PCAP CPG Flashcards
When diagnosing Pediatric Community-Acquired Pneumonia, it is considered in patients presenting with fever and cough plus any of the following positive predictors. Which of the following is incorrect?
a. Tachypnea in 3-12 months old of >60 breaths per minute
b. Tachypnea in > 1-5 years old of >40 breaths per minute
c. Tachypnea in 5-12 years old of >30 breaths per minute
d. Tachypnea in >12 years old of >20 breaths per minute
a. Tachypnea in 3-12 months old of >60 breaths per minute
When diagnosing Pediatric Community-Acquired Pneumonia, it is considered in patients presenting with fever and cough plus any of the following positive predictors. Which of the following is incorrect?
a. Presence of tachypnea
b. Nasal flaring
c. O2 saturation >95% at room air
d. Chest indrawing
c. O2 saturation >95% at room air
True or False.
Tachypnea is a single clinical feature that was found to predict pneumonia accurately.
FALSE. No single clinical feature was found to predict pneumonia accurately.
True or False.
A normal chest radiograph excludes the presence of pneumonia.
FALSE. A normal chest radiograph does not exclude the presence of pneumonia.
The following clinical parameters and/or ancillary features are considered for admission, except:
a. Cyanosis
b. Convulsion
c. Age <6months
d. Mild Malnutrition
d. Mild Malnutrition
Which of the following statements is true?
a. The presence of both clinical and imaging in the severe high-risk for mortality category indicates admission.
b. Patients classified as having non-severe PCAP can be managed as out-patient despite having an underlying medical condition.
c. The classification for pneumonia is not a pneumonia severity category, rather it is a categorization of the risk of mortality from pediatric pneumonia.
c. The classification for pneumonia is not a pneumonia severity category, rather it is a categorization of the risk of mortality from pediatric pneumonia.
Which of the following statements are true regarding the use of diagnostic aids in diagnosing severe PCAP?
a. Chest x-ray is strongly recommended as an initial diagnostic aid for patients with severe PCAP.
b. Procalcitonin is not recommended for use with other factors such as clinical presentation, imaging modalities, and other laboratory aids in diagnosing bacterial PCAP.
c. Sputum Gram stain and culture are not considered to be done routinely in patients classified as having severe PCAP.
d. Point-of-care chest ultrasonography (POCUS) performed by a skilled expert is strongly recommended as a diagnostic aid for patients with severe PCAP.
e. Complete blood count, arterial blood gas, serum electrolytes and other diagnostic aids are considered to be necessary based on clinician’s evaluation.
b. Procalcitonin is not recommended for use with other factors such as clinical presentation, imaging modalities, and other laboratory aids in diagnosing bacterial PCAP.
It is the initial diagnostic aid of choice for severe PCAP.
a. Chest radiography
b. Chest ultrasonography
c. Gram stain and culture
d. Complete blood count
a. Chest radiography
TRUE or FALSE
Amoxicillin trihydrate 40-50mg/kg/day Q8 for 7 days OR 80-90mg/kg/day Q12 for 5-7 days is given to patients having non-severe PCAP, regardless of immunization status against Streptococcus pneumoniae and/or Haemophilus influenzae type B (Hib).
TRUE
Which of the following is given to patients with no or incomplete or unknown Haemophilus influenza (Hib) vaccination?
a. Penicillin G at 200,000 units/kg/day
b. Amoxicillin-clavulanate at 80-90mg/kg/day
c. Clindamycin at 20-40mg/kg/day
d. Ampicillin at 200mg/kg/day
d. Ampicillin at 200mg/kg/day
Which of the following is given in severe and life-threatening conditions such as sepsis and shock?
a. Vancomycin at 40-60mg/kg/day
b. Azithromycin at 10mg/kg/day
c. Clarithromycin at 10-40mg/kg/day
d. Ceftriaxone at 75-100mg/kg/day
a. Vancomycin at 40-60mg/kg/day
The following are considered for patients with Type 1 hypersensitivity to Penicillin (immediate, anaphylactic-type), except:
a. Azithromycin at 10mg/kg/day
b. Clarithromycin at 15mg/kg/day
c. Cefuroxime at 20-30mg/kg/day
d. Clindamycin at 10-40mg/kg/day
c. Cefuroxime at 20-30mg/kg/day
It is the most common cause of Pneumonia in children younger than 5 years old
a. Streptococcus pneumoniae
b. Respiratory Syncytial Virus
c. Streptococcus pyogenes
d. Haemophilus influenzae
b. Respiratory Syncytial Virus
It is the most common bacteria across all age groups
a. Haemophilus influenza
b. Streptococcus pyogenes
c. Streptococcus pneumonia
d. Staphylococcus aureus
c. Streptococcus pneumonia
It is strongly recommended to be started immediately within 36 hours of laboratory-confirmed influenza infection.
a. Acyclovir
b. Oseltamivir
c. Valacyclovir
d. Zanamivir
b. Oseltamivir
Treatment of oseltamivir is given twice a day for 5 days with the following doses, except:
a. children younger than 1 year old: 3mg/kg/day
b. children older than 1 year old, 15kg or less: 30mg
c. children older than 1 year old, 15-23kg: 45mg
d. children older than 1 year old, 23-40kg: 60mg
e. children older than 1 year old, >40kg: 90mg
e. children older than 1 year old, >40kg: 90mg
The following are considered danger signs is pneumonia,except:
a. fever
b. nasal flaring
c. grunting
d. head bobbing
e. cyanosis
a. fever
