FNP PEDIATRIC CERTIFICATION
EVALUATION 2026 STUDY GUIDE
QUESTIONS AND ANSWERS
◉ Sinusitis Management Abx
Answer: •Pain management
•Start with amoxicillin for not complicated. Course 10 days
•May use erythro.-sulfisoxazole, azithromycin
•If chronic or suspect beta-lactamase producing microbes may go to
augmentin
•Lots of people using cephalosporins in once a day dosing, e.g.
suprax, also azithromycin.
◉ Sinusitis Management Decongestants
Answer: Topicals: Afrin or Neo-synephrine for 3-5 days only in acute
sinusitis
Topical steroids- allergies- edema
prefer sticking to normal saline spray in generous dosages
AVOID antihistamines as they will dry out secretions
EXCEPTION: clear allergic component
◉ Bacterial conjunctivitis
,Answer: Pinkeye
Contagious - easily spread
H. influenzae most common in adults
◉ Bacterial conjunctivitis clinical presentation
Answer: Itching and tearing either bilaterally or unilaterally, with a
moderate amount of mucoPURULENT (yellow-green discharge)
THICK DISCHARGE may lead to crusted lids in the morning
Burning, sandy, gritty feeling and no visual disturbances
Photophobia
Petechiae on bulbar conjunctiva
Symptoms of URI, otitis media, or acute pharyngitis
Normal vision screen - CHECK EYE VISUAL ACUITY
◉ bacterial conjunctivitis management
Answer: Topical antibiotics, although is self-limited
Avoid aminoglycosides
Appropriate choices for bacterial conjunctivitis include
erythromycin ophthalmic ointment or trimethoprim-polymyxin B
drops (5-7 days).
,The dose is 0.5 inch (1.25 cm) of ointment deposited inside the
lower lid or 1 to 2 drops instilled four times daily for 5 to 7 days. It is
reasonable to reduce the dose from four times daily to twice daily, if
there is improvement in symptoms after a few days.
ointments blur vision for 20 minutes after the dose is administered
Patient education
Cleanse eyelashes several times daily
Warm soaks 3-4 times daily
Ophthalmic solution
Wash hands frequently
◉ Viral conjunctivitis
Answer: More common in children > 6 years old
Pt complaints of itchy, burning, and increased tearing.
(key finding)
Conjunctiva is BRILLIANT red, diffuse, and peripheral.
There is WATERY MUCOID DISCHARGE with moderate amount of
mucoid debris. Conjunctival edema. (key finding)
, Usually signs of URI or recent history of contact with a person who
has "RED EYE"
Fever, headache, anorexia, malaise, URI (key findings)
Preauricular lymph nodes are palpable * (not palpable in other
forms of conjunctivitis) (key findings)
Photophobia with measles/varicella
Herpetic vesicles on eyelid margins
◉ Viral conjunctivitis treatment
Answer: Good hygiene
Warm or cold compresses; artificial tears
Prophylaxis with antibiotics not recommended
Antihistamine or vaso-constrictive solutions
HSV - refer immediately
Molluscum on the eyelid margins- refer for excision
◉ Neurology - Treatment of febrile seizures
Answer: Most common type in children
Brief, generalized, simple or complex
EVALUATION 2026 STUDY GUIDE
QUESTIONS AND ANSWERS
◉ Sinusitis Management Abx
Answer: •Pain management
•Start with amoxicillin for not complicated. Course 10 days
•May use erythro.-sulfisoxazole, azithromycin
•If chronic or suspect beta-lactamase producing microbes may go to
augmentin
•Lots of people using cephalosporins in once a day dosing, e.g.
suprax, also azithromycin.
◉ Sinusitis Management Decongestants
Answer: Topicals: Afrin or Neo-synephrine for 3-5 days only in acute
sinusitis
Topical steroids- allergies- edema
prefer sticking to normal saline spray in generous dosages
AVOID antihistamines as they will dry out secretions
EXCEPTION: clear allergic component
◉ Bacterial conjunctivitis
,Answer: Pinkeye
Contagious - easily spread
H. influenzae most common in adults
◉ Bacterial conjunctivitis clinical presentation
Answer: Itching and tearing either bilaterally or unilaterally, with a
moderate amount of mucoPURULENT (yellow-green discharge)
THICK DISCHARGE may lead to crusted lids in the morning
Burning, sandy, gritty feeling and no visual disturbances
Photophobia
Petechiae on bulbar conjunctiva
Symptoms of URI, otitis media, or acute pharyngitis
Normal vision screen - CHECK EYE VISUAL ACUITY
◉ bacterial conjunctivitis management
Answer: Topical antibiotics, although is self-limited
Avoid aminoglycosides
Appropriate choices for bacterial conjunctivitis include
erythromycin ophthalmic ointment or trimethoprim-polymyxin B
drops (5-7 days).
,The dose is 0.5 inch (1.25 cm) of ointment deposited inside the
lower lid or 1 to 2 drops instilled four times daily for 5 to 7 days. It is
reasonable to reduce the dose from four times daily to twice daily, if
there is improvement in symptoms after a few days.
ointments blur vision for 20 minutes after the dose is administered
Patient education
Cleanse eyelashes several times daily
Warm soaks 3-4 times daily
Ophthalmic solution
Wash hands frequently
◉ Viral conjunctivitis
Answer: More common in children > 6 years old
Pt complaints of itchy, burning, and increased tearing.
(key finding)
Conjunctiva is BRILLIANT red, diffuse, and peripheral.
There is WATERY MUCOID DISCHARGE with moderate amount of
mucoid debris. Conjunctival edema. (key finding)
, Usually signs of URI or recent history of contact with a person who
has "RED EYE"
Fever, headache, anorexia, malaise, URI (key findings)
Preauricular lymph nodes are palpable * (not palpable in other
forms of conjunctivitis) (key findings)
Photophobia with measles/varicella
Herpetic vesicles on eyelid margins
◉ Viral conjunctivitis treatment
Answer: Good hygiene
Warm or cold compresses; artificial tears
Prophylaxis with antibiotics not recommended
Antihistamine or vaso-constrictive solutions
HSV - refer immediately
Molluscum on the eyelid margins- refer for excision
◉ Neurology - Treatment of febrile seizures
Answer: Most common type in children
Brief, generalized, simple or complex
