MSK maladies
Dosing!!
Name that infectious agent
What's that?
100
Type of fracture that is common after a fall on outstretched hand; side of bone bulges out without a full break through.
Buckle or torus fracture
100
Treatment of AOM and PNA should be _____-dose amoxicillin.
High
100
Which bacteria is most implicated when you find goopy eye discharge/conjunctivitis along with otitis media?
Non-typeable H. flu
100
The name of a collection of pus adjacent to the nail of finger or toe.
Paronychia
200
Formal name for nursemaid's elbow?
Radial head subluxation
200
Strep throat treatment is 50mg/kg once daily x 10 days with a max of 1000mg per day.
The child is 25KG. What is their daily dose of amoxicillin (in mg)?
1000mg
200
Bacterial cause of skin infection which presents as an extremely well-demarcated erythematous tender area
Group A strep
200
A common, harmless skin condition that causes small, rough bumps to appear on the skin. The bumps are usually painless and can be white, red, brown, or the same color as the skin. They often appear on the back of arms and front of thighs.
Keratosis pilaris
300
In a pre-pubertal child, there may be an injury with pain/swelling at a certain location but no fracture seen on Xray, yet you treat as though there is a fracture. What is this?
Salter Harris I fracture
300
Dose this child: Fever and irritability
Mom wants to give motrin.
Weight = 16kg. Has liquid motrin 100mg/5mL.
Dose = ______mL
8
300
What type of agent is molluscum contagiousum? (be specific)
a poxvirus
300
A chronic skin condition that causes painful lumps to form under the skin. These lumps often develop in areas where skin rubs together, such as the armpits, groin, buttocks, and breasts. The lumps can become inflamed and break open, draining fluid and pus. As the abscesses heal, they can cause scarring of the skin.
Hidradenitis suppurativa
400
Name 2 components of the Ottawa Ankle Rules that would prompt you to get an xray.
1. unable to bear weight for at least 4 steps
2. bony tenderness at the posterior edge or tip of lateral or medial malleolus (ankle film)
3. bony tenderness at base of 5th metatarsal or at the navicular bone (foot film)
400
Dose this child: Fever and irritability
Mom wants to give tylenol.
Wt: 32KG. Tylenol liquid: 160mg/5mL
Dose = _____ mL
15
400
Name 1 of the 2 most common dermatophyes implicated in tinea capitus.
Microsporum or Trichophyton
400
A benign skin disorder that manifests as raised, dirty-appearing areas of skin. Can sometimes look like acanthosis, but it wipes clean with alcohol wipes (though is not just dirt!). It is thought to be a disorder of keratinization.
Terra firma-forme dermatosis
500
Most clavicle fracture are treated and monitored by general pediatricians. What would be 2 indications for referral to Orthopedics?
Fractures with signs of neurovascular compromise, open wounds, skin tenting, greater than 100% displacement, >2 cm of shortening, comminuted fractures, unstable distal fractures
500
You are treating a cellulitis with cephalexin (keflex). The dosing is 25-50mg/kg/day divided TID.
Wt=39KG keflex liquid conc: 250mg/5mL
Find a whole number (mL) that falls within the therapeutic range to give for each dose.
7mL - 13mL
500
Bacteria of concern after stepping on nail that punctured through rubber sole shoe.
Pseudomonas
500
A rash characterized by a reticulated pattern of erythema and hyperpigmentation. It is caused by repeated exposure to direct heat or infrared radiation. In kids/teens, it can be due to sitting next to a heater for long periods or sitting with a laptop directly on thighs.
Erythema ab igne