Pediatrics Questions Channel πŸ’‰πŸ’Š
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🩺 Daily Pediatrics Q&A | Clinical Scenarios | Evidence-based Notes | For Med Students & Practitioners.

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Which of the following is characterized by high neutrophils, greater protien and low glucose content in the CSF?
Anonymous Quiz
69%
Bacterial meningitis
9%
Aseptic mengitis
12%
Tuberculous meningitis
10%
All
❀1
The growth of a primordial to primary to secondary follicle is dependent on FSH.
Anonymous Quiz
77%
True
23%
False
Which hormone(s) initiate(s) the growth of pubic and axillary hair?
Anonymous Quiz
15%
ACTH
34%
FSH and LH
10%
IGF-1
41%
DHEA and DHEA-S
In a patient with Cushing syndrome, which of the following is unlikely to be seen in the adrenals?
Anonymous Quiz
32%
Cortical atrophy
14%
Diffuse hyperplasia
13%
Macronodular hyperplasia
13%
Micronodular hyperplasia
18%
Neoplasm
11%
NONE
❀1
The form of Cushing syndrome in which cortisol secretion is suppressed by low dose dexamethasone is
Anonymous Quiz
35%
pituitary Cushing syndrome.
45%
adrenal Cushing syndrome.
14%
ectopic Cushing syndrome.
7%
NONE
Developmentally, which cranial nerve originates from the metencephalon but moves to the mesencephalon?
Anonymous Quiz
18%
Trochlear nerve
29%
Oculomotor nerve
24%
Optic nerve
13%
Olfactory nerve
16%
The first two choices
πŸ‘3πŸ‘Ž1
A 64-year-old diabetic undergoes coronary angiography. Baseline creatinine 1.0 mg/dL increases to 2.1 mg/dL at 48 hours. Urine microscopy shows muddy brown granular casts. Most likely diagnosis?
Anonymous Quiz
22%
Acute interstitial nephritis
13%
Prerenal azotemia
61%
Acute tubular necrosis
4%
Postrenal obstruction
ICU patient with septic shock develops AKI.
FeNa >2%, muddy casts present. Primary mechanism?
Anonymous Quiz
10%
Renal vasoconstriction only
67%
Tubular epithelial injury
20%
Immune complex deposition
3%
Ureteric obstruction
Hypovolemic patient receives adequate fluids, yet oliguria continues and FeNa rises to 3%. What transition occurred?
Anonymous Quiz
11%
Hepatorenal syndrome
14%
Acute cortical necrosis
55%
Ischemic acute tubular necrosis
11%
Obstructive uropathy
10%
Acute Interstitial Necrosis
❀1πŸ₯°1
A 45-year-old man with a history of alcohol-induced acute pancreatitis presents 6 weeks later with persistent epigastric fullness and early satiety. CT scan shows a 7-cm well-defined fluid collection adjacent to the pancreas with a mature wall. Next step?
Anonymous Quiz
16%
Immediate surgical resection
16%
Observation only
32%
Endoscopic drainage
8%
Start IV antibiotics only
27%
Percutaneous aspiration without catheter
A 38-year-old woman is found incidentally to have a 4-cm pancreatic pseudocyst 3 weeks after mild pancreatitis. She is asymptomatic. What is the most appropriate management?
Anonymous Quiz
6%
Immediate endoscopic drainage
14%
Percutaneous catheter drainage
11%
ERCP with stent placement
8%
Surgical cystogastrostomy
60%
Observation with repeat imaging
During central venous catheter removal, a patient suddenly develops dyspnea and hypotension. What is the immediate first step in management?
Anonymous Quiz
8%
Start IV antibiotics
62%
Place patient in left lateral decubitus with head down
5%
Give diuretics
14%
Begin thrombolysis
11%
Intubate immediately without positioning
During central venous catheter removal, a patient suddenly develops dyspnea and hypotension. What is the immediate first step in management?
Anonymous Quiz
8%
Start IV antibiotics
62%
Place patient in left lateral decubitus with head down
5%
Give diuretics
14%
Begin thrombolysis
11%
Intubate immediately without positioning
πŸ–Š Percutaneous Transhepatic Cholangiography (PTC) is indicated when ERCP is unsuccessful or unavailable.

In this procedure, contrast material is injected into the bile ducts through the insertion of a transhepatic needle

PTC allows therapeutic interventions such as infected bile drainage and biliary tract stone extraction.
πŸ–Š Osteosarcoma

πŸ”Ή Typically presents with pain and soft-tissue swelling without systemic symptoms
πŸ”Ή Codman triangle: periosteum is pushed away from the bone
πŸ”Ή Sunburst pattern: radiating bone fibers/spicules form in the periosteum due to aggressive new bone formation