Boards And Wards Pediartics

Front 1

2 month old pt. in with accute onset of constipation,lethargy,poor feeding,weak cry,drooling,loss of head controol,and hx of ingestion of honey, could be

Back 1

infant botulism
confirm dx via serum
tx;intubation supportive care.

Front 2

ToRCHS is used to describe the M.C. congenital infection. what are they?

Back 2

Toxoplasmosis:poorly cooked meat,cat feces.
Rubella:hearing loss,blueberry muffin rash.
Cytomegalovirus:most common,microcephaly,severe mental retardation.
HSV:if vaginal delivery 50% increased morbidity&mortality
Syphlis: blood tinged nasal secreations,saddle nose 2*to syphlitic rhinitis

Front 3

measles is also known as?
is characterized by?

Back 3

*rubeola(paramyxovirus)
*rash errupts 5days after prodromal sx last 4-5days,
*Koplik spots=white spots on oral mucosa
dx;if(3c) cough,coryza,conjuctivitis

Front 4

a viral exanthem seen in hand foot and mouth is caused by what virus?

Back 4

*Coxsakie A virus
*vesicular rash on hands and feet and ulceration in oral mucosa.
* rash clears in 1wk.
*contagious by contact.

Front 5

slapped checks is a clasic sign seen in what

Back 5

*erythema infectiosum (fifth disease)parvovirus B19

Front 6

a.steeple sign is seen in?
b.thumb print sign is seen in ?

Back 6

a.CROUP: sx:barking cough, inspiratory stidor,worse at night,tx: racemic epi&steroids,
b.epiglottitis, MEDICAL emergency,fulminant inspiratory stridor,tripod drooling,"hot potato voice.tx with ceftriaxone

Front 7

colic is dx by what rule

Back 7

rule of 3's onset is 3wks; = crying for 3hrs/day,3days/wk, lasting for 3 wks.
associated with drawing up leg and farting.

Front 8

10y/o obese male in c/o bilateral,slow progression,dull aching pain to knees and hip:on x-ray lateral mvt of femoral shaft in relation to head of femor 'SCOOP FELL OFF THE CONE

Back 8

SLIPPED CAPITAL FEMORAL EPIPHYSIS.
tx. with surgical pinning.

Front 9

name 5 of the newborn screening test performed:

Back 9

hypothyroid,congenital adrenal hyperplagia,PKU,galactosemia, hemoglobinopathies,egsickel cell, thalacemia.

Front 10

REYS syndrome is associated with?

Back 10

Acute encephalopathy& fatty degeneration of the liver,associated with use of salicylates in children to tx varisella or flu-like sx

Front 11

in pediatrics 6-24 months, what are the MCC of acute otitis media.

Back 11

#1.is 90% BATERIAL:strep.pna.,VIRAL CAUSES ARE 10% ;AND RSV is repsonsible for most cases.

Front 12

Prevnar (Pneumococcal vaccine)
should be givin at what age?

Back 12

@2-4-6-&,12-15 months.

Front 13

Viral URI symptoms include

Back 13

nasal congestion,corya,sneezing,mild conjuctivitis, sore throat.hoarsness,cough.RVR often present in first 2-3days of infection.

Front 14

In Pharyngitis it is important to ID and tx because of what?

Back 14

1.to prevent sequale of Acute rheumatic fvr.
2.to reduce symptoms
3.to prevent locally suppurative complications.
4.to prevent tranmission to others.

Front 15

state diff. between bacterial and viral pharyngitis symptoms.

Back 15

VIRAL: gradual onset,sorethroat,rhinorrhea, cough, conjuctivitis,diarrhea,FVR.
BACTERIAL: sore throat,headache,FVR nausea,tonsilar exudates,petechiae beefy red throat. ""if sand papaer rash also present= Scarlet FVR.

Front 16

The orginism responsible for (whooping cough)Pertussis
what isTX how to dx

Back 16

BORDETELLA PERTUSSIS,
DX by paroxysmal cough and inspiratory whoop!
TX:Erythromycin

Front 17

preemies are at risk for RSV, what preventive vaccine is indicated for these pts.

Back 17

Synagis

Front 18

Pt in with c/o of wheezing, grunting, nasal flaring, & cough,and shoulder pain, you decide to get an CXR. and seelobar cosolidation ,patchy infiltrates. ? DX&TX

Back 18

Bacterial PNA,
tx:
Neonates: IV ampicillin
others:PCN,Amox,2nd,3rd.gen. Cephs.

Front 19

2y/o male in with c/o:vomiting,diarrhea which is green and unusually foul smelling.

Back 19

#1.bacterial etiology

Hint 19

ROTA virus does not usually cause green/foul smelling stool.

Front 20

8y/o male in with c/o sinus congestion sneezing, allergy symptoms HX of asthma,on inspection; eczema, nasal polyps, what to consider as a DDX

Back 20

cystic fibrosis

Front 21

coartation of the aorta, atrial septal defect,ventricular septal defect,atrioventricular septal defect.all are considered cyanotic or acyanotic lesions.

Back 21

acyanotic

Front 22

Tetralogy of falot is the most common cyanotic lesion beyond infancy, and is composed of?

Back 22

VSD,pulmonic stenosis,right ventricular hypertrophy,overriding aorta

Front 23

allergic rhinitis in kids what is the common triad found in chronic cases

Back 23

the triad is ASTHMA,ALLERGY,ECZEMA

Front 24

how is cystic fibrosis DXed.
What is GOLD standard.

Back 24

Sweat chloride is gold standard.>than 60meq. is abnormal

Front 25

8 month old male presents with colicky abdominal pain and parent describes stool as currant jelly looking.
what should you suspect.

Back 25

Intussusceception.

Front 26

4 month male in with projectile non-bilious vomiting, on exam you find a palpable pyloric mass,what do you suspect.

Back 26

Pyloric stenosis
Tx:surgery.

Front 27

if an in inphant does not pass meconium in the first 24-48 hrs of life you shouls suspect at least two things

Back 27

1.Cystic fibrosis
2.Hirschsprung disease(aganglionic megacolin)
3.inperforated anus.

Front 28

allergic rhinitis in kids what is the common triad found in chronic cases

Back 28

the triad is ASTHMA,ALLERGY,ECZEMA

Front 29

how is cystic fibrosis DXed.
What is GOLD standard.

Back 29

Sweat chloride is gold standard.>than 60meq. is abnormal

Front 30

8 month old male presents with colicky abdominal pain and parent describes stool as currant jelly looking.
what should you suspect.

Back 30

Intussusceception.

Front 31

4 month male in with projectile non-bilious vomiting, on exam you find a palpable pyloric mass,what do you suspect.

Back 31

Pyloric stenosis
Tx:surgery.

Front 32

if an in inphant does not pass meconium in the first 24-48 hrs of life you shouls suspect at least two things

Back 32

1.Cystic fibrosis
2.Hirschsprung disease(aganglionic megacolin)
3.inperforated anus.

Front 33

allergic rhinitis in kids what is the common triad found in chronic cases

Back 33

the triad is ASTHMA,ALLERGY,ECZEMA

Front 34

how is cystic fibrosis DXed.
What is GOLD standard.

Back 34

Sweat chloride is gold standard.>than 60meq. is abnormal

Front 35

8 month old male presents with colicky abdominal pain and parent describes stool as currant jelly looking.
what should you suspect.

Back 35

Intussusceception.

Front 36

4 month male in with projectile non-bilious vomiting, on exam you find a palpable pyloric mass,what do you suspect.

Back 36

Pyloric stenosis
Tx:surgery.

Front 37

if an in inphant does not pass meconium in the first 24-48 hrs of life you shouls suspect at least two things

Back 37

1.Cystic fibrosis
2.Hirschsprung disease(aganglionic megacolin)
3.inperforated anus.

Front 38

jaundice in the 24 hrs is considered?

Back 38

pathologic
>7mg/dl=visible jaundice
>15 tx with phototheraapy
>20risk for kernicterus

Front 39

4y/o white male in with FVR., BONE PAIN,PALLOR,PETECHI,PURPURA, on exam you find HEPATOSPEENOMEGALY, labs reveal HIGH WBC.YOU SHOULD SUSPECT

Back 39

ACUTE LYMPHOBLASTIC LEUKEMIA
TX WITH Chemo combo=95%remission

Front 40

3 y/o in with non-traumatic ecchymosis, peteh chiae, nose bleed
LABS show (<50,000/ul)
pt,parents reveal that the child had a viral URI.

Back 40

ITP
ideopathic thrombocytopenic purpura
TX: 90% sponteious remission.
or IVIG/+IV prednisone/PLT tranfusion

Front 41

in children, where are most common solid tumors located?

Back 41

brain tomors. Neuroblastoma is the most common extracranial solid cancer in childhood and the most common cancer in infancy, with an annual incidence of about 650 new cases per year in the US.[1] Close to 50 percent of neuroblastoma cases occur in children younger than two years old

Front 42

T or F a 4 y/o child who is undergoing chemotherapy should still get sceduled vaccine including MMR

Back 42

False.
alsoif exposed to varisella during tx should receive IVIG prophylaxis

Front 43

in the pediatric exam.
to hold the contralateral hip is held still while the thigh of the hip being tested is abducted and gently pulled anteriorly.

Back 43

The sensation of instability in a positive Ortolani maneuver is the palpable and sometimes audible "clunk" of the femoral head moving over the posterior rim of the acetabulum and relocating in the cavity.

Front 44

adducting the hip while pushing the thigh posteriorly

Back 44

If the hip goes out of the socket, it is called "dislocatable" and the test is termed "positive. Barlow"

Front 45

when maneging scoliosisdecribe the tx for a spinal curvature of
<20=
20-40=
>40or more=

Back 45

<20=FOLLOW FOR PROGRESSION
20-40= BRACE
>40or more= SURGERY