Pediatrics-FNPII Drexel University Final Review Questions And Answers

Impetigo - ANS Which of the following is contagious? A. Atopic Dermatitis B. Contact Dermatitis C. Impetigo D. Milia A fluid sac in the scrotal sac that usually resolves by 1 year is known as_______________ - ANS hydrocele What is the next step if not resolved by 1 year of age? - ANS Urology consult for surgical intervention phimosis - ANS The inability to retract the foreskin in an uncircumcised male is _____________ paraphimosis - ANS The inability to bring the foreskin back over penis and is a medical emergency is ________________ Testicular Torsion - ANS A twisting of the spermatic cord that causes sudden severe pain and swelling. Most often occurs in males ages 12-16 and is a medical emergency. Young males may present with complaints of lower abdominal pain, belly pain. Prehn's Sign - ANS Elevation of the testis may relieve the pain of epididymitis, but not epididymis torsion. You are examining Josh, a 5 year old male. His mother states that he stayed at a friend's house and now has a rash. When you examine Josh you note linear burroughs in the finger webs and wrists bilaterally. What do you suspect? A. Pediculosis Capitis B. Contact Dermatitis C. Scabies DO. Bed Bugs - ANS C. Scabies A. Pediculosis Capitis is Lice B. Contact Dermatitis is a rash D. Bed Bugs present as red marks in 3's (AKA breakfast, lunch and dinner bites) Scabies - ANS Suggested by linear burrows about the wrists, ankles, finger webs, areolas, anterior axillary folds, genitalia, or face. Extremely pruritic. Treatment is Permethrin 5% applied as a single overnight dose and repeated in 7 days. David is 7 weeks old. His mother brought him to your office because of a reported high fever the morning of 104.2 rectally. The mother does not report any symptoms of cough, runny nose, congestion, vomiting or diarrhea. The baby is eating normally. On the physical exam temp is 103F there are no abnormal findings. What is your next step? - ANS Refer to ED for sepsis workup on any infant 3 months old with high grade fever. Brian, a 13 year old male, comes to the office with a cast for his right ankle fracture. Dad reports he is taking pain medication but continues to complain of pain and he noticed the toes are "white". What do you suspect? What needs to be done? - ANS Compartment/compression syndrome Send to Emergency Department for immediate cast removal What are the 3 P's of compartment syndrome? - ANS Pain Pallor Paresthesias Children and adolescents with which of the following disorders can participate in sports UNRESTRICTED? A. anticoagulation therapy B. Marfan Syndrome C. Ehlers-Danlos Syndrome D. Coronary artery anomalies - ANS B. Marfan Syndrome Marfan Syndrome - ANS Aortic root dilation associated with mitral valve prolapse and regurgitation. Participation in sports with minimal physical demands. What is the criteria for clearance for sports physicals? - ANS Read chapter 27 starting p840 How are acute sports injuries managed? - ANS P-protect the injury from further damage (taping, splints, braces) R- rest the area I- ice C- compression of the injury E- elevation immediately Gender specific problems related to sports participation - ANS Female triad: oligomenorrhea, sport where leanness is desired, high impact sport a risk for stress fracture (decreased calcium intake) What is the recommended management of an infant with undescended testicles? - ANS Watchful waiting. If not resolved by 1 year of age, the refer for surgical intervention The following problems from Down Syndrome can develop in childhood - ANS Thyroid dysfunction Visual disturbance Hearing loss Obstructive sleep apnea Celiac disease Atlanto-occipital instability- because of hypotonia and ligament laxity, usually at the C1,C2 level. Autism What is a fracture? - ANS Complete separation of bone . When the force exerted on a bone is stronger than the bone itself.