PAEDS

Question 1

age restrictions on promethazine and reason

Answer 1

contraindicated in less than 6 months, caution in less than 2yo

risk of fatal respiratory depression and apnea

Question 2

paracetamol dosing by weight and max dose for po vs pr

Answer 2

10-15mg/kg/dose,
max dose PO 75mg/kg/day
pr 90mg/kg/day

Question 3

lactulose dose by weight

Answer 3

7-7.5ml/dose q12-24h

Question 4

nsaids and varicella infection

Answer 4

nsaids assoc w elevated risk of severe skin and soft tissue complications of varicella zoster virus infection in children w varicella

Question 5

carbocysteine restriction in children and why

Answer 5

contraindicated in less than 2yo

aggravation of respiratory sx (use of mucolytics)

Question 6

minimum age of ppsv23

Answer 6

2 yo

Question 7

when should rotavirus vaccines be given, and what is the interval

Answer 7

dose 1: 6-16 weeks of age, dose 2 must complete by 24 weeks

interval at least 4 weeks

Question 8

when should mmr vax be given

Answer 8

at least 12 months and above

Question 9

for the combined DTAP, polio and h influenzae type b vaccine:
when can you start, how many doses, what is the interval and how to take a booster

Answer 9

min age: 2 months
3 doses in the first 6 months of life
at least 1 month interval
booster: second year of life, at least 6m after completing basic doses

Question 10

risk of mmrv vax and who should avoid it. what is the alternative method to administer the vax

Answer 10

mmrv vax: increases risk of febrile seizure. administer mmr and varicella separately

Question 11

preferred antibiotic in kids with g6pd

Answer 11

trimethoprim

Question 12

which are live vaccines: MMRV, rotavirus, yellow fever, pcv13

Answer 12

all except pcv13

Question 13

minimum age of influenza vaccine

Answer 13

6 months

Question 14

distribution of neonates compared to adults

Answer 14

larger volume of distribution in neonates

Question 15

total body water vs age

Answer 15

total body water declines with increasing age

Question 16

clearance rate of drugs in children

Answer 16

reduced clearance, prolonged half life for drugs requiring metabolism for elimination

Question 17

body surface area calculation

Answer 17

(height in cm x weight)/ 3600 then take sq root

Question 18

max dose of ibuprofen , and dosing regimen

Answer 18

40mg/kg/day. usual dose 5-10mg/kg/dose

Question 19

min age for ibuprofen

Answer 19

6 months

Question 20

min age for diclofenac

Answer 20

1 year old

Question 21

dosing of diclofenac

Answer 21

0.5-2mg/kg/d in 2-3 divided doses, max dose 150mg/day

Question 22

dosages for oxymetazoline

Answer 22

<1yo: 0.01%
1 to 6 yo: 0.025%
>6 yo: 0.05%

Question 23

recommended age for oral decongestants

Answer 23

at least 12 yo

Question 24

loperamide for how old, what is the dosing

Answer 24

at least 6 years old. 0.05-0.1mg/kg q8-12h. max 0.4mg/kg

Question 25

contraindications of hidrasec

Answer 25

less than 3 months
angioedema with acei

Question 26

minimum age for forlax

Answer 26

8 years old

Question 27

administration for forlax

Answer 27

space at least 2 hours from other meds

Question 28

contraindications to forlax

Answer 28

hypersensitivity to peg
severe IBD, toxic megacolon
bowel obstruction
fructose intolerance

Question 29

preferred tetracycline in children and why

Answer 29

doxycycline. not likely to cause visible teeth staining in children younger than 8 years

Question 30

can you administer vaccines on the same day regardless of live or not

Answer 30

yes

Question 31

if administered on different days, what is the minimal interval for live vaccines

Answer 31

at least 28 days

Question 32

are these vaccines live?
BCG
MMRV
Rotavirus

Answer 32

yes

Question 33

live or not?

yellow fever

Answer 33

yes

Question 34

are these vaccines live or not?
hepb, h influenzae, dtap, tdap

Answer 34

no

Question 35

are these vaccines live or not? polio, pcv, ppv

Answer 35

no

Question 36

do children have higher or lower body surface area to mass ratio than adults

Answer 36

higher

Question 36

is gastric ph higher or lower in neonates

Answer 36

higher (less acidic)