IDA
Infection
SCD and Lungs
Miscellaneous
100

This is the next step in management of an adolescent with Menorrhagia with Hb-8 and hemodynamically stable who is not able to tolerate PO iron?

IV Iron (Total dose infusion)

100

This is the mechanism of action of Carbapenems.

What is inhibition of Bacterial wall synthesis

100

This standard of care treatment is used to prevent "splinting" by encouraging deep breathing in patients with ACS.

What is incentive spirometry?

100

Vicryl, Vicryl Rapide, Monocryl, Chromic gut

What are absorbable sutures?

200

This is the recommended daily elemental iron dose (in mg/kg) for children.

3-6mg/kg/d, typically totaling 60–120 mg/d for adolescents.  

200

These are the 3 risk factors of infection with MDR organisms in hospitalized patients

1)hospitalization in the preceding 90 days 

2)residency or prolonged stay in an extended-care facility

3)previous infection or colonization with a MDR organism in the past 12 months

4)use of broad-spectrum antimicrobials in the preceding 90 days

5)certain underlying medical conditions such as chronic dialysis and medically complex/technology-dependence

200

Adeno-tonsillar hypertrophy is a complication of this sequelae of Sickle cell disease.

What is functional asplenia?

200

These are accessory skull bones that are surrounded by a suture line.

What are Wormian bones

300

This condition should be suspected in a patient with microcytic anemia unresponsive to iron, a normal RDW, and numerous target cells.

What is Thalassemia Trait?

300

This organism's primary route of infection is the inhalation of organisms/their fragments found in soil or decaying organic matter, typically in the central and southern U.S.

What is Blastomycosis

300

These are the 2 leading pulmonary causes of mortality in a patient of SCD.

What is Acute Chest Syndrome and Pulmonary hypertension?

300

This is used as Local Analgesia for open wounds.

What is LET. (Lidocaine Epinephrine Tetracaine)

400

This is the primary regulator of iron homeostasis, released by the liver during inflammation to promote iron storage.

What is Hepcidin?

400

These are the 2 most common symptom of BACM (Benign Acute Childhood Myositis)

1) Bilateral Calf pain

2) Inability to bear weight

400

Hemolysis in SCD releases cell-free hemoglobin, which scavenges this potent vasodilator, leading to endothelial dysfunction.

What is Nitric Oxide

400

Short stature, hearing loss, dentine abnormalities, scoliosis, facial dysmorphism, joint hypermobility, cod-fish vertebrae.

What are features of Osteogenesis Imperfecta?

500

This specific laboratory parameter is the primary value used to differentiate Anemia of Chronic Disease (ACD) from IDA.

What is Serum Ferritin (Elevated in ACD vs. Low in IDA)?

500

These are the Key distinguishing (history/physical/labs) features of Infectious Myositis that are not observed with Guillain-Barré syndrome

Normal DTRs

Elevated CK

500

Beyond the risk of ACS, asthma in SCD patients is linked to a higher frequency of this complication of SCD

What is vaso-occlusive crisis?

500

Anti-Mi-2,Anti-TIFI gamma, Elevated Aldolase, AST, ALT, CK

What does serology in Juvenile Dermatomyositis look like?

600

This biomarker is considered an effective tool for diagnosing ID in an "inflamed state" when ferritin may be falsely elevated.

What is Soluble Transferrin Receptor (sTfR)?

600

This is the initial and follow-up treatment with its duration for Blastomycosis affecting CNS

What is Amphotericin B (4-6 weeks) and Voriconazole (12 months)

600

This specific neurological complication is a serious risk factor associated with using systemic steroids for asthma in SCD patients.

What is Cerebral Hemorrhage?

600

A 4 day old presented with bilious imaging

Imaging in mid-gut Volvulus?

700

This is caused by TMPRSS6 (Transmembrane serine protease 6) mutations. 

What is IRIDA (Iron Refractory Iron Deficiency Anemia)?

700

Concomitant use of Meropenem/ertapenem decreases the serum concentration of these anti-epileptic.

What is Valproic acid/divalproex sodium 

700

This enzyme, necessary for synthesizing nitric oxide, is eliminated alongside NO during the increased red cell turnover of hemolytic anemia.

What is Arginase-1

700

What is Fluoroscopic air enema for intussusception reduction?

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