Laryngoscopic finding most consistent with laryngomalacia is:
Anonymous Quiz
6%
Fixed posterior glottic web with reduced vocal cord mobility
61%
Omega-shaped epiglottis with inspiratory supraglottic collapse
12%
Diffuse subglottic granulation tissue with airway narrowing
21%
Paradoxical vocal cord motion during inspiration and expiration
π1
Most appropriate initial management for uncomplicated laryngomalacia is:
Anonymous Quiz
3%
Early surgical airway intervention with tracheostomy planning
9%
Routine antibiotic therapy to reduce upper airway inflammation
79%
Conservative management with observation and reflux control measures
9%
Inhaled corticosteroids with scheduled bronchoscopy follow-up
Forwarded from Files for Pediatrics and OBGYN | Black Lion ππ
𦻠LARYNGOMALACIA | SOMedEd
𦻠Laryngomalacia is the most common cause of inspiratory stridor in infants.
It occurs due to collapse of the supraglottic tissues during inspiration, leading to noisy breathing that typically worsens when the baby is supine and improves when prone.
π Laryngoscopy may show the classic omega-shaped epiglottis (Ξ©).
Most cases are mild and resolve spontaneously by 18 months with reassurance and close follow-up. Concurrent gastroesophageal reflux should also be managed when present.
𦻠Laryngomalacia is the most common cause of inspiratory stridor in infants.
It occurs due to collapse of the supraglottic tissues during inspiration, leading to noisy breathing that typically worsens when the baby is supine and improves when prone.
π Laryngoscopy may show the classic omega-shaped epiglottis (Ξ©).
Most cases are mild and resolve spontaneously by 18 months with reassurance and close follow-up. Concurrent gastroesophageal reflux should also be managed when present.
π3β€1
The most common suppurative complication of AOM is:
Anonymous Quiz
11%
Labyrinthitis
63%
Acute mastoiditis
7%
Facial palsy
19%
Brain abscess
π2
Mastoid tenderness with ear displacement suggests:
Anonymous Quiz
10%
Otitis externa
70%
Acute mastoiditis
13%
Cholesteatoma
6%
Viral labyrinthitis
π2
π Acute Mastoiditis | SOMedEd
𦻠Acute mastoiditis is the most common suppurative complication of acute otitis media.
It presents with fever, postauricular tenderness/swelling, a bulging tympanic membrane, and outward displacement of the ear.
π Consider mastoiditis in any child with acute otitis media who develops tenderness behind the ear.
𦻠Acute mastoiditis is the most common suppurative complication of acute otitis media.
It presents with fever, postauricular tenderness/swelling, a bulging tympanic membrane, and outward displacement of the ear.
π Consider mastoiditis in any child with acute otitis media who develops tenderness behind the ear.
β€4
Forwarded from Black Lion | School of Medicine ππ
Is vitamin toxicity more likely with water-soluble or fat-soluble vitamins?
Anonymous Quiz
31%
Water-soluble vitamins
69%
Fat-soluble vitamins
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Children aged 6β24 months are predisposed to OME due to:
Anonymous Quiz
9%
Immature cochlear development
9%
Increased mastoid air cell formation
79%
Narrow poorly draining eustachian tubes
3%
Reduced middle ear vascular supply
Pediatrics Questions Channel ππ
SOMedEd
Initial management of uncomplicated OME is:
Anonymous Quiz
23%
Urgent IV antibiotics
9%
Immediate myringotomy
65%
Observation with follow-up
3%
Systemic corticosteroids
Key differentiating feature of peritonsillar abscess from tonsillitis:
Anonymous Quiz
1%
Cough
64%
Trismus
6%
Rhinorrhea
29%
Bilateral tonsillar swelling
A child with βhot potato voiceβ, drooling, uvular deviation, and trismus most likely has:
Anonymous Quiz
7%
Acute tonsillitis
40%
Peritonsillar abscess
41%
Epiglottitis
11%
Retropharyngeal abscess
β€2π2
π§ Eustachian Tube in Young Children | SOMedEd
In young children, the Eustachian tube is short, narrow, and more horizontal. This causes poor drainage and easy blockage, especially after viral URIs or AOM. Fluid then gets trapped in the middle ear, leading to OME.
β€3π1
Which of the following best describes sickle cell trait?
Anonymous Quiz
20%
Severe hemolytic anemia with low HbA
8%
Markedly decreased RBC indices and reticulocytosis
12%
Always associated with splenomegaly
59%
Usually asymptomatic with HbA > HbS on electrophoresis
π1
Vesicoureteral reflux (VUR)
Anonymous Quiz
19%
Retrograde flow of urine from bladder to ureter due to urethral obstruction
69%
Retrograde flow of urine from bladder to ureter due to congenital UVJ defect
8%
Antegrade flow of urine from kidney to bladder due to infection
4%
Incomplete bladder emptying due to neurogenic bladder
π2
Pediatrics Questions Channel ππ
Vesicoureteral reflux (VUR)
Most specific for diagnosing vesicoureteral reflux?
Anonymous Quiz
4%
Urinalysis
12%
Renal ultrasound
81%
Voiding cystourethrogram
4%
CT abdomen
Pediatrics Questions Channel ππ
Most specific for diagnosing vesicoureteral reflux?
A child with suspected VUR undergoes imaging. Which finding confirms the diagnosis?
Anonymous Quiz
19%
Bilateral renal enlargement on ultrasound
79%
Reflux of contrast into ureters during voiding
2%
Proteinuria on dipstick
0%
Reduced glomerular filtration rate
π1
Infant with 3 - 5 weeks of age presents with nonbilious projectile vomiting after feeds. Which acidβbase disturbance is most likely?
Anonymous Quiz
10%
Hyperchloremic metabolic acidosis
81%
Hypochloremic hypokalemic metabolic alkalosis
5%
Respiratory acidosis
5%
High anion gap metabolic acidosis
π2
A patient with hematuria after infection and low C3 most likely has which condition?
Anonymous Quiz
8%
IgA nephropathy
9%
Focal segmental glomerulosclerosis
79%
Poststreptococcal glomerulonephritis
4%
Minimal change disease
π2