NICU/PICU/ER/Psych
ID/Heme/DevPeds
Resp/Endo/Nephro
GI/Cardio/Rheum
Miscellaneous
100
Name 2 diagnoses on your differential diagnosis for a petechial rash
Examples:
Meningococcemia, DIC, ITP, NAI, Leukemia, HSP/vasculitis
100
Which imaging modality is the most sensitive and specific noninvasive test for diagnosing acute osteomyelitis?
MRI
100
Which fluid type must you use for fluid boluses?
normal saline
100
What is the difference between a hepatocellular vs. cholestatic pattern of elevated liver enzymes?
Hepatocellular pattern
-More ALT and AST than ALP and GGT
Cholestatic pattern
-More ALP and GGT rather than ALT and AST
100
Which famous celebrity does not have a chronic illness?
A) Harry Styles
B) Nick Jonas
C) Selena Gomez
D) Lil Wayne
A) Harry Styles
Nick Jonas (T1DM)
Selena Gomez (Lupus)
Lil Wayne (Epilepsy)
200
Name 4 types of shock
distributive, hypovolemic, cardiogenic, and obstructive
200
Name 3 facial features of a patient with down syndrome
Examples:
200
What are the two main treatments for croup?
Nebulized epinephrine and dexamethasone
200
Why do patients with KD and MIS-C get echos done?
Rule out coronary artery aneurysms
200
Who is the half-blood prince in Harry Potter?
Severus Snape
300
Which protocol are patients started on for those who present with an acetaminophen overdose?
NAC protocol
N acetyl cysteine protocol
300
The TAILS mnemonic is an memory aid for microcytic anemia. What does TAILS stand for?
Thalassemia
Anemia of Chronic Dz
Iron Deficiency
Lead
Sideroblastic
300
For pediatric asthma exacerbation patients <20kg, they typically receive ___ puffs of ventolin every dose.
For pediatric asthma exacerbation patients >20kg, they typically receive ___ puffs of ventolin every dose.
5 and 10 puffs respectively
300
What does warm CREAM stand for?
Definition of Kawasaki Disease
- KD is a systemic vasculitis
- Leading cause of acquired heart disease in Canadian children
- Can affect children of all ages but mainly occurs in those <5yo
4/5 diagnostic criteria + >5 days of fever
Conjunctivitis
Rash
Erythema or edema of hands and feet
Adenopathy (>1.5cm unilateral)
Mucous membrane changes
300
Low-set ears. Internal organs forming or functioning differently (heart and lungs). Issues with cognitive development (intellectual disabilities), which are typically severe. Overlapping fingers and/or clubfeet. Are all consistent with Trisomy 18. What is another name for Trisomy 18? (Also the name of a Twilight character)
Edwards Syndrome
400
Several factors specific to the neonate’s physiology contribute to physiologic hyperbilirubinemia. Name one.
Increased production: Fetal erythrocytes have a higher rate of turnover; per kilogram, newborn infants produce twice the daily adult amount of bilirubin.
Decreased clearance: Newborns have relatively low UDP-glucuronyltransferase activity (increases until approximately 14 weeks). They also have slow intestinal motility in the first few days as feeding becomes established, and this increases small amounts of bilirubin reuptake by the enterohepatic circulation.
400
Name 4 antibiotics with pseudomonas coverage
Textbook answers:
○Pip-tazo
○Ceftazidime
○Imipenem, meropenem
○Tobramycin, gentamicin
○Ciprofloxacin
ID territory:
○Ceftobiprole
○Fosfomycin
○Aztreonam
○Colistin
○Amikacin
○Cefipime
○Ceftolazone-tazobactam
400
Calculate the ongoing fluids rate for a DKA patient who is 15kg and has a 10% fluid deficit, who you will plan to fluid resuscitate over 36hours and who received a 10ml/kg NS bolus in the ER?
Will need to replenish 1500ml in addition to maintenance fluids
1500ml- (10ml/kg x 15kg) = 1350ml
1350ml/36hours = 37.5ml/hr
maintenance using the 4:2:1 rule:
(4ml/hr x10kg) + (2ml/hr x5kg) = 50ml/hr
50ml/hr + 37.5ml/hr = 87.5ml/hr
400
What is the formula to calculate a patient's QTC?
QTC = QT / sqrt of the RR interval
(Preceding RR)
400
How many members are there in the spice girls? BONUS 100points if you can name them all.
5
Mel B ("Scary Spice"), Melanie Chisholm, Mel C ("Sporty Spice"), Emma Bunton ("Baby Spice"), Geri Halliwell ("Ginger Spice"), and Victoria Beckham née Adams ("Posh Spice")