Final

Question 1

Digoxin toxicity signs

Answer 1

N/V/D, lethargy, bradycardia

Question 2

Therapeutic index of digoxin

Answer 2

0.8-2.0

Question 3

Antidote for Digoxin

Answer 3

Digimmune

Question 4

Tx for SVT

Answer 4

bolus w/ fluids, adenosine, or vagal maneuver.

Question 5

Treatment for Lyme disease

Answer 5

< 8 give Amoxicillin

>8 give Doxycycline

Question 6

Precocious puberty

Answer 6

development of sexual characteristics before the usual age of puberty.
Females: < 8
Males: < 9

Question 7

Typical presentation of sepsis in children

Answer 7

low grade fever, hypothermia, lethargic, decreased appetite, may be subtle

Question 8

Acute glomerulonephritis assessment

Answer 8

HTN, mild anemia, fluid volume overload, proteinuria/hematuria (tea or cola colored), elevated ESR, ASO titer, recent hx of strep

Question 9

Management of acute glomerulonephritis

Answer 9

correct HTN, Na+/fluid restrictions, daily weights, close neuro monitoring for encephalopathy or sz.

Question 10

only FDA approved medication for depression and/or anxiety in children

Answer 10

Fluoxetine (Prozac)

Question 11

FDA approved atypical antipsychotic used to treat aggression, bipolar disorder and schizo in children over 13

Answer 11

Risperidone (Risperdal)

Question 12

Mental health emergencies of childhood:

Answer 12

harm to self or others, fire-setting, inflicting harm to animals

Question 13

Most common feature of depressive disorders in children and teens

Answer 13

presence of sad, empty irritable mood, associated with somatic and cognitive changes that interfere with functioning at home, in school and/or with peers.

Question 14

What does depression look like in infants

Answer 14

feeding difficulties, sleep disturbances, irritable, poor eye contact, irritable or apathetic

Question 15

what does depression look like in toddlers

Answer 15

behavior problems, excessive tantrums, aggression, irritability, regression

Question 16

Symptoms of increased pulmonary blood flow

Answer 16

pink and well perfused, tachypnea, feeding difficulties (fatigue/sweating when eating), poor weight gain, fluid overload symptoms

Question 17

Physical characteristics of Turner syndrome

Answer 17

webbed neck, low posterior hairline, wide-spaced nipples, edema of the hands and feet, amenorrhea, no development of secondary sex characteristics, sterility, perceptual and social skill difficulties.

Question 18

Depression screening tool for children and teens

Answer 18

PHQ-9, GAD-7, SCARED

Question 19

Most common features of depressive disorders in children and teens

Answer 19

presence of sad, empty or irritable mood, which is associated with somatic and cognitive changes that interfere with functioning at home, in school, and/or with peers

Question 20

Normal ANC

Answer 20

> 1000

Question 21

Severe neutropenia

Answer 21

<500