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Pediatrics
Pediatrics Step 3
42
Medical
Post-Graduate
10/29/2013

Additional Medical Flashcards

 


 

Cards

Term

What are the pediatric milestones at age . . .

 

9 months

Definition

pincer grasp

creeps and crawls

knows own name

 

Term

What are the pediatric milestones at age . . .

 

12 months

Definition

cruises

says 1 or more words

plays ball

Term

What are the pediatric milestones at age . . .

 

15 months

Definition

builds 3-cube tower

walks alone

makes lines and scribbles

 

Term

What is the pediatric milestone expected at . . .

 

18 months

 

Definition

walks down stairs

says 10 words

feeds self

Term
What is the treatment for ITP in a pediatric pt?
Definition

No sx/only petechie - observation

bleeding sx - IVIG

No improvement with IVIG -  add corticosteroids

 

Term

any infant born to an HIV+ mother with good medication compliance should receive . . .

 

 

What if the mother had poor compliance?

Definition

zidovudine for six weeks

 

poor compliance give zidovudine for 6 weeks and nevirapine divided into 3 doses in the first week of life

Term
What is the most common radiographic finding on AP X-ray of a pt with Croup?
Definition
Steeple Sign
Term
What is the radiographic sign in epiglottitis?
Definition
thumb-print sign
Term
Pharmacologic tx of croup includes at least one dose of . . .
Definition
dexamethasone
Term
If a neonate has not passed meconium within 48 hrs you should suspect . . .
Definition
Hirsprungs disease
Term
What is the most accurate diagnostic modality for diagnosing Hirsprungs disease?
Definition
rectal biopsy (absence of ganglionic cells)
Term
In Rocky Mountain Spotted Fever the rash spreads. . .
Definition
Palms and soles then centrepetally to the trunk
Term
What is the radiographic finding in . . . Transposition of the Great Vessels?

Tx?
Definition
Egg on a string

IV PGE1, cardiac catherization, balloon atrial septostomy
Term
What is the radiographic finding in . . . tricuspid atresia
Definition
right atrium dilation will appear as prominent right heart border
Term
All 50 states require screening of newborns for these two disease?
Definition
hypothyroidism
phenylketonuria
Term
Conjunctivitis within the first 24 hours of life is . . .
Definition
chemical conjunctivitis until proven otherwise
Term
neonatal conjunctivitis that presents within 2-7 days is . . .

tx?
Definition
gonorrhea

ceftriaxone
Term
How does tuberous sclerosis manifests?
Definition
hypomelanotic lesions on the face (ashleaf spots)
seizures
mental retardation
facial angiofibromas
Shagreen patch (cutaneous nevus)
Term
How does Neurofibromatosis Type 1 manifest?
Definition
cafe-au-lait spots (6 or more)
neurofibromas
freckling of the groin or axilla (crowe sign)
skeletal abnormalities
Lisch nodules (iris hamartomas)
Term
How does Neurofibromatosis Type 2 manifest?
Definition
bilateral acoustic neuromas
Term
What is von Hippel Lindau syndrome?
Definition
a multi system cancer syndrome associated with clear-cell renal cell ca, pheochromocytoma, and hemangioblastomas
Term
What is WAGR syndrome?
Definition
Wilm's Tumor (nephroblastoma)
Aniridia
Genitourinary malformations
Retardation

(US initial test of choice)
Term
Questions on Step 3 that mentions COUGH on ROS indicates that the dx is NOT. . .
Definition
strep throat
Term
pneumotosis intestinalis in an newborn
Definition
necrotizing enterocolitis
Term
portal vein gas in a new born
Definition
necrotizing enterocolitis
Term
What are the pediatric milestones at 6 months?
Definition
uses RAKING grasp
rolls back to front
knows name
stranger anxiety
transfer object hand to hang
Term
What are the pediatric milestones at 3 months?
Definition
popping up on forearms and rolling to side
ability to vocalize when addressed
Term
What are the pediatric milestones at 5 months?
Definition
responds to name
rolling back to front
Term
What are the pediatric milestones at 9 months?
Definition
prop up on hands and feet
begin to creep
pincer grasp
pull-up to standing position
Term
What type of virus is Rubella?
Definition
Togavirus
Term
What is the treatment for diptheria?
Definition
erythromycin and antitoxin
Term
bronchiolitis in infants is caused by . . .
Definition
RSV
Term
What is does vitamin B3 (niacin) cause?

How does it manifest?
Definition
Pellagra
dermatitis, dirrhea, and dementia
Term
What is the diagnostic work up for a newborn with chonal atresia is . . .
Definition
insertion of a catheter into the nose
(which is not possible due to obstruction)
Term
Tx for tourettes is . . .
Definition
fluphenazine or haloperidol
Term
What is the most common cause of meningitis in 3mo - 9years?
Definition
Strep pneump
Term
What is the most common cause of meningitis in teenagers and young adults?
Definition
N. meningitis
Term
What is the most common cause of meningitis in newborns up to 3 mo?
Definition
GBS
Term
What is the diagnostic test of choice for pts with lactose intolerance?
Definition
hydrogen breath test
Term
What is the tx for Turner's syndrome?
Definition
HGH and estrogen
Term
What nerve roots involve Klumpke's palsy?
Definition
C8-T1
Term
What nerve roots are involved with Erb Duchenne's palsy?
Definition
C5-C6
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