Usmle Step 3 Peds

Front 1

Vaccinations at what ages

Back 1

2 months: DTaP, HiB, HepB, IPV, Pneumococcal
12 mnths: MMR and varicella

Front 2

Immunization Schedule

Back 2

Front 3

Bilirubin Max Levels and Treatment

Back 3

15mg/dl at 3 days
if over 25, pick exchange transfusion
if over 15, photo-therapy and re-evaluate

Front 4

Vaginal Bleeding Workup

Back 4

Endometrial Pipelle bx - r/o endometrial hyperplasia. Other causes may include fibroids, polyps, peri-menopause or neoplasia.

Front 5

Alcohol Syndrome

Back 5

High risk for cardiac defect (esp VSD). CNS defects including retardation and microcephaly are also common. Facial features - low-set ears, smooth philtrum, and short palpebral fissures (eyelid opening)

Front 6

GBS+ and in Labor?

Back 6

Give ampicillin or penicillin prophylaxis

Front 7

Meconium Ileus?

Back 7

multiple dilated loops of bowel. DX with barium enema (differentiates from atresia).