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Step III
Step III - Peds 6
| Question | Answer |
|---|---|
| If there is any doubt the patient has had his original series of three tetanus immunizations you should do what | add tetanus immune globulin to tetanus toxoid shot |
| Children, high fever, rash. Etio of meningitis | Neisseria |
| Newborn, no rash. Etio of meningitis | Listeria via vagina |
| 0-3mos Newborn, rash. Etio of meningitis | group B strep (agalactiae) via birth canal / group D enterococci (mom GI) >> E. coli / Kelbsiella >> Listeria |
| Teens Etio of meningitis | Neisseria |
| > 18yo Etio of meningitis | S. pneu |
| 2mos – 12yo, Etio of meningitis | Neisseria |
| Tx for intussusception | Air-contrast barium enema (dx as well as tx) |
| Medication in pregnancy a/w dev of pyloric stenosis | Macrolides esp erythromycin in first two weeks of life |
| In what cases would mom be using erythromycin during pregnancy | post-exposure prophylaxis or treatment of pertussis |
| What are the (4/5) criteria for dx Kawasaki’s dz | Bilateral conjunctivitis / Mucosal changes of lips and pharynx (strawberry tongue) / Derm changes of peripheral ext (erythema, upper + lower ext edema, desquamation) / Truncal rash (non-vesicular, one day after fever) / Cervical lymphadenopathy |
| Kawasaki’s dz is a/w what condition | coronary artery aneurysms |
| Tx for Kawasaki’s | IVIG, ASA |
| sore throat, fever, strawberry tongue, and a characteristic "sandpaper" rash | Scarlet fever |
| Etio of Scarlet fever | S. pyogenes |
| Sequelae of strep pharyngitis | Scarlet fever AND rheumatic fever |
| Post strep infection affecting heart, brain, joints | Rheumatic fever |
| Compare and contrast familial short stature w/ constitutional short stature | Const: bone age = height age and behind chrono age; familial: bone age > height age but = chrono age |
| growth retardation, weakness, osmotic diarrhea, and dermatitis herpetiformis | Celiac sprue |
| tx for tropical sprue | Tetracycline |
| decrease in the lecithin:sphingomyelin ratio (< 2:1) = | RDS |
| recurrent spontaneous abortion is d/t | anti-phospholipid syndrome |
| when should steroids be given to prevent RDS | 24-34 wks gestx in high risk pre-mature delivery moms |
| MCC death in ages 1-9yo | MV traffic > unintentional drowning > electrical burns |
| MCC death Age < 1 | 1) suffocation 2) MV traffic 3) drowning |
| MCC death Age 1-4 | 1) MV traffic 2) drowning 3) fire/burn |
| MCC death Age 5-9 | 1) MV traffic 2) drowning 3) fire/burn |
| MCC death Age 10-14 | 1) MV traffic 2) drowning 3) other land transport |
| MCC death Age 15-24 | 1) MV traffic 2) poisoning 3) drowning |
| MCC death Age 1-4 | 1) MV traffic 2) drowning 3) fire/burn |
| MCC death Age 5-9 | 1) MV traffic 2) drowning 3) fire/burn |
| MCC death Age 10-14 | 1) MV traffic 2) drowning 3) other land transport |
| MCC death Age 15-24 | 1) MV traffic 2) poisoning 3) drowning |
| Definitive tx for OSA in peds | Surgical resection of tonsils and adenoids |
| high fever, abdominal pain, generalized tonic-clonic seizures, watery diarrhea w/ blood and mucous | Shigella |
| diarrhea (+/- bloody), low-grade fever, and abdominal pain lasting 1-3 weeks, n/v | yersinia |
| chills, diaphoresis, anorexia, dry cough, a dull frontal headache, and myalgias before the onset of a high fever | Salmonella typhi |
Created by:
DrINFJ
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