A newborn develops shunt infection 3 days after VP shunt placement. Most likely cause?
Anonymous Quiz
9%
Preoperative infection
36%
Intraoperative contamination
38%
Postoperative wound contamination
17%
Secondary systemic infection
A child diagnosed with seborrheic dermatitis does not respond to steroids. Most likely diagnosis?
Anonymous Quiz
9%
Eczema
29%
Psoriasis
25%
Pityriasis rosea
37%
Histiocytosis X
Sarnat staging of HIE includes all EXCEPT:
Anonymous Quiz
7%
Muscle tone
9%
Reflexes
18%
Level of consciousness
66%
CT/MRI
Most common mixed acid-base disorder:
Anonymous Quiz
54%
Metabolic acidosis + respiratory alkalosis
21%
Metabolic acidosis + respiratory acidosis
18%
Metabolic alkalosis + respiratory acidosis
7%
Metabolic alkalosis + respiratory alkalosis
π2
Suck-swallow coordination develops at:
Anonymous Quiz
29%
28 weeks
7%
30 weeks
37%
32 weeks
27%
34 weeks
π2
True about gastroschisis:
Anonymous Quiz
10%
Intestinal atresia in 90%
35%
Cord attached right of defect
31%
Small intestine foreshortened
25%
Covering sac present
β€2
TE fistula associations - EXCEPT:
Anonymous Quiz
9%
Cardiac
23%
Gastrointestinal
19%
Musculoskeletal
49%
Neurologic
Teen with intellectual disability + macroorchidism. Best test?
Anonymous Quiz
24%
Hormonal studies
15%
Testicular US
6%
MRI
54%
DNA analysis
β€2
An 18-month-old with fever and erythematous tympanic membrane with absent light reflex. Preferred treatment?
Anonymous Quiz
6%
Decongestants
6%
Antihistamines
10%
Corticosteroids
10%
TMP-SMX
68%
Amoxicillin
Most common organism in cat-bite wounds?
Anonymous Quiz
30%
Eikenella corrodens
10%
Staphylococcus aureus
49%
Pasteurella multocida
11%
Staphylococcus epidermidis
π2
Key feature distinguishing retractile vs undescended testis?
Anonymous Quiz
21%
Empty scrotum
1%
Larger size
62%
Can be brought into scrotum
15%
Ultrasound diagnosis
β€1
12-year-old with bone pain and βsunburstβ X-ray. Associated condition?
Anonymous Quiz
5%
Neuroblastoma
0%
Neurofibroma
32%
Osteoid osteoma
53%
Ewing sarcoma
9%
Retinoblastoma
Recurrent infections + eczema + thrombocytopenia. Which is FALSE?
Anonymous Quiz
22%
Bone marrow transplant helps
22%
Autosomal recessive
20%
Death from infection/bleeding
37%
Increased IgA & IgE
π€£3π1
Affected father β affected daughter; multiple generations; both sexes. Inheritance?
Anonymous Quiz
44%
Autosomal dominant
12%
Autosomal recessive
29%
X-linked dominant
15%
X-linked recessive
β€2
A child with a history of retinoblastoma treated with radiotherapy later develops a second malignancy. Most likely type?
Anonymous Quiz
25%
Neuroblastoma
13%
Leukemia
14%
Lymphoma
49%
Soft tissue sarcoma
NOT part of Drowning prevention
Anonymous Quiz
56%
Swimming lessons <8 yrs ineffective
16%
Fenced pools
13%
Education helps prevention
15%
Avoid alcohol (teens)
π2
Most common complication of perioperative IV fluid therapy in children?
Anonymous Quiz
4%
Dehydration
67%
Overhydration
7%
Hypoglycemia
22%
Hypernatremia
A child develops pallor, oliguria, and petechiae after bloody diarrhea. Which is FALSE?
Anonymous Quiz
11%
Renal failure occurs
37%
E. coli is common cause
15%
Endothelial injury is key
37%
Coombs test positive
A child with hyperpigmentation, salt craving, hypotension. Expected labs?
Anonymous Quiz
3%
Normal Na, K
64%
Low Na, high K
19%
Low Na, low K
14%
Normal Na, high K
β€2
A tall adolescent male with gynecomastia and small testes. Which is FALSE?
Anonymous Quiz
21%
Nondisjunction cause
16%
Azoospermia common
28%
Increased Breast cancer risk
35%
Strong maternal age association
A newborn with Supraventricular Tachycardia (HR ~260). Which should be avoided?
Anonymous Quiz
11%
Adenosine
17%
Ice to face
23%
DC cardioversion
49%
Verapamil
β€1