peds 3 Flashcards
which of the following is the most imprtant time to screen for hearing defects?
A. in the first days of life
B. during the time of most intense speech formation
C. before they enter school
D. once antimicrobial therapy for AOM is completed
A. in the first days of life
why wait intervention ASAP
Medically emancipating conditions?
contraception pregnancy STI substance abuse Mental health
Notes:256© MMXX FHEA. All rights reserved. Reproduction is prohibited. Prior permission required for use of questions or course content. 41. Timmy is a 4-year-old boy who presents with his Mom today for a sick visit. For the past 8 days, he has had intermittent fever as high as 104.5°F (40.3°C) and has complained of a sore throat and increased throat pain with swallowing, but without difficulty taking fluids. He has little appetite, but his mother denies nausea, vomiting, diarrhea, or constipation. On examination, you note he is alert, appears ill without acute distress, and has extensive cervical lymphadenopathy, injected conjunctiva, oral erythema, and a peeling rash on his hands. You consider a diagnosis of:A. Infectious mononucleosis. B. Fifth’s disease. C. Hand, foot, and mouth disease.D. Kawasaki disease.
kawasaki
of note 8 days of illness is a clue to serious pathology. ***peeling skin
B. fifths disease- mild flu like illness Slap cheeck rash that then spreads to extremities. Only test if exposed to pregnant woman.
C. Hand foot and mouth, lesions on above mentioned areas. Oral lesions make the child very miserable
hot potato voice is a sign of what?
peritonsillar abscess
along with contralateral uvula deviation
- Tina is an otherwise well 15-year-old who presents with her mother. They report that Tina has had a one-day history of “sore throat and swollen glands” as well as a low-grade fever and rash. Examination reveals a diffuse maculopapular rash, mildly tender posterior cervical and postauricular lymphadenopathy, and pharyngeal erythema without exudate. The remainder of her history and review of systems is unremarkable. Per her mother’s report, Tina has not received any immunizations since age 6 months. The most likely diagnosis is:A. Scarlet fever.B. Roseola.C. Rubella.D. Rubeola.
not scarlet fever the rash is wrong the nodes are wrong (multiple areas would only be cervical and the throat is wrong, there is no exudate
B. Rosealo no (HHV-6) 15 is a bit old for roseola (6-24m) discrete rosey pink rash, day 3-7 super high fever.
C. Rubella YES she would have been vaccinated if she recieved her MMR at 12 months. wide spread lymphadenopathy.
D. Rubeola (measles) also in vaccine but these children are quite ill. fever, cough, conjunctivitis, light sensitivity, KOPLIK spots. The rash doesn’t appear until 3-4 days after fever, risk of PNA
airborne needs a mask and dph tells her when to return to school
Rubella is one of the most teratogenic diseases
true
IGG =
IGM=
Ggone
m= miserable
Avoid contact sports____month after onset of mono
1
Notes:256© MMXX FHEA. All rights reserved. Reproduction is prohibited. Prior permission required for use of questions or course content. 41. Timmy is a 4-year-old boy who presents with his Mom today for a sick visit. For the past 8 days, he has had intermittent fever as high as 104.5°F (40.3°C) and has complained of a sore throat and increased throat pain with swallowing, but without difficulty taking fluids. He has little appetite, but his mother denies nausea, vomiting, diarrhea, or constipation. On examination, you note he is alert, appears ill without acute distress, and has extensive cervical lymphadenopathy, injected conjunctiva, oral erythema, and a peeling rash on his hands. You consider a diagnosis of:A. Infectious mononucleosis. B. Fifth’s disease. C. Hand, foot, and mouth disease.D. Kawasaki disease.
kawasaki
of note 8 days of illness is a clue to serious pathology. ***peeling skin
B. fifths disease- mild flu like illness Slap cheeck rash that then spreads to extremities. Only test if exposed to pregnant woman.
C. Hand foot and mouth, lesions on above mentioned areas.
hot potato voice is a sign of what?
peritonsiller abscess
wheeze begins with exhale at first.
yes, when its into inspiratory and expiratory more advanced process
moderate asthma in 0-4 years nighttime awakenings?
3 -4 month
moderate asthma in 0-4 years?
step 3
oral steroids
reevaluation in 2-6 weeks
Step 3
oral and medium dose inhaled corticosteroid
ugh 5-11 kids with moderate
only difference is that we can check spirometry
