Kids

Question 1

What antibiotic is first line treatment for acute otitis media?

Answer 1

Amoxicillin
Or
Amoxicillin-clavulanate

Question 2

For kids with a penicillin allergy what is first line treatment for acute otitis media?

Answer 2

Cefdinir
Or
Cefuroxime
Or
Cefpodoxime
Or
Ceftriaxone (IM)

Question 3

Abx tx for AOM after 48-72 hours of failed abx tx?

Answer 3

Amoxicillin-clav
Or
Ceftriaxone (not likely)

Question 4

Abx tx after 48-72 hours of failed abx tx with a PNC allergy?

Answer 4

Clindamycin with or without 3rd gen cephalosporin

Question 5

What is first line tx for unilateral otitis media with effusion <48hours, >6 mos old?

Answer 5

Watchful waiting

Question 6

What is the diagnosis:
Erythematous pharynx with exudate, cervical and postauricular swollen lymph nodes followed by fever

Answer 6

Scarlet fever

Question 7

What is the diagnosis:
Small child with 3-4 days of fever , mild to no sx, followed by rash

Answer 7

Roseola

Question 8

What is the diagnosis:
Fever, sore throat, malaise, nasal discharge, diffuse, maculopapular rash lasting about three days, posterior cervical and postauricular lymphadenopathy all at once

Answer 8

Rubella

Question 9

IgG means what

Answer 9

Gone gone
Person is immune from either having the virus or has had immunization

Question 10

IgM means

Answer 10

“Miserable”
Person has the virus

Question 11

Acute presentation of fever, nasal discharge, cough, generalized lymphadenopathy, conjunctivitis, photophobia, Koplik spots, lasting around 10 days, rash begins after 3 days

Answer 11

Rubeola

Question 12

If a child experiences otitis media during mononucleosis which medication should be avoided due to causing a rash?

Answer 12

Amoxicillin (no harm, not an allergy but still an unpleasant rash)

Question 13

What is the diagnosis?
3-4 days of mild flu like illness followed by 7-10 days of red rash that begins on face with slapped cheek appearance, and spreads to the trunk and extremities. Rash onset corresponds with the disease immunity- child contagious prior to rash

Answer 13

Fifths disease

Question 14

What is the diagnosis?
Fever, malaise, sore mouth, anorexia, with lesions appearing 1 to 2 days later on the mouth, hands, and feet lasting 2-7 days

Answer 14

Hand foot mouth disease

Question 15

What is the diagnosis?
Young child with intermittent fever as high as 104.5 sore throat worse with swallowing, but without difficulty taking fluids, little appetite, extensive cervical lymphadenopathy and injected conjunctiva, oral erythema, and a peeling rash on the hands.

Answer 15

Kawasaki disease

Question 16

What is the diagnosis?
Stridorous breathing. Viral, allergic in origin. Most common in ages 6 months to five years.

Answer 16

Croup (laryngo-tracheo-bronchitis)

Question 17

What’s the diagnosis?
Usually bacterial, most often an older child or adult usually presents with “hot potato” voice, difficulty swallowing, pain on opening jaw, uvula deviation

Answer 17

Peritonsillar abscess

Question 18

What’s the diagnosis?
Abrupt onset of high-grade, fever, sore throat, dysphagia, and drooling . Bacterial origin most often in children ages two through seven years

Answer 18

Acute epiglottitis

Question 19

What is the diagnosis?
A short term acute illness with wheezing often persisting around three weeks are in a mildly ill child aged three months to three years old. Viral ideology most often from RSV less commonly from flu or adenovirus.

Answer 19

Acute bronchiolitis

Question 20

What week is the most reliable for hearing the FHT?

Answer 20

12 weeks