Week 3- Infection in Pediatric Patient

Question 1

85 % of cases of neonatal SEPSIS happen within

Answer 1

24 hours of birth

Question 2

IgA from breastfeeding does not occur until

Answer 2

2-5 weeks after birth

Question 3

IgM starts when

Answer 3

10 weeks

Question 4

Very susceptible to Gram - bacteria until ___months because _____ is decreased

Example of common gram -:

Answer 4

6-10 moths
Complement

Group B strep, E coli, Strep. Pneumoniae

Question 5

Otitis media is usually triggered by ___ infex

Answer 5

Viral (URI)

Question 6

Pets pts more susceptible to otitis media because:

Answer 6

-Eustachian tubes are more horizontal, flaccid, & shorter

Question 7

Purulent drainage in ear from infex causes bulging, erythema which results in

Answer 7

decreased tympanic membrane mobility

Question 8

Common timeframe for viral otitis media

Examples:

Answer 8

Jan-April

RSV, Flu

Question 9

Most common types of bacteria otitis media

Answer 9

S pneumoniae, H. Influenzae, M. Catarrhalis,
S. Pyogenes

Question 10

Risk factors for otitis media

Answer 10

Down syndrome, native Americans, alaskans, caucasian males, prematurity, unimmunized, persistent otitis media effusion, daycare, breastfeeding < 6 months, exposure to ETS, Feeding in supine

Question 11

HIV is associated with what in newborns

Answer 11

Growth failure, microcephaly, craniofacial features

Question 12

HIV Testing in babies

Answer 12

-Antibodies after 18 months (d/t maternal antibodies)
-Viral RNA testing at 1 & 4 months

Question 13

Multisystem Inflammatory Syndrome in Children (MIS-C)

Answer 13

-Post comp of covid virus
-S/S: Fever, diffuse polymorphic rash, non purulent conjunctivitis, GI S/S
-cardiac findings: Depressed LV function, pericardial effusions, mitralv regurg