pulm/ophth trigger

Question 1

when is ribavirin used

Answer 1

bronchitis for significantly immunocompromised patients only

Question 2

avoid glucocorticoids, inhaled BD and inhaled saline

Answer 2

bronchiolitis

Question 3

when do we use palivizumab and nirsevimab

Answer 3

prevention of bronchiolitis

nirsevimab is 1 dose!

other one is monthly throughout RSV season

Question 4

fecal elastase is used to check what

Answer 4

pancreatic insufficiency in CF patients

Question 5

when do you use pulmozyme

Answer 5

in CF to decrease mucous viscocity

Question 6

what kind of diet do CF patients wanna follow

Answer 6

high calories with lots of proteins and fats!

Question 7

tobramycin + ceftaz + Vanc

Answer 7

CF exacerbation

( i think this is just from up to date, the only one actually in her slides is tobramycin, but she did link up to date in the slide so may be good to know)

Question 8

CXR showing diffuse ground glass opacities and low lung volume

Answer 8

IRDS

Question 9

dexamethasone is given to mom 7 days prior to surgery to aid in the prevention of what

Answer 9

IRDS

Question 10

where are thyroglossal duct cysts

Answer 10

midline masses at the level of the thyrohyoid bone

Question 11

what scan is used to diagnose thyroglossal duct cysts

Answer 11

CT of neck WITH WITH WITH contrast

Question 12

what order of events is undertaken to treat a thyroglossal duct cyst

Answer 12

1. control inflammation with augmentin, keflex or clinda
2. sistrunk procedure (resection)

Question 13

when should an infant be able to visually track things

Answer 13

by 3 mo

Question 14

when should vision ideally be 20/20 by?

Answer 14

5 years old

starts at 20/200-20/300
20/60 by 3 years old
20/20 by 5

Question 15

MCC of visual impairment in children

Answer 15

amblyopia

Question 16

misalignment of visual axes

Answer 16

strabismus type amblyopia

Question 17

1 or more eyes having a refractive error

Answer 17

refractive type amblyopia

Question 18

obstruction by cataract or complete ptosis affecting retinal developement

Answer 18

deprevational type ambylopia

Question 19

Asymmetric refractive glasses
Esp in people who are farsighted.

causes what

Answer 19

refractive type ambylopia

Question 20

the fixation reflex and differential occlusion objection test are both tests for what diagnosis

Answer 20

ambylopia in a non verbal child

Question 21

when is strabismus normal

Answer 21

intermittently prior to 3 months old

Question 22

Apparent esotropia in children with wide nasal bridges or large epicanthal folds

Answer 22

pseudostrabismus

Question 23

corneal reflex testing (hirschberg testing) is used for what diagnosis

Answer 23

strabismus

Question 24

a positive for this test is when the uncovered eye will refixate when you cover their other eye.

what is this for

Answer 24

the cover test

for strabismus

Question 25

Indications to refer for strabismus

Answer 25

Constant
Intermittent after 6mo
Positive test of any of the 3 (corneal, cover, cover/uncover)
Positive bruckner
Deviations changing with gaze
Torticollis not explained by muscle spasm
Eye fatigue
Prematurity/genetic disorder
Parental concern

i need to learn this and my brain just refuses.