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What type of hemorrhage would be expected with severe factor VIII
deficiency? - correct answer -spontaneous hemarthrosis
or spontaneous hemorrhage
PCP should screen for this at sports physicals or with a complaint of
syncope, chest pain or palpitations? - correct answer -sudden cardiac
death
Stage of hypertension in a child with a blood pressure above the 99th
percentile for age, sex and height - correct answer -Stage II
Hypertension
diagnostic studies for syncope - correct answer -Orthostatic Vital Signs,
Hgb, 12 lead EKG, Echo, Possible Exercise Testing
,Stills, innocent, functional or physiologic murmur - correct answer -
Midsystolic murmur, louder in supine position or with inspiration
Tetralogy of Fallot - correct answer -A grade III to V harsh systolic
ejection murmur at the left mid to upper sternal border. There may be a
palpable thrill and a holosystolic murmur at the LLSB.
Often treated with Selsun blue shampoo. - correct answer -cradle cap or
seborrheic dermatitis
HSP - correct answer -Most common vasculitis in children.
laboratory findings consistent with sickle cell - correct answer -HCT of
20% to 29%
Hgb 6 to 10
Elevated Retic Count
, Normal to increased WBC
MCV greater than 80
Acne - correct answer -An inflammatory disorder of the pilosebaceous
unit in which excess bacteria accumulate
Kawasaki Disease - correct answer -Bilateral conjunctival injection, 5
days of fever, cervical lymphadenopathy, polymorphous exanthema,
changes in peripheral extremities
6 or more café au lait spots are concerning for - correct answer -
neurofibromatosis
Child between 4 to 6 with a pinkish maculopapular rash that progresses
from red to purple to brown, arthritis, abdominal pain, edema and
hypertension - correct answer -HSP