Common Peds pimping questions

[SkylineMD]

I'm about to start my pediatrics rotation and was thinking about what kind of questions are typically used. While on medicine it was routine to ask about the treatments for hyperkalemia/hypokalemia, common ECG findings of pulmonary embolism, etc. What questions end up getting repeated on the floors if any?

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[rockit]

Infectious disease, especially meningitis. Study it. Know drugs that are contraindicated in peds, like the quinolones.

 

[Avianburner]

when you're on outpatient, 3 most common bugs for otitis media (pneumococcus, h. flu, moraxella), first and second line treatments

what abx covers all of them (trick question...none, but moraxella usually spontaneously resolves)

 

[domer621]

I agree with rockit. I got asked about antibiotics the most. Know which ones to use in different infections (pneumonia, etc).
Developmental milestones are good to know, too.
Also on OutPt, otitis externa is most commonly Pseudomonas. Treatment is usually Cortisporin drops.
Know about the different classes of asthma and the drugs used to control it.
Know UTIs and how to treat them.
Know strep throat, how to treat, and why it's important to treat (rheumatic fever and PSGN).
Know the causes of sinusitis and when to decide to treat it.
Know the different types of pediatric rashes, especially HSP.


Any tips on Medicine?

 

[SkylineMD]

Any tips on Medicine?

Thanks, I started another thread for the medicine pimping questions so that they can be separate

 

[Dr JPH]

What is a common cause of delayed fontanelle closure?

I think its hypothyroidism.

If not, then I learned nothing during my 3rd year Peds rotation. 😀

 

[The Buff]

What is a common cause of delayed fontanelle closure?

I think its hypothyroidism.

If not, then I learned nothing during my 3rd year Peds rotation. 😀

Ricketts, too, although I think that is pretty obvious.

 

[oldbearprofessor]

What is a common cause of delayed fontanelle closure?

I think its hypothyroidism.

If not, then I learned nothing during my 3rd year Peds rotation. 😀

Don't worry, you did. Although a good standard answer,

it is an example of the odd things that are taught 3rd yr medical students. In the US, the newborn screening for congenital hypothyroidism would make this an extremely uncommon cause in older infants. Normal variant and Trisomy's, hydrocephalus and even rickets are more common currently in the US.

For the OP, be expected to discuss the common causes and evaluation of neonatal conditions such as:

Intrauterine growth ******ation
Transient respiratory distress of the newborn (Transient tachypnea)
Infant of the diabetic mother
Trisomy 21
congenital adrenal hyperplasia

 

[KidDr]

-how to work up fever in infants <2 months of age, who needs to be hospitalized, what empiric abx (+/- antivirals) to give
-how often bacterial pathogens are isolated from these febrile young infants who undergo sepsis evals, and the most common bacterial pathogens isolated
-asthma classes and treatments, as well as treatment of acute exacerbations
-empiric rx (inpatient and outpatient) for presumed bacterial pneumonia (taking into account age, and possibly xray appearance of the infiltrate)
-pathogenesis, presentation, and treatment of bronchiolitis (including when to hospitalize); and, what treatment don't usually work for bronchiolitis
-most common etiologies and empiric rx for pleocytosis on an LP
-presentation, w/u, etiologies, and treatment for HUS
-empiric rx (inpatient and outpatient) for cellulitis
-empiric rx and appropriate w/u for suspected septic arthritis or osteomyelitis
-presentation, w/u, and treatment of 1st febrile seizure (and know the differences for simple and complex), and who should be hospitalized
-presentation, w/u, and treatment of 1st afebrile seizure, and who should be hospitalized
-most common etiologies and empiric rx for UTI/pyelo, and who should be hospitalized
-how to interpret a VBG in various situations of resp/metabolic alteration
-treatment of tylenol ingestion
-incidence, presentation, w/u, and treatment for various heart defects
-presentation and treatment of DKA
-common presentations of non-accidental trauma (NAT)
-most common etiologies for a limp (based on age and other associated symptoms, such as fever or presceding illness), what w/u should be done (labs, xrays, etc)
-most common etiologies for abdominal masses based on age
-describe the rashes associated with various conditions (measles, rubella, varicella, parvovirus, roseola, kawasaki disease)
-developmental milestones at various ages

(And when I say "treatment," it doesn't necessarily mean fancy meds and "work-up" doesn't always mean tons of labs/rads---for example if a 3 y/o kid comes in with single simple febrile seizure and he looks great by the time he/she gets to the ER, "work-up" may be just a thorough PE to look for treatable causes of fever, and if none are found, "treatment" will likely just be antipyretics and reassurance. Also know that actual clinical practice may vary somewhat in different hospitals/clinics. Examples abound, here's one: High incidence MRSA---empiric outpatient rx for cellulitis is likely clinda or bactrim. Low incidence MRSA---empiric outpatient rx is more likely cephalexin. The Cincinnatti Children's practice guidelines, uptodate, and the AAP are good resources.)

 

[goodies]

whats the typical format of a presentation in peds?

in obgyn, its "26 yo G3P2 at 29 and 5 weeks status post blah blah"

what the heck do u say in peds?

how do you give a good oral presentation? i always have the hardest time memorizing what to say. is there a good format to stick to? 🙁

 

[domer621]

whats the typical format of a presentation in peds?

in obgyn, its "26 yo G3P2 at 29 and 5 weeks status post blah blah"

Same thing for peds inpatient. If you've been presenting a lot already, you have nothing to worry about. Just be sure to include the birth history.

 

[logos]

I only got pimped once in peds:

What is sinus arrhythmia?
Deep breath in, heart speeds up. Blow it out, slows down.

Does it still occur in heart transplant patients?
Yes, its due to the Frank-Starling principle.

(Tricky question because back in the day I guess it used to be thought to be vagally mediated so the answer would have been no...)

 

[katrinadams9]

know the different viral exanthems and how to identify the rashes that go with them.

 

[bjolly]

know the formula for fluid replacement in pediatric patients

 

[mdphd2b]

My school LOVES vasculitides...

Kawasaki's especially (typical and atypical algorithms), wegener's, HSP.

Also big on lupus criteria, what's on the basic newborn screen, nephrotic and nepritic syndromes, work-up for ROS in newborn (plus what bugs/ABx for meningitis, pneumonia, AOM, UTI). Don't forget HSV encephalitis, Lyme disease...ID is pretty big!