PEDS

Question 1

Epiglottitis most likely bacteria and treatment

Answer 1

• Staphylococcus aureus and Streptococcus pneumoniae

- Third-generation cephalosporin such as ceftriaxone

Question 2

Bilious emesis, abdominal pain, and abdominal distension in patient before the age of one. X-ray reveals abnormally dilated bowel loops overlying the liver with lack of air distally. Diagnosis?

Answer 2

Malrotation and midgut volvulus

Question 3

Downward sloping ST segment or saddleback ST segment in the high precordial leads (V1-V3) in young person.

Answer 3

Brugada syndrome (autosomal dominant). Cardiac ion channel dysfunction. Treatment = AICD.

Question 4

Treatment of neonatal hypoglycemia

Answer 4

10% dextrose is the preferred concentration

Recommended dose is 5 mL/kg