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Children aged 6–24 months are predisposed to OME due to:
Anonymous Quiz
8%
Immature cochlear development
12%
Increased mastoid air cell formation
74%
Narrow poorly draining eustachian tubes
6%
Reduced middle ear vascular supply
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SOMedEd
Initial management of uncomplicated OME is:
Anonymous Quiz
22%
Urgent IV antibiotics
8%
Immediate myringotomy
66%
Observation with follow-up
3%
Systemic corticosteroids
Key differentiating feature of peritonsillar abscess from tonsillitis:
Anonymous Quiz
1%
Cough
63%
Trismus
7%
Rhinorrhea
30%
Bilateral tonsillar swelling
A child with “hot potato voice”, drooling, uvular deviation, and trismus most likely has:
Anonymous Quiz
6%
Acute tonsillitis
42%
Peritonsillar abscess
41%
Epiglottitis
11%
Retropharyngeal abscess
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🧠 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.
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Which of the following best describes sickle cell trait?
Anonymous Quiz
18%
Severe hemolytic anemia with low HbA
13%
Markedly decreased RBC indices and reticulocytosis
14%
Always associated with splenomegaly
55%
Usually asymptomatic with HbA > HbS on electrophoresis
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Vesicoureteral reflux (VUR)
Anonymous Quiz
18%
Retrograde flow of urine from bladder to ureter due to urethral obstruction
70%
Retrograde flow of urine from bladder to ureter due to congenital UVJ defect
5%
Antegrade flow of urine from kidney to bladder due to infection
6%
Incomplete bladder emptying due to neurogenic bladder
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Vesicoureteral reflux (VUR)
Most specific for diagnosing vesicoureteral reflux?
Anonymous Quiz
4%
Urinalysis
12%
Renal ultrasound
80%
Voiding cystourethrogram
3%
CT abdomen
Pediatrics Questions Channel 💉💊
Most specific for diagnosing vesicoureteral reflux?
A child with suspected VUR undergoes imaging. Which finding confirms the diagnosis?
Anonymous Quiz
13%
Bilateral renal enlargement on ultrasound
83%
Reflux of contrast into ureters during voiding
1%
Proteinuria on dipstick
2%
Reduced glomerular filtration rate
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Infant with 3 - 5 weeks of age presents with nonbilious projectile vomiting after feeds. Which acid–base disturbance is most likely?
Anonymous Quiz
11%
Hyperchloremic metabolic acidosis
79%
Hypochloremic hypokalemic metabolic alkalosis
5%
Respiratory acidosis
4%
High anion gap metabolic acidosis
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A patient with hematuria after infection and low C3 most likely has which condition?
Anonymous Quiz
8%
IgA nephropathy
8%
Focal segmental glomerulosclerosis
79%
Poststreptococcal glomerulonephritis
5%
Minimal change disease
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First-line treatment for central precocious puberty is:
Anonymous Quiz
15%
Dopamine agonists
53%
GnRH agonists
26%
Aromatase inhibitors
5%
Glucocorticoids
Central precocious puberty results from early activation of the:
Anonymous Quiz
69%
Hypothalamic-pituitary-gonadal axis
21%
Hypothalamic-pituitary-adrenal axis
4%
Renin-angiotensin system
6%
Hypothalamic-pituitary-thyroid axis
Early estrogen/testosterone exposure in central precocious puberty leads to:
Anonymous Quiz
8%
Delayed bone age
64%
Premature epiphyseal closure
13%
Decreased bone maturation
15%
Prolonged linear growth
Type I Von Gierke disease is caused by deficiency of:
Anonymous Quiz
17%
Branching enzyme
68%
Glucose-6-phosphatase
14%
Debranching enzyme
2%
Acid maltase
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A child with doll-like facies, hepatomegaly, and fasting hypoglycemia most likely has:
Anonymous Quiz
9%
McArdle disease
52%
Von Gierke disease
19%
Pompe disease
21%
Fabry disease
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Most common cause of bronchiolitis:
Anonymous Quiz
7%
Adenovirus
72%
RSV
10%
Influenza
11%
Parainfluenza
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Barking cough + stridor suggests:
Anonymous Quiz
2%
Asthma
85%
Croup
5%
Bronchiolitis
8%
Epiglottitis