Peds CE 4

Question 1

stomach flu aka

Answer 1

viral gastroenteritis

Question 2

one of the most common infectious diseases in humans

Answer 2

viral gastroenteritis

Question 3

viral gastroenteritis presentation
3

Answer 3

1. > 3 water/loose stools in 24 hours
2. vomiting, fever, abd pain
3. last less than 1-2 weeks

Question 4

loose, watery stool, abd pain, vomiting, fever

Answer 4

viral gastroenteritis

Question 5

gastroenteritis most common cause is ___

Answer 5

viral

Question 6

gastroenteritis viral causes
2

Answer 6

rotavirus
norovirus

Question 7

gastroenteritis - most common mode of transmission

Answer 7

fecal-oral route

Question 8

gastroenteritis - best prevention

Answer 8

handwashing

Question 9

most common complication of gastroenteritis

Answer 9

dehydration

Question 10

gastroenteritis - best measures of dehydration are
4

Answer 10

1. weight loss
2. prolonged cap refill
3. loss of skin turgor
4. increased and deep respiratory pattern

Question 11

viral gastroenteritis goal is to

Answer 11

correct fluid deficit and prevent electrolyte imbalances with commercially prepared oral rehydration solution

Question 12

viral gastroenteritis - correcting dehydration

Answer 12

mild to mod - correct over 3-4 hours
50 ml/kg - mild to 100 ml/kg - mod

Question 13

viral gastroenteritis - diet

Answer 13

resume diet once dehydration is fixed; complex carbs, lean meats, yogurts, fruit, veggies; avoid high fat foods, simple sugars, sports drinks and BRAT diet

Question 14

viral gastroenteritis - avoid what

Answer 14

antidiarrheal agents

Question 15

viral gastroenteritis - probiotics

Answer 15

evidence is inconsistent

Question 16

viral gastroenteritis - when to refer
4

Answer 16

diarrhea > 7 days
severe dehydration
immunocompromised
inability to tolerate oral rehydration

Question 17

vesicoureteral reflux (VER)

Answer 17

retrograde passage of urine from bladder to upper urinary tract - causes 40% of UTI cases

Question 18

first pediatric UTI

Answer 18

aggressive tx within 72 hours to prevent pyelonephritis and renal scarring; need specimen, get culture, tx empirically - always cover for e. coli

Question 19

first ped uti - most common pathogen

Answer 19

e. coli

Question 20

first ped uti - tx with

Answer 20

consider 2nd, 3rd gen cephalosporins (cefixime, cefdinir, ceftibuten) if no GU abnormalities

Question 21

first ped UTI - cephalosporin treat how long - a febrile/febrile

Answer 21

3-5 days if afebrile
10 days if febrile

Question 22

recommendations for renal and bladder US (RBUS) in peds with UTIs
2

Answer 22

1. AAP recs all infants 2-24 months for first febrile UTI or any age with recurrent febrile UTIs
2. UTI with family hx of renal or urologic dx, poor growth, or HTN

Question 23

test of choice for VUR (vesicoureteral reflux)

Answer 23

voiding cystourethrogram

Question 24

most common cause of raised, red papillae on tongue

Answer 24

strep throat - kawasaki dx can cause but not most common

Question 25

exanthem

Answer 25

rash on skin

Question 26

rash on skin

Answer 26

exanthem

Question 27

enanthem

Answer 27

rash on mucous membranes

Question 28

rash on mucous membranes

Answer 28

enanthem

Question 29

roseola etiologic agent

Answer 29

human HSV6

Question 30

fifth disease etiologic agent

Answer 30

parvovirus B19

Question 31

rubella etiologic agent

Answer 31

rubella virus

Question 32

measles etiologic agent

Answer 32

rubeola virus

Question 33

chickenpox/varicella zoster virus etiologic agent

Answer 33

herpes virus

Question 34

herpangina etiologic agent

Answer 34

coxsackie A virus

Question 35

hand, foot, and mouth disease etiologic agent

Answer 35

coxsackie virus A16