AHN 548 Exam Tested Questions
With Revised Correct Detailed
Answers
>Latest Update>>
1. Most common cause of shock in peds - ANSWER Hypovolemic:
dehydration, diabetes, heat illness, hemorrhage, burns
2. Hypovolemic shock treatment - ANSWER - NS or LR
- 20ml/kg body weight
- no more than 60ml/kg, unless ongoing loss is severe
- no response, PRBC transfusion
3. Distributive shock - ANSWER - increased vascular capacitance w/ normal
circulating vol
4. Distributive shock tx - ANSWER - crystalloid
- pressors may required if perfusion doesn/t normalize after delivery of 2-3
10ml/kg boluses of crystalloid
- ICU
5. Causes of Distributive shock - ANSWER Septic shock is the most common
form
,systemic inflammatory response syndrome (SIRS)
toxic shock syndrome (TSS)
anaphylaxis
6. Cardiogenic shock tx - ANSWER - bolus of crystalloid
- pressors and possibly afterload reducers
- ICU
7. S/S Cardiogenic shock - ANSWER abnormal cardiac rhythm, distended neck
veins, rales, abd hrt sounds, friction rub, narrow pulse pressure, hepatomegaly
- cxr may show cardiomegaly & pulmonary edema
8. Obstructive shock - ANSWER physical obstruction of blood circulation and
inadequate blood oxygenation
9. Gonorrhea infection during pregnancy - ANSWER ophthalmic injury,
preterm labor, premature rupture of membranes and intrapartum/postpartum
infection.
10. Drug of choice to treat Gonorrhea during pregnancy - ANSWER
Ceftriaxone 125 mg IM or 1 gm IV qday for disseminated disease. Patients with a
PCN allergy are treated with 2gm IM dose of spectinomycin.
11. Drug of choice to treat Chlamydia during pregnancy - ANSWER
Azithromycin 1gm. An alternate treatment is Amoxicillin 500mg TID for 7 days. 2-3
weeks after completion of treatment a "test of cure" is performed. High risk
populations are tested again at 35-37 weeks EGA.
,12. Drug of choice to treat Herpes Simplex Virus during pregnancy - ANSWER
Acyclovir 400 mg BID or Valacyclovir 1000 mg daily
13. The goal of antiretroviral treatment, AZT, in HIV positive mothers - ANSWER
appropriately treat the mother, reduce viral load and minimize perinatal HIV
transmission
14. When is a C-section recommended for HIV positive mothers - ANSWER
When maternal viral load is >1000 copies/ml
15. Drug of choice to treat Trichomonas during pregnancy - ANSWER
Metronidazole is 95% effective, single dose of 2 gm OR 500 mg BID for 7 days OR
250 mg TID for 7 days
Sx of Trichomoniasis - ANSWER itching, burning, foamy green, malodorous
discharge.
Drug of choice to treat uncomplicated Candidiasis during pregnancy - ANSWER
topical miconazole, terconazole, clotrimazole or butoconazole are given for 3-
7 days
Drug of choice to treat refractory Candidiasis during pregnancy - ANSWER A
single dose of Fluconazole 150 mg
, A polymicrobial vaginal infection associated with preterm labor, preterm
premature rupture of membranes, chorioamnionitis and endometritis. - ANSWER
Bacterial Vaginosis
Frequency of subsequent prenatal visits "the standard schedule: in
uncomplicated patients is: - ANSWER every 4 weeks from 0 to 32 weeks
every 2 weeks from 32 to 36 weeks
weekly after 36 weeks
Measurements taken at each prenatal visit include: - ANSWER maternal
weight
uterine fundal height
maternal BP
urinalysis by dipstick
FHTs
What is considered to be appropriate weight gain during a singleton pregnancy -
ANSWER 25-33 pounds (11.5 - 16 kg)
BP changes during pregnancy - ANSWER decrease 5-7mm (systolic and
diastolic) early in the second trimester
returns to normal in the third trimester.
What finding may precede proteinuria in patients with PIH - ANSWER BP
elevation
With Revised Correct Detailed
Answers
>Latest Update>>
1. Most common cause of shock in peds - ANSWER Hypovolemic:
dehydration, diabetes, heat illness, hemorrhage, burns
2. Hypovolemic shock treatment - ANSWER - NS or LR
- 20ml/kg body weight
- no more than 60ml/kg, unless ongoing loss is severe
- no response, PRBC transfusion
3. Distributive shock - ANSWER - increased vascular capacitance w/ normal
circulating vol
4. Distributive shock tx - ANSWER - crystalloid
- pressors may required if perfusion doesn/t normalize after delivery of 2-3
10ml/kg boluses of crystalloid
- ICU
5. Causes of Distributive shock - ANSWER Septic shock is the most common
form
,systemic inflammatory response syndrome (SIRS)
toxic shock syndrome (TSS)
anaphylaxis
6. Cardiogenic shock tx - ANSWER - bolus of crystalloid
- pressors and possibly afterload reducers
- ICU
7. S/S Cardiogenic shock - ANSWER abnormal cardiac rhythm, distended neck
veins, rales, abd hrt sounds, friction rub, narrow pulse pressure, hepatomegaly
- cxr may show cardiomegaly & pulmonary edema
8. Obstructive shock - ANSWER physical obstruction of blood circulation and
inadequate blood oxygenation
9. Gonorrhea infection during pregnancy - ANSWER ophthalmic injury,
preterm labor, premature rupture of membranes and intrapartum/postpartum
infection.
10. Drug of choice to treat Gonorrhea during pregnancy - ANSWER
Ceftriaxone 125 mg IM or 1 gm IV qday for disseminated disease. Patients with a
PCN allergy are treated with 2gm IM dose of spectinomycin.
11. Drug of choice to treat Chlamydia during pregnancy - ANSWER
Azithromycin 1gm. An alternate treatment is Amoxicillin 500mg TID for 7 days. 2-3
weeks after completion of treatment a "test of cure" is performed. High risk
populations are tested again at 35-37 weeks EGA.
,12. Drug of choice to treat Herpes Simplex Virus during pregnancy - ANSWER
Acyclovir 400 mg BID or Valacyclovir 1000 mg daily
13. The goal of antiretroviral treatment, AZT, in HIV positive mothers - ANSWER
appropriately treat the mother, reduce viral load and minimize perinatal HIV
transmission
14. When is a C-section recommended for HIV positive mothers - ANSWER
When maternal viral load is >1000 copies/ml
15. Drug of choice to treat Trichomonas during pregnancy - ANSWER
Metronidazole is 95% effective, single dose of 2 gm OR 500 mg BID for 7 days OR
250 mg TID for 7 days
Sx of Trichomoniasis - ANSWER itching, burning, foamy green, malodorous
discharge.
Drug of choice to treat uncomplicated Candidiasis during pregnancy - ANSWER
topical miconazole, terconazole, clotrimazole or butoconazole are given for 3-
7 days
Drug of choice to treat refractory Candidiasis during pregnancy - ANSWER A
single dose of Fluconazole 150 mg
, A polymicrobial vaginal infection associated with preterm labor, preterm
premature rupture of membranes, chorioamnionitis and endometritis. - ANSWER
Bacterial Vaginosis
Frequency of subsequent prenatal visits "the standard schedule: in
uncomplicated patients is: - ANSWER every 4 weeks from 0 to 32 weeks
every 2 weeks from 32 to 36 weeks
weekly after 36 weeks
Measurements taken at each prenatal visit include: - ANSWER maternal
weight
uterine fundal height
maternal BP
urinalysis by dipstick
FHTs
What is considered to be appropriate weight gain during a singleton pregnancy -
ANSWER 25-33 pounds (11.5 - 16 kg)
BP changes during pregnancy - ANSWER decrease 5-7mm (systolic and
diastolic) early in the second trimester
returns to normal in the third trimester.
What finding may precede proteinuria in patients with PIH - ANSWER BP
elevation
