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PEDIATRICS EXAM I - FNP YEAR 2 (SPRING SEMESTER) QUESTIONS AND ANSWERS LATEST TOP SCORE. $11.19   Add to cart

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PEDIATRICS EXAM I - FNP YEAR 2 (SPRING SEMESTER) QUESTIONS AND ANSWERS LATEST TOP SCORE.

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PEDIATRICS EXAM I - FNP YEAR 2 (SPRING SEMESTER) QUESTIONS AND ANSWERS LATEST TOP SCORE. Respiratory rates INFANT 0-12 mo TODDLER 1-3y PRESCHOOL 4-5y SCHOOL AGE 6-12y - correct answer. Infant: 30-60 Toddler: 24-40 Preschool: 22-34 School age: 18-30 Viral URI Et...

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  • October 27, 2024
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  • Exam (elaborations)
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  • Pediatrics I - FNP Year 2
  • Pediatrics I - FNP Year 2
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PEDIATRICS EXAM I - FNP YEAR 2
(SPRING SEMESTER) QUESTIONS AND
ANSWERS LATEST TOP SCORE.




Respiratory rates

INFANT 0-12 mo
TODDLER 1-3y
PRESCHOOL 4-5y
SCHOOL AGE 6-12y - correct answer. Infant: 30-60
Toddler: 24-40
Preschool: 22-34
School age: 18-30

Viral URI

Etiology
Dx
Tx
Duration - correct answer. Etiology: rhinovirus, paraflu, adenovirus, RSV, coxsackie,
flu

Dx: clinical, nasopharyngeal swab indicated in cases with significant fever, myalgia,
malaise, sore throat

Tx: symptom management (no honey <1 y, no cough/cold meds <4)

Duration: 5-7 days (if longer, consider acute bacterial sinusitis)

,Honey - correct answer. Not before 1 year old

Who can't have cough/cold meds - correct answer. <4 y/o

Brochiolitis

Etiology
Very common in...
S/s
Dx
Tx
Duration - correct answer. Etiology: usually RSV

Very common <24 months old (infants)

S/s: rhinnorhea, cough, wheeze, tachypnea, increased WOB

Dx: no labs/imaging, CXR only if atypical presentation (no viral s/s, severe distress,
recurrence, lack of improvement)

Tx: NO ANTIBIOTICS, ALBUTEROL, EPI, STEROIDS, LOWER AIRWAY
SUCTIONING
--Nasal suctioning is mainstay of treatment
--Self-limiting

Duration: worsens at 3-5 days, then improves

Pneumonia - etiologies, who gets each kind more, pathogens - correct answer.
Etiology:
-BACTERIAL: more in school-aged/AYA -- child appears TOXIC looking (strep
pneumo**, staph aureus, mycoplasma pneumo)
-VIRAL: more in preschool/infants -- child doesn't look as ill as in bacterial
-FUNGAL/PARASITIC

What kind of pneumonia appears more toxic? - correct answer. Bacterial -- normally
strep pneumo, normally school aged/AYA

Pneumonia - presentation (infants, children/AYA, all kids) - correct answer.
INFANTS: difficulty feeding, irritability

CHILDREN/AYA: pleuritic chest pain

ALL KIDS: fever, leukocytosis, cough, tachypnea, lethargy/low energy, hypoxemia,
increased WOB, decreased appetite, crackles, wheeze

Pneumonia

, Dx
Tx - correct answer. DX:
-CLINICAL PICTURE
-CXR if clinical findings are inconclusive, hx of recurrent pneumonia, disease is severe
-CBC and blood cultures (usually only once hospitalized)

Tx:
-Antibiotics if you suspect bacterial etiology (Amox, Cefdinir, Zithromax)

What is the drug of choice for bacterial pneumonia? - correct answer. Amoxicillin

Pneumonia - when to hospitalize

-Appearance
-Vitals
-AEs
-Duration - correct answer. Toxic appearing (normally bacterial etiology)
O2 sat <90%
RR >70 in infants and >50 in older kids
Dehydration
No improvement/worsening within 48-72 hours

Sinusitis timeline

-Acute
-Recurrent acute
-Chronic - correct answer. Acute: <30 days

Recurrent acute (RABS): episodes of bacterial sinusitis lasting <30 days and separated
by intervals of >10 days during which the patient is asymptomatic

Chronic: 90+ uninterrupted symptomatic days

Sinusitis - presentation (3) - correct answer. Child with acute URI presents with...

Nasal discharge of any kind OR daytime cough >10 days without improvement

Worsening course of nasal discharge, daytime cough, or fever after initial improvement

Severe onset (fever >102.2 and purulent nasal discharge for 3+ days)

In sinusitis, young kids do NOT get...? - correct answer. Sinus tenderness

Sinusitis

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