What is the involvement of at least 2 organ systems
100
B symtpoms
What are fever, night sweats, weight loss
100
Nurse calls you about a 7 yo with AML here for chemo - now spiking fever to 105, BP 65/45. The most concerning group organism for sepsis is?
What are GNR's.
200
9 yo male 3 years out from chemotherapy presents to your office with c/o problems hearing his teachers talk across the room in class.
What is cisplatin
200
15 yo M with HL c/o weakness and parasthesias. EKG shows peaked T waves. What is your initial therapy.
What is Ca gluconate
200
What is the drug of choice and dose in anaphylaxis
What is epi 0.01 mg/kg (1:10,000)
200
You are in rural TX and seeing a 9 mo old male recently moved from Mexico. Mother notes a large mass on his neck that has grown since birth. You note blue, fleshy soft tumor in left neck. You are concered about PHACES. What 2 imaging studies does he need right away.
What are MRI and echo
200
14 yo male presents with fx after minor trauma. XRAY shows sunburst pattern in the distal femur. What does he likely have.
What is osteosarcoma.
300
You are called to assess a pt for ataxia. You notice she has foot drop. In the room she has a seizure.
What is vincristine
300
You are called to evaluate a pt started on chemotherapy yesterday regarding increased WOB. You note tachypnea with clear lungs. You suspect TLS, what is the etiology of tachypnea.
What is acidosis.
300
You are called to evaluate a pt for new urticaria, diarrhea, and SOB. His nurse says he started a new chemotherpeutic agent but has not had an infusion today. What did he likely receive.
What is PEG-asparaginase
300
3 yo presents with abdominal distention. You note a flank mass on exam with mildly elevated BP's. What are you worried about.
What is Wilms tumor
300
9 mo old male returns for F/u for cradle cap that continues to worsen despite managment. You now note a similar rash in the perineal region. What is your concern.
What is LCH
400
8 yo female with ALL spikes a fever while receiving chemo infusion - what drug is she likely receiving
What is Cytaribine (ARA-C)
400
You are following Q6 labs on a pt with TLS. His labs return with P of 7.2. What medication do you want to start right away.
What is renegel
400
What virus is associated with EBV infection
What is NHL
400
7 yo male with MR presents to the ER with fever and weight loss. On exam you note multiple nonblanching capillaries on the face as well as supraclavicular LAD. What is his underlying condition and likely associated malignancy.
What is Ataxia Telangectasia
400
4 yo girl presents to your office with pallor, irritability and bilateral periorbital ecchymosis. What is the test most likely to be diagnostic?
What is Urine Catecholamines
500
You get called in the night about a 5 yo male with palpitations. On exam he is mottled and with poor CR. What chemo agent is he receiving?
What is Doxorubicin
500
Your patient for the past 4 years presents with SOB. You note wheezing on the right. What is your most imp diagnostic test.
What is a CXR
500
6 mo old presents for new pt visit. Mother asks about a lesion on his scalp present since birth. You note a lesion similar to scar, but there is no trauma. What is your next step.
What is referral to derm.
500
a 4 yo presents with frequent urination and increased thirst. MRI shows intracranial mass. What is the most likely dx.
What is craniopharyngioma
500
6 yo boy is diagnosed with intussuseception of IC junction that is subsequently found to be malignant. This describes which primary abd. tumor?