Pediatrics

Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• Match each statement with the correct term.
• Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What is the MCC of delayed speech development?
Total body rash - white wheal on red area - has eosinophils - looks like flea bites
Abd muscle problem: Prune belly Renal agenesis: Potter's syndrome
White pearls on hard palate
Hearing loss


2. What are the MCC of Polyhydramnios?
Osteogeneis imperfecta - Bleeding disorders - Fifth disease - Mongolian spots
Chromosomal abnormalities or TORCHS
Paramyxovirus Parotiditis ? red Stenson's duct (behind 3rd molar) - lemons hurt Complications: pancreatitis - oophoritis/orchitis - meningoencephalomyelitis Tx: Acetaminophen
NM problem: Wernig - Hoffman GI problem: Duodenal atresia


3. What is Rubella = German 3- day measles?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


4. What is Cephalohematoma?
Multiple ecchymoses - Retinal hemorrhage - Epidural/Subdural hemorrhage - Spiral fractures (twisted) - Multiple fractures in different healing stages
Under bone (blood not cross suture line)
Chlamydia Tx: Erythromycin
Abd muscle problem: Prune belly Renal agenesis: Potter's syndrome


5. What are the signs of child abuse?
Parvo B19 - Erythema infectiosum - 'slapped cheeks -' red lacy body rash - arthritis in mom - aplastic anemia - keep away from pregnant women for a few days - can go to school
Chlamydia Tx: Erythromycin
Multiple ecchymoses - Retinal hemorrhage - Epidural/Subdural hemorrhage - Spiral fractures (twisted) - Multiple fractures in different healing stages
Smallpox is on face - same stage of development - fever


6. What is VATER syndrome?
Vertebral abnormality - Anal (imperforate) - TE fistula - Renal
Abd muscle problem: Prune belly Renal agenesis: Potter's syndrome
German measles
Maxillary shelves did not fuse - recurrent otitis media (feed w/ long curved nipple)


7. What is Hand - Foot - Mouth disease?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


8. What are Mongolian spots?
Melanocytes on lower back (not child abuse) Usu on Asain/Hispanics
Flat bood vessels Tx: steroid injection if growing rapidly or laser surgery if on face
Total body rash - white wheal on red area - has eosinophils - looks like flea bites
Osteogeneis imperfecta - Bleeding disorders - Fifth disease - Mongolian spots


9. What is Erythema Toxicum?
Too little amniotic fluid - baby can't pee
HHV-6 Roseola - exanthema subitum (fever disappears - then rash appears)
Total body rash - white wheal on red area - has eosinophils - looks like flea bites
Blocked duct Tx: gentle massage


10. What is Molloscum Contagiosum?
Prolonged jaundice in newborns d/t birthing trauma
Adrenal medulla tumor - hypsarrhythmia (EEG pattern of abnormal interictal high amplitude waves and a background of irregular spikes) - opsoclonus (uncontrolled eye movements) - ?VMA
Measles
Pox virus Flesh - colored papules w/ central dimple - perianal STD in adults


11. What should you rule out when child abuse is suspected?
HHV-7 Herald patch ? migrates along skin lines Christmas tree appearance Tx: UV- B light
White pearls on hard palate
Adrenal medulla tumor - hypsarrhythmia (EEG pattern of abnormal interictal high amplitude waves and a background of irregular spikes) - opsoclonus (uncontrolled eye movements) - ?VMA
Osteogeneis imperfecta - Bleeding disorders - Fifth disease - Mongolian spots


12. What is the cause of large babies?
DM twin - twin transfusions
(Test at 1 & 5 min - normal >7) Apperance (color): 2=pink - 1=acrocyanosis - 0=central cyanosis Pulse: 2=>100 - 1=80-100 - 0=<80 (normal 120-160) Grimace: 2=strong - 1=weak - 0=no grimace Activity: 2=all extremities flexed - 1=partially flexed - 0=fl
German measles
Under scalp (edema crosses suture lines)


13. What is the MC eye infection the third week of life?
Blocked duct Tx: gentle massage
Under scalp (edema crosses suture lines)
Retinoblastoma
Herpes


14. What is Polyhydramnios?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


15. What is Subgaleal Hemorrhage?
Asymmetric Moro reflex (MC broken in middle 1/3)
Prolonged jaundice in newborns d/t birthing trauma
Hearing loss
Clear discharge d/t silver nitrate


16. What is Otitis Media?
Fluid in middle ear Commonly S. pneum Tx: Amoxicillin or tube placement if chronic
Under bone (blood not cross suture line)
Too little amniotic fluid - baby can't pee
Multiple ecchymoses - Retinal hemorrhage - Epidural/Subdural hemorrhage - Spiral fractures (twisted) - Multiple fractures in different healing stages


