Pediatric Flashcards

(68 cards)

1
Q

Px GOLD intoleransi laktosa

A

Hidrogen breath test
Tmbahan : clini test/benedict test, stool acidity test

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2
Q

Px GOLD alergi susu sapi

A

Food blinding controled test

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3
Q

Tx alergi susu sapi -ASI-

A

Ibu diet/eliminasi susu sapi

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4
Q

Tx alergi susu sapi -Tidak ASI-

A
  1. Susu terhidrolisis sempurna
  2. Susu formula asam amino
  3. Susu soya
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5
Q

Tx intoleransi laktosa

A
  1. Susu bebas laktosa
  2. Susu rendah laktosa
  3. Susu soya
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6
Q

Tx profilaksis KDK jangka panjang (1 th)

A
  1. Asam valproate 15-40mg/kgbb
  2. Fenobarbital 3-4 mg/kgbb
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7
Q

Tx profilaksis KDS intermiten (48 jam)

A

Diazepam oral 0,3-0,5/kgbb

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8
Q

5 lintas diare

A

OZANA
Oralit
Zinc
Ab selektif : kotri 10mg/bb 2x1
Nasehat
Asi

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9
Q

Tx diare tanpa dehidrasi

A

Oralit
< 2 THN : 50 - 100cc/BAB
> 2 THN : 100 - 200cc/BAB

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10
Q

Tx diare dehidrasi ringan sedang

A

Oralit/kristaloid
75cc/kgbb 3-4 jam

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11
Q

Tx diare dehidrasi berat

A

Kristaloid 100cc/bb DIBAGI:
< 1 THN : 30cc/bb (1 jam) 70 cc/bb (5jam)
> 1 THN : 30cc/bb (30 menit) 70 cc/bb (2 1/2 jam)

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12
Q

Apabila akses IV tidak tersedia bagaimana pemberian terapi cairan pasien diare dehidrasi berat?

A

Oralit 20cc/bb (6 jam) lewat NGT
*1 gelas oralit 200cc

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13
Q

Stadium morbili (3)

A

Prodromal : 3c, koplik spot
Erupsi : ruam makulopapular SAAT demam tinggi, central ke perifer
Konvalesens : penyembuhan, makula hiperpigmentasi

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14
Q

Dosis vitamin A untuk Morbili dan kapan diberikan

A

< 6 BLN : 50.000 (1/2 caps biru)
6 -11 BLN : 100.000 (1 caps biru)
>11 BLN : 200.000 (1 caps merah)
Hari 1 dan 2

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15
Q

Karakteristik Roseola infantum/exanthema subitum

A

Makulopapular dari thorax ke seluruh tubuh
Rose pink
Nagayama spot
Rash muncul SETELAH demam TURUN

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16
Q

Ex Roseola infantum/exantema subitum

A

HHV tipe 6,7

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17
Q

Ex Rubella

A

Rubi virus

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18
Q

Karakteristik Rubella

A

Forscheimer spot
Pembesaran KGB
3C dari kepala ke seluruh tubuh

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19
Q

Karakteristik Marasmus (def karbo)

A

Kurus, iga gambang, baggy pants, orang tua

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20
Q

Karakteristik Kwarshiorkor (def protein)

A

Edema, buncit, rambut jagung, crazy pavement dermatosis

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21
Q

Tx Hipoglikemi GIBUR

A

D10%
Sadar : oral 50cc
Penkes : 5cc/kg bb/IV

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22
Q

Tx Hipotermi GIBUR

A

Infant warmer
Metode kanguru
Lampu pijar 40W 50cm

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23
Q

Tx Dehidrasi GIBUR

A

Cairan RESOMAL
2 jam I : 5cc/kgbb/30 menit
4-10 jam : 5-10cc/kgbb/jam

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24
Q

Fase pemberian makanan GIBUR:

A

STAR
1. Stabilisasi (h1-2)
2. Transisi (h3-7)
3. Rehabilitasi (m2-6)

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25
Fase stabilisasi
F75 Energi : 80-100kal/BB Prot : 1 - 1,5gr/BB
26
Fase Transisi
F100 Energi : 100-150kal/BB Prot : 2 - 3gr/BB
27
Fase Rehabilitasi
F100 Energi : 150 - 220kal/BB Prot : 3 - 4gr/BB
28
Ex cerebral palsy
Kelainan korteks cerebri
29
Karakteristik cerebral palsy
Gait scissor, gangguan bicara dan atensi
30
Ex dychene muscular distrofy
X linked resesif mutation Defisiensi distrofin
31
Karakteristik DMD
Gower sign Hipertrofi betis
32
Px DMD
Biopsi otot / FNAB : sel lemak berlebih
33
Tx DMD dan BMD
Rujuk Fisioterapi + steroid
34
Ex becker muscular distrofy
Protein abnormal, distrofin normal
35
Karakteristik BMD
3B Jalan seperti bebek (Wadling gait) Bagian proximal otot lemah
36
Klasifikasi sepsis neonatorum
Dini/early : < 72 jam Lanjut/late : > 72 jam
37
Tx sepsis neonatorum
GAm Gentamicin 7,5mg/bb/hari Ampisilin 50mg/bb/6 jam
38
Tx AWAL tetanus neonatorum
Diazepam 10mg/bb dlm 24 jam
39
Tx TEPAT tetanus neonatorum
7-10 hari Ab 1. Penicilin procain 100.000 IU 2. Metronidazole 30mg/BB 3. HTIG 500 IU 4. ATS 5000 IU 5. TT 0,5 cc/IM
40
Ex osteogenesis imperfecta
Defisiensi kolagen tipe I, autosomal dominan
41
Karakteristik osteogenesis imperfecta
Sklera biru, fraktur
42
Karakteristik rakitis/ricket
Kraniotabes/frontal boosing Harisson groove (cekung costa) Rosary beads (sendi costa) Bowed leg
43
Ex ricket/rakitis
Defisiensi vitamin D
44
Tx osteogenesis imperfekta
Rujuk fisioterapi, suportif
45
Tx ricket/rakitis
Vit D2/D3 2000-6000 IU (3 bln) Kalsium 1000mg
46
Berat badan lahir
Normal : 2500-4000 BBLR : <2500 BBLSR : <1500 BBL ext. rendah : <1000
47
Rumus tentukan berat badan lahir yang dihitung, untuk tentukan masa kehamilan
Usia 34 minggu = 1500 - 2800 gr +/- 1 minggu = +/- 200gr
48
POLIDAKTIL, birsum, mikrosefal, abnormalitas jantung, dx dan kelainan kromosom berapa?
Sindrom Patau (13)
49
MIKROGNATIA, clubfoot, birsum, mikrosefal, abnormalitas jantung, dx dan kelainan kromosom berapa?
Sindrom Edward (18)
50
MAKROGLOSSIA, EPICANTAL FOLD, LOW SAT EAR, SIMIAN CREASE, dx dan kelainan kromosom berapa?
Sindrom Down (21)
51
PEREMPUAN, pendek, WBBED NECK, shield chest, gangguan jantung, dx?
Sindrom Turner (45 XO)
52
PRIA, tinggi, ginekomastia, atrofi testis, dx?
Sindrom Klinefelter (47 XXY)
53
Tangisan kucing, RM, wajah bundar, hipertelorisme, low sat ear (inferior), dx?
Sindrom Cri du Chat
54
Tangisan kucing, RM, wajah bundar, hipertelorisme, low sat ear (inferior), patfis?
Delesi parsial kromosom AUTOSOMAL 5P
55
Pemberian vaksinasi pada bayi aterm, BB<2000 gr, ibu HbSAg (-)?
TUNDA sampai BB >2000 gram TUNDA sampai usia 30 hari
56
Pemberian vaksinasi pada bayi aterm, BB>2000 gr, ibu HbSAg (-)?
Beri vaksin Hep B (only)
57
Pemberian vaksinasi pada bayi aterm, BB BERAPAPUN, ibu HbSAg (+)?
Beri vaksin Hep B (dlm 24 jam) + HbIg (max dlm 7 hari)
58
Neonatus usia 2-3 minggu, preterm, BAB darah, demamac distensi abdomen, BU menurun (tanda ileus), tidak diberi asi dan DIBERI SUSU FORMULA, dx?
Enterokolitis Nekrotikans
59
Neonatus usia 2-3 minggu, preterm, BAB darah, demamac distensi abdomen, BU menurun (tanda ileus), tidak diberi asi dan DIBERI SUSU FORMULA, patfis?
Kerusakan dinding interstisial berat akibat inflamasi vaskular, mukosa dan metabolik pada usus imatur Pneumatosus intestinalis
60
Neonatus usia 2-3 minggu, preterm, BAB darah, demamac distensi abdomen, BU menurun (tanda ileus), tidak diberi asi dan DIBERI SUSU FORMULA, tx awal dan definitif?w
AWAL Dekompresi dengan NGT + Berikan nutrisi parenteral (optional) DEFINITIF Antibiotik spektrum luas
61
Hasil uji reversibilitas (pasca bronkodilator)?
Peningkatan FEV1 >12%
62
Serangan asma 1x dalam sebulan, dx?
Asma Intermitten
63
Serangan asma >1x/bln, <1x/minggu, dx?
Asma Persisten Ringan
64
Serangan asma >1x/minggu, namun tidak tiap hari, dx?
Asma Persisten Sedang
65
Serangan asma setiap hari, dx?
Asma Persisten Berat
66
Tanda Toxoplasmosis
Hudrocephalus, korioretinitis, klasifikasi di otak
67
Tanda CMV
Korioretinitis, periventrikuler cairan,
68
Tanda Rubella
PDA, katarak, mikrosefali, tuli kongenital