Peds General Flashcards
Higher functioning adolescents with autism are at increased risk for: a. Significant phobias b. Panic attacks c. Substance abuse d; Obsessive Compulsive disorder
Obsessive Compulsive disorder
Treatment for AOM Antibiotic treatment after 48 - 72 hr of failure of initial antibiotic treatment and with PCN allergy
second Line treatment Amoxicillin-Clavulanate (Augmentin)—90 mg/kg/day of amoxicillin and 6.4 mg/kg of clavulanate in 2 divided doses OR Third line treatment Ceftriaxone—50 mg/kg 2 doses IM or IV/day for 3 days IF PCN ALLERGY (RASH NOT ANAPHYLAXIS) Use Ceftriaxone—50 mg/kg 2 doses IM or IV/day for 3 days OR Clindamycin (30 -40 mg/kg/d in 3 divided doses with or without a 3rd generation cephalosporin Consider tympanocentesis, referral to specialist.
The most appropriate management of a 5-year-old with a firm, nontender nodule in the mid-upper eyelid for 3 weeks would be: a. Coolcompresses b. Topical ophthalmic ointment c. Oralantibiotics d. Oralsteroids
b. Topical ophthalmic ointment
- Prematurity increases the risk of developing which one of the following? a. Nystagmus b. Astigmatism c. Myopia d. Glaucoma
c. Myopia
- A 15-month-old failed treatment with amoxicillin for an otitis media. At his 2-week recheck, his TM remained red with distorted landmarks and he persisted with nasal congestion, poor nighttime sleeping, and with a 101°F fever for the past 2 days. The next best step would be to treat with: a. A 10-day course of Augmentin b. A 3-week course of a cephalosporin c. A higher dose Amoxicillin and topical antibiotics d. Ceftriaxone and an antihistamine
a. A 10-day course of Augmentin
What is pyloric stenosis
Never use SSRI with what herb?
St. John’s Wart
Diagnosis of AOM in children
Inflammation of the middle ear with fluid in the middle ear space (suppurative otitis media); the 2013 American Academy of Pediatrics specify 3 criteria that must be present: 1. moderate or severe bulging of TM with otalgia (pain) OR new onset of otorrhea (drainage) not related to external OE with otalgia OR 2. Mild bulging of TM and recent (
- Fluorescein staining of the eye is used to detect a: a. Keratitis b. Foreignbody c. Corneal abrasion d. Hyphema
c. Corneal abrasion
- A 3-month-old has a mild asymmetrical corneal light reflex on physical exam. What is the next appropriate step? a. Observe and reevaluate at the next well check b. Refer immediately to ophthalmology c. Begin atropine drops or eye patching d. Protect eyes from sunlight
a. Observe and reevaluate at the next well check
- A 10-year-old has marked ear pain, not wanting anyone to touch his ear. The canal is edematous and exudate is present. TM is normal. How should this be managed? a. Topical fluoroquinolone b. Oral steroids and topical neomycin c. Oral amoxicillin and topical anesthetic d. Oral amoxicillin and topical steroid
a. Topical fluoroquinolone
- All but which one of the following assessments is used to determine the presence of a strabismus? a. Hirschberg test b. Cover-uncover test c. Extraocular movements d. Pupillary response
d. Pupillary response
- Conductive hearing loss can be caused by: a. Braintumor b. Ototoxic drug exposure c. Loudnoises d. Serous otitis
d. Serous otitis
b. Hearing loss Hearing loss is the most common complication of otitis media. Children who have multiple infections should have their hearing assessed. Tonsils are normally large in young children. Shotty lymph nodes are usually associ- ated with past infections and are not clinically significant.
What are the side effects of stimulants in ADHD? (mnemonic)
TASHI Tics (tourettes syndrome) Anorexia Suicide Headaches Insomnia
A conjunctivitis appearing in a 2-day-old newborn is likely due to: a. Chemical irritation from eye drops b. Group B streptococcus c. Chlamydia d. Gonorrhea
a. Chemical irritation from eye drops
- All but which one of the following patients are at an increased risk of developing otitis media? a. 2-year-old with cleft palate repair at 1 year of age b. 15-month-old with Down syndrome c. 9-month-old with lactose intolerance d. 3-year-old with IgA immune deficiency
d. 3-year-old with IgA immune deficiency