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Flashcards in Peds Shelf Deck (246)
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1

what is the murmur heard in tetrology of fallot?

systolic murmur along the left sternal border

2

what 4 anatomic abnormalities are seen in tetrology of fallot?

1. VSD
2. Overriding aorta over the R and L ventrivles
3. R ventricular outflow obstruction
4. R ventricular hypertrophy

3

what are the 3 most common bugs that cause acute bacterial rhinosinusitis? treatment of choice?

1. Strep pneumo
2. H influ
3. Moraxella catarrhalis
tx: amoxicillin-clavulanic acid

4

impetigo is most commonly associated with what disease?

post-strep glomerulonephritis

5

what 2 bugs cause impetigo? tx of choice?

1. GABS
2. Staph aureus
tx: topical mupirocin

6

what vaccine has a weight requirement and what is that requirement?

Hepatitis B
must be at least 2kg before receiving it

7

what are the characteristics (4) of Edwards syndrome? trisomy 18

1. Low birth weight
2. Closed fists with the index finger overlapping the 3rd digit and the 5th digit overlapping the 5th
3. Prominent occiput
4. Rocker bottom feet

8

what causes cri-du-chat?

5p deletion

9

tx of choice for septic arthritis?

surgical drainage

10

pt has rapidly increasing head circumference, imaging? what is it?

hydrcephalus
get CT scan of brain

11

continued ear drainage for several weeks despite appropriate antibiotic therapy?

cholesteatoma

12

how is a cholesteatoma formed?

chronic middle ear disease leads to formation of a retraction pocket in the tympanic membrance which can fill with granulation tissue and skin debris

13

at what age should children follow a moving toy in the side to side AND vertical plane?

3 months

14

at what age does an infant maintain a seated position?

6-8months

15

At what age can a child copy a square?

4-5 years

16

what is the major morbidity of pauciarticular rheumatoid arthritis?

blindness: iridocyclitis (tx with steroids)

17

what is Nikolsky sign and what does it indicate?

- peeling of the epidermis in response to mild shearing forces
- Ritter disease = staph scalded skin disease

18

what are the major symptoms observed in anaphylactoid purpura? (3)

1. Generalized acute vasculitis of small blood vessels
2. Arthritis of large joints
3. GI symptoms: colicky abdominal pain, vomiting, melena

19

what is the most serious complication of anaphylactoid purpura?

renal disease

20

Syrup of ipecac should not be given in what isntances?

1. Ingestion of strong acid or alkali
2. Obtunded, comatose, or impending seizures

21

herald patch -> diffuse rash involving the upper extremities and trunk

pityriasis rosea

22

what else should be on the differential for pityriasis rosea?

secondary syphilis

23

at what age does neonatal acne peak?

2-4 weeks (due to maternal hormone transmission)

24

tx for symptomatic organophosphate poisoning in children?

atropine

25

what are the typical symptoms of GBS pneumonia?

1. Rapid onset of respiratory distress, hypothermia, hypotension
2. low WBC count with left shift

26

at what age do children start to pincer grasp?

12 months

27

what CANT you use as treatment for lice in a small infant?

1% lindane

28

what STD goes along with sexual abuse?

gonorrhea

29

in what 3 types of bites do you need antibiotic prophylaxis?

1. cat
2. human
3. monkey bites

30

child ingests aunt's pills, prolonged QRS and QT interval

TCA