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Step III

Step III - Peds 1

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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