Pediatric COMAT final update Questions
and Answers With 100% Verified
Solutions
First number in APGAR - ✔ANASWER✔-Info on how newborn tolerated labor
| | | | | | | | | |
(after 1 min)
| | |
Second number in APGAR - ✔ANASWER✔-Info on infant's response to
| | | | | | | | |
resuscitation (after 5min)
| | |
Grading for APGAR - ✔ANASWER✔-2pts - pulse 1pt
| | | | | | |
- color
| |
1pt - irritability 2pts
| | |
- tone
| |
2pts - respiration
| |
,Erb-Duchenne - ✔ANASWER✔-Injury to C5-C6 | | | |
--arm remains extended and medially rotated
| | | | |
Klumpke - ✔ANASWER✔-C7-C8 + T1 injury
| | | | | |
Management for Erb Duchenne or Klumpke - ✔ANASWER✔-Refer if doesn't
| | | | | | | | |
get better by 3-6 months for neuroplasty
| | | | | | |
Edema that crosses suture lines - ✔ANASWER✔-Caput succedaneum
| | | | | | |
Edema that doesn't cross suture line - ✔ANASWER✔-Cephalohematoma
| | | | | | |
Area of alopecia with orange colored nodular skin - ✔ANASWER✔-Nexus
| | | | | | | | |
sebaceous
|
Management of Nevis sebaceous - ✔ANASWER✔-Remove from scalp before
| | | | | | | |
adolescence b/c could undergo malignant degeneration
| | | | | |
Thick yellow/white oily scale on inflammatory base of scalp -
| | | | | | | | |
✔ANASWER✔-Seborrheic dermatitis |
Treatment for seborrheic dermatitis - ✔ANASWER✔-Gently clean with mild
| | | | | | | |
shampoo (selenium)
| |
,Which two disorders do every state screen for? - ✔ANASWER✔-PKU and
| | | | | | | | | |
galactosemia
|
Deficiency in PKU - ✔ANASWER✔-Phenylalanine hydroxylase
| | | | |
Symptoms of PKU - ✔ANASWER✔-Mental retardation, vomiting, athetosis,
| | | | | | |
seizures, developmental delay
| | |
Signs of newborn with PKU - ✔ANASWER✔-Fair hair, eyes, skin and musty
| | | | | | | | | | |
smell
|
Treatment for PKU - ✔ANASWER✔-Low phenylalanine diet
| | | | | |
Deficiency of galactosemia - ✔ANASWER✔-G1p-uridyl-transferase
| | | |
--so G1p accumulates and damage to kidney, liver and brain
| | | | | | | | |
Symptoms of galactosemia - ✔ANASWER✔-Mental retardation, direct
| | | | | |
hyperbili, jaundice, decreased glucose, cataracts, seizure
| | | | | |
Treatment for galactosemia - ✔ANASWER✔-No lactose
| | | | |
3 days old, bili at 10, direct 0.5, eating and pooping well - ✔ANASWER✔-
| | | | | | | | | | | | |
Physiologic jaundice
| |
, When does physiologic jaundice resolve? - ✔ANASWER✔-By 5th day
| | | | | | | |
--due to liver conjugation not yet mature
| | | | | |
7 day old, bili 12, direct 0.5, dry mucous membranes and not gaining weight -
| | | | | | | | | | | | | |
✔ANASWER✔-Breast feeding jaundice
| | |
--from low feeding = dehydration = retain mechanism and absorb
| | | | | | | | |
deconjugated bili
| |
14 day old, bili 12, direct 0.5, baby regained birth weight and otherwise
| | | | | | | | | | | |
healthy - ✔ANASWER✔-Breast milk jaundice
| | | | |
--breast milk has glucuronidase and deconjugates bili | | | | | |
1 day old, bili 14, direct 0.5 worried? - ✔ANASWER✔-Yes -- pathologically
| | | | | | | | | | |
jaundice if have high at first day of life bili >12 or rate of rise >5/day
| | | | | | | | | | | | | | | |
Test for pathological jaundice - ✔ANASWER✔-Get Coombs test
| | | | | | |
+ = Rh or ABO incompatibility
| | | | |
- = twin/twin or mom/fetus transfusion, IDM, spherocytosis, or G6pDH
| | | | | | | | |
deficiency
|
7 days old, dark urine, pale stool, bili 12, dbili at 8, LFTS elevated -
| | | | | | | | | | | | | |
✔ANASWER✔-Biliary atresia |
--bile ducts can't drain bile causing liver failure! Need surgery!
