NR 602 Final Exam Questions with 100% Correct Answers Latest
Graded A+
Question:
Step 1 Asthma approach-Intermittent
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
Question:
Step 2 Asthma Approach-Mild persistent
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
Question:
Step 3 Asthma Approach-Moderate Persistant
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%
Question:
Step 4 Asthma Approach-Severe Persistent
Answer:
continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Question:
Tx of asthma
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
Question:
Step 6 Asthma Approach
Answer:
,Question:
Bulbar/palpebral conjunctival infection
Answer:
May be unilateral or bilateral
Question:
Leukocoria
Answer:
abnormal appearance of a white film in the pupil; immediate referral to pediatric ophthalmologist
warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
Question:
Visual screening in children
Answer:
At least once between ages 3-5 y/o according to USPSTF
Question:
AOM
Answer:
RF: genetics, males, Native American, siblings, low economic status, ages 6mo-3y, winter, supine
bottle feeding, daycare, tobacco smoke
Question:
S/S of AOM
Answer:
erythema, otalgia, bulging TM, absent cone of light
Question:
Dx of AOM
Answer:
Audiometry, tympanometry, possible lateral neck xray to r/o mass
, Question:
TX of AOM
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
Question:
Bacterial rhinosinusitis
Answer:
Preceded by URI-typically worsens after 5-7 days- not resolved in 2 weeks
Question:
Sx of bacterial rhinosinusitis
Answer:
Purulant nasal congestion, drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT
Question:
Bronchiolitis
Answer:
Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
Question:
S/s of bronchiolitis
Answer:
Graded A+
Question:
Step 1 Asthma approach-Intermittent
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
Question:
Step 2 Asthma Approach-Mild persistent
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
Question:
Step 3 Asthma Approach-Moderate Persistant
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%
Question:
Step 4 Asthma Approach-Severe Persistent
Answer:
continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Question:
Tx of asthma
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
Question:
Step 6 Asthma Approach
Answer:
,Question:
Bulbar/palpebral conjunctival infection
Answer:
May be unilateral or bilateral
Question:
Leukocoria
Answer:
abnormal appearance of a white film in the pupil; immediate referral to pediatric ophthalmologist
warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
Question:
Visual screening in children
Answer:
At least once between ages 3-5 y/o according to USPSTF
Question:
AOM
Answer:
RF: genetics, males, Native American, siblings, low economic status, ages 6mo-3y, winter, supine
bottle feeding, daycare, tobacco smoke
Question:
S/S of AOM
Answer:
erythema, otalgia, bulging TM, absent cone of light
Question:
Dx of AOM
Answer:
Audiometry, tympanometry, possible lateral neck xray to r/o mass
, Question:
TX of AOM
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
Question:
Bacterial rhinosinusitis
Answer:
Preceded by URI-typically worsens after 5-7 days- not resolved in 2 weeks
Question:
Sx of bacterial rhinosinusitis
Answer:
Purulant nasal congestion, drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT
Question:
Bronchiolitis
Answer:
Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
Question:
S/s of bronchiolitis
Answer:
