PEDS Rosh Boost Exam UPDATED ACTUAL Questions and CORRECT
Answers
1. What is valid reason to delay vaccination administra- Moderate or severe acute
tion? illness with or without
fever
2. For which vaccine is a history of egg allergy consid- Influenza
ered a precaution?
3. What is initial tx for encopresis? Polyethylene glycol for 6
months
4. What differentiates strep pharyngitis from infectious ANTERIOR cervical LAD is
mono? in strep throat
POSTERIOR cervical LAD is
in Mono
5. What finding may be noted on the peripheral smear in atypical lymphocytes
patients with infectious mononucleosis?
6. Which of the following best describes the effects of Blood flow through the
fetal coarctation of the aorta in utero? patent ductus arteriosus
bypasses the coarctation,
resulting in hemodynamic
stability
7. What is seen on CXR in coarctation of the aorta? Notching of the ribs, d/t
enlargement of intercostal
collateral arteries
8. % BSA affected in SJS and TEN? SJS < 10% BSA
TEN > 30% BSA
9. Which local anesthetic is contraindicated to provide Epinephrine
pain control to the penis?
,10. What is dx of patient that has notable swelling of PARAphimosis (requires
the distal foreskin and a band of tissue proximal to PARAmedics)
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.
11. What is duodenal atresia ass'd with? (2) - Down Syndrome
- Polyhydamnios
12. What is sign on US/Ab Xray in duodenal atresia? Double bubble
13. What else needs to be r/o'd with dx of duodenal atre- Malrotation (UGI contrast
sia? series)
14. What is the most common congenital abnormality of Meckel Diverticulum
the small intestine?
15. What is first line therapy for long QT syndrome? Beta blockers = Propra-
nolol 2.9 mg/kg/day
16. What is another congenital defect associated with Congenital sensorineural
long QT syndrome? deafness.
17. When is the MMR vaccine typically given in the United Administration of the
States? MMR vaccination is given
in two doses to children at
12-15 months and at four
to six years of age.
18. What is mumps caused by? Paramyxovirus
19. first line tx for allergic rhinitis? - H2RA: cetirizine or lorati-
dine
, - Intranasal glu-
cocorticoid: Fluticas-
one, beclomethasone, or
mometasone
20. What term describes rebound nasal congestion after Rhinitis medicamentosa.
discontinuation of nasal decongestant sprays?
21. What is the most common cause of viral conjunctivitis? Adenovirus
22. Which endocrinopathy is associated with slipped cap- Hypothyroidism
ital femoral epiphysis?
23. A 4-year old boy presents to the office for his well-child Widely spit and fixed S2
examination. Upon listening to his heart, you hear a
soft murmur. Which of the following features would
be concerning for a pathologic murmur?
24. What is the tx for recurrent simple febrile seizures? Diazepam, gel or suposi-
tory
25. How long does racemic epinephrine have an effect on A maximum of two hours
the upper airway?
26. What is a monophonic inspiratory noise with each Stridor
breath explaining?
27. Where are innocent murmurs typically heard best? The region of the apex and
left lower sternal border.
28. Tx for pertussis? erythromycin or
azithromycin
29. Pertusis
Answers
1. What is valid reason to delay vaccination administra- Moderate or severe acute
tion? illness with or without
fever
2. For which vaccine is a history of egg allergy consid- Influenza
ered a precaution?
3. What is initial tx for encopresis? Polyethylene glycol for 6
months
4. What differentiates strep pharyngitis from infectious ANTERIOR cervical LAD is
mono? in strep throat
POSTERIOR cervical LAD is
in Mono
5. What finding may be noted on the peripheral smear in atypical lymphocytes
patients with infectious mononucleosis?
6. Which of the following best describes the effects of Blood flow through the
fetal coarctation of the aorta in utero? patent ductus arteriosus
bypasses the coarctation,
resulting in hemodynamic
stability
7. What is seen on CXR in coarctation of the aorta? Notching of the ribs, d/t
enlargement of intercostal
collateral arteries
8. % BSA affected in SJS and TEN? SJS < 10% BSA
TEN > 30% BSA
9. Which local anesthetic is contraindicated to provide Epinephrine
pain control to the penis?
,10. What is dx of patient that has notable swelling of PARAphimosis (requires
the distal foreskin and a band of tissue proximal to PARAmedics)
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.
11. What is duodenal atresia ass'd with? (2) - Down Syndrome
- Polyhydamnios
12. What is sign on US/Ab Xray in duodenal atresia? Double bubble
13. What else needs to be r/o'd with dx of duodenal atre- Malrotation (UGI contrast
sia? series)
14. What is the most common congenital abnormality of Meckel Diverticulum
the small intestine?
15. What is first line therapy for long QT syndrome? Beta blockers = Propra-
nolol 2.9 mg/kg/day
16. What is another congenital defect associated with Congenital sensorineural
long QT syndrome? deafness.
17. When is the MMR vaccine typically given in the United Administration of the
States? MMR vaccination is given
in two doses to children at
12-15 months and at four
to six years of age.
18. What is mumps caused by? Paramyxovirus
19. first line tx for allergic rhinitis? - H2RA: cetirizine or lorati-
dine
, - Intranasal glu-
cocorticoid: Fluticas-
one, beclomethasone, or
mometasone
20. What term describes rebound nasal congestion after Rhinitis medicamentosa.
discontinuation of nasal decongestant sprays?
21. What is the most common cause of viral conjunctivitis? Adenovirus
22. Which endocrinopathy is associated with slipped cap- Hypothyroidism
ital femoral epiphysis?
23. A 4-year old boy presents to the office for his well-child Widely spit and fixed S2
examination. Upon listening to his heart, you hear a
soft murmur. Which of the following features would
be concerning for a pathologic murmur?
24. What is the tx for recurrent simple febrile seizures? Diazepam, gel or suposi-
tory
25. How long does racemic epinephrine have an effect on A maximum of two hours
the upper airway?
26. What is a monophonic inspiratory noise with each Stridor
breath explaining?
27. Where are innocent murmurs typically heard best? The region of the apex and
left lower sternal border.
28. Tx for pertussis? erythromycin or
azithromycin
29. Pertusis
