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154 Cards in this Set

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  • Back
Newborn is irritable, crying, seizures, tachycardia, poor feeding, no weight gain, poor sleeping
methadone withdrawal
16 yo female with normal secondary sex characteristics (pubic hair, axillary hair) but still no menarche. Best next step =
TFTs + gonadotropin tests
Cerebral brain tumors present with . .
seizures
Miliary TB presents as
fatigue
Best public health policy with someone dx with TB: relocate, find the person who gave it to them, prophylax all contacts, do not send back to school until treatment completed
Children exposed to an infected household member must have a PPD placed.
Newborn with swollen eye lids, conjunctivitis, clear discharge: gonorrhea vs Chlamydia vs chemical vs traumatic
Silver nitrate. Gonorrhea after several days. Chamydia after 1st week.
How many oz/ 4 hrs of formula do you give a newborn
3-4 (2-4 oz q 3-4)
Murmur heard in PDA. what location
Continuous, upper left sternal border or left infraclavicular area
mesenteric lymphadenitis
RLQ pain, fever, diarrhea, fatigue, RLQ tenderness
meckel’s w/o intussusception
Hematochezia or painless rectal bleeding, anemia
intussusception
Red currant jelly stool, colicky pain
Infectious mononucleosis
Fever, lymphadenopathy, pharyngitis, rash, periorbital edema, hepatosplenomegaly
Could parietal fracture be a sign of abuse?
?
Could vulvovaginitis be a sign of sexual abuse?
y
Presentations of child abuse
Round cigarette burn scars
Marks suggesting rope or strap burns
Suspicious scars at varying stages of healing
Burns in pattern suggesting immersion
Retinal hemorrhages in otherwise nml child, suggesting shaken baby syndrome
Multiple fractures at varying stages of healing
Hairline, tendon-avulsion fractures
Meningeal tears in absence of injury
Unexplained subdural hematoma
Child on breast milk, anemic, what should you check for?
Jaundice. .
How long does it take for infants weight to double from birth
4-6 mos
How long does it take for infants height to double from birth
4 yrs
Number of cal/oz in normal infant formula
20
Prodrome, then slapped cheek, then .
b19
Gasoline breath: clinical presentation?
Resp distress, HA, N/V, syncope
Which test for SCD has least likelihood of compliations
PUBS
Neonaatal pustular melanocytosis
PMNs palms, soles, sterile?
Neonatal acne
Yellow papules
Erythema toxicum
Multiple pustules
Celiac disease dx
bx
Inheritance pattern of celiac dz
hla
autosomal dominant diseases
ADPKD, Ehlers-Danlos (most types), OI
Child once ppalpable testes no longer palpable
Testicular retraction
Px/tx for VUR
px abx
3 yo w/ episode of unexplained coughing and spluttering while playing, followed 2 wks later by chest infection. RLL PNA. MCC?
fba
I yo girl wihth h/o of painful joints, fever, breathless. In HF, subcutaneous nodules, blowing mitral systolicmurmur
rf
Exogenous obesity in children and adolescents most commonly associated with
?
13 yo male with CF and S aureus PNA. Distressed and breathless, decresed breath sounds, trach deviation
ptx
Pancytopenia, fever, arthralgia
all?
Leading cause of meningitis in first 2 mos
gbs?
12 yo male w/ mild fever, jaundice, liver tenderness, no lymphadenopathy, IgM and IgA antibodies positive for =
hav
Child w/ ALL w/ swollen painless testicle
sanctuary
Tx for M. pneumo
erythromycin
Tx fo r MCD
steroids
What to give at birth to infant of HbsAg +, HbeAg + mother
hbig
Beginning of stranger anxiety
7-12 mos
Bronchiolitis vs bronchial asthama
age
Effects of placental infection with syphilis
Rash, old man, FTT, menx
ida vs thal
mcv/rbc > 13 ida
7 yo child w/ blood mucus, PMNs in stool – MCC
c jej
#1 way to reduce mortality from diarrheal diseases
ort
Fresh water drowning
hemolysis
Salt water drowning
pulm e
Not a sign of child abuse: bruising on hands, linear bruising on back, multiple bruises below knees
below knees
A dz only x –linked
hemophilia
ALL labs
lymphocytosis, anemia, thrombocytopenia
sc
glu6-b val
2 yo with fever
Cbc, ua, bcx
Drug-induced thrombocytopenia vs itp
antibodies binding drug
Which drugs can cause thrombocytopenia
heparin, quinidine
Which ab in mom’s milk
a
3 do infant w/ cyanosis, resp distress, poor feeding, lethargy, rr 80, hr 150: prostaglandin vs intubate
prostaglandin
Dx of LCP
bone scan
Acne treatment of adol w/ attn to side effects: top retina vs systemic retinoate
topical?
AGE from day care, treatable w; flagyl
giardia
Presentation of child w/ brain tumor
HA, V, lethargy, ataxia w/ posterior fossa
2 mcc menx 10 wo
gbs, e coli
Vaccines for 2 mo
PCV, polio, hib, dtap
Girl with h/o URI and now w/ petechiae and bruises with 40,000 platelets
fluids
Prevent asthma attack?
roids
arthritis and vaginal d/c. organism?
gonorrhea?
Otitis media most common? Age and season?
