Peds enhancement, Dow, CIS

Question 1

1 cardiac arrest in children

Answer 1

respiratory

Question 2

predominant Sx in URI in children

Answer 2

fever

Question 3

Sx strep pharyngitis

Answer 3

sore throat, fever, HA, GI Sx
no cough or rhinorrhea!!!!
rapid strep with back up culture if negative

Question 4

goals of tx for strep pharyngitis

Answer 4

prevent further complications
prevent spreading

penicillin

Question 5

what is most common deep neck infection in chldren

Answer 5

peritonsillar abscess

Question 6

kids under 2 don’t get strep

Answer 6

usually really bad rhinitis

Question 7

Dx epiglottitis

Answer 7

direct examination of airway under anesthesia (tracheostomy if needed)
thumbprint sign on XR

Question 8

Sx epiglottitis

Answer 8

drooling, dysphagia, dysphonia, dyspnea

toxic appearing

Question 9

Sx croup

Answer 9

barking type cough, inspiratory stridor that may worsen with crying

Question 10

Tx croup

Answer 10

inhaled racemic epinephrine

Question 11

steeple sign on XR

Answer 11

croup

Question 12

common pathogen bacterial tracheitis

Answer 12

influenza A

Question 13

signs bacterial tracheitis

Answer 13

acute onset airway obstruction
febrile, toxic appearing
poor response to Tx

Question 14

signs bronchiolitis

Answer 14

increased resp effort
tachypnea
nasal flaring
chest retractions
looks lik pneumonia/asthma

Question 15

When do you admit a child with bronchiolitis

Answer 15

hypoxic <90% satRA or dehydrated

Question 16

CXR bacterial pneumonia in child

Answer 16

focal infiltrate (segmental or lobar consolidation)

Question 17

What is most likely cause of pneumonia in children

Answer 17

viral

RSV, parainfluenza, adeno, rhino, influenza, varicella, rubeola

Question 18

What is most common cause atypical pneumonia in children over 5, especially adolescents

Answer 18

mycoplasma pneumonia

Question 19

Sx mycoplasma pneumonia in adolescent

Answer 19

low grade fever with gradual onset, HA and malaise
mildy productive cough
wheezing and dyspnea
scattered rales and wheezes on lung exam

Question 20

risk factors influenza

Answer 20

<2 y.o
immunocompromised family member
asthma
heart disease

Question 21

Tx peritonsillar abscess

Answer 21

ENT for needle aspiration, C&S
augmentin or clindamycin
fluids soft diet, antipyretics/analgesics

Question 22

Tx pertussis

Answer 22

erythromycin, azithromycin or clarithromycin

prophylaxis of family memebrs

Question 23

Tx bronchiolitis

Answer 23

O2
hydration
nasal suctioning PRN
tylenol/ibuprofen PRN fever