TCP Quiz 2

Pt presents with alopecia and broken hair shafts. A KOH prep reveals an infection by Trichophyton. Which would be the best treatment for this patient?

In October, 3 months into kindergarten, a 6 yo male presents with fine macules and papules that began on his neck then spread to his torso and extremities for the last 4 days. The rash was more prominent in his axillae and inguinal folds but spared his palms and soles. He also has a ‘strawberry tongue’ and generalized lymphadenopathy. He has no known drug allergies. What is the 1st line treatment?

Which is first line for pediculosis capitis and scabies?

What would you hear for a patient with an atrial septal defect

What would be the most appropriate treatment for tetralogy of Fallot (ToF)?

A 7 y/o boy wets the bed nearly every night. Which of the following is the best pharmaceutical agent to use in treating the patient?

A 4-year-old girl is brought to the ED after 48 hours of vomiting and diarrhea. Her parents are concerned that she is becoming dehydrated. Which of the following is a sign of moderate dehydration?

A 9-year-old boy presents with 3 months of progressive spine stiffness. He also complains of hip, ankle, wrist and digit pain. There is no rash present. Physical and laboratory examination supports a diagnosis of juvenile rheumatoid arthritis. Which of the following is this patient most likely to be prescribed?

A 5-year-old African American boy is seen in clinic because he has been complaining of pain in his hip that is worse with ambulation. He denies any systemic symptoms, injury or recent illness. An MRI reveals osteonecrosis of the femoral head. Which of the following is the most likely diagnosis?

At what age does BMI in a child become clinically relevant?

Pt presents with intense pruritis and with a well-defined bordered lesion in the intertriginous groin area with erythema, but sparing the scrotum. Which is the BEST treatment for this patient?

Which patient population would you be most concerned for with this presentation: “slapped cheek” appearance with lacy, reticulated rash on trunk and extremities with flu-like symptoms?

Which is true of mumps?

In which condition would you hear a loud holosystolic murmur?

A 10-year-old boy presents after noticing red streaks in his stool that began yesterday. He also complains of crampy periumbilical pain and his stools have been looser than normal since yesterday. A stool guaiac is positive. Exam is notable for non-blanching pinpoint macules on his ankles that appear slightly urticarial. What is the most likely etiology of the child’s hematochezia?

Which of the following is NOT a recommendation for child whose weight is >95th percentile for their age?

How would you describe the stool of an infant that is strictly breast fed?

Pt presents with a well demarcated ring-shaped lesion with an advancing popular scaly border and central clearing on the R arm. What would confirm your diagnosis?

In February, a 12 yo male presents with pink macules and papules that started on his face then spread to his trunk and extremities. 2 days ago he had malaise, fever, and a headache. What is the proper treatment for him?

A 2 yo girl comes with a midsystolic “washing machine” sound heard on the LLSB. When she is supine, you are able to hear the murmur better. What is the most likely diagnosis?

In the congenital infections causes mnemonic TORCH (Toxoplasmosis, Other, Rubella, CMV, Herpes infections), what is NOT included in “Other”?

Which is true of transposition of the great arteries (ToGA)?

Pathologic jaundice presents ___________ after birth and is associated with disease states of the liver, biliary system or RH incompatibility.

Where is the most common location for spondylolysis to occur?

Which of the following is not a screening instrument used for autism?

For which infections are oral antifungals rarely used?

A 5 yo girl presents with koplik spots in her buccal mucosa, a maculopapular erythematous rash that started on her face then spread down the rest of her body. 5 days ago she had a high fever, nasal discharge, and conjunctivitis. She is diagnosed with measles (rubeola). After her rash appeared, how long will be she be contagious for?

Which is true of roseola infantum/exanthem subitum?

A 10 yo boy comes in with a harsh, midsystolic, blowing sound best heard in the LUSB when supine. This condition is considered "normal". What is most likely diagnosis?

What is the best treatment option for a < 3mm atrial septal defect (ASD)?

Which of the following is not a type of rotational deformity?

A 15 yo male presents with macerated, moist, pruritic skin between his toes. Which of the following treatments is appropriate?

A 7 yo Chinese female presents with a non-vesicular polymorphous rash, strawberry tongue, conjunctival injections, and erythema on her palms and soles. She had a fever for the last 5 days. What would be the next best step?

Which is the leading cause of death in the 1st year of life (excluding prematurity)?

A patient who is determined to have failure to thrive is usually growing below the ____ percentile.

14 yo male presents with “tet spells” in which he gets tired and dizzy. He says squatting helps relieve his symptoms. On auscultation, a harsh holosystolic murmur is heard at the LSB. What would you expect to see on evaluation?

Which class of drugs can result in urticaria, morbilliform eruption, and photodermatitis?

No smiling by _______ is an early sign of autism.

Which of the following is correct regarding Hirschprung’s disease?

Which is true of patent ductus arteriosus (PDA)?

For which infection are topical antifungals ineffective?

What is a classic distribution of atopic dermatitis?

What finding would you see on XR in a patient with congenital talipes equinovarus?

A 3 yo female presents with beefy, red papules located in the skin folds of her groin with satellite lesions. Candida albicans is found to be the causative agent. Which is true of these infections?

A 2-year-old boy presents to the Emergency Department with his grandmother due to concern for dehydration. He has had two wet diapers and eight watery, malodorous, green stools in the past 24 hours. He has been extremely thirsty and drinking plenty of water and juice. Serum chemistries are significant for a sodium 151 mEq/L (nl 136-145 mEq/L), chloride 117 mEq/L (nl 98-108 mEq/L), potassium of 3.0 mEq/L (nl 3.7-5.2 mEq/L), and bicarbonate of 19 mEq/L (nl 24-31 mEq/L). Urinalysis is significant for 1+ ketones but is otherwise normal. What is the most likely cause of this child’s hypernatremia?