Peds infections

Question 1

Drug trial for bronchodilators and wheezing

Answer 1

age 3, wheeze with uri(viral), pneumonia or bronchiolitis(unresponsive)

Question 2

how do you differentiate tracheomalacia versus bronchomalacia?

Answer 2

Main difference is location

Question 3

bronchodilator trial may worsen tracheomalacis s/sx? t/f

Answer 3

TRUE

Question 4

Lower respiratory tract infections are accompanied by?

Answer 4

expiratory wheeze

Question 5

Upper respiratory tract infections are accompanied by?

Answer 5

Inspiratory stridor

Question 6

Which of the following is NOT a test for MONO

Answer 6

CBC w/ diff
Antibodies
IGM
Viral swab

Question 7

2yo w/ fever, dyspnea, sniffing dog position.

Swelling stops at midline

Answer 7

GROUP A STREP

retropharyngeal abscess

Question 8

RSV

Answer 8

Synagis is given as prophylaxis

Question 9

9 y/o Suspected URI, x-ray shows hyperinflation

Answer 9

Albuterol trial

Question 10

Bronchiolitis on PE(non-responseive to bronchodilators)=

Answer 10

Fever, winter, early spring, hyperinflation, auc:wheeze, crackles/rales(b/l) in all lung fields, prolonged expiration(obstructive)

Question 11

Infant bronchiolitis presents as?

Answer 11

Apnea= aggressive treatment

Question 12

Bronchiolitis is most commonly caused by?

Answer 12

RSV(fibrosis picture can set child up with asthma later)

Question 13

Synagis is?

Answer 13

MAB used for prevention of RSV infection

Question 14

lobar pneumonia

Answer 14

bacterial

Question 15

atypical pneumonia

Answer 15

viral and bacterial

Question 16

pneumonia DX

Answer 16

where you can hear sounds can be indicative of infection.viral=diffuse crackling, bacterial=more focal CBC=lymphosytosis

Question 17

bacterial pneumonia

Answer 17

primary illness, no preceding uri, more toxic, fever, decreased lung sounds (amoxicillin, augmentin, azithromycin) Strep pneumonia(common cause of infections), >5 get mycoplasma increase(atypical)

Question 18

Strep pneumo

Answer 18

90 mg/kg/day amoxicillin

Question 19

RSV pneumonia

Answer 19

wheezing-viral pneumonia

Question 20

mycoplasma

Answer 20

non-specific s/sx, “walking pneumonia” (azithromycin)

Question 21

Pertussis/Whooping cough

Answer 21

3 stages-catarrhal, staccato cough(paaroxysmal), post tussive(convalescence), NP swab culture or pertussis pcr, treat family, tx.Erythromycinx 5 days