3 mos to 3 yrs, winter
Don’t give fe in which anemia
b thal
3 do tachypneic, cyanotic, dcreased po intake, vomiting, o2 no help. Dx ?
cyanotic hd
Febrile and irritable infant w/ dedcreased po intake and v who was given penicillin for previous uri with no improvement
menx
MCC dysmenorrheal in teenagers
uterine contractions, pgs
Boy w/ ataxia and blurring of optic cup
infratentorial
12 yo boy unconscious s/p fight
ct
Child w/ hematuria, red colored urine, decreased compleemtnn
mcd
Best screen for celiac
anti-gliadin
5 yo boy always been shy about to start school
?
Cause of splenic sequestration
parvo
MC overdose in kids
fe
NFibro associated with ?
meningiomas
Baby feeding well on breast milk, what supplement: folate?
folate?
Tx of iron overdose
deferroxamine
PNA not cured with abx. MCC
Denver ii, how many parts
fba
Complication of varicella: diffuse encephalomyelitis?
encephalitis and cereb ataxia
Metabolic alkalosis in pyloric stenosis
hypoK, hypoCl
EtOH dysmorphisms
smooth filtrum, thin upper lip
Csf of bacterial meningitis
elev prot, decr glucose
apgar 1's
acrocy, HR < 100, grimace, some flexion, RR slow and irregular
tx of epiglottitis
O2, intubate, cover s aureus or GAS
Ground glass appearance on xray?
rds
#1 genetic disorder in Europeans?
cf
Treatment of enterobius vermicularis
me
Bulging fontanelle can be a sign of ?
menx
Age for visual tracking to midline
nb to 1 mo
Age for visual tracking to 45 deg
1 to 2
Range of visual tracking at 2 mos
180
Sx of thyrotoxicosis
Diaphoresis, tremor, tachycardia, mydriasis, exophthalmos, heat intolerance
Late side effect of hydrocarbon toxicity
Leukoencephalopathy, peripheral neuropathy, bone marrow?
Most serious compli of hydrocarbons
coma
Little kid with bug in his ear, won’t sit still
vegetable oil, mineral oil, warm water
Treatment of ITP: CS vs IVIG
both
NB w/ pea-colored amniotic fluid
mec
Breast milk deficient in which vitamin?
d
Types of musculoskeletal disorders
aa joint instability, clavicular fracture, rickets, supracondylar fracture,
Kid in er tachypneic and septic
o2?
Drug abuse
?
CP, left facial paralysis, presentation:
central - able to wrinkle forehead
Congenital toxo
chorioretinitis, seizures
Congenital rubella
cataract and heart dz
Congenital CMV
Chorioretinitis and seizure
Congenital HSV
Meningitis, encephalitis
Adol F w/ dysmenorrheal never sexually active
ocp
Childhood malignancy regresses on its own, een with mets
neuroblastoma s4
MC childhood malignancy
leukemia
Child w/ strep tonsillopharyngitis w/ unreliable parent
im pen g
6 mo with h/o eczema, recent URI w/ cough after infection, cough at night and eos in nasal aspirate. Dx ?
asthma
Treat measles in endemic area?
vit a
MC complication of mumps?
orchitis
Newborn w/ cyanosis after feeding, not resolved with crying, diffuse crackles
TEF
Enlarging breasts w/ discharge, vaginal bleeding, and skin lesion?
mccune-albright
Polyhydramnios – indications for immediate surgery
gastroschisis and diaphragmatic hernia
Polyhydramnios and Down’s
duoden atre
Baby w/ jaundice who has failed phototherapy
ivig, exch transfusion
Treatment of cradle cap
baby shampoo, hydrocortisone
UTI vs cystitis
Uti = bacterial infection only, cystitis = bacterial, viral, fungal, inflammatory, or drug-related
2 mo w/ fever, vomiting and irritability
menx?, sepsis?
Preventing tetanus in babies where common
immunize mom at 5-6 mos
Adenosine relieves which arrhythmia
svt
12 yo boy with sudden scrotal pain
testicular torsion
MCC AGE in child
rota
Earliest way to diagnose child w/ cf
cvs
Greasy 8 wo w/ yellow flaky skin all over head and scalp
cradle cap
17 yo w/ 1st day and 2nd day dysmenorrhea
?
Treatment of epiglottitis
o2, intubate, cover s aureus and s pneumo?
15 yo w/ 7 mo h/o abd pain, laxatives didn’t work, bone pain, mouth ulcers, anal granulomas
crohn's
ABG status asthmaticus
Ph low, pco2 high, phco3 low
Cataracts, hepatomegaly, vomiting, recurrent e coli
galactosemia
Si/sx bulimia
Lacerations to metacarpals, enlarged parotid glands, tooth damage?
Ataxia, vomiting, ha – diagnostic test?
mri
Neonate w/ coughing at feedings and now blue
tef
Even w/ early treatment, galactosemia can lead to
neurological deficits, poor growth
Well-differentiated WT: prognosis?
90%
4-do born to diabeti mother and twitching. Pt is euglycemic
hypercal
Encapsulated organisms
s pneumo, neisseria, haemophilus
Gold std of diagnosing toxic synovitis
arthrocentesis?
Presentation of nec
abdominal tenderness, shock
MC childhood tumor
medulloblastoma
Cause of cradle cap
malassezia
Gold standard for diagnosing osteo
radionuclide
Ave head circumference of newborn
35
Long-term complications of otitis media: mastoiditis, abscess?
abscess
Typical stature of obese kid
short?
Alpha-fetoprotein levels
Yolk sac tumor, ntd, atax telang
17 yo girl nml develop, no menses. Next step?
Pelvic