Peds Shelf Exam

Front 1

when is a cough considered chronic

Back 1

>3wks

Front 2

common cause of chronic cough

Back 2

viral URTI

Front 3

3 causes of acute cough

Back 3

bacterial URTI
pneumonia
aspiration of FB (toddlers)

Front 4

Give the etiology for the following types of cough:
Dry

Back 4

environmental irritant, asthma, fungal infection

Front 5

Barking

Back 5

croup, subglottic disease or foreign body

Front 6

Brassy or honking

Back 6

habitual cough, tracheitis

Front 7

Paroxysmal

Back 7

pertussis, Chlamydia, mycoplasma, foreign body

Front 8

Worse at night

Back 8

asthma, sinusitis

Front 9

Disappears at night

Back 9

habitual

Front 10

Associated with gagging or choking

Back 10

gastroesophageal reflux

Front 11

Dx: chronic cough and change in voice

Back 11

dysphonia or hoarseness may suggest laryngeal irritation due to chronic rhinitis or gastroesophageal reflux

Front 12

Dx: child with chronic cough that's worse at night and headache

Back 12

frontal or orbital headaches may suggest a sinusitis, a common cause of persistent cough in children due to the associated post-nasal drip, which is often worse at night when the child is supine

Front 13

Name the triad of Atopic diathesis

Back 13

eczema, asthma, hayfever. diathesis means predisposition/tendency

Front 14

Dx: child with cough, wheezing and her heart feels funny

Back 14

CHF most likely secondary to infectious myocarditis

Front 15

Dx: child with cough and sore throat

Back 15

post-nasal drip and pharyngeal irritation due to allergies or sinusitis

Front 16

prolonged cough following a URI in a child that is not immunized

Back 16

pertussis

Front 17

asymptomatic or insidious onset of a chronic, nonproductive cough that typically does not disturb sleep. Other signs may include dyspnea, tachypnea, exercise intolerance, pleuritic chest pain, or flu-like symptoms (headache, fatigue, or fever).

Back 17

fungal pneumonia

Front 18

child c dyspnea, flu-like symptoms who lives near a construction site exposed to bird/bat droppings

Back 18

histoplasmosis

Front 19

green rhinorrhea > 1wk, sore throat, fever, nocturnal cough, malodorous breath, irritability, cobblestoning of posterior pharynx

Back 19

sinusitis

Front 20

pathophys of cobblestoning

Back 20

lymphoid hyperplasia of the posterior pharynx results from chronic post-nasal drip

Front 21

nasal polyps

Back 21

CF

Front 22

normal inspiratory: expiratory ratio in kids

Back 22

1:2

Front 23

long, musical sounds that are generally heard during expiration and are associated with a variable obstruction of moderate-sized airways (i.e., bronchi and bronchioles)

Back 23

Wheezes

Front 24

Inspiratory sound that are loud and low in pitch and suggest secretions in the larger airways.

Back 24

Rhonchi (or coarse crackles)

Front 25

inspiratory sound that are softer and shorter in duration, and higher in pitch, than rhonchi. Suggests secretions or early collapse of small airways.

Back 25

Rales (or fine crackles)

Front 26

inspiratory wheeze that is the result of a partial obstruction of the larynx or trachea.

Back 26

stridor

Front 27

DDx of stridor (3)

Back 27

croup
inhaled foreign body with partial obstruction
laryngotracheomalacia.

Front 28

Adventitious (extra) lung sounds that occur only during one phase of respiration (i.e., inspiration or during expiration only)

Back 28

variable obstruction.

Front 29

Sounds that occur during both inspiration and expiration

Back 29

fixed stenosis of the airway.

Front 30

asthma: <2d/w, <2n/mo

Back 30

step1: mild persistent

Front 31

asthma: continual frequent symptoms

Back 31

step 4 severe persistent

Front 32

>2x/w, but <1/day
>2n/mo

Back 32

step 2
mild persistent

Front 33

Daily
>1n/week

Back 33

moderate persistent

Front 34

MCC of chest pain in a teen

Back 34

precordial catch syndrome

Front 35

Tanner stage: Childlike phallus, testicular volume 1.6-6 ml, reddened thinner and larger scrotum, small amount of fine hair along the base of scrotum and phallus.

Back 35

2

Front 36

Tanner stage: Adult scrotum and phallus, testicular volume >20 ml. adult-type hair extending to medial surface of thighs.

Back 36

5

Front 37

Tanner stage: Increased phallus length, testicular volume 6-12 ml, greater scrotal enlargement, moderate amount of more curly, pigmented, coarser hair extending laterally.

Back 37

3

Front 38

Tanner stage: Increased phallus length and circumference, testicular volume 12-20 ml, further scrotal enlargement and darkening, and coarse curly adultlike hair that doesn't yet extend to the medial surface of thighs.

Back 38

4

Front 39

teen with sudden, sporadic onset of sharp pain, usually along the left sternal border, which is often exacerbated with deep inspiration.

Back 39

precordial catch syndrome

Front 40

type of metabolic derangement in pyloric stenosis

Back 40

hypocloremic metabolic alkalosis

Front 41

MCC gastroenteritis in a 6wk old

Back 41

rotavirus esp. winter

Front 42

2 heart defects likely to be picked up in preschool age

Back 42

ASD
coarctation of the aorta

Front 43

murmur, hypertension in the upper extremities, and a discrepancy between the upper and lower extremity blood pressures.

Back 43

coarctation of the aorta

Front 44

systolic ejection murmur and widely split, fixed S2 in a 3-5yo

Back 44

ASD

Front 45

name 4 congenital heart defects that cause CHF

Back 45

Ventricular septal defect
Patent ductus arteriosus
Aortic stenosis
Coarctation of the aorta

Front 46

tx for CHF d/t VSD

Back 46

Digoxin and diuretics

Front 47

bad complication of unclosed VSD

Back 47

Pulmonary vascular obstructive disease, or Eisenmenger's disease

Front 48

swelling, pain and tenderness just below the knee in young athletes

Back 48

Osgood Schlatter

Front 49

complication of SCFE

Back 49

AVN

Front 50

DDX of eosinophilia

Back 50

Neoplasm
Allergies
Asthma
Connective tissue disorder
Parasites

Front 51

5 characteristics of febrile seizure

Back 51

5 F's:
Fever
Five months to Five years,
< Fifteen minutes
non-Focal
Family history.