What is valid reason to delay vaccination administration? - Moderate or severe acute
illness with or without fever
For which vaccine is a history of egg allergy considered a precaution? - Influenza
What is initial tx for encopresis? - Polyethylene glycol for 6 months
What differentiates strep pharyngitis from infectious mono? - ANTERIOR cervical LAD
is in strep throat
POSTERIOR cervical LAD is in Mono
What finding may be noted on the peripheral smear in patients with infectious
mononucleosis? - atypical lymphocytes
Which of the following best describes the effects of fetal coarctation of the aorta in
utero? - Blood flow through the patent ductus arteriosus bypasses the coarctation,
resulting in hemodynamic stability
What is seen on CXR in coarctation of the aorta? - Notching of the ribs, d/t enlargement
of intercostal collateral arteries
% BSA affected in SJS and TEN? - SJS < 10% BSA
TEN > 30% BSA
Which local anesthetic is contraindicated to provide pain control to the penis? -
Epinephrine
What is dx of patient that has notable swelling of the distal foreskin and a band of tissue
proximal to the head of the penis appears constricting. Both the glans penis and the
distal foreskin are swollen and exquisitely tender to manipulation. The penile shaft
appears flaccid and normal. - PARAphimosis (requires PARAmedics)
What is duodenal atresia ass'd with? (2) - - Down Syndrome
- Polyhydamnios
What is sign on US/Ab Xray in duodenal atresia? - Double bubble
What else needs to be r/o'd with dx of duodenal atresia? - Malrotation (UGI contrast
series)
What is the most common congenital abnormality of the small intestine? - Meckel
Diverticulum
, What is first line therapy for long QT syndrome? - Beta blockers = Propranolol 2.9
mg/kg/day
What is another congenital defect associated with long QT syndrome? - Congenital
sensorineural deafness.
When is the MMR vaccine typically given in the United States? - Administration of the
MMR vaccination is given in two doses to children at 12-15 months and at four to six
years of age.
What is mumps caused by? - Paramyxovirus
first line tx for allergic rhinitis? - - H2RA: cetirizine or loratidine
- Intranasal glucocorticoid: Fluticasone, beclomethasone, or mometasone
What term describes rebound nasal congestion after discontinuation of nasal
decongestant sprays? - Rhinitis medicamentosa.
What is the most common cause of viral conjunctivitis? - Adenovirus
Which endocrinopathy is associated with slipped capital femoral epiphysis? -
Hypothyroidism
A 4-year old boy presents to the office for his well-child examination. Upon listening to
his heart, you hear a soft murmur. Which of the following features would be concerning
for a pathologic murmur? - Widely spit and fixed S2
What is the tx for recurrent simple febrile seizures? - Diazepam, gel or supository
How long does racemic epinephrine have an effect on the upper airway? - A maximum
of two hours
What is a monophonic inspiratory noise with each breath explaining? - Stridor
Where are innocent murmurs typically heard best? - The region of the apex and left
lower sternal border.
Tx for pertussis? - erythromycin or azithromycin
What is suspected in multiple episodes of coughing with cyanosis, respiratory distress
and post-tussive emesis? - Pertusis
What serious gastrointestinal complication is associated with macrolide use in
newborns? - Pyloric stenosis
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