Pediatrics

Question 1

Common cause of bacterial meningitis in infants

Answer 1

GBS

E coli

Question 2

Management of bacterial meningitis in infants

Answer 2

• cefotaxime
• benzylpenicillin

infants < 28 days should not be given ceftriaxone due kernicterus and biliary sludge

Question 3

Treatment for age 2 months or more for bacterial meningitis

Answer 3

• ceftriaxone
• add vanco if gram + cocci
• dexamethasone before after initial AB tx

Question 4

Abx for severe pneumonia in children?

Answer 4

• ceftriaxone and flucloxacillin (consider azithromycin)

*vancomycin is MRSA suspected

Question 5

Severe pneumonia from viral cause in children?

Answer 5

-oseltamiivr

Question 6

Abx for pneumonia?
(non-severe hospital admitted or not)

Answer 6

• amoxicllin
• or benzypenicillin

(high dose amoxicillin is consider as effective as IV benzylpenicillin)

Question 7

Stimulants used in ADHD?

Answer 7

• methyphenidate (ranitidine)
• dexamphetamine

Question 8

When to use meds in ADHD?

Answer 8

Medications (4 years and older: as a rule, avoid stimulants under 4 years)

Question 9

DSM criteria for ADHD

Answer 9

DSM 5 Criteria:

• 6 or more of the attention deficit and hyperactive symptoms each
  • 5 or more if onset from 17 years of age
  • 6 or more if onset 4-16 years of age
• over a period of 6 months in 2 different settings e.g. school and home
• With functional impact e.g. social life