Community CPS

Question 1

Management of ankyloglossia

Answer 1

Usually conservative - parental education, lactation support, and reassurance
Frenotomy can improve feeding with significant breastfeeding difficulties

Question 2

4 complications from a frenotomy

Answer 2

Bleeding
Infection
Injury to Wharton’s duct
Post operative scarring that limits tongue movement, requiring reoperation

Question 3

3 non pharm therapies for GERD

Answer 3

Thickened feeds
Avoiding cow’s milk (2-4 week trial)
Infant positioning (discourage)

Question 4

What type of bacteria produce nitrites?

Answer 4

Gram negative

Question 5

6 common bacteria causing UTIs

Answer 5

E coli
Klebsiella pneumoniae
Enterobacter
Citrobacter
Serratia
Staph saphrophyticus (adolescent females)

Question 6

How long should febrile UTIs be treated for?

Answer 6

7 to 10 days

Question 7

How long does cystitis need to be treated for

Answer 7

2 to 4 days

Question 8

Signs of a complicated UTI

Answer 8

Hemodynamically unstable
Elevated creatinine
Bladder or abdominal mass
Poor urine flow
Not improving clinically within 24 hours
Fever not decreasing within 48 hours of abx

Question 9

Which children need a RBUS for UTI

Answer 9

Children <2 with first febrile UTI
During or within 2 weeks of their acute illness

Question 10

What grades of VUR need antibiotic prophylaxis

Answer 10

Grade 4 and 5
And see uro or nephro

Question 11

What are the issues with a nuclear cystogram for UTI

Answer 11

Less radiation than VCUG but less available
Poor anatomic details for male urethra (can miss posterior urethral valves)