Pediatric COMAT final update Questions and Answers With 100- Verified Solutions

Pediatric COMAT final update Questions
and Answers With 100% Verified
Solutions




First number in APGAR - ✔ANASWER✔-Info on how newborn tolerated labor
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(after 1 min)
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Second number in APGAR - ✔ANASWER✔-Info on infant's response to
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resuscitation (after 5min)
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Grading for APGAR - ✔ANASWER✔-2pts - pulse 1pt
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- color
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1pt - irritability 2pts
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- tone
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2pts - respiration
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,Erb-Duchenne - ✔ANASWER✔-Injury to C5-C6 | | | |




--arm remains extended and medially rotated
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Klumpke - ✔ANASWER✔-C7-C8 + T1 injury
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Management for Erb Duchenne or Klumpke - ✔ANASWER✔-Refer if doesn't
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get better by 3-6 months for neuroplasty
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Edema that crosses suture lines - ✔ANASWER✔-Caput succedaneum
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Edema that doesn't cross suture line - ✔ANASWER✔-Cephalohematoma
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Area of alopecia with orange colored nodular skin - ✔ANASWER✔-Nexus
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sebaceous
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Management of Nevis sebaceous - ✔ANASWER✔-Remove from scalp before
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adolescence b/c could undergo malignant degeneration
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Thick yellow/white oily scale on inflammatory base of scalp -
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✔ANASWER✔-Seborrheic dermatitis |




Treatment for seborrheic dermatitis - ✔ANASWER✔-Gently clean with mild
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shampoo (selenium)
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,Which two disorders do every state screen for? - ✔ANASWER✔-PKU and
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galactosemia
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Deficiency in PKU - ✔ANASWER✔-Phenylalanine hydroxylase
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Symptoms of PKU - ✔ANASWER✔-Mental retardation, vomiting, athetosis,
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seizures, developmental delay
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Signs of newborn with PKU - ✔ANASWER✔-Fair hair, eyes, skin and musty
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smell
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Treatment for PKU - ✔ANASWER✔-Low phenylalanine diet
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Deficiency of galactosemia - ✔ANASWER✔-G1p-uridyl-transferase
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--so G1p accumulates and damage to kidney, liver and brain
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Symptoms of galactosemia - ✔ANASWER✔-Mental retardation, direct
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hyperbili, jaundice, decreased glucose, cataracts, seizure
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Treatment for galactosemia - ✔ANASWER✔-No lactose
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3 days old, bili at 10, direct 0.5, eating and pooping well - ✔ANASWER✔-
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Physiologic jaundice
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, When does physiologic jaundice resolve? - ✔ANASWER✔-By 5th day
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--due to liver conjugation not yet mature
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7 day old, bili 12, direct 0.5, dry mucous membranes and not gaining weight -
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✔ANASWER✔-Breast feeding jaundice
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--from low feeding = dehydration = retain mechanism and absorb
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deconjugated bili
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14 day old, bili 12, direct 0.5, baby regained birth weight and otherwise
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healthy - ✔ANASWER✔-Breast milk jaundice
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--breast milk has glucuronidase and deconjugates bili | | | | | |




1 day old, bili 14, direct 0.5 worried? - ✔ANASWER✔-Yes -- pathologically
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jaundice if have high at first day of life bili >12 or rate of rise >5/day
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Test for pathological jaundice - ✔ANASWER✔-Get Coombs test
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+ = Rh or ABO incompatibility
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- = twin/twin or mom/fetus transfusion, IDM, spherocytosis, or G6pDH
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deficiency
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7 days old, dark urine, pale stool, bili 12, dbili at 8, LFTS elevated -
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✔ANASWER✔-Biliary atresia |




--bile ducts can't drain bile causing liver failure! Need surgery!
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