Nu280 Final Exam 2024 | All Exam Questions And Correct Answers | Already
Graded A+ | Verified Answers | Latest Version
Step 1 Asthma approach-Intermittent - (CORRECT 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 - (CORRECT 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 - (CORRECT 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 - (CORRECT ANSWER)continual symptoms
requires SABA multiple x a day
extremely limited activity
1
,nighttime symptoms 7x a week
FEV <60%
Tx of asthma - (CORRECT 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 - (CORRECT ANSWER)
Bulbar/palpebral conjunctival infection - (CORRECT ANSWER)May be unilateral or bilateral
Leukocoria - (CORRECT 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 - (CORRECT ANSWER)At least once between ages 3-5 y/o according to
USPSTF
AOM - (CORRECT ANSWER)RF: genetics, males, Native American, siblings, low economic status, ages
6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke
S/S of AOM - (CORRECT ANSWER)erythema, otalgia, bulging TM, absent cone of light
2
, Dx of AOM - (CORRECT ANSWER)Audiometry, tympanometry, possible lateral neck xray to r/o mass
TX of AOM - (CORRECT 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 - (CORRECT ANSWER)Preceded by URI-typically worsens after 5-7 days- not
resolved in 2 weeks
Sx of bacterial rhinosinusitis - (CORRECT ANSWER)Purulant nasal congestion, drainage, facial pain,
headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis - (CORRECT ANSWER)Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis - (CORRECT ANSWER)Increased work of breathing, prolonged expiration, grunting,
retractions, nasal flaring
Croup sx - (CORRECT ANSWER)Low grade fever, URI symptoms, barking cough, inspiratory stridor can
occur
Croup dx - (CORRECT ANSWER)Made from symptoms
Croup tx - (CORRECT ANSWER)Glucocorticoids possibly
3
Graded A+ | Verified Answers | Latest Version
Step 1 Asthma approach-Intermittent - (CORRECT 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 - (CORRECT 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 - (CORRECT 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 - (CORRECT ANSWER)continual symptoms
requires SABA multiple x a day
extremely limited activity
1
,nighttime symptoms 7x a week
FEV <60%
Tx of asthma - (CORRECT 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 - (CORRECT ANSWER)
Bulbar/palpebral conjunctival infection - (CORRECT ANSWER)May be unilateral or bilateral
Leukocoria - (CORRECT 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 - (CORRECT ANSWER)At least once between ages 3-5 y/o according to
USPSTF
AOM - (CORRECT ANSWER)RF: genetics, males, Native American, siblings, low economic status, ages
6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke
S/S of AOM - (CORRECT ANSWER)erythema, otalgia, bulging TM, absent cone of light
2
, Dx of AOM - (CORRECT ANSWER)Audiometry, tympanometry, possible lateral neck xray to r/o mass
TX of AOM - (CORRECT 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 - (CORRECT ANSWER)Preceded by URI-typically worsens after 5-7 days- not
resolved in 2 weeks
Sx of bacterial rhinosinusitis - (CORRECT ANSWER)Purulant nasal congestion, drainage, facial pain,
headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis - (CORRECT ANSWER)Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis - (CORRECT ANSWER)Increased work of breathing, prolonged expiration, grunting,
retractions, nasal flaring
Croup sx - (CORRECT ANSWER)Low grade fever, URI symptoms, barking cough, inspiratory stridor can
occur
Croup dx - (CORRECT ANSWER)Made from symptoms
Croup tx - (CORRECT ANSWER)Glucocorticoids possibly
3
