Ménage à Trois
Abbreviate this!
Buzz Lightyear, Space Ranger
Who said we were doing math?
100

This self-limited pediatric condition is represented by the classic triad of abdominal pain, arthrlagias, and palpable purpura.

What is IgA vasculitis AKA Henoch-Schönlein Purpura (HSP)?

100

Among the most common laboratory tests, this panel includes basic electrolytes and kidney function.

**must provide full name for credit**

What is a basic metabolic panel (BMP)?

100

The appearance of retinal hemorrhages should raise suspicion for this condition.

What is nonaccidental trauma (NAT)?

100

A patient weighing 24 kg is started on IV fluids at 1.5 times maintenance, giving this hourly fluid rate.

What is 96 ml/hr?
200
Often caused by viral illnesses or heavy exercise, less than 10% of patients with this condition will present with the classic triad of muscle pain, weakness, and dark urine.

What is rhabdomyolysis?

200

This feedback system is often implicated in the development of pediatric hypertensive disorders.

**must provide full name for credit**

What is the renin-angiotensin-aldosterone system (RAAS)?

200

Although not commonly found on exam, this condition may present with a characteristic "olive-shaped" abdominal mass.

What is pyloric stenosis?

200

A 12-month-old child weighing 10 kg is diagnosed with acute otitis media. This number represents the appropriate amount of Amoxicillin to administer per dose for this child.

What is 450 mg?

300

This condition classically presents with a triad of hemolytic anemia, kidney injury, and thrombocytopenia.

What is hemolytic uremic syndrome (HUS)?

BONUS 100 Points:
This is the most common cause of HUS.

300

A staple of the pediatric immunization schedule, this vaccine with a 4-letter abbreviation provides infants with critical protection against whooping cough.

**must provide full name for credit**

What is Diptheria, Tetanus, and acellular Pertussis (DTaP)? 

300

In this congenital heart defect, a chest x-ray might demonstrate a classic "egg on a string" appearance of the heart.

What is transposition of the great arteries?

300

A patient presents with the following CBC and differential findings.

WBC: 12,000
Neutrophils: 60%
Lymphocytes: 20%
Bands: 15%
Eosinophils: 4%
Monocytes: 1%

This number represents the calculated absolute neutrophil count (ANC).

What is 9,000?

400

This condition is represented by a triad of abdominal muscle deficiency, urinary tract abnormalities, and bilateral cryptorchidism.

What is prune belly syndrome (AKA Eagle-Barrett Syndrome)?

400

A fixed split S2 is most commonly associated with this congenital heart defect.

**must provide full name for credit**

What is an atrial septal defect (ASD)?

400

A parent is giving their toddler a bath when they notice a large mass in the abdomen. The pediatrician palpates this mass and notes that it crosses midline, a characteristic of this particular condition.

What is neuroblastoma?

Neuroblastoma crosses midline, Wilm's tumor does not.

400

A 7 year-old patient presents with microcytic anemia based on the following CBC findings.

Hemoglobin: 10 g/dL
Hematocrit: 30%
RBC Count: 6 x 106/µL
RDW: 15%
MCV: 60 fL

According to the Mentzer index, this is the most likely cause of the patient's anemia.

What is thalassemia?

Mentzer Index = MCV / RBC
-Mentzer > 13 = Iron Deficiency
-Mentzer < 13 = Thalassemia

500

The classic triad of precocious puberty, cafe-au-lait spots, and polyostotic fibrous dysplasia is found in this rare genetic syndrome.

What is McCune-Albright Syndrome?

500

This is the most common type of genetic mutation in which a single base pair in the DNA sequence is changed, resulting in a wide array of pediatric disorders.

**must provide full name for credit**

What is a single nucleotide polymorphism (SNP)?

500

A 3 year-old with staring spells may be diagnosed with absence seizures if an EEG shows this characteristic EEG finding.

What are 3 hz spike and wave discharges?

500

A 4 kg infant takes a total of 20 oz of standard infant formula per day. This number represents the infant's daily caloric intake by weight. 

What is 100 kcal/kg/day?

20 oz/day x 20 kcal/oz = 400 kcal/day

400 kcal/day ÷ 4 kg = 100 kcal/kg/day

M
e
n
u