X

Question 1

saber shins

Answer 1

congenital syphilis

Question 2

most common hip pain in children

Answer 2

transient synovitis

Question 3

physical exam of transient synovitis

Answer 3

hip is flexed, ABducted and externally rotated

Question 4

areas of lyme on test question

Answer 4

NE and upper midwestern states

Question 5

Dx lymes

Answer 5

ELISA and western blotting

Question 6

first line Tx lymes

Answer 6

doxy

if

Question 7

reactive arthritis

Answer 7

acute and asymmetric oligoarthritis

1-4 weeks post urethritis or diarrheal infection

Question 8

Tx for radial head subluxation

Answer 8

gently hyperpronate
or
supination with flexion

Question 9

what do bone lesions of langerhans histiocytosis look like

Answer 9

solitary lytic in long bones

case hypercalcemia

Question 10

Ab for SLE

Answer 10

anti smith and anti ds DNA

Question 11

complications of elbow fractures

Answer 11

compartment syndome

severe pain, pallor, poikilothermia, paresthesias, pulselessness and paralysis

Question 12

UTI suspected in 7 month old

how to confirm and treat?

Answer 12

urethral cath, UA and culture

Question 13

most common cause of recurrent UTIs

Answer 13

VUR

Question 14

what presents at birth, recessive or dominant polycystic kidneys

Answer 14

recessive

have potters facies

Question 15

what to do if urine dip shows nothing but some increased protein

Answer 15

repeat dip on 2 diff occasions

Question 16

complications VUR

Answer 16

renal scarring

Question 17

regression enuresis with increased polyuria, polydipsia

Answer 17

type I DM

Question 18

linear desposition of IgG on basement membrane

Answer 18

Goodpasture syndrome

Question 19

most common form idiopathic nephrotic syndrome in chilren

Answer 19

minimal change disease

foot fusion and flattening of podocytes

Question 20

complications of constipation

Answer 20

urinary stasis from compression ob bladder preventing complete voiding

Question 21

renal tubular acidosis type 2

Answer 21

cannot excrete H

Question 22

renal tubule acidosis type 1

Answer 22

reabsorb bicarb

Question 23

Fanconi syndrome

Answer 23

glucosuria, aminoaciduria, phosphaturia

Question 24

type 4 RTA

Answer 24

defect in Na/K exchange in distal tubule

Question 25

presentation RTA in kids

Answer 25

failure to thrive and norman anion gap metabolic acidosis

Question 26

Tx choice minimal change disease

Answer 26

steroids

Question 27

all children

Answer 27

renal and bladder US

Question 28

5 alpha reductase deficiency

Answer 28

internal male structures female external genitalia at birth at puberty begin to get masculinization 46XY

Question 29

androgen insensitivity

Answer 29

anti mullerian hormone leads to male internal genitalia | testicular testosterone converted to estrogen causing breast development

Question 30

purulent eye drainage with swelling in 2-5 day old infant

Answer 30

gonorrhea

Question 31

bloody vaginal discharge in newborn-3 mo old

Answer 31

normal | maternal estrogens can cross placenta

Question 32

visual acuity testing begins when

Answer 32

age 3

Question 33

low birth weight, closed fists, microcephaly, prominent occiput, micrognathia, rocker bottom feet

Answer 33

edwards

Question 34

hypotonia, slanted palpebral fissures, epicanthial folds, brushfield spots, dysplasia pelvis, cardiac malformations, simian crease, short and broad hands

Answer 34

trisomy21

Question 35

white reflex in eye

Answer 35

referral to opthalmologist- retinoblastoma

Question 36

follicles and inflammatory changes in conjunctiva of eye | pannus formation

Answer 36

trachoma

Question 37

Tx trachomatis conjunctivitis

Answer 37

topical tetracycline or oral azithromycin

Question 38

most common cause viral conjunctivitis

Answer 38

adenovirus type 3

Question 39

precocious puberty and ovarian mass-

Answer 39

granulosa cell tumor

Question 40

Tx neonatal clavicular fracture

Answer 40

reassurance, gentle handling

Question 41

what causes irregular menses in adolescence

Answer 41

insufficient gonadotropin secretion- LH and FSH

Question 42

excess LH

Answer 42

PCOS

Question 43

aortic coarctation in patient with short stature and primary ammenorrhea

Answer 43

turners | ovarian dysgenesis

Question 44

gondatropin levels in turners

Answer 44

high FSH from lack negative feedback

Question 45

first step in evaluation primary amenorrhea

Answer 45

pelvic exam | US

Question 46

Dx method for turners

Answer 46

karyotyping

Question 47

cryptorchidism at risk for

Answer 47

subfertility and testicular cancer

Question 48

Tx for strabismus

Answer 48

patching the normal eye

Question 49

when to worry about hydrocele

Answer 49

if 1 year old and still not resolved

Question 50

how to remove body from vagina in toddler

Answer 50

warm water flushes

Question 51

how to determine if primary amenorrhea is from central or gonadal abnormalities

Answer 51

FSH increased- peripheral cause/ hypergonad decreased- get pituitary MRI

Question 52

evaluation for precocious puberty

Answer 52

GnRH stimulation test