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Step III
Step III - Peds 1
| Question | Answer |
|---|---|
| What is the common etio of Subacute sclerosing panencephalitis (SSPE) | Viral |
| In what age group does SSPE usually occur | <20yo |
| What illness and how many years after do you expect SSPE to occur | 7-10yrs after measles |
| Describe stages I and II of SSPE | Stage I: insidious neurologic symptoms (eg: personality changes, lethargy) Stage II: myoclonus, progressive dementia, and motor or sensory disease |
| How is SSPE different than post infectious encephalomyelitis | SSPE occurs YEARS after viral illness whereas post infectious occurs weeks (2); post infectious is of autoimm etio not viral (measles) |
| What is the most commonly tested potential severe complication in a pt that presents w/ measles | Subacute sclerosing panencephalitis |
| Pt has cough, coryza, conjunctivitis. Dx | Measles |
| What is seen on the buccal mucosa | Koplik spots |
| What will you expect to see next after initial presentation of measles | Rash from head spreading caudally |
| In terms of fever what is the difference b/t rubella and measles | Measles = HIGH fever; rubella = low fever |
| Describe the rash pattern of 5th disease | Starts at upper extremities and spreads to trunk |
| Describe the rash of roseola. What is it aka | Starts at trunk and spreads to extremities; 6th dz |
| When are APGAR scores calculated | 1 and 5 mins |
| What are the five criteria for APGAR score | HR, resp effort, muscle tone, color, response to stimuli |
| How are the criteria scored | Point of 0, 1, or 2 for max score of 10 |
| What are the points for each category | HR: 0= absent, 1= <100, 2= >100; Resp: 0= none, 1= weak cry, 2 = strong cry; Tone: 0= limp, 1= partial flex exts, 2= fully active; Color: 0= pale/blue, 1= pink body, blue exts, 2= pink allover; Stimuli: 0= none, 1= grimace, 2= cry, cough, sneeze |
| What vaccination is given at birth | Hep B |
| What vaccinations are given at 2 mos | HepB (if not given at 1 mos), Rota, IPV, Hib, Pneumococcal, DTaP |
| What does TOPV stand for | Trivalent Oral Polio Vaccine (live attenuated) |
| What does IPV stand for | Inactivated polio vaccine |
| What polio vaccine is used now | IPV in US; OPV in countries high risk for polio |
| What is the complete number of polio vaccinations | 4 sets ideally; some pts at risk w/ exposure may get booster but only x1 in lifetime |
| At what age does MMR vaccine start | 1yo |
| What is the Schick test | Test to determine pt susceptibility to diphtheria |
| Pediatric pt with s/s step throat, given amoxicillin and now has a rash. Dx and PE finding | EBV; splenomegaly |
| What is etio of PNA in pt 1-3mos | C. trachomatis |
| How do you distinguish RSV from C. trachomatis PNA | C. trachomatis has NO FEVER or WHEEZING |
| Describe the stages III, IV of SSPE? | Stages III and IV: end-stages; further neurologic deterioration, flaccidity or rigidity (usually decorticate), autonomic dysfunction, death (IV) |
| Difference in vomiting pattern b/t intussusception and pyloric stenosis | NON bilious = pyloric stenosis; BILIOUS – intussusception |
Created by:
DrINFJ
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