Description
Do not go where the pay may lead, go instead where there is no path and leave a trail.
-Ralph Waldo Emerson
Welcome back to Roshcast Episode 36! This week we continue our collaboration with the EM Clerkship podcast, focusing on pediatrics. Don’t forget that we launched another trauma ring tone contest week, so listen up through Episode 38 to win a subscription to Rosh Review. For this week’s rapid review, we will be covering a few pearls from Yehuda’s most recent posts on the Rosh Review Blog. Let’s get started!
* Cysticercosis is caused by taenia solium – a common tapeworm. It’s transmitted via pork. Patients may present with seizures and CNS cysts.
* Patients with acute angle-closure glaucoma classically present with severe eye pain, blurry vision, photophobia, and a dilated pupil. The intraocular pressure in this case would be elevated.
* Iritis presents with peri-limbic injection, a constricted pupil, pain, photophobia, and blurry vision. You would expect the intraocular pressure to be normal or even low.
Now onto this week’s podcast
Question 1
A 4-week-old boy presents with a 2-week history of increasing dyspnea, cough, and poor feeding. On examination you note conjunctivitis, and a chest examination reveals tachypnea and rales. A chest X-ray shows hyperinflation and diffuse interstitial infiltrates. Which of the following is the most likely etiologic agent?
A. Chlamydia trachomatis
B. Parainfluenza virus
C. Respiratory syncytial virus
D. Staphylococcus species
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Question 2
A 6-year-old immigrant boy from Bangladesh presents with fever and rash. The fever started 3 days ago followed by a rash which started on the head and spread to the rest of the body. Examination reveals a well appearing child with a maculopapular rash and posterior cervical lymphadenopathy. Which of the following is the most likely causative organism for this disease?
A. Measles virus
B. Mumps virus
C. Parvovirus B19
D. Rubella virus
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Question 3
A 4-year-old boy presents with respiratory failure. Which of the following represents the correct endotracheal tube for this patient?
A. 4.0 cuffed endotracheal tube
B. 5.0 uncuffed endotracheal tube
C. 5.5 cuffed endotracheal tube
D. 6.0 cuffed endotracheal tube
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Question 4
Which of the following is the most common manifestation of abusive head trauma in infants?
A. Epidural hematoma
B. Retinal hemorrhage
C. Subarachnoid hemorrhage
D. Subdural hematoma
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Question 5
Which of the following should be administered to a symptomatic 3-day-old infant with glucose of 25 mg/dL?
A. 1 mL/kg of 50% dextrose (D50)
B. 2 mL/kg of 25% dextrose (D25)
C. 5 mL/kg of 10% dextrose (D10)
D. Glucagon subcutaneously
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Question 6
A healthy 6-year-old boy presents to the ED with bloody diarrhea. He was in his usual state of health until one week ago when loose, watery stools (up to 10 per day) were noted. He was seen by his pediatrician four days ago but has since develo...