NURP 502 Exam 1 Questions and answers
2025
What .is .a .fever .of .unknown .origin .(FUO)? .- .ANS✓✓-Fever .of .100.4 .or .greater
.that .lasts .more .than .10-14 .days .without .a .documented .source .from .physical
.exam/screening .labs
What .is .prolonged .fever? .- .ANS✓✓-Single .illness .in .which .fever .that .exceeds
.that .which .expected .for .the .clinical .dx. .Ex- .fever .>10 .days .for .viral .URI .or .>3
.wks .for .mono
What .is .the .preferred .method .to .take .temp? .- .ANS✓✓-Rectal .or .oral
What .education .should .be .provided .to .caregivers .about .a .child's .fever? .- .ANS
✓✓-Fever .is .symptom, .not .a .disease. .
Fever .has .positive .attributes .such .as .killing .bacteria/viruses
Treat .the .comfort .of .the .child, .fever .does .not .always .have .to .be .brought .down
If .child .is .bundled .up, .unbundle .and .assess .temp
Always .record .a .temp, .not .hand .to .forehead
What .is .on .the .common .reasons .for .delayed .dx? .- .ANS✓✓-Missed .hx .clues.
.Ex- .animal/insect .exposure, .travel .hx, .TB .r/f, .dietary .(unpasteurized .milk)
90% .of .time .should .be .spent .asking .questions
What .medication .is .the .gold .standard .for .children .with .fever? .- .ANS✓✓-
Acetaminophen
What .is .the .dosing .for .acetaminophen? .- .ANS✓✓-ONLY .use .160mg/5 .ml .(NOT
.100mg)
10-15mg/kg/dose .q .4-8hours
Max .4-5 .doses .per .24hrs
12y/o+ .= .max .4g/day
>12y/o .= .max .2.6g/day
What .is .the .dosing .for .ibuprofen? .- .ANS✓✓-6mo .and .up
Fever .<102.5 .= .5mg/kg/dose
Fever .>102.5 .= .10mg/kg/dose
