6 year old unimmunized child with fever and flu-like symptoms develops an erythematous maculo-papular rash with white elevated spots buccal mucosa.
What is the Measles?
100
Café-au-lait spots, seizures, macrocephaly, with autosomal dominant inheritiance
What is Neurofibromatosis?
100
The best initial test for the evaluation of hematuria.
What is a Urinalysis?
100
4 week infant with non-bilious vomiting and a palpable "olive"
What is Pyloric Stenosis?
100
Most common cause of limping in children
What is trauma?
200
These people should avoid a child with low grade fever, a lacy reticular rash on cheeks and the upper body that spares the palms and soles.
What are preggos, people with thalassemia and sickle cell disease?
200
Most common cancer seen in children born with decreased tone, oblique palpebral fissures, simian creases, macroglossia and white spots on the iris.
What is Down's Syndrome?
200
Most common cause of hematuria 1-2 weeks after a diagnosis of strep throat.
What is Post-Strep Glomerular Nephritis?
200
When you place your finger in an infant's palm and the hand flexes
What is palmar grasp reflex?
200
5 y/o male presents with an initially painless limp now has pain in his thigh
What is Legg-Calve’-Perthes Disease? (avascular necrosis of the hip)
300
9 month old with fever to 104 for 2 days. On the 3rd day fever is resolved but baby develops a maculo-papular rash on the trunk arms and legs.
What is Roseola?
300
Most common type of mental retardation in boys. Chromosomal analysis reveals CGG repeats on the X-chromosome. There is also macrocephaly, macro-orchidism, large ears.
What is Fragile X Syndrome?
300
Cause of hematuria in the setting of flank pain radiating to groin.
What are kidney stones?
300
Affected nerve roots in an LGA newborn when the right arm remains extended and medially rotated when assessing the moro reflex
What is a Brachial Plexus injury? (C5-T1)
300
5 year old male who had a cold 1wk ago now presents with a limp & effusion in the right hip. X-rays are normal and ESR is 35 (↑), T = 99.8, WBCs = 10K.
What is Transient Synovitis?
400
This virus would cause a baby to have poor feeding, vesicles in the mouth and on the palms and soles + a rash on buttocks.
What is Coxsackie Virus? (Hand-Foot-Mouth)
400
Potential associated renal anomaly in a 14 year old girl with no breast development, short stature and high FSH.
Most likely diagnosis in a 7 day old with a total bilirubin of 12, dry mucous membranes, no weight gain and 3 wet diaper in the past 24 hours.
What is breast feeding jaundice?
400
14 year old lanky male with a 2 month history of nagging knee pain and decreased ROM of the hip on exam.
What is SCFE? Remember they’re not always fat!
500
Diagnosis in an otherwise well 2 year old with an eruption of flat-topped, flesh colored or pigmented papules over the face, extensor surfaces of the upper and lower extremities and buttocks.
What is Gianotti-Crosti? (Papular Acrodermatitis)
500
Diagnosis in a child with holoprosencephaly, severe mental retardation, microcephaly, and cleft lip/palate.
What is Trisomy 13? (Patau's Syndrome)
500
Hematuria + Hemoptysis
What is Goodpasture's Syndrome?
500
Diagnostic test ordered for an infant with ambiguous genitalia who at 1 month of life develops vomiting and is found to have low sodium, elevated potassium and acidosis.
What is 17-OH progesterone? Dx -Congenital Adrenal Hyperplasia
500
14 year old basketball player has knee pain and swelling of the tibial tubercle after practice.