| | | | | | | | |
and Answers With 100% Verified
Solutions
First number in APGAR - ✔ANASWER✔-Info on how newborn tolerated labor
| | | | | | | | | |
(after 1 min)
| | |
Second number in APGAR - ✔ANASWER✔-Info on infant's response to
| | | | | | | | |
resuscitation (after 5min)
| | |
Grading for APGAR - ✔ANASWER✔-2pts - pulse 1pt
| | | | | | |
- color
| |
1pt - irritability 2pts
| | |
- tone
| |
2pts - respiration
| |
,Erb-Duchenne - ✔ANASWER✔-Injury to C5-C6 | | | |
--arm remains extended and medially rotated
| | | | |
Klumpke - ✔ANASWER✔-C7-C8 + T1 injury
| | | | | |
Management for Erb Duchenne or Klumpke - ✔ANASWER✔-Refer if doesn't
| | | | | | | | |
get better by 3-6 months for neuroplasty
| | | | | | |
Edema that crosses suture lines - ✔ANASWER✔-Caput succedaneum
| | | | | | |
Edema that doesn't cross suture line - ✔ANASWER✔-Cephalohematoma
| | | | | | |
Area of alopecia with orange colored nodular skin - ✔ANASWER✔-Nexus
| | | | | | | | |
sebaceous
|
Management of Nevis sebaceous - ✔ANASWER✔-Remove from scalp before
| | | | | | | |
adolescence b/c could undergo malignant degeneration
| | | | | |
Thick yellow/white oily scale on inflammatory base of scalp -
| | | | | | | | |
✔ANASWER✔-Seborrheic dermatitis |
Treatment for seborrheic dermatitis - ✔ANASWER✔-Gently clean with mild
| | | | | | | |
shampoo (selenium)
| |
,Which two disorders do every state screen for? - ✔ANASWER✔-PKU and
| | | | | | | | | |
galactosemia
|
Deficiency in PKU - ✔ANASWER✔-Phenylalanine hydroxylase
| | | | |
Symptoms of PKU - ✔ANASWER✔-Mental retardation, vomiting, athetosis,
| | | | | | |
seizures, developmental delay
| | |
Signs of newborn with PKU - ✔ANASWER✔-Fair hair, eyes, skin and musty
| | | | | | | | | | |
smell
|
Treatment for PKU - ✔ANASWER✔-Low phenylalanine diet
| | | | | |
Deficiency of galactosemia - ✔ANASWER✔-G1p-uridyl-transferase
| | | |
--so G1p accumulates and damage to kidney, liver and brain
| | | | | | | | |
Symptoms of galactosemia - ✔ANASWER✔-Mental retardation, direct
| | | | | |
hyperbili, jaundice, decreased glucose, cataracts, seizure
| | | | | |
Treatment for galactosemia - ✔ANASWER✔-No lactose
| | | | |
3 days old, bili at 10, direct 0.5, eating and pooping well - ✔ANASWER✔-
| | | | | | | | | | | | |
Physiologic jaundice
| |
, When does physiologic jaundice resolve? - ✔ANASWER✔-By 5th day
| | | | | | | |
--due to liver conjugation not yet mature
| | | | | |
7 day old, bili 12, direct 0.5, dry mucous membranes and not gaining weight -
| | | | | | | | | | | | | |
✔ANASWER✔-Breast feeding jaundice
| | |
--from low feeding = dehydration = retain mechanism and absorb
| | | | | | | | |
deconjugated bili
| |
14 day old, bili 12, direct 0.5, baby regained birth weight and otherwise
| | | | | | | | | | | |
healthy - ✔ANASWER✔-Breast milk jaundice
| | | | |
--breast milk has glucuronidase and deconjugates bili | | | | | |
1 day old, bili 14, direct 0.5 worried? - ✔ANASWER✔-Yes -- pathologically
| | | | | | | | | | |
jaundice if have high at first day of life bili >12 or rate of rise >5/day
| | | | | | | | | | | | | | | |
Test for pathological jaundice - ✔ANASWER✔-Get Coombs test
| | | | | | |
+ = Rh or ABO incompatibility
| | | | |
- = twin/twin or mom/fetus transfusion, IDM, spherocytosis, or G6pDH
| | | | | | | | |
deficiency
|
7 days old, dark urine, pale stool, bili 12, dbili at 8, LFTS elevated -
| | | | | | | | | | | | | |
✔ANASWER✔-Biliary atresia |
--bile ducts can't drain bile causing liver failure! Need surgery!
| | | | | | | | |
