Forwarded from Black Lion | School of Medicine ๐๐
Trendelenburg sign indicates injury to the:
Anonymous Quiz
24%
Inferior gluteal nerve
20%
Femoral nerve
41%
Superior gluteal nerve
14%
Obturator nerve
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A child with palpable purpura on the legs, abdominal pain, and hematuria most likely has:
Anonymous Quiz
22%
ITP
51%
IgA vasculitis
15%
Kawasaki disease
12%
Hemophilia A
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A child presents after a viral illness with petechiae, purpura, and platelet count of 30,000/ยตL, but otherwise normal labs and well appearance. Most likely diagnosis?
Anonymous Quiz
79%
Immune thrombocytopenic purpura
9%
Hemophilia A
7%
Leukemia
5%
Disseminated intravascular coagulation
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The most feared complication of ITP is:
Anonymous Quiz
10%
Renal failure
77%
Intracranial hemorrhage
4%
Liver failure
9%
Pulmonary embolism
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First-line treatment for severe symptomatic ITP is:
Anonymous Quiz
8%
IV antibiotics
77%
IVIG or corticosteroids
10%
Warfarin
5%
Platelet synthesis inhibitors
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A child with recurrent fractures, short stature, blue sclera, and hearing loss most likely has:
Anonymous Quiz
79%
Osteogenesis imperfecta
9%
Rickets
2%
Achondroplasia
10%
Marfan syndrome
A child with sudden nighttime episodes of stridor and breathing difficulty, but otherwise well and afebrile, most likely has:
Anonymous Quiz
57%
Spasmodic croup
10%
Epiglottitis
18%
Foreign body aspiration
15%
Asthma exacerbation
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A child treated with racemic epinephrine for croup should be observed because:
Anonymous Quiz
10%
It causes rebound bacterial infection
55%
It may cause delayed worsening after effect wears off
29%
It induces bronchospasm
6%
It permanently narrows the airway
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Forwarded from Black Lion | School of Medicine ๐๐
A child with croup has stridor at rest and intercostal retractions. Which therapy provides rapid but temporary symptom relief?
Anonymous Quiz
28%
Dexamethasone
11%
Albuterol
53%
Racemic epinephrine
8%
Azithromycin
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Forwarded from Black Lion | School of Medicine ๐๐
Which medication provides the most sustained improvement in croup symptoms?
Anonymous Quiz
30%
Racemic epinephrine
59%
Dexamethasone
8%
Oxygen
3%
Heliox
Forwarded from Black Lion | School of Medicine ๐๐
Anterior shoulder dislocation most commonly injures the:
Anonymous Quiz
56%
Axillary nerve
11%
Radial nerve
21%
Musculocutaneous nerve
12%
Median nerve
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โค1
A child presents with sore throat, oral ulcers, and maculopapular lesions on the hands, feet, arms, and legs. What are the two most likely causative organisms?
Anonymous Quiz
8%
HSV-1 and EBV
59%
Coxsackie A and Enterovirus (non-polio enteroviruses)
25%
Streptococcus pyogenes and Staphylococcus aureus
8%
Adenovirus and RSV
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A child has fever โฅ5 days + conjunctivitis + rash + strawberry tongue + lymphadenopathy. Diagnosis?
Anonymous Quiz
17%
Measles
17%
Scarlet fever
62%
Kawasaki disease
4%
Adenovirus infection
Bilateral red eyes in Kawasaki disease are typically:
Anonymous Quiz
24%
Purulent with discharge
49%
Non-purulent
6%
Unilateral only
21%
Painful with corneal ulcer
Most important complication of Kawasaki disease:
Anonymous Quiz
21%
Renal failure
64%
Coronary artery aneurysm
9%
Liver cirrhosis
6%
Stroke
โค2
A child is treated with IVIG for Kawasaki disease. Which vaccines should be delayed for about 11 months?
Anonymous Quiz
10%
Inactivated vaccines only
65%
Live viral vaccines
10%
All vaccines permanently
15%
No vaccines need delay
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A child is on long-term aspirin therapy (e.g., for Kawasaki disease). Which vaccine is specifically recommended annually?
Anonymous Quiz
5%
Hepatitis B vaccine
71%
Influenza vaccine
15%
MMR vaccine
10%
Varicella vaccine
โค2
Why is influenza vaccination important in children on chronic aspirin therapy?
Anonymous Quiz
19%
Prevents bacterial superinfection
63%
Reduces risk of Reye syndrome
7%
Prevents myocarditis
12%
Prevents Kawasaki recurrence
๐2
An infant has macrocytic anemia without hypersegmented neutrophils, plus congenital anomalies (webbed neck, thumb abnormalities). Diagnosis?
Anonymous Quiz
30%
Vitamin B12 deficiency
9%
Folate deficiency
59%
Diamond-Blackfan anemia
2%
Iron deficiency anemia
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A child with absent thumbs, short stature, microcephaly, skin pigment changes, and pallor most likely has:
Anonymous Quiz
23%
Diamond-Blackfan anemia
65%
Fanconi anemia
8%
Iron deficiency anemia
4%
Sickle cell disease