Peds Boards Final Jeff

Front 1

Number Needed To Treat

Back 1

1/(treatment odds - placebo odds)

Front 2

What degree of scoliosis vs kyphosis is needed for referral?

Back 2

Scoliosis - 10 (scoli vodka - 10/10;Kyphosis - 70 (Ki Phi's barely pass)

Front 3

Vaccines for 15 month, 18 month, 11 year, 16 year

Back 3

15 month - DTaP; 18 month - Hep A; 11 year -DTaP, Mening, HPV; 16 year - mening

Front 4

Mass size and what to do:

Back 4

BOOBS - 5 cm - obs or FNA if persist. Exicsion if > 5

Front 5

Anovulatory cycles have what hormonal characteristics?

Back 5

low progesterone, variable estrogen

Front 6

Testicular "cele's"

Back 6

hydro - tunica vaginalis, painless, need tunic in the rain, Sperato - Cyst filled with spermatozoa, change with valsalva.

Front 7

Granuloma Inguinale

Back 7

Caused by klebsiella, painless friable ulcer

Front 8

Linear streaks with vesicles. May have CNS or ocular component

Back 8

Incontinentia pigmenti

Front 9

acrodermatitis vs acropustulosis

Back 9

dermatitis - viral associated on palms and soles. Seen in kids. Pale pink plateued papules in pedatrics.; acropustulosis -pruritic, pmn's, in puppys

Front 10

chronic infectious diarrhea?

Back 10

Enterotoxigenic e. coli and vibrio cholerae

Front 11

surveillance for u.c.

Back 11

10 years after dx and every 1-2 after

Front 12

Echinacea bad for who?

Back 12

Immunocompromised

Front 13

Menetriere

Back 13

Ple from cmv

Front 14

Caroli disease

Back 14

Congenital dilation of large biliary ducts

Front 15

Side effect of lidocaine

Back 15

Seizures

Front 16

Ataxia telangiectasia has what immune problem?

Back 16

Low IgA and IgE

Front 17

TB meningitis causes what?

Back 17

b stuff - 6th nerve palsy and basilar engancement

Front 18

Arcanobacter hemolyticum

Back 18

Like Joan of arc, pharyngitis and acarlitiniform rash

Front 19

Corynebacteriun causes?

Back 19

Myocarditis (cor)

Front 20

trichorrhexis nodosa

Back 20

Hair breakage in African Americans

Front 21

Avoid imipinem in who?

Back 21

Patients with seizures, lowers threshold

Front 22

What worm infects muscle? Causes rectal prolapse?

Back 22

Trichinosis, whipple

Front 23

Clostridium septicum associated with what?

Back 23

Go malignancy

Front 24

Actinomycetes symptoms and treatment?

Back 24

PID, facial and dental abscesses; sulfur granules. Treat with pcn

Front 25

Antibiotic ointment in babies prevents what?

Back 25

Gonorrhea

Front 26

Which strand has Duffy antigen?

Back 26

P. Vivax

Front 27

Test first then treatment for getting vivacious and malariae out of the liver?

Back 27

Make sure no g6pd deficiency and give Primaquine

Front 28

Babesia

Back 28

Up north causing hemolytic anemia and see Maltese cross

Front 29

Treatment for giardia if can't swallow pills

Back 29

Nitazoxide because will be up all night otherwise

Front 30

How does erythropoietin protoporphyria present?

Back 30

Angioedema with sun exposure. Poetry through lips

Front 31

Retinoic acid causes what as a teratogen?

Back 31

Digeorge like effects

Front 32

Dubowitz syndrome

Back 32

Excessive hair (du) and developmental problems

Front 33

Möbius syndrome

Back 33

No breast/pectoral tissue, cranial nerve problems. What nerve the mob has

Front 34

Glutamic acidemias type II

Back 34

Can't get girl to stick because Gu and facial abnormalities

Front 35

Methylmalonic acidemias

Back 35

MET mellitus (nonketotic hyperglycemia) emesis and thrombocytopenia

Front 36

Proprionic acidemias

Back 36

Pro kinetic - vomiting;Prion - encephalopathy;Ic - bone marrow suppression like an ice pick for bones

Front 37

What distinguishes lcad from mcad and vlcad

Back 37

The l- lens and liver problems

Front 38

Fanconi blickel

Back 38

Liver and kidney disease, extremely rare thing consanguinity (Bickel- berkowitz)

Front 39

McCardle disease

Back 39

Get rhabdo and muscle cramps with exercise

Front 40

What is the mechanism of CVA in chronic cyanosis heart disease?

Back 40

prolonged Fe deficiency causing hemoglobin and RBC changes causing increased viscosity

Front 41

How much dextrose, lipid and amino acid per day?

Back 41

15, 3 and 1 g/kg/day

Front 42

Polikuria

Back 42

psych induced enuresis

Front 43

Female who is constanty wet?

Back 43

ectopic ureter

Front 44

Most common treated water born pathogen? Diagnosis/Treatment?

Back 44

cryptosporidium, give nitazoxanide (again, will be up all night), though only treat if immunosuppressed usually.

Front 45

Temperature of fluid if using to re-warm patient?

Back 45

40

Front 46

Treatment for lice if permethrin does not work?

Back 46

malathion

Front 47

Fever, hepatosplenomegaly and myalgias with cattle exposure?

Back 47

Brucellosis

Front 48

Kidney problems with ketogenic diet?

Back 48

hypercalciuria

Front 49

1st and 2nd line treatment for chronic sinusitis that failed abx

Back 49

adenoids, sinus surgery

Front 50

Testing for SCID by age: newborn, toddler, older?

Back 50

Newborn: t-cell receptor excision circles, Toddler: Antibody responses of protein vaccines, Older: Polysaccharide vaccine responses.

Front 51

Treatment for PID if allergic to ceftriaxone

Back 51

gent and mero

Front 52

hep c testing if baby born to positive Mom? older child?

Back 52

NAAT, ELISA->Wester blot

Front 53

First setp when identifying thyroid nodule

Back 53

all > 1 need biopsy, less than 1 need biopsy if high risk or abnormal ultrasound

Front 54

Warm/cold/cardiogenic shock treatment?

Back 54

Warm - norepi/dopamine; Cold - epi; Cardiogenic - dobutamine/milrinone

Front 55

Most effective emergency contraceptive?

Back 55

ulipristal acetate (urlipisaresealed)

Front 56

sore throat, negative rapid strep, migrating arthritis, lacy rash is what? Treatment?

Back 56

Rheumatic fever, PCN

Front 57

isolated vertical nystagmus is what?

Back 57

chiari I malformation, look for dysphagia, dysarthria or upbeat/downbeat nystagmus, weakness or hyperreflexia

Front 58

Which type of sinus injury requires immediate surgical attention

Back 58

posterior

Front 59

localized scleroderma

Back 59

bruise that does not get better

Front 60

point tenderness over bone even if can bear weight is most likely what?

Back 60

fracture of growth plate

Front 61

Most common complication of cleft soft palate?

Back 61

ear infection, hearing loss

Front 62

drug choice for septic joint < 5 yo or > 5 yo?

Back 62

< 5 - ro and vanc; >5 yo - nafcillin

Front 63

scoliosis is associated with what other lesions?

Back 63

GU abnormalities

Front 64

Treatment for small corneal abrasion.

Back 64

rx for antibiotic drops, anesthesia in office, not at home and no other drops. No follow up.

Front 65

Active herpes lesions with rupture if membranes > 4 hours

Back 65

surface cultures and monitor

Front 66

Milestones by 2-6 years

Back 66

2-year-old can run well, walk up and down steps one step at a time, jump in place, make a tower of seven cubes, scribble in a circular pattern, and imitate a horizontal stroke.3 years of age, a child is able to pedal a tricycle, draw a circle, and draw a person with a head and 1 other body part. 4 years of age is able to copy a cross and a square, catch a bounced ball, and hop on one foot 2 or 3 times. 5- year old can dress and undress herself, draw a person with 6 body parts, and skip (alternating feet)6-year-old child can ride a bicycle without training wheels and draw a person with details of hair, eyes, nose, mouth, and hands with 5 fingers and who is wearing a shirt, pants, and shoes.

Front 67

Pancreatic dysfunction with heart problems (holiday heart), nostril a genesis (frost bite), (hypothyroidism (cold), GI abnormalities (yellow snow) and hair abnormalities (need hat) and develop tap delay

Back 67

Johanson-blizzard syndrome

Front 68

Treatment for chronic urticarua

Back 68

Fexophenadine h1 blocker

Front 69

Calculate Likelihood ratio

Back 69

Specificity/1-sensitivity

Front 70

Ur lichen Turner syndrome

Back 70

Lack of testis determining factor xy but phenotypic ally female

Front 71

When can you transition glycogen storage disease kids off continuous feeds

Back 71

2-3 years then corn starch bid

Front 72

Schwartz Equation

Back 72

K X (height in cm/Cr k is 0.45-0.7

Front 73

urinary alkalization used for what?urethral obstruction

Back 73

all but struvite and CaPhos stones

Front 74

medical treatment of calcium stones

Back 74

thiazides

Front 75

HTN and acute renal failure in young female

Back 75

fibromuscular dysplasia

Front 76

HTN + nephrotic syndrome

Back 76

FSGS

Front 77

sjogrens is a risk factor for what malignancy

Back 77

lyphoma

Front 78

pathergy is with what?

Back 78

behchet

Front 79

how do you diagnose XIII deficiency

Back 79

euglobulin clot lysis test

Front 80

Factor X deficiency associated with what disease?

Back 80

amyloidosis

Front 81

How much Hemoglobin A2 is diagnostic of beta thal

Back 81

>2.5 %

Front 82

Most common estrogen secreting tumor

Back 82

Granulosa cell tumor

Front 83

Perrault syndrome

Back 83

Pear - gonadal dysgnesis, Ear - sensorineural hearing loss

Front 84

Liddle vs gittelman vs bartter

Back 84

all hyperaldosteronism:Liddle - low renin, gittelman - muscle problems, barter - bargain for low BP

Front 85

Work up for hyperaldosteronism?

Back 85

dexamethasone suppression test. If not responsive, do CT looking for tumor. If not, do adrenal sample

Front 86

11, 17, 21 hydroxylase deficiency

Back 86

11 - no sugar; 17 - no sugar, no sex; 21 - all sex

Front 87

What do iodine and lithium do to thyroid

Back 87

block T3-T4

Front 88

Treatment of nephrogenic DI

Back 88

Thiazides and indomethacin

Front 89

What is relationship between prolactin and thydroid

Back 89

TRH promotes prolactin release

Front 90

Carney complex

Back 90

AD blue nevi, sexua precocity, endocrine tumors, cardiac and skin myxomas

Front 91

What is autoimmune polyendocrinopathy syndrome 1

Back 91

C-A-H, Candidiasis, Addisons, hypoparathydroidism, CAH

Front 92

Sertoli vs leydig cell function

Back 92

Sertoli - inhibits muellerian inhibitory factor, Leydic - secretes testosterone

Front 93

17 ketosteroid reductase deficiency

Back 93

last step in pathway, AR, look like females until puberty

Front 94

most common cause of male pseudohermaphroditism

Back 94

androgen insensitivity

Front 95

how do you diagnose langerhans histiocytosis

Back 95

CD1a or birbec granules

Front 96

How do you prevent amyloidosis in familiar mediterranean fever?

Back 96

Colchicine