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PEDIATRIC ARDMS REVIEW

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PEDIATRIC ARDMS REVIEW

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PEDIATRIC ARDMS
Course
PEDIATRIC ARDMS

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PEDIATRIC ARDMS REVIEW
Most common malignant liver tumor in children? - Answers -Hepatoblastoma

2nd most common malignant liver tumor in children. Seen w/ hep B and Wilsons
disease. - Answers -HCC

Most common benign hepatic tumor of childhood. - Answers -Infantile
Hemangioendothelioma

Most common inflammatory disease of small bowel. - Answers -Crohn disease

Most common small bowel malignancy in childhood. - Answers -Non-Hodgkin's
Lymphoma

Most common surgical emergency in children. - Answers -appendicitis
(more common in girls)

Most common cause of urethral obstruction in boys. - Answers -Posterior urethral
valves

Absent or small abdominal wall musculature. Multiple urinary tract anomalies seen.
Exclusively males. - Answers -Prune Belly Syndrome
(Eagle Barrett Syndrome)

Most common renal malignancy in children. - Answers -Wilms tumor
(Nephroblastoma)

What is the aggressive malignant renal tumor that occurs in patients w/ sickle cell
disease? - Answers -Renal Medullary Carcinoma

Most common benign renal tumor in children. - Answers -Mesoblastic Nephroma
(Renal Hamartoma,
Mesenchymal Hamartoma)

Most common extracranial tumor in children. - Answers -Neuroblastoma

Benign Adrenal tumor made of ganglion cells. - Answers -Ganglioneuroma

Overproduction of cortisol in the adrenal cortex - Answers -Cushing Syndrome

Overproduction of mineralcorticoid aldosterone - Answers -Conn Syndrome
(Primary Aldosteronism)

Autosomal Recessive error of metabolizing fat. Leads to accumulation of cholesterol
and triglycerides in tissues of body. - Answers -Wolman Disease

,Autosomal dominant disease where multiple organs present w/ cysts. - Answers -Von
Hippel-Lindau Syndrome

Infantile type of pancreatic carcinoma. May be seen w/ Beckwith-Wiedemann
Syndrome. - Answers -Pancreaticoblastoma

Most common islet cell tumor - Answers -Insulinoma

2nd most common islet cell tumor - Answers -Gastrinoma

Malignant ovarian tumor. Usually larger than 10cm. - Answers -Germ cell tumor

Benign liver lesion made up of small blood filled spaces lined w/ endothelial cells -
Answers -Cavernous Hemangioma

Congenital benign liver tumor originating along portal triads - Answers -Mesenchymal
Hamartoma (aka Lymphangioma)

Congenital cystic dilatation of intrahepatic ducts. - Answers -Caroli disease

Which biliary tract pathology has an increased risk of Cholangiocarcinoma? - Answers -
Caroli disease

What is the most common cause of hyperbilirubinemia? - Answers -Biliary atresia

What procedure can be done to preserve the liver in cases of biliary atresia? - Answers
-Kasai procedure

What is the most common (but rare) neoplasm of the biliary tract in children? - Answers
-Rhabdomyosarcoma

Most common malignant Splenic neoplasm - Answers -Lymphoma

What may cause multiple hypoechoic masses in the spleen? - Answers -Langerhans
cell histocytosis

Solid complex mass in spleen. Rare but mets to liver, bone, lymph nodes. - Answers -
Angiosarcoma

Autosomal recessive disorder that presents w/ Hepatosplenomegaly and bone
infarctions. - Answers -Gaucher storage disease

When is Pyloric Stenosis most common? - Answers -2-6 weeks (boys)

, Common cause of delayed emptying of stomach, antral narrowing & causes vomiting -
Answers -Pylorospasm (aka Antral Dyskinesia)

Most common malignant neoplasm of GI tract in children. - Answers -Lymphoma

Most common cause of congenital duodenal obstruction in newborns. - Answers -
Duodenal atresia

Midgut malrotation - Answers -SMV positioned left of SMA

Most common acute abdominal disorder in early childhood? - Answers -Intussusception

Name the 2 Sex Cord-Stromal Tumors - Answers -1. Granulosa cell
2. Sertoli-Leydig

Which ovarian tumor is due to excessive Estrogen production? - Answers -Granulosa
cell

Which ovarian tumor is due to excessive Androgen production? - Answers -Sertoli-
Leydig

Most common tumor of the genitourinary tract in children? - Answers -
Rhabdomyosarcoma (malignant vaginal tumor)

Pyloric muscle is thickened when - Answers -> 3mm

Pyloric channel is elongated when - Answers -> 17mm

Diameter of intussuscepted bowel - Answers -> 3cm

Normal hip Alpha angle - Answers -60 degrees or greater

Normal hip Beta angle - Answers -55 degrees or less

The smaller the ______ angle and the larger the ______ angle, the more likely that
dysplasia is present. - Answers -Alpha; Beta

Normal appendix should not exceed - Answers -6mm

Name 3 types of Dorsal Stigmata seen with Occult spinal dysraphism: - Answers -sacral
dimples
skin tags
abnormal hair growth

Which Occult spinal dysraphism is often associated with a tight filum terminale? -
Answers -Lipomyelocele

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