17. What is Varicella = Chickenpox?
VZV - On trunk - different stages of devo - Complications: skin infections - varicella pneumonia (lethal) 1. Red macule 2. Clear vesicle on red dot 3. Pus 4. Scab (not infectious)
Kidney - 'Wilm's' tumor - hemihypertrophy (atrophy of leg on side of tumor b/c blood supply redirected away from leg) - aniridia (absence of iris) - 'triphasic' histology Tx: Dactinomycin
White pearls on hard palate
German measles


18. What are the newborn screening tests?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


19. How is smallpox different from chickenpox?
Too much amniotic fluid - baby can't swallow
Paramyxovirus Parotiditis ? red Stenson's duct (behind 3rd molar) - lemons hurt Complications: pancreatitis - oophoritis/orchitis - meningoencephalomyelitis Tx: Acetaminophen
Smallpox is on face - same stage of development - fever
VZV - On trunk - different stages of devo - Complications: skin infections - varicella pneumonia (lethal) 1. Red macule 2. Clear vesicle on red dot 3. Pus 4. Scab (not infectious)


20. What is Measles = Rubeola?
Cataracts
Medial nasal prominence did not fuse - Reconstruct at 10 wk old
(Paramyxovirus; multinucleated giant cells)1. Cough - Coryza (thick rhinorrhea) - Conjunctivitis 2. Koplik spot 24 hrs before rash 3. Morbilliform blotchy rash (spreads from head down - like a shower) Complications: otitis media - demyelinating dz (s
Vertebral abnormality - Anal (imperforate) - TE fistula - Renal


21. What is a Neuroblastoma?
Adrenal medulla tumor - hypsarrhythmia (EEG pattern of abnormal interictal high amplitude waves and a background of irregular spikes) - opsoclonus (uncontrolled eye movements) - ?VMA
Fluid in middle ear Commonly S. pneum Tx: Amoxicillin or tube placement if chronic
Clear discharge d/t silver nitrate
Neonatal whiteheads on malar area d/t progesterone in utero


22. What is Zellweger's?
(Paramyxovirus; multinucleated giant cells)1. Cough - Coryza (thick rhinorrhea) - Conjunctivitis 2. Koplik spot 24 hrs before rash 3. Morbilliform blotchy rash (spreads from head down - like a shower) Complications: otitis media - demyelinating dz (s
Too much amniotic fluid - baby can't swallow
Poor blood supply spares brain ? small body - normal head
Neonatal seizures


23. What is the cause of symmetrically small babies?
Chromosomal abnormalities or TORCHS
Smallpox is on face - same stage of development - fever
White pearls on hard palate
Red rash w/ oily skin & dry - flaky hairline Tx: baby oil/shampoo


24. What are wide sutures due to?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


25. What are the causes of Hyperbilirubinemia?
'Stork bites' on back of neck - look like flames - AKA Port - Wine Stain
Sepsis - ABO incompatibility - hypothyroidism - breastfeeding
Fluid in middle ear Commonly S. pneum Tx: Amoxicillin or tube placement if chronic
Cataracts


26. What is Nevus Flammeus?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


27. What is persistent eye drainage since birth usually due to?
Neonatal whiteheads on malar area d/t progesterone in utero
Blocked duct Tx: gentle massage
Medial nasal prominence did not fuse - Reconstruct at 10 wk old
Osteogeneis imperfecta - Bleeding disorders - Fifth disease - Mongolian spots


28. What is a Nephroblastoma?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


29. What is Rubella also known as?
Measles
Hypothyroidism - Down's -Poor nutrition
German measles
Sepsis - ABO incompatibility - hypothyroidism - breastfeeding


30. What is the MC eye infection the second week of life
Under scalp (edema crosses suture lines)
VZV - On trunk - different stages of devo - Complications: skin infections - varicella pneumonia (lethal) 1. Red macule 2. Clear vesicle on red dot 3. Pus 4. Scab (not infectious)
Blocked duct Tx: gentle massage
Chlamydia Tx: Erythromycin


31. What is Seborrheic Dermatitis?
Blocked duct Tx: gentle massage
Mouth ulcers ? won't eat or drink - palm/sole rash - Coxsackie A virus Tx: observation
Maxillary shelves did not fuse - recurrent otitis media (feed w/ long curved nipple)
Red rash w/ oily skin & dry - flaky hairline Tx: baby oil/shampoo


32. What are the MCC of Oligohydramnios?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


33. What is Oligohydramnios?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


34. What causes a Cleft lip?
Under bone (blood not cross suture line)
Medial nasal prominence did not fuse - Reconstruct at 10 wk old
Kidney - 'Wilm's' tumor - hemihypertrophy (atrophy of leg on side of tumor b/c blood supply redirected away from leg) - aniridia (absence of iris) - 'triphasic' histology Tx: Dactinomycin
Cataracts


35. What is the MCC of no red reflex?
Parvo B19 - Erythema infectiosum - 'slapped cheeks -' red lacy body rash - arthritis in mom - aplastic anemia - keep away from pregnant women for a few days - can go to school
EtOH - Fragile X - Down's
Cataracts
Herpes


36. What is the APGAR test?
Poor blood supply spares brain ? small body - normal head
(Test at 1 & 5 min - normal >7) Apperance (color): 2=pink - 1=acrocyanosis - 0=central cyanosis Pulse: 2=>100 - 1=80-100 - 0=<80 (normal 120-160) Grimace: 2=strong - 1=weak - 0=no grimace Activity: 2=all extremities flexed - 1=partially flexed - 0=fl
Maxillary shelves did not fuse - recurrent otitis media (feed w/ long curved nipple)
Neonatal whiteheads on malar area d/t progesterone in utero


37. What is Gastroschisis?
VZV - On trunk - different stages of devo - Complications: skin infections - varicella pneumonia (lethal) 1. Red macule 2. Clear vesicle on red dot 3. Pus 4. Scab (not infectious)
Under bone (blood not cross suture line)
Sepsis - ABO incompatibility - hypothyroidism - breastfeeding
Abdominal wall defect - off - center


38. What is an average IQ?
85-100
Too much amniotic fluid - baby can't swallow
Hypothyroidism - Down's -Poor nutrition
White pearls on hard palate


39. What is the cause of asymmetrically small babies?
Poor blood supply spares brain ? small body - normal head
Cataracts
Mouth ulcers ? won't eat or drink - palm/sole rash - Coxsackie A virus Tx: observation
Hearing loss


40. What causes a Cleft Palate?
Multiple ecchymoses - Retinal hemorrhage - Epidural/Subdural hemorrhage - Spiral fractures (twisted) - Multiple fractures in different healing stages
Fluid in middle ear Commonly S. pneum Tx: Amoxicillin or tube placement if chronic
Parvo B19 - Erythema infectiosum - 'slapped cheeks -' red lacy body rash - arthritis in mom - aplastic anemia - keep away from pregnant women for a few days - can go to school
Maxillary shelves did not fuse - recurrent otitis media (feed w/ long curved nipple)


41. What is Mumps?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


42. What is the MC eye infection the first day of life?
HHV-6 Roseola - exanthema subitum (fever disappears - then rash appears)
Osteogeneis imperfecta - Bleeding disorders - Fifth disease - Mongolian spots
Gonorrhea ? purulent discharge Tx: Ceftriaxone
Clear discharge d/t silver nitrate


43. What is Sixth disease?
Pox virus Flesh - colored papules w/ central dimple - perianal STD in adults
85-100
NM problem: Wernig - Hoffman GI problem: Duodenal atresia
HHV-6 Roseola - exanthema subitum (fever disappears - then rash appears)


44. What is the MC eye infection the first week of life?
'Please Check BBefore Going HHome'- PKU- Congenital adrenal hyperplasia- Biotinidase - Beta- thalassemia- Galactosemia- Hypothyroidism - Homocystinuria
Gonorrhea ? purulent discharge Tx: Ceftriaxone
Under bone (blood not cross suture line)
Sepsis - ABO incompatibility - hypothyroidism - breastfeeding


45. What is Caput Succedaneum?
Gonorrhea ? purulent discharge Tx: Ceftriaxone
85-100
Under scalp (edema crosses suture lines)
(Paramyxovirus; multinucleated giant cells)1. Cough - Coryza (thick rhinorrhea) - Conjunctivitis 2. Koplik spot 24 hrs before rash 3. Morbilliform blotchy rash (spreads from head down - like a shower) Complications: otitis media - demyelinating dz (s


46. What are Hemangiomas?
Flat bood vessels Tx: steroid injection if growing rapidly or laser surgery if on face
HHV-7 Herald patch ? migrates along skin lines Christmas tree appearance Tx: UV- B light
Blocked duct Tx: gentle massage
Neonatal whiteheads on malar area d/t progesterone in utero


47. What is Milia?
Measles
Medial nasal prominence did not fuse - Reconstruct at 10 wk old
Mouth ulcers ? won't eat or drink - palm/sole rash - Coxsackie A virus Tx: observation
Neonatal whiteheads on malar area d/t progesterone in utero


48. What is Fifth disease?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


49. What is Rubeola also known as?
Abd muscle problem: Prune belly Renal agenesis: Potter's syndrome
'Please Check BBefore Going HHome'- PKU- Congenital adrenal hyperplasia- Biotinidase - Beta- thalassemia- Galactosemia- Hypothyroidism - Homocystinuria
Too little amniotic fluid - baby can't pee
Measles


50. What is the sign of a Clavicle Fracture?
'Please Check BBefore Going HHome'- PKU- Congenital adrenal hyperplasia- Biotinidase - Beta- thalassemia- Galactosemia- Hypothyroidism - Homocystinuria
(Paramyxovirus; multinucleated giant cells)1. Cough - Coryza (thick rhinorrhea) - Conjunctivitis 2. Koplik spot 24 hrs before rash 3. Morbilliform blotchy rash (spreads from head down - like a shower) Complications: otitis media - demyelinating dz (s
Retinoblastoma
Asymmetric Moro reflex (MC broken in middle 1/3)