602 Final Exam Study Questions with 100%
Correct Answers | Verified
1). Step 1 asthma approach-intermittent
Ans: symptoms 2x or less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
2). Step 2 asthma approach-mild persistent
Ans: Symptoms >2 x a week, less than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
3). Step 3 asthma approach-moderate persistant
Ans: daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%
4). Step 4 asthma approach-severe persistent
Ans: continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
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, 5). Tx of asthma
Ans: Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
6). Step 6 asthma approach
Ans:
7). Bulbar/palpebral conjunctival infection
Ans: May be unilateral or bilateral
8). Leukocoria
Ans: abnormal appearance of a white film in the pupil; immediate referral to pediatric
ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
9). Visual screening in children
Ans: At least once between ages 3-5 y/o according to USPSTF
Ans: erythema, otalgia, bulging TM, absent cone of light
12). Dx of aom
Ans: Audiometry, tympanometry, possible lateral neck xray to r/o mass
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, 13). Tx of aom
Ans: uncomplicated: supportive with tylenol/ibuprofen; watchful waiting 48-72 in
6m-2y/o; <5 benzocaine otic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days
if allergy to PCN- augmentin, cefuroxime
14). Bacterial rhinosinusitis
Ans: Preceded by URI-typically worsens after 5-7 days- not resolved in 2 weeks
15). Sx of bacterial rhinosinusitis
Ans: Purulant nasal congestion, drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT
16). Bronchiolitis
Ans: Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
17). S/s of bronchiolitis
Ans: Increased work of breathing, prolonged expiration, grunting, retractions, nasal
flaring
18). Croup sx
Ans: Low grade fever, URI symptoms, barking cough, inspiratory stridor can occur
19). Croup dx
Ans: Made from symptoms
20). Croup tx
Ans: Glucocorticoids possibly
0.6mg/kg-1mg/kg
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