Born this way
Mommy something is wrong with my body!
Do I have prove myself all the time?
Sick call
Blah blah
100
11-year-old male with learning disability and on exam-jittery lenses after he removes his glasses and pectus excavatum. Height is 170 cm (> 97%); weight is 52 kg (90–97%) .He has 4 café-au-lait spots, he is prepubertal, and the rest of the exam is unremarkable. This disorder is ..
What is homocystinuria ?
100
Birth length is doubled by this age .
What is 4 yrs ?
100
A young boy is able to correctly name four colors; describe what to do if hungry, thirsty, or sleepy; and understands the difference between “today” and “not today”. He is able to draw a cross and he is able to state his age, tell his full name, and form 4-word sentences. The majority of children are able to meet these receptive and expressive milestones by this average age.
What is 48 months?
100
A 6-year-old girl presents with a 2-day history of a “red eye.” She describes only minimal pain and denies associated trauma. The conjunctiva of her right eye is very erythematous. No discharge is present. The upper lid is swollen without associated tenderness or warmth. A prominent ipsilateral preauricular node is palpated. Referral to an ophthalmologist reveals unilateral conjunctival granuloma in the right eye. This is the bug responsible.
What is Bartonella henslae? Parinaud oculo-glandular syndrome.
100
These are the first permanent teeth to erupt.
What are 1st molars?
200
This is the most common heart anomaly with Turner syndrome .
What is non-stenotic bicuspid aortic valve?
200
4-year-old girl presents after her mother noted vaginal bleeding; no history of associated trauma, pain, or foul odor is reported. Physical findings also include breast budding and a large café-au-lait macule with jagged margins located in a segmental distribution over her back, stopping at the midline. Multiple areas of fibrous dysplasia in the long bones and pelvis seen on X-rays. This is the name of the syndrome.
What is McCune-Albright syndrome?
200
The reflex consists of extension of the extremities towards the side the face is turned to (ipsilateral), whereas the extremities on the other side flex (fencing reflex).
What is asymmetric tonic neck reflex?
200
4-year-old boy presents with a swollen left cervical lymph node in the anterior chain just below the mandible. No cats are in the house ,goes to daycare. He is started on cephalexin but does not improve. He has a low-grade temperature, and the swelling continues to increase in size. It is now mildly tender and erythematous to purple in color. He does not have any other involved nodes. It has been 2 weeks since he was first started on cephalexin, and in the last week he was started on amoxicillin/clavulanate without improvement. This is the bug responsible?
What is Mycobacterium avium-intracellulare?
200
This is the earliest appropriate time to give the PPD if you administer MMR today?
What is today?
300
Baby with midfacial hypoplasia associated with a short nose, with a broad, depressed bridge and epicanthal folds. He has an unrepaired cleft lip and palate. Coarse hair and hirsutism, finger-like thumbs, and hypoplasia of the distal phalanges and nail beds are also noted. This syndrome is ..
What is fetal hydantoin syndrome?
300
14-year-old boy with sparse facial and body hair, no increase in muscle bulk, testicular volume of 3 mL and decreased sense of smell. This is the common physical anomaly associated this syndrome.
What is cleft lip and cleft palate?
300
She can run, although her gait is somewhat stiff; she can walk up the stairs if you hold her hand; she can make a tower of 3 cubes and imitates scribbling; she can dump a pellet from a bottle. She speaks about 6 words and can identify 1 or more body parts; she can feed herself but still wears a diaper. She does complain when her diaper is dirty.This is my age.
What is 18 months?
300
A 26-day-old female, born at 36-weeks gestation, presents with the sudden onset of irritability, poor feeding, and unilateral facial swelling. On physical examination, her temperature is 101.4° F (38.6° C); the left submandibular and buccal regions are erythematous, indurated, and firm. Postauricular lymphadenopathy is also present. This is the bug responsible.
What is group B streptococcal (Streptococcus agalactiae) infection? Cellulitis-adenitis syndrome, a form of late-onset GBS
300
This is the minimal interval between the most recent dose of Td and administration of Tdap.
What is NOW ?
400
Syndactyly, premature fusion of multiple sutures, asymmetric flattened facies, mid-facial hypoplasia, depressed nasal bridge, low-set ears, ocular proptosis, down-slanting palpebral fissures, and hypertelorism. Syndactyly usually affects the second, third, fourth and sometimes fifth fingers.This syndrome is ..
What is Apert syndrome? " mitten- finger deformity"
400
These are the 5 investigations you would order suspecting premature adrenarche in a male.( I need atleast 3 )
What is Testosterone, DHEA-S, androstenedione, bone age, 17-OHP ?
400
A child alternates feet while climbing stairs and is able to briefly stand on one foot, is able to dress independently ,speech is about 75% intelligible to non-family members, and beginning to play co-operative play. This is my age.
What is 36 months?
400
11-year-old boy, pain is produced when applying downward force on the left knee and right hip while the left knee and left hip are flexed, with the left hip abducted and externally rotated in such a way that the left ankle is on top of the right knee. Reproducible pain during this maneuver is often observed in this condition.
What is septic arthritis of the sacro-iliac joint ? FABRE TEST -figure of four
400
This vaccine must be stored in a continuously frozen state at 5° F (–15° C).
What is varicella vaccine?
500
7-year-old boy is noted to have 9 café-au-lait macules over his anterior and posterior trunk. All lesions measure between 7 and 12 mm. This is the associated orthopedic abnormality with the above condition.
What is sphenoid dysplasia ? NF-1 . (Or thinning (bowing) of the long bone cortex with or without pseudoarthrosis )
500
17-year-old male is noted to be at the 95th percentile for height. Review of his growth chart reveals that he was large for gestational age at birth and he was above the 97th percentile for height at one year of age. Accelerated growth continued until 5 years of age, returning to a normal rate after that time. This is the common physical exam finding.
What about large hands and feet ? Sotos syndrome
500
4-year-old child is asked to “draw a person.” The drawing has 2 eyes, a nose, a mouth, hair, and 2 legs. This is the calculated age equivalent (age level) of this child based upon the components of his drawing.
What is 4 1/4 yrs?
500
2-year-old girl with 1-day history of rash and low-grade fever, erythematous malar rash with relative circumoral sparing associated with a flat, erythematous, blanching, “lace-like” rash on the upper extremities. Although the child is treated only symptomatically, her mother, who is pregnant and at 19 weeks of gestation, is directed to inform her obstetrician of her daughter’s rash. This describes the findings on prenatal ultrasound consistent with congenital infection caused by the same organism responsible for this patient’s rash.
What is ascites and pleural effusion? Hydrops fetalis.
500
This vaccine is the most associated with vaso-vagal syncope.
What is HPV? Others are MCV4, and Tdap.
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