Pediatrics

Question 1

Meds down ETT

Answer 1

NAVEL (2-3x the dose, epi 10x!)
Naloxone
Atropine
Valium
Epinephrine
Lidocaine

Question 2

Shock dosage

Answer 2

2 J/kg, then increase to 4 J/kg

Question 3

Synchronized cardioversion dose

Answer 3

0.5-1 J/kg initially

Question 4

Pediatric Atropine dose

Answer 4

.02 mg/kg (minimum 0.1mg to avoid bradycardia)

Question 5

when do you do CPR on baby

Answer 5

heart rate<60bpm

Question 6

1 pathogen for croup

Answer 6

parainfluenza

Question 7

treatment of croup 1st and 2nd line

Answer 7

decadron

Racemic aerosolized epinephrine

Question 8

Epiglottitis in unimmunizied kid, what pathogen?

Answer 8

Hemophilus influenza B (HIB)

Question 9

Whooping cough (bordatella pertussis)

Answer 9

3 stages: Catarrhal - low fever, conjunctivitis, uri
Paroxysmal stage - 2-4 weeks - whooping cough
convalescent stage - residual cough
WBC>20, Tx with erythromicin

Question 10

Bronchiolitis tx

Answer 10

supportive, O2, beta agonist, maybe ribavarin if real bad

Question 11

Most common etiology of pneumonia by age
newborn
1-3 months
3-12 months
2-5 years
5-18 years

Answer 11

newborn - GBS
1-3 mo - s. pneumo
3 mo - 5 years RSV
>5 years - Mycoplasma pneumonia

Question 12

5Ts of pediatric cardiology

Answer 12

Tetralogoy of fallot (most common>1 year old)
Transposition (most common in newborn)
Total anomalous pulm return
Tricuspid atresia
Truncus arteriosus

Question 13

when to use prostaglandins with kids

Answer 13

severe outflow problem…need to keep pda open..give 0.05 mcg/kg/min - look for apnea…consider intubation

Question 14

VSD murmur

Answer 14

holosystolic murmur at LLSB

Question 15

PDA murmur

Answer 15

continuous machinery murmur at left clavicular area

Question 16

vomiting blood or poop blood in pediatrics, where to look

Answer 16

look for anal fissure or nipple fissure

Question 17

Bloody Diarrhea Associations
Shigella
E-Coli
Campylobacter
Yersinia
Clostridium
Entamoeba histolytica
Salmonella

Answer 17

Shigella - febrile seizures
E-Coli - HUS
Campylobacter - GBS
Yersinia - RLQ pain - appendicitis

Question 18

Pediatric meninigitis etiologies and treatment
<2months
>2months

Answer 18

<2months - E. Coli/GBS - ampicillin plus cefotaxime

>2months - S. Pneumo - ceftriaxone

Question 19

RPA distances

Answer 19

> 6mm at C2

>22mm at C6

Question 20

Most common gastroenteritis

Answer 20

Norwalk

Shigella can be associated with seizures

Question 21

Roseola

Answer 21

Herpes 6
3 days of high fevers followed by rash
supportive

Question 22

Rubeola (measles)

Answer 22

3 days of fever - toxic

conjunctivitis, koplick spots, rash maculopapular (face to truck)

Question 23

Rubella

Answer 23

low fever, pink maculopapular rash, posterior auricular lymphadenopathy

Question 24

erythema infectiosum (5th disase)

Answer 24

Parvovirus B19
fever - slapped cheek followed by lacey rash
sickle cell - aplastic crisis
pregnancy - fetal hydrops
supportive

Question 25

tx tinea capitus

Answer 25

griseofulvin

selenium sulfid shampoo

Question 26

Scarlet Fever

• cause
• symptoms
• tx

Answer 26

Group A beta hemolyitc strep
fever, strawberry tongue, palatal petechia
sandpaper rash on body with bathing suit distribution
Desquamation
TX - penicillin VK

Question 27

Varicella factoids
when does infectivity stop?
What do you avoid?

Answer 27

After all lesions have crusted over

Avoid ASA - AMS + ammonia level = Reyes = Death

Question 28

Staph SSS

Answer 28

fever, irritability, erythema, bullae
IV Hydrations, IV Antibiotics
Nikolsky sign

Question 29

Impetigo

Answer 29

S. Aureus - oral antibiotics

Question 30

Rocky Mountain Spotted Fever kids
pathogen
rash type
tx

Answer 30

Ricketsial infection
rash begins on palms/soles
chloramphenicol for kids!!!