Peds (APEA) Questions and Answers 2023/2024 Top Score
Hep A immunization schedule - ANSWERFirst dose at 1 year, second dose after 6
months
Hep B immunization schedule - ANSWER3 doses: 0, 1-2 months, 6-18 months after 1st
You are caring for a newborn whose mother is known to be HBsAg (+). How should this
be handled? - ANSWERAdminister Hep B vaccine and Hep B immunoglobulin within 12
hrs of birth
How many doses are in the DTaP series? - ANSWER5
Tdap in pregnancy - ANSWER1 dose of tdap during each pregnancy, preferably at 27-
36 wks
PCV vaccine amount - ANSWER4 doses
Fever or rash after receiving a live attenuated immunization indicates? -
ANSWERReaction to a viral replication, not the vaccine
Examples of live attenudated vaccines - ANSWERMMR
Varicella
MMR and varicella immunization schedule - ANSWERAt 12 months (can be on the
same day), then must wait one month for second
Earliest age to receive flu vaccine - ANSWER>6 months
A mother reports that her one year old child has an allergy to eggs that produces hives.
How should this be handled? - ANSWERInfluenza vaccine should be given
Is it ok to give influenza to a patient who has experienced an allergic reaction and signs
of angioedema, respiratory distress? - ANSWERYes, under the supervision of a HCP
who can manage severe allergic reactions
A 15 year old patient who is sexually active is in your clinic to receive her first HPV
vaccine. How should the NP handle this? - ANSWERAdminister today without checking
pregnancy status
CDC recommends monitoring a child after immunization for: - ANSWER15 mins
When is diabetes usually diagnosed in kids? - ANSWERDuring puberty
At what age are meds considered first line for kids with ADHD? - ANSWER6 years old
Is PNA in kids usually viral or bacterial? - ANSWERViral
What is the most sensitive sign of PNA in kids? - ANSWERIncreased RR
Preferred treatment for kids diagnosed with PNA? - ANSWERAmoxicillin 90 mg/kg/day
in divided doses
Biggest symptom found in kids with bronchiolitis? - ANSWERParoxysmal wheezing
Symptoms of croup - ANSWERInspiratory stridor
Barking cough
Hoarseness
Med for croup - ANSWERSingle dose of oral dexamethasone (0.6 mg/kg)
Two systems affected by cystic fibrosis - ANSWERPulmonary & GI
How to test for cystic fibrosis - ANSWERSweat test
Symptom associated with cystic fibrosis - ANSWERThick mucous with productive cough
Lead toxicity masqueredes as... - ANSWERiron deficiency anemia
What is an abnormally high billirubin for an infant? - ANSWER> 25
Newborns with hyperbilirubinemia are at risk for? - ANSWERNeurological dysfunction
When does billirubin peak? - ANSWER3-4 day
Colic symptoms - ANSWER"rule of 3"
crying for > 3 hours
occurs > 3 days/wk
> 3 months of age
At what age are symptoms of pyloric stenosis most likely to occur? - ANSWER4-6 wks
Signs of pyloric stenosis - ANSWERProjectile vomiting immediately after eating
Olive-like mass
What imaging study is used to diagnose pyloric stenosis? - ANSWERUS
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