ID
A child with a cochlear implant is at an increased risk of central nervous infection from what organism?
Strep Pneumoniae
A newborn presents with an area of absent skin on her head.
What is the most likely diagnosis?
Aplasia cutis
An adolescent boy presents with:
Dizziness, dilated pupils, and delusions that he is someone else
He says that he "sees smells" and "hears colors"
What illicit drug did he likely take?
A 13 year old boy presents with severe nighttime pain in his proximal femur. It gets markedly better with NSAIDs but not tylenol. Plain X-ray of the femur shows sharp, round lesion 1cm in diameter with a 1-2 mm peripheral radiolucent zone surrounding a homogenous dense center.
What is the most likely diagnosis?
Osteoid Osteoma
A history of cyclic vomiting syndrome is associated with what disorder?
Migraine headaches
A child with cyanotic heart disease presents with new-onset headache and seizure. MRI shows a brain abscess.
Which organism is most likely responsible?
Staph Aureus
What are the white blood cells found in the pustules of erythema toxic neonatorum?
Eosinophils
What EEG pattern would you expect to see in this child?
Normal
Name three cardiac conditions that would limit sports participation and require further cardiac evaluation.
Hypertrophic cardiomyopathy
Prolonged QT interval
Aortic stenosis
Coronary artery anomalies
Myocarditis
Uncontrolled stage 2 HTN
A 4 year old swallows drain cleaner product and presents with:
Drooling
Dysphagia
Abdominal discomfort
When should he undergo upper endoscopy?
12-14 hours after ingestion
A 16 month old girl presents with:
Thick, purulent nasal discharge
Low grade fever
Decreased feeding
Abdominal Pain
Streptococcosis
In a patient with extremely severe seborrhea, what diagnosis should you consider?
Langerhans cell histocytosis
What mineral deficiency has been associated with trichotillomania?
Iron Deficiency
Pain in his left hip and knee
Limping for several days
Plain xray of the hip shows a "ratty" appearance of the left femoral head
What is the most likely diagnosis?
Legg-Calve-Perthes disease
A 16 year old boy presents with:
Painful swallowing
Chest discomfort
History of nodular acne on oral doxycycline
What is the most likely diagnosis?
Pill induced esophagitis
A 4 day old infant presents with bloody, green discharge from the eyes. He was born at home.
What is the most likely diagnosis?
Fine, white scales without redness on the extensor surfaces of extremities
Improvement of rash in hot, humid climates and during the summer
Hyperlinar palms and soles
Caused by loss of function mutations in the gene encoding filaggrin
Autosomal Dominant
What disease has these characteristics?
Ichthyosis vulgaris
A 13 year old male is diagnosed with ADHD and is placed on a stimulant medication.
When children with ADHD are placed on stimulant medication, what disorder may be unmasked?
Tic Disorder
What is the appropriate diagnostic evaluation for developmental dysplasia of the hip in patients of various ages?
If <4-6 months of age, US of both hips
If >6 months of age, plain radiography of both hips
A newborn present with an abdominal wall defect that is 3cm in size and located to the right of the umbilicus. There are exposed loops of small and large intestines without a peritoneal covering.
What is the most likely diagnosis?
Gastroschisis
Amphotericin B causes renal losses of which 2 electrolytes?
Potassium and Magnesium
A child presents with the following:
Dandy-Walker Syndrome
Hemangioma that is large, involving the cervicofacial area including CN5
Intracerebral arterial anomalies
Coarctation of the aorta
Microphthalmia
What is the syndrome presented here?
PHACES Syndrome
P-Posterior fossa abnormalities
H- Hemangioma
A- Arterial anomalies
C- Cardiac defects
E- Eye abnormalities
S- Sternal defects
Maladaptive behaviors (eg tantrums, aggression, mood swings, self-injurious behavior) are common in children with autism spectrum disorder.
What medication is usually prescribed to treat these behaviors?
Risperidone
A 16 year old male basketball player has noticed a painless, enlarging mass in his right quadriceps over the past several weeks. He denies fever, weight loss, night sweats, or other constitutional symptoms. He admits to getting hit a lot during his basketball activities. Physical examination reveals palpable mass in the proximal anterior right thigh but minimal tenderness to palpation. Both hip and knee joints have full range of motion.
What is the likely diagnosis for this condition?
Traumatic myositis ossificans
A 6 month old male presents with rectal prolapse.
Besides constipation and diarrhea, what is the next most likely cause of rectal prolapse?
Cystic Fibrosis