Step 3: Pediatrics

Front 1

three broad categories for failure to thrive

Back 1

inadequate intake
increaed metabolic demand
increaed output

Front 2

MCC failure to thrive

Back 2

inadequate intake (usually from psychosocial issues)

Front 3

failure to thrive labs

Back 3

CBC, BMP, albumin, total protein, sweat chloride, UA/culture, stool O&P

Front 4

when to change car seat from rear to front facing

Back 4

1 year and 20 lbs

Front 5

work-up in suspected child abuse

Back 5

skeletal survey (bucket handle or corner fracture, spiral fracture in femur or humerus, posterior ribs, skull)
ophthalmologic exam
CT scan
CBC, coags, lft's

Front 6

define SIDS

Back 6

unexplained death <1 yr old despite thorough investigation

Front 7

spina bifida patient's often have what allergy?

Back 7

latex

Front 8

is physiologic jaundice direct or indirect hyperbilirubinemia?

Back 8

indirect

also will not occur within first 24 hours of life

Front 9

differentiate gastroschisis from omphalocele

Back 9

omphalocele has intestines, sometimes liver and other organs, protruding through umbilicus and contained within a sac, often with other anomalies

gastroschisis is protrusion without a surrounding sac through an abdominal wall defect

Front 10

in hirschprung's disease, is the aganglionic segment narrow or dilated?

Back 10

narrow with dilation of proximal normal colon

Front 11

four most common sites for neonatal sepsis

Back 11

bacteremia
UTI
meningitis
pneumonia

Front 12

treatment of neonatal sepsis

Back 12

ampicillin (for listeria)
and claforan or gentamicin

Front 13

fever in first month of life?
in months 2-3 and non-sick?

Back 13

full work-up
CBC, UA, CXR
if normal -->
urine culture, blood culture, +/- LP, may give one dose ceftriaxone and reevaluate in 24 hours

Front 14

initial treatment of bites

Back 14

augmentin PO x 10 days

Front 15

cellultiis

Back 15

cephalexin PO x 10 days

Front 16

initial treatment of neonatal conjunctivitis

Back 16

PO erythromycin for chlamydia
x 14 days
IV ceftriaxone for gC x 7 days

Front 17

initial treatment of suppurative conjunctivitis

Back 17

polymyxin b/TMP

Front 18

initial treatment of salmonella

Back 18

cefotaxime only if <6 mo, toxic or immunocompromised

Front 19

initial treatment of mastoiditis

Back 19

augmentin

Front 20

initial treatment of meningitis <1 mo old

Back 20

amp and cefotaxime x 21 days

Front 21

initial treatment of meningitis 1-3 mo

Back 21

amp and cefotaxime

Front 22

initial treatment of meningitis for kids >3 mo

Back 22

cefotaxime and vanc

Front 23

initial treatment of orbital cellulitis

Back 23

cefotaxime and clindamycin

Front 24

initial treatment of
osteomyelitis?
if <5 yrs old?
if foot puncture?
if sickle cell?

Back 24

oxacillin or clinda
add cefotaxime (Hib)
add ceftazidime (pseudomonas)
add cefotaxime (salmonella)

Front 25

initial treatment of AOM?

Back 25

high dose amoxicillin

Front 26

initial treatment of GAS pharyngitis?

Back 26

PO- pen VK
IV benzathine pcn

Front 27

initial treatment of vp shunt infection

Back 27

vanc and cefotaxime

Front 28

cause and treatment of respiratory distress syndrome

Back 28

surfactant deficiency

maternal antenatal steroids and surfactant

Front 29

cause and treatment of transient tachypnea of newborn

Back 29

retained fetal lung fluid

mild to moderate O2 req

Front 30

initial treatment of congenital CMV

Back 30

ganciclovir

Front 31

initial treatment of congenital toxo (3!)

Back 31

pyrimethamine
sulfadiazine
and
spiramycin

Front 32

characterized by blueberry muffin rash, cataracts, hearing loss, PDA, encaphalitis

Back 32

congenital rubella

Front 33

initial treatment of congenital herpes

Back 33

acyclovir

Front 34

Kawasaki's symptoms
(CRASH and Burn)

Back 34

conjunctivitis (bilateral, nonpurulent)
rash (truncal)
adenopathy (one cervical node >1 cm)
strawberry tongue
hand feet swelling
fever > 5 days

Front 35

lab abnormalities with Kawasaki's

Back 35

increaed ESR/CRP
thrombocytosis

Front 36

tx of kawasaki's

Back 36

IVIg x1
high dose aspirin QID until fever resolves and then low dose qd for 2 months
follow with echo (at dx, at 2 months, at 1 year)

Front 37

most common immunodeficiency

Back 37

IgA

Front 38

B-cell deficiency in Boys

Back 38

Bruton's agammaglobulinemia (recurrent URIs and encapsulated organism bacteremia)

Front 39

how to tell (broadly) congenital B-cell deficiency from T-cell?

Back 39

B-cell presents after 6 months

T-cell has wider range of infections (viral, fungal, intracellular bacterial) and presents 1-3 months

Front 40

patient with eczema, thrombocytopenia, decreased IgM, increased IgE and IgA

Back 40

Wiskott-Aldrich

Front 41

common mucous membrane infections and poor wound healing suggestive of

Back 41

phagocytic disease
(chronic granulomatous disease or chediak-Higashi syndrome)

Front 42

complement deficiency leads to what infection?

Back 42

neisseria

Front 43

prophylactic treatment for hereditary angioneurotic edema

Back 43

this is C1 esterase deficiency

tx is danazol (it increases C1 inhibitor protein synthesis in liver)