21 - 12 yo F with fever

Question 1

what are the centor criteria for strep throat?

Answer 1

• tonsillar exudate or erythema (1 pt)
• anterior cervical lymphadenopathy (1 pt)
• cough absent (1 pt)
• fever present
  
  • 3-14 yrs (1 pt)
  • 15-45 yrs (0 pt)
  • 45 and older (-1 pt)
• score 4-5: treat with abx
• score 2-3: perform rapid antigen test
• score 0-1: symptomatic treatment

Question 2

what are the two most common complications of influenza?

Answer 2

• bacterial pneumonia

- otitis media

Question 3

in children 3 months to adolescence, what is the first choice of abx for strep pneumonia?

Answer 3

amoxicillin 90 mg/kg/day divided into three dosages for 7-10 days

Question 4

in school age children who have a clinical presentation consistent with atypical pneumonia, what abx should be given?

Answer 4

• azithromycin (macrolide) 10 mg/kg on day 1 followed by 5 mg/kg on days 2-5

Question 5

the fever that comes with influenza lasts for _____ days

Answer 5

3-5

Question 6

when is drug treatment indicated for children with high cholesterol?

Answer 6

• TC over 190
• LDL over 160
• with risk factors
• must be older than 10
• must be tanner stage 2 or undergone menarche

Question 7

metabolic syndome criteria?

Answer 7

3/5 of:

• hyperTG
• low HDL
• elevated fasting BG
• excessive waist circumference
• HTN

Question 8

what is Blount’s disease?

Answer 8

progressive bowing of the legs

Question 9

what is a cardinal feature of pneumonia?

Answer 9

crackles

Question 10

focal crackles in a febrile child without underlying lung disease is considered ___________ until proven otherwise

Answer 10

pneumonia

Question 11

pneumonia causing an atypical presentation (chills, fever, dry nonproductive cough) plus extrapulmonary symptoms (GI, arthralgias) is usually due to a ______

Answer 11

virus

Question 12

in acute bronchitis coughing persists for more than _____ days

Answer 12

5