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A newborn presents with mild discharge of the eye. She is afebrile, + pneumonia
with a staccato cough. What are you suspicious of? ---------CORRECT ANSWER------
-----------Chlamydia
What is a hyphema? ---------CORRECT ANSWER-----------------blunt trauma to the
globe, resulting in blood in the anterior chamber. There is an increased risk of
glaucoma.
What is the 1st line treatment of OM? ---------CORRECT ANSWER-----------------
Amoxicillin, 2nd line is Augmentin. If patient has allergy to PCN, try Azithromycin
What is the 1st line treatment of sinusitis? ---------CORRECT ANSWER-----------------
Augmentin, high dose amoxicillin. If PCN allergy, try azithromycin
What is the most common pneumonia in a child greater than 10 years of age? -----
----CORRECT ANSWER-----------------Mycoplasma pneumonia
,What is the most common cardiac anomaly? ---------CORRECT ANSWER---------------
--Ventricular Septal Defect
Severe branch pulmonary artery stenosis associated with Williams syndrome and
congenital rubella that does not disappear by 6 months ---------CORRECT ANSWER-
----------------Peripheral pulmonic stenosis murmur
Which murmur can be heard best in the lower left sternal border? ---------
CORRECT ANSWER-----------------Still's murmur
Which of the following is a cyanotic lesion?
a. PDA
b. Tricuspid Atresia
c. VSD
d. ASD ---------CORRECT ANSWER-----------------Tricuspid Atresia, as is Transposition
of the great arteries, tetrology of fallot, pulmonary atresia
A bruit is heard at the left upper sternal border, you suspect? ---------CORRECT
ANSWER-----------------Coarctation of aorta - 8-10% of CHD, Male to female 2:1,
may have bicuspid aortic valve, decreased BP in the leg.
,DiGeorge syndrome is associated with what cardiac defects? ---------CORRECT
ANSWER-----------------Aortic arch anomalies, tetrology of fallot
Noonans syndrome is associated with what cardiac defects? ---------CORRECT
ANSWER-----------------Pulmonary stenosis and Atrial Septal Defect
Marfan syndrome is associated with what cardiac defects? ---------CORRECT
ANSWER-----------------aortic root dissection, mitral valve prolapse
Williams syndrome is associated with what cardiac defects? ---------CORRECT
ANSWER-----------------Supravalvular aortic stenosis
Down syndrome is associated with what cardiac defects? ---------CORRECT
ANSWER-----------------A-V canal, atrioventricular septal defects, VSD
What is the treatment for Kawasaki disease? ---------CORRECT ANSWER---------------
--IV Gamma globulin and ASA
, If you hear a murmur that greatly increases in intensity as a child goes from
squatting to standing, you are suspicious of? ---------CORRECT ANSWER---------------
--Hypertrophic Cardiomyopathy
A patient presents with precordial "knock" or rub, that sounds like shoes walking
on snow. You are suspicious of? ---------CORRECT ANSWER-----------------Pericarditis
What type of bacterias are commonly a cause of infective endocarditis? Gram
negative or positive? ---------CORRECT ANSWER-----------------Gram positive cocci -
(s. aureus), Group A beta hemolytic strep, pneumococcus
What are osler's nodes and what are they associated with? ---------CORRECT
ANSWER-----------------Osler's nodes are raised lesions on hands and feet that are
associated with infective endocarditis
A grade 2/6 musical murmur at the LLSB, which gets louder when lying down
indicates a? ---------CORRECT ANSWER-----------------Still's murmur
Physiological splitting of the S2 during inspiration is? ---------CORRECT ANSWER----
-------------NORMAL