Peds - Hematology and Infectious Disease Exam Questions with Correct Answers

Peds - Hematology and Infectious Disease Exam Questions with
Correct Answers


Question 1.
Iron deficiency anemia is defined as poor dietary intake of iron for ___ months or chronic
___

Correct Answer: 6-24 months; chronic blood loss

Question 2.
IDA is common in which 2 peds pa-tient populations

Correct Answer: exclusively breast fed; premature infants

Question 3.
A patient with IDA may present asymptomatic or (4)

Correct Answer: Pallor, fatigue, irritability, hx of pica

Question 4.
Screening for IDA occurs at what age?

Correct Answer: 12 months

Question 5.
IDA LABS: Serum ferritin [high/low] TIBC [high/low] Iron saturation [high/low]

Correct Answer: Serum ferritin [low] TIBC [high] Iron saturation [low]

Question 6.
What are the PRODROME of measles in a child?

Correct Answer: Prodrome: Sneezing, harsh cough, conjunctivitis, coryza, High
and lethargy (2-3 days prior to rash)

Question 7.
What is the incubation period and method of transmission of measles?

Correct Answer: 10 day incubation period Respiratory droplets

Question 8.
T or F: Measles is not as contagious as other infectious diseases.

Correct Answer: FALSE; highly contagious! as early as 1-2 days before sxs start

Question 9.
What should be asked in a patient with suspicion of measles?

,Correct Answer: Immunizations Crowded areas Travel

Question 10.
What are the characteristics of measles in a child?

Correct Answer: Koplik spots Maculopapular rash Spreads from face -> trunk->

Question 11.
Koplik spots are ___ and associated with __

Correct Answer: small, blue-white spots with red halo over oral mu-cosa
(Rubeola)

Question 12.
What is diagnostic of measles?

Correct Answer: PCR of oropharyngeal secretions

Question 13.
What is supportive therapy for measles (3) and what else is admin-stered?

Correct Answer: Antipyretics Oatmeal baths and topical/oral antihistamines for
Vitamin A for malnourished children Immunoglobulin

Question 14.
Vitamin A supplementation in measles treatment helps prevent

Correct Answer: blindness

Question 15.
Once a patient is diagnosed with measles, what public health measure must be done?

Correct Answer: report to local health department within 24 hrs + isolation

Question 16.
Mumps is caused by __ and spreads through ___. The incubation period is ___.

Correct Answer: Paramyxovirus Respiratory droplets 14-21 days

Question 17.
What is the presentation of mumps? (5)

Correct Answer: Salivary gland disease Orchitis Oophoritis Meningoencephalitis
Pancreatitis

Question 18.
What is salivary gland disease and what is it associated with?

Correct Answer: Inflammation and pain to parotid glands A/W Mumps

, Question 19.
If we are concerned about pancreati-tis with mumps, what labs should be ordered?

Correct Answer: Lipase!! Amylase can be falsely elevated by salivary gland

Question 20.
What can be used to diagnose mumps?

Correct Answer: pcr or single positive IgM

Question 21.
Patient presents with fever, headache, arthralgia, and anorexia. You are con-cerned for
mumps associated with?

Correct Answer: Salivary gland disease

Question 22.
Treatment for mumps

Correct Answer: Supportive: fluids, analgesics, scrotal support if or-chitis

Question 23.
Polio is endemic in which 2 countries?

Correct Answer: Pakistan, afghanistan

Question 24.
Pathogen of polio

Correct Answer: Poliovirus (enterovirus)

Question 25.
Most cases of polio (days __) present as?

Correct Answer: days 2-6 Fever myalgia sore throat headache

Question 26.
If polio does not resolve in 2-6 days, how might they present?

Correct Answer: recurrent fever aseptic meningitis loss of reflexes acute flaccid
paralysis

Question 27.
Diagnosis of polio is made by __ if meningeal symptoms or __

Correct Answer: CSF; PCR

Question 28.