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Clinical Rotations > Peds > Flashcards

Peds Flashcards

1
Q

NL BP in 3-5yo

A

89-112 / 46-72

HOTN <70 + (age*2)

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2
Q

NL BP in 6-9 yo

A

97-115 / 57-76

HOTN <70 + (age*2)

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3
Q

NL BP in 10-15 yo

A

102-120 / 60-80

HOTN systolic <90

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4
Q

fever is anything over

A

100.4, lower threshold in infants

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5
Q

Tx strep throat

A

amoxicillin

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6
Q

Tx allergies

A

claritin

flonase

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7
Q

Tx GER

A

zantac

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8
Q

Tx AOM

A

amox, amox-clav, azithromycin

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9
Q

claritin generic

A

loratidine

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10
Q

amoxicillin dose for AOM

A

80-90 mg/kg/day (bid) x 10d

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11
Q

safety ? for school aged kids

A

helmets, sunscreen, guns in home, smoking in home, smoke detectors

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12
Q

amoxicillin SE

A

diarrhea, GI discomfort, rash

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13
Q

amoxicillin active against

A

G+ and G-

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14
Q

Augmentin generic

A

amoxicillin-clavulanic acid

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15
Q

amox-clav active against

A

G+, G-

has beta-lactamase inhibitor

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16
Q

when would you choose a different abx than 1st line?

A

allergy

pt had the same abx w/in last 3 months

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17
Q

Bacteriocidal Pneumonic

A

Really Very Fine at Bug Murder

Rifampin, Vanco, FluroQ, BetaLactam, Metronidazole

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18
Q

Bacteriostatic Pneumonic

A 
ECSTaTIC
erythromycin (MACROLIDES)
clindamycin
sulfamethaoxazole
trimethoprim
TETRACYCLINES
chloramphenicol
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19
Q

beta-lactam mechanism of action

A

blocks peptidoglycan transpeptidase (aka PBP), prevent Gly-Gly crosslink in bacterial cell wall
only active in multiplying bacteria

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20
Q

tetracycline mechanism of action

A

rev bind 30S subunit of ribosome, block tRNA

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21
Q

tetracycline not for kids < how old

A

8 yo, teeth discoloration

also not for pg moms

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22
Q

nystatin mechanism of action

A

binds ergosterol, membrane pore formation, fungicidal

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23
Q

thrush, candidal diaper rash tx

A

nystatin cream

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24
Q

ibuprofen mechanism of action

A

cox 1/2 inhibitor

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25
Q

acetaminophen mechanism of action

A

cox 2/3 inhibitor

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26
Q

motrin generic

A

ibuprofen

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27
Q

tylenol generic

A

acetaminophen

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28
Q

assuming vax UTD, what age are you worried about MMR and varicella b/c no shot yet?

A

<12-15 mo

29
Q

zantac generic

A

ranitidine

30
Q

zantac MOA

A

H2 antagonist (histamine activates acid-producing parietal cells)

31
Q

claritin MOA

A

H1 antagonist

32
Q

H1 receptors found where

A

endothelium (and smooth muscle, CNS)

33
Q

H2 receptors found where

A

gastric mucosa (and vascular smooth muscle, mast cells, cardiac muscle)

34
Q

central incisors generally come in at what age

A

6-10 mo lower

8-12 upper

35
Q

lat incisor (upper and lower) come in when

A

9-16 mo, upper before lower

36
Q

canines (upper and lower) come in when

A

16-22 mo

37
Q

first molars (upper and lower) come in when

A

13-19 mo

38
Q

2nd molars (upper and lower) come in when

A

23-33 mo

39
Q

measles (rubeola) clinical presentation

A

103-105F, cough, coryza, conjuntivitis, Koplik

exanthem 2d after fever

40
Q

measles (rubeola) tx

A

isolation, vitamin A

41
Q

how long is measles (rubeola) contagious

A

4d before rash, to 4d after rash

spread by droplets

42
Q

rubella clinical presentation

A

pink rash, progressing head to toe, low fever, lymphadenopathy

43
Q

rubella tx

A

supportive

BAD if mom gets in 1st trimester

44
Q

roseola (6th dz) clinical presentation

A

high fever, blanching maculopap rash that goes from trunk to extremities

45
Q

roseola causative organism

A

HHV6 or HHV7

46
Q

erythema infectiosum (5th dz) clinical presentation

A

fever, malaise. then slapped cheeks to body, arthralgia in teens.

47
Q

erythema infectiosum organism

A

parvovirus B19

48
Q

NL RR in infant

A

30-60 breaths/min

49
Q

question to ask in kids w/ allergies

A

epi pen rx current?

50
Q

when can newborn start tummy time?

A

immediately

51
Q

when can you give baby a bath?

A

when umbilical cord falls out

52
Q

AAP official policy on co-sleeping

A

against it b/c of increased risk of SIDS

53
Q

kid w/ potential infection important PE component?

A

lymph nodes - include axillary and inguinal

54
Q

whats in pediarix?

A

IPV, HepB, DTaP

55
Q

when to stop weighing baby in diaper?

A

when they can walk

56
Q

newborns need to be woken q2h to feed until what age?

A

~ 3mo

57
Q

no sunscreen/bug spray until what age

A

6mo

58
Q

when does umbilical cord fall out?

A

mean 2 weeks… do something if still on after 4 weeks?

59
Q

normal RR in newborn (<1mo)

A

30-60 (some say 30-50)

60
Q

normal RR in infant - child (1mo-12yo)

A

20-30

61
Q

normal RR in 13+ yo

A

12-20

62
Q

normal newborn HR

A

120-160

63
Q

normal infant HR

A

80-140

64
Q

normal HR 1-3 yo

A

80-130

65
Q

normal HR 3-5 yo

A

80-120

66
Q

normal HR 6-12 yo

A

70-110

67
Q

normal HR 13+ yo

A

55-105

68
Q

no solid foods before

A

6 mo

69
Q

biggest complication of juvenile idiopathic arthritis (other than the joint pains)

A

uveitis (inflammation of iris, ciliary body, and choroid)
asymptomatic
causes blindness!

Clinical Rotations (9 decks)

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