after delivery (expressed milk may be used)
    • illicit drug use
    • mom getting chemo
    • maternal exposure to radiation (temporary interruption)
  • HIV okay as long as mom and baby are getting treatment
28
Q

diseases mom may have but can still breastfeed with:

A
  • hep B
  • syphilis
  • cytomegalovirus
  • group B strep
29
Q

treatment of otitis externa?

A

topical corticosteroids and topical antibiotics

30
Q

therapy for torticollis?

A

physical therapy

31
Q

what signs will an older kid with pertussis have?

A

pt with coughing illness that lasts more than 14 days or more that includes a whoop, posttussive emesis, and aroxysms of coughing. may have petechiae on face from coughing so hard.

32
Q

next step when you find an infant with imperforate hymen?

A

use US to confirm normal utervaginal structures; will need surgery

33
Q

kid with rhabdomyoma (“heart tumor), ash-leaf macules (hypopigmented lesions), neurologic sx (seizures, autism), angiofibromas (papules over side of nose and medial protion of cheeks), shagreen patches (orange-peel, leathery patches on lowerback or nape of neck)

A

tuberous sclerosis

34
Q

cafe aulait (hyperpigmented) spots , ADHD, family hx of seizures,axillary or inguinal freckles, optic glioma, lisch nodules (iris hamartomas), neurofibromas on the skin

A

NF1 (NF2 is similar + acoustic neuromas)

35
Q

congenitla hamartomatous lesions involving the eye, skin, and CNS; unilateral port wine stain following the distribution of a trigeminal nerve; mental retrdation or seizures are common

A

sturge-weber syndrome

36
Q

pt with vision problems, CNS problems (HA, ataxia), HTN (pheocromocytoma), cysts in pancreas and kidneys

A

Von Hippel-Lindau

37
Q

signs and sx of Turner syndrome prenatally or in baby:

A

Mostly have to do with lymphedema:

  • swollen hands and feet
  • webbed neck
  • hypoplastic or hyperconvex nails
  • sausage fingers and toes
  • reduced lower extremity pulses (coartation of arota)

EXPECT LOW STATURE AS ADULT

Peds Shelf Wrongs (15 decks)

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