CPN Hot Topics

Question 1

Prevention strategies for epiglottis

Answer 1

Hib vaccine

Question 2

Symptoms of laryngotrachobronchitis / croup

Answer 2

Badly cough / strider / respiratory distress

Question 3

Cystic Fibrosis Symptoms

Answer 3

Steatorrhea (fatty stool) / respiratory infections / wet chronic cough / barrel chest / wheezing

Question 4

How are secretions cleared in patients with cystic fibrosis?

Answer 4

Chest physiotherapy / Pulmozyme (aerosolized medication)

Question 5

What is pyloric stenosis?

Answer 5

An obstruction caused by thickening of the abdominal muscle around the pylorus.

Question 6

What is esophageal atresia?

Answer 6

Condition that occurs when the principal end of the esophagus ends in a blind pouch. Food cannot enter the stomach.

Question 7

What is tracheoesophageal fistula?

Answer 7

Occurs when there is a connection between the esophagus and trachea.

Question 8

S/S of esophageal atresia and tracheoesophageal fistula?

Answer 8

Maternal polyhydraminos / excessive oral secretions / distended abdomen

Question 9

Symptoms of Hirschsprung’s Disease?

Answer 9

Abdominal distention / constipation / ribbon like stools

Question 10

Treatment of Hirschsprungs Disease?

Answer 10

Enemas to relieve mechanical obstruction / surgery to remove affected bowel / may place temporary ostomy

Question 11

Tylenol Dosing

Answer 11

10/15 mg/kg

Question 12

Management of neonatal abstinence syndrome?

Answer 12

Caused by intrauterine drug exposure. Treat withdraw with methadone / small frequent high calorie feeds.

Question 13

2 types of ADHD

Answer 13

Hyperactive impulse type / inattentive type

Question 14

Hyperactive impulse ADHD

Answer 14

Fidgets, squirms, talks excessively, difficulty taking turns

Question 15

Inattentive ADHD

Answer 15

Difficulty following directions / easily distracted / difficulty organizing thoughts

Question 16

CSF Results for bacterial meningitis

Answer 16

Cloudy / increased WBC / increased protein / decreased glucose

Question 17

When do side effects of live vaccines occur?

Answer 17

2-4 weeks

Question 18

S/S of fifths diseas

Answer 18

Intense red facial rash

Question 19

Cephalocaudally Development

Answer 19

From head to toe

Question 20

Proximodistally Development

Answer 20

From trunk to the tips of the extremities

Question 21

Erikson Principle Preschooler

Answer 21

Initiative

Question 22

Erikson Principle School Age

Answer 22

Industry / Achievement

Question 24

Erikson’s Principle for adolescents

Answer 24

Identify

Question 25

ADH

Answer 25

Vasopressin, tells the kidneys not to urinate

Question 26

Diabetes Insipidis

Answer 26

Urine is extremely diluted and blood is extremely concentrated. High sodium and decreased urine production. Too little ADH.

Question 27

Syndrome of inappropriate antidiuretic hormone (SIADH)

Answer 27

Excessive production of ADH. Cerebral edema and seizures. Low sodium.

Question 28

Management of SIADH

Answer 28

Fluid restriction, diuretics, sodium replacement

Question 29

Management of Diabetes Insipidus

Answer 29

Fluid replacement, DDAVP, vasopressin

Question 30

Causes of Cushing’s syndrome

Answer 30

Pituitary tumor / prolong steroid use

Question 31

Hip dysplasia symptoms

Answer 31

Ortolani click, shortening limb, asymmetric skin folds on gluteus

Question 32

Treatment of hip dysplasia

Answer 32

Pavlik harness

Question 33

Causative agent in osteomyelitis

Answer 33

Staphylococcus

Question 34

Sickle Cell Risk Factors for Sepsis

Answer 34

Splenic failure. From the spleen getting infected with sickled cells.

Question 35

Symptoms of leukemia

Answer 35

Anemia, bleeding disorder, lymphadenopathy, immunosupression

Question 36

Symptoms of Hodgkin’s lymphoma

Answer 36

Painless lymph node enlargement, weight loss, fever, night sweats

Question 37

Symptoms of non-hodgkins lymphoma

Answer 37

Swelling in abdomen / neck, URI symptoms, weight loss, fever, night sweats

Question 38

How to prevent glomerulonephritis

Answer 38

Taking full course of antibiotics with strep infection.

Question 39

TET Spell Management

Answer 39

Knee to chest positioning and 100% oxygen

Question 40

S/S Digoxin Toxicity

Answer 40

Bradycardia, dysrhythmias, vomiting, lethargy

Question 41

S/S Rheumatic Fever

Answer 41

Fever / fatigue / joint pain/ chorea / erythema marginatum

Question 42

Kawasaki Treatment

Answer 42

IVIG / salicylate therapy

Question 43

Kawasaki Symptoms

Answer 43

Fever / inflammation of the mouth and lips / tongue rash / swollen & red hands and feet