A child with fasting hypoglycemia and absent ketone bodies.
Diagnosis?
Diagnosis?
Anonymous Quiz
36%
MCAD deficiency
30%
Von Gierke disease
21%
PKU
13%
Tyrosinemia
👍12❤1
Forwarded from Black Lion | School of Medicine 💉💊
Acetaminophen Intoxication
What is the next step in management for a patient that presents after ingesting twenty acetaminophen tablets two hours ago?
Physical exam and laboratory studies, including LFTs, are normal.
🖋 Administer activated charcoal and measure serum acetaminophen levels
If a single dose of > 7.5g of acetaminophen is ingested and it's been < 4 hours since ingestion, activated charcoal should be administered
What is the next step in management for a patient that presents after ingesting twenty acetaminophen tablets two hours ago?
Physical exam and laboratory studies, including LFTs, are normal.
🖋 Administer activated charcoal and measure serum acetaminophen levels
If a single dose of > 7.5g of acetaminophen is ingested and it's been < 4 hours since ingestion, activated charcoal should be administered
👍1
A 9-month-old has poor growth despite adequate caloric intake. Physical exam shows hypotonia and hepatomegaly.
Most likely diagnosis?
Most likely diagnosis?
Anonymous Quiz
22%
Pompe disease
58%
Glycogen storage disease type I (Von Gierke)
11%
Galactosemia
9%
Medium-chain acyl-CoA dehydrogenase deficiency (MCAD)
👍1
2025 Textbook of Neonatal Resuscitation 9ed - AAP (1).pdf
29.1 MB
2025 Textbook of Neonatal Resuscitation 9ed - AAP (1).pdf
👍11
A 4-year-old with obesity, acanthosis nigricans, and strong family history of diabetes.
Most appropriate next step?
Most appropriate next step?
Anonymous Quiz
51%
Oral glucose tolerance test
20%
Fasting insulin level
26%
Random glucose
3%
Thyroid panel
👍6
Forwarded from Internal Medicine Questions Channel 💉💊
The flow-volume loop shifts to the left in patients with _____________ lung disease
Anonymous Quiz
65%
obstructive
35%
restrictive
👍4
Forwarded from Internal Medicine Questions Channel 💉💊
Internal Medicine Questions Channel 💉💊
The flow-volume loop shifts to the left in patients with _____________ lung disease
🖋 The flow-volume loop shifts to the left in patients with obstructive lung disease.
air trapping + decreased outflow (e.g., asthma)
air trapping + decreased outflow (e.g., asthma)
👍1
Forwarded from Neurology Questions Channel - AAU_2K11_Meds 💉💊
One of the following is not a component of the Cushing reaction
Anonymous Quiz
17%
Hypertension
57%
Decreased PaO2
20%
Bradycardia
7%
Respiratory depression
👍3
Forwarded from Black Lion | School of Medicine 💉💊
A formula-fed infant has constipation, excessive weight gain, and low sodium.
Most likely issue?
Most likely issue?
Anonymous Quiz
19%
Overdiluted formula
10%
Vitamin D deficiency
55%
Overconcentrated formula
17%
Lactase deficiency
👍8❤2
A newborn presents with sweet-smelling urine and poor feeding.
Diagnosis?
Diagnosis?
Anonymous Quiz
17%
PKU
62%
Maple syrup urine disease
12%
Galactosemia
9%
Tyrosinemia
👍10❤2
A 2-year-old with poor growth and irritability is noted to have blond hair, blue eyes, and lens dislocation.
Diagnosis?
Diagnosis?
Anonymous Quiz
28%
PKU
15%
Cystathioninuria
16%
Galactosemia
41%
Homocystinuria
👍10
Most common site of osteosarcoma in children?
Anonymous Quiz
11%
Humerus
25%
Tibia
9%
Radius
54%
Femur
👍10
A 6-month-old presents with a musty body odor, developmental delay, and fair complexion.
Diagnosis?
Diagnosis?
Anonymous Quiz
20%
Maple syrup urine disease
12%
Tyrosinemia
14%
Homocystinuria
54%
Phenylketonuria (PKU)
❤1🥰1
A newborn presents with vomiting, lethargy, and seizures after starting breast milk. Reducing substances are found in urine.
Most likely diagnosis?
Most likely diagnosis?
Anonymous Quiz
20%
Phenylketonuria (PKU)
58%
Galactosemia
17%
Maple syrup urine disease
5%
Homocystinuria
👍11❤1
A malnourished child presents with edema, fatty liver, and flaky paint dermatitis.
Diagnosis?
Diagnosis?
Anonymous Quiz
9%
Marasmus
79%
Kwashiorkor
7%
Zinc deficiency
5%
Pellagra
👍4
A premature infant presents with hemolytic anemia and posterior column signs.
Deficiency?
Deficiency?
Anonymous Quiz
7%
Vitamin A
12%
Vitamin D
44%
Vitamin K
37%
Vitamin E
👍1
A child with diarrhea, dermatitis, and dementia.
Deficiency?
Deficiency?
Anonymous Quiz
20%
Pyridoxine
14%
Riboflavin
31%
Thiamine
35%
Niacin
👍5
Forwarded from Black Lion | School of Medicine 💉💊
Pathognomonic X-ray finding in slipped capital femoral epiphysis (SCFE)?
Anonymous Quiz
15%
Onion-skin appearance
21%
Double density sign
49%
Ice cream slipping off cone
15%
Codman triangle
👍5
A 4-month-old with spasticity, irritability, and optic atrophy; deficiency of galactocerebrosidase.
Diagnosis?
Diagnosis?
Anonymous Quiz
28%
Metachromatic leukodystrophy
39%
Tay-Sachs disease
16%
Adrenoleukodystrophy
18%
Krabbe disease
👍5❤1
A newborn has seizures, port-wine stain over face, and leptomeningeal angioma.
Diagnosis?
Diagnosis?
Anonymous Quiz
64%
Sturge-Weber syndrome
20%
Tuberous sclerosis
13%
NF type 2
3%
Krabbe disease
👍5