NR 602 FINAL EXAM NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
DETAILED ANSWERS) |BRAND NEW VERSION!!
Step 1 Asthma approach-Intermittent - DETAILED ANSWER-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
Step 2 Asthma Approach-Mild persistent - DETAILED ANSWER-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
Step 3 Asthma Approach-Moderate Persistant - DETAILED ANSWER-
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%
Step 4 Asthma Approach-Severe Persistent - DETAILED ANSWER-
continual symptoms requires SABA multiple x a day extremely limited
activity nighttime symptoms 7x a week
FEV <60%
,Tx of asthma - DETAILED ANSWER-
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
Step 6 Asthma Approach - DETAILED ANSWER-
Bulbar/palpebral conjunctival infection - DETAILED ANSWER-May be unilateral or bilateral
Leukocoria - DETAILED ANSWER-abnormal appearance of a white film in the pupil; immediate
referral to pediatric ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
Visual screening in children - DETAILED ANSWER-At least once between ages 3-5 y/o
according to
USPSTF
AOM - DETAILED ANSWER-RF: genetics, males, Native American, siblings, low economic
status, ages 6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke
S/S of AOM - DETAILED ANSWER-erythema, otalgia, bulging TM, absent cone of light
Dx of AOM - DETAILED ANSWER-Audiometry, tympanometry, possible lateral neck xray to r/o
mass
, TX of AOM - DETAILED ANSWER-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
Bacterial rhinosinusitis - DETAILED ANSWER-Preceded by URI-typically worsens after 5-7
days- not resolved in 2 weeks
Sx of bacterial rhinosinusitis - DETAILED ANSWER-Purulant nasal congestion, drainage, facial
pain, headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis - DETAILED ANSWER-Usually caused by
RSV wheezing present
<2 y/o other causes; influenza, adenovirus,
rhinovirus
S/s of bronchiolitis - DETAILED ANSWER-Increased work of breathing, prolonged expiration,
grunting, retractions, nasal flaring
Croup sx - DETAILED ANSWER-Low grade fever, URI symptoms, barking cough, inspiratory
stridor can occur
Croup dx - DETAILED ANSWER-Made from symptoms
Croup tx - DETAILED ANSWER-Glucocorticoids possibly
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
DETAILED ANSWERS) |BRAND NEW VERSION!!
Step 1 Asthma approach-Intermittent - DETAILED ANSWER-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
Step 2 Asthma Approach-Mild persistent - DETAILED ANSWER-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
Step 3 Asthma Approach-Moderate Persistant - DETAILED ANSWER-
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%
Step 4 Asthma Approach-Severe Persistent - DETAILED ANSWER-
continual symptoms requires SABA multiple x a day extremely limited
activity nighttime symptoms 7x a week
FEV <60%
,Tx of asthma - DETAILED ANSWER-
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
Step 6 Asthma Approach - DETAILED ANSWER-
Bulbar/palpebral conjunctival infection - DETAILED ANSWER-May be unilateral or bilateral
Leukocoria - DETAILED ANSWER-abnormal appearance of a white film in the pupil; immediate
referral to pediatric ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
Visual screening in children - DETAILED ANSWER-At least once between ages 3-5 y/o
according to
USPSTF
AOM - DETAILED ANSWER-RF: genetics, males, Native American, siblings, low economic
status, ages 6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke
S/S of AOM - DETAILED ANSWER-erythema, otalgia, bulging TM, absent cone of light
Dx of AOM - DETAILED ANSWER-Audiometry, tympanometry, possible lateral neck xray to r/o
mass
, TX of AOM - DETAILED ANSWER-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
Bacterial rhinosinusitis - DETAILED ANSWER-Preceded by URI-typically worsens after 5-7
days- not resolved in 2 weeks
Sx of bacterial rhinosinusitis - DETAILED ANSWER-Purulant nasal congestion, drainage, facial
pain, headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis - DETAILED ANSWER-Usually caused by
RSV wheezing present
<2 y/o other causes; influenza, adenovirus,
rhinovirus
S/s of bronchiolitis - DETAILED ANSWER-Increased work of breathing, prolonged expiration,
grunting, retractions, nasal flaring
Croup sx - DETAILED ANSWER-Low grade fever, URI symptoms, barking cough, inspiratory
stridor can occur
Croup dx - DETAILED ANSWER-Made from symptoms
Croup tx - DETAILED ANSWER-Glucocorticoids possibly
