Peds Exam 3

Front 1

What medications may be given to a child with enuresis?

Back 1

Desmopressin, Tofrinal, or Oxybutynin

Front 2

This is characterized by the backward flow of urine in the urinary tract when voiding.

Back 2

Vesicoureteral reflux

Front 3

Cloudy, dark (tea colored) or blood-tinged urine may indicate what?

Back 3

VUR

Front 4

This is a symptom complex syndrome characterized by proteinuria, hypoalbuminemia, hyperlipidemia, altered immunity, and edema.

Back 4

Nephrotic syndrome

Front 5

What are the clinical manifestations of nephrotic syndrome?

Back 5

anorexia, fatigue, pallor, diarrhea, abd pain, decreased urine output, foamy or frothy urine, edema, weight increase, ascites, pleural effusion, shiny skin, slighly decreased BP

Front 6

What is typically the first sign of nephrotic syndrome?

Back 6

periorbital edema

Front 7

What meds may be given for nephrotic syndrome?

Back 7

corticosteroids or an oral alkylating agent such as leukeran; IV albumin or diuretics, ACE inhibitor, antibiotics

Front 8

What may result from acute glomerulonephritis?

Back 8

high BP, edema, heart failure

Front 9

What are the clinical manifestations of AGN?

Back 9

infection about 10-14 days before onset, irritability, fatigue, anorexia, pallor, high BP, edema, wt gain, oliguria, hematuria, CVA tenderness

Front 10

When are the brain, spinal cord and nerves formed?

Back 10

first trimester of pregnancy

Front 11

When is myelinization almost complete?

Back 11

2 years

Front 12

When does the posterior fontanel close? Anterior?

Back 12

3 months, 4 months

Front 13

Decerebrate posturing indicates damage to what?

Back 13

midbrain

Front 14

Decorticate posturing indicates what?

Back 14

cerebral cortext dysfunction

Front 15

This posturing involves adduction of arms at the shoulders and arms and wrists flexed over the chest, hands fisted, and legs extended and adducted

Back 15

decorticate posturing

Front 16

What meds may be given to manage ICP?

Back 16

diuretics and corticosteroids

Front 17

What are the characteristics of diabetes insipidus?

Back 17

high urine output, wt loss, hypotension, tachycardia, thirst, anxiety, depression, apathy

Front 18

What happens in SIADH?

Back 18

low urine output

Front 19

This is protrusion of meningeal tissue throgh opening in the bone.

Back 19

Encephalocele

Front 20

This type of spina bifida does not affect the spinal cord. External signs may include dimpling of the skin, nevi, or hair tufts.

Back 20

spina bifida oculta

Front 21

This type of spina bifida is characterized by a sac, which contains meninges and CSF, protruding outside the vertebrae, usually little to no neurologic involvement

Back 21

Meningocele

Front 22

This type of spina bifida involves cord and accompanying nerve roots; sensorimotor deficits, urinary and bowel problems occur

Back 22

Myelomeningocele

Front 23

This is when CSF accumulates, usually under pressure, producing dilation of the ventricles

Back 23

hydrocephalus

Front 24

Impaired absorption of CSF within the arachnoid space is this type of hydrocephalus.

Back 24

communicating

Front 25

Obstruction of the flow of CSF through the ventricular system is this kind of hydrocephalus.

Back 25

noncommunicating

Front 26

This is an acute, multi-system disorder that follows a mild viral infection, usually influenza or varicella.

Back 26

Reye syndrome

Front 27

Lead affects the kidneys and results in increased urinary output of what?

Back 27

glucose and protein

Front 28

What is a hematologic manifestation of lead poisoning?

Back 28

anemia

Front 29

Lead tests revealing a serum lead level > __ mcg/dL is considered positive for lead poisoning.

Back 29

10

Front 30

What type of therapy is adminstered for lead poisoning?

Back 30

chelation therapy

Front 31

What medication given for lead poisoning cannot be given to a child with peanut allergy?

Back 31

Dimercaprol

Front 32

This med for lead poisoning can be given orally and sprinkled on food.

Back 32

Succimer

Front 33

How does dry drowning occur?

Back 33

profound laryngospasm

Front 34

What determines a good prognosis in near drowning?

Back 34

submersion under 5 mins and CPR for less than 10 mins

Front 35

What's the best way to treat burns that do not heal in 7-10 days?

Back 35

excision and autograft

Front 36

This is a highly contagious skin infection caused by staph, strep or both

Back 36

impetigo

Front 37

This is a superficial fungal infection of the skin.

Back 37

Tinea

Front 38

This is lice.

Back 38

Pediculosis

Front 39

How is pediculosis treated?

Back 39

Rid, Nix, Kwell (neurotoxic)

Front 40

This is a common contagious mite infection.

Back 40

Scabies

Front 41

How is scabies treated?

Back 41

Elimite or Lindane (not for children under 2 or pregnant women)

Front 42

At birth, a newborn has a naturally occuring elevation in ___.

Back 42

red blood cells

Front 43

What is iron deficiency anemia?

Back 43

inadequate supply of iron for normal RBC formation

Front 44

Iron deficiency anemia chiefly noted in what populations?

Back 44

toddlers and adolescent girls

Front 45

Hemoglogin of 9.5-11 would be considered?

Back 45

mild anemia

Front 46

hemoglogin of 8-9.4 is?

Back 46

moderate anemia

Front 47

hemoglobin < 8 is?

Back 47

severe anemia

Front 48

This is a group of chronic, genetic, severe, hemolytic diseases associated with hemoglobin S

Back 48

sickle cell anemia

Front 49

What are some s/s of sickle cell anemia?

Back 49

enlarged spleen and liver, hematuria, inability to concentrate urine, enuresis, bone weakness, abd. pain

Front 50

What medication would you not give to someone with SCA due to increased risk for seizures?

Back 50

Demerol

Front 51

This is a group of inherited blood disorders characterized by a deficient synthesis of specific globulin chains of the Hgb molecule.

Back 51

Thallassemia

Front 52

What are some early signs of thallasemia?

Back 52

anemia, unexplained fever, poor feeding, poor wt gain, enlarged spleen

Front 53

What are some long term complications of Thallasemia?

Back 53

splenomegaly, skeletal complications, cardiac complications, gallbladder disease, liver enlargement, skin changes, growth retardation

Front 54

Factor level of 5% to 50% and prolonged bleeding only when injured is what?

Back 54

mild hemophilia

Front 55

factor level of 1% to 5% and prolonged bleeding occurs with trauma or surgery and possibly spontaneous is what?

Back 55

moderate hemophilia

Front 56

factor level under 1% and prolonged bleeding occurs spontaneously is what?

Back 56

severe hemophilia

Front 57

What med is Factor VIII that can be given for hemophilia?

Back 57

cryoprecipitate

Front 58

This is a disease in which the number of circulating platelets is reduced.

Back 58

idiopathic thrombocytopenic purpura

Front 59

what meds may be given for idiopathic thrombocytopenic purpura?

Back 59

prednisone, IVIG, and Anti-D antibody

Front 60

What is Category A of HIV?

Back 60

mildly symptomatic=2 or more symptoms

Front 61

What is Category B of HIV?

Back 61

moderately symptomatic = more serious infections

Front 62

What is Category C of HIV?

Back 62

severely symptomatic = serious infections such as TB, septicemia

Front 63

What immunization should not be given to a child with HIV?

Back 63

varicella