Peds Shelf Exam Review Session

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Anonymous
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196756
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Peds Shelf Exam Review Session
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2013-01-30 20:41:53
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  1. Cat Bite versus Cat Scratch
    Cat Bite = Pasteurella Multcodia Tx: Augmentin

    Cat Scratch = Bartonella Cat Scratch Fever.
  2. 6 week old normal except SOB, listless
    Think SVT.
  3. 14 y/o with long history of rash that remitts
    Think JRA
  4. 3 things that the drooling kid could have
    • Retropharyngeal abscess
    • Peritonsallar abscess
    • Epiglottitis
  5. Most common cause of deafness s/p meningitis?
    Strep pneumo
  6. How many episodes of tonsillitis/yr before you do tonsillectomy?
    6
  7. How to differentiate kidney stones from UTI?
    Kidney stones has no FEVER!
  8. Hashimoto's Thyroditis
    • Most commonc ause of hypothyroidism, autoimmune disorder
    • Assoc. with HLA-DR5.
    • May he hyperthyorid early in course
  9. Neonatal Gonorrhea vs. Chlamydia in terms of timing
    • Gonorrhea days 2-5
    • Chlamydia a few weeks post-partum
  10. Foul smelling/greasy stools w/o respiratory symptoms
    Think Celiac's Disease.
  11. Aspirin Overdose
    • Respiratory Alkalosis Early on
    • Then Metabolic Acidosis (Anion Gap)
    • pH = 7.2 BiCarb = 10
  12. 5 y/o M w/ hx of leg pain, hepatosplenomegaly, bruising
    Leukuemia
  13. 6 week old w/ parotid swelling
    HIV
  14. S/p 60 min. post-trauma clear fluid out of the ear
    Basilar Skull Fracture
  15. Differentiate btwn Kawasaki and Scarlet Fever
    • Both may have strawberry tongue, rash, desquamation of hands and feet, erythema.
    • Scarlet Fever = Normal Conjunctiva and lips!!
  16. Mnemonic for Kawasaki
    • CRASH and BURN
    • Conjunctivits
    • Rash
    • Adenopathy (unilateral)
    • Strawberry Tongue
    • Hands and Feet (Red, swollen, flaky skin)
    • Fever (>40C/104F for > 5 d)
  17. 2 week old w/ a weak suck
    Hypothyroidism
  18. 13 y/o F w/elevated scapula
    Scoliosis
  19. Blue at Birth
    think Transposition of the Great Vessels
  20. Side effect of Bactrim
    • Trimethoprim-Sulfamethoxazole TMP-SMX
    • Treats Marrow Poorly TMP
    • Causes neutropenia
  21. Which boys get gynecomastia
    • Klinefelter's
    • Obese
    • Pot smokers
  22. 3 mo w/ constipation and exhaustion
    Hypothyroidism
  23. Fluids for kids
    • Maintenance
    • 4 ml/kg/hr for kilograms 0-10
    • 2 ml/kg/hr for 10-20kg
    • 1 ml/kg/hr for each addt. kg

    • Bolus
    • 20 ml/kg NS up to three times

    No Pee? No K!
  24. Testicular Torsion
    • Inner thigh stroking -->
    • No Cremaster Reflex (movement up of testicle)
    • Suggests Testicular Torsion
  25. 8 mo w/o gag reflex?
    botulism
  26. Kerion
    Inflammatory reaction to tinea capitis
  27. Maxillary Hypoplasia?
    Fetal EtOH
  28. Teenage girl rash can't come her hair
    Dermatomyositis
  29. Coomb's Positive & Hemolytic Anemia
    • Mycoplasma pneumoniae, EBV
    • Causes Cold agglutination and acute anemia
  30. Neurologic Consequence of hypernatremia
    seizure
  31. Widening wrists, refuses to crawl
    Ricketts
  32. Blood on tapping pleural effusion
    malignancy
  33. Coughing w/cyanosis
    Pertussis
  34. Diabetes shaking
    ALWAYS HYPOGLYCEMIA
  35. pH and [K+] in DKA
    • pH = 7.2
    • K normal
  36. Midline defect in neck that moves w/ swallowing
    Thryoglossal Duct Problem
  37. If they show you an x-ray w/o a broken bone
    cancer.
  38. Galloping myocarditis
    Coxsackie Virus
  39. Consequences of recurrent pyelo
    • renal scarring
    • hypertension
  40. Causes of fainting w/exercise in adolescent
    • Hypertropic Cardiomyopathy
    • Hypertrophic IV septum is too close to mitral vavle leaflet, causing outflow tract obstruction. 50% of cases familial associated w/ Friedreich's ataxia. Causes conduction abnormalities

    • Long QT syndrome
    • Pulmonary Artery Hyperplasia
  41. Bronchiectasis on CT
    think CF.

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