What is the most common cause of childhood vomiting?
What is viral AGE? (ex. rotavirus, norovirus)
100
What is the age cutoff for the different categories of the Kupperman rules?
What is 2 yrs old.
100
3 yo boy with a barky cough for 3 days. Magicially got better on the ride to the ED. Name the condition and potential treatments.
What is croup?
Tx: dexamethasone, epinephrine, heliox
100
You are seeing a 2 yo M who just started daycare has had fever and rhinorrhea for the past 3 days. He has a normal respiratory rate and SpO2 and sounds b/l coarse on exam. Mom asks for antibiotics. What do you say?
What is no. This patient has a URI.
100
This condition commonly runs in families with seasonal allergies and asthma.
What is eczema?
200
Name five indicators of dehydration in children.
What is prolonged cap refill time, lack of tears, dry mucous membrances, AMS, hypotension, decreased UOP, decreased skin turgor, lack of distal pulses.
200
Name four signs on physical exam of increased work of breathing.
What is grunting, flaring, suprasternal, intercostal retractions, tachypnea, head bobbing.
200
A 2 yo white girl has been noted by mom to have pain with diaper changes and foul-smelling urine. In 6M, her temp is 38.5. On exam she has congestion and rhinorrhea and mild abdominal pain. What are your next steps?
What is a UA. Try not to cath a 2 yr old.
200
This common childhood infection causes lesions in the interdigital webs and around the waistband.
What is scabies?
300
You are seeing a 3 yo girl. Mother reports that they just returned from Disneyland and pt refused to walk out of the park so she had to drag her out. Now she refuses to move her R arm. What is the name of this condition?
What is nursemaid's elbow?
300
You see a 2 wk old ex-term female infant who p/w 1 day of fever to 38. Pt is well-appearing on exam. How do you want to manage this patient?
What is everything. Have to check urine, blood, CSF. Consider HSV.
300
This medication is the first line steroid treatment for atopic dermatitis?
What is hydrocortisone?
400
A 16 yo F p/w 2 days of vomiting, headache and difficulty walking 2/2 dizziness. What medication-related condition are you concerned about? How would you evaluate this on exam and with procedures?
What is idiopathic intracranial hypertension. Seen with tetracyclines (most commonly used as acne medications) and other medications. Perform an LP to get an opening pressure. On exam may see papilledema, CN deficits, retinal hemmorhages, difficulty walking.
400
You are seeing 16 yo boy in the ED w/L knee pain. Pt reports that he was playing soccer earlier today and preparing to shoot when he was struck by an opposing player. He reports hearing a pop and falling to ground. He cannot bear weight. What is the likely cause?
What is an ACL injury?
400
You are in the ED and EMS brings in a 5 yo boy who just had 1 episodes of whole body shaking and eye deviation lasting 1 min each. He now appears sleepy and is noted to have a temp to 40. What did he have? Do you want to send bloodwork?
What is febrile seizure? Bloodwork is not indicated if pt has nonfocal exam and returns back to neuro baseline.
400
You have a patient with atopic dermatitis using hydrocortisone and moisturizing lotions but is still symptomatic. What is your next step?
What is triamcinolone?
500
A 3 day old male infant is brought to the hospital for persistent vomiting x 2 days. Mom describes multiple episodes of green emesis and increasing abdominal distention. She reports that baby has urinated three times and has not stooled since birth. What condition are you concerned about and how is it diagnosed?
What is Hirschsprung's disease? Gold standard for diagnosis is rectal biopsy. May be suggested on KUB.
500
You are seeing a 5 yo boy who is c/o L ear pain x 3 days. On exam, you see an erythematous, bulging TM. He is not having fever. Mom tells you he has recently completed a course of augmentin after failing amoxicillin. What do you want to give him?
What is azithromycin or a third-generation cephalosporin?
500
You have a 9 yo kid with a fever and a sore throat in the absence of cough and rhinorrhea in your clinic. On exam you see a erythematous, rough rash on UE and LE. What is the name of this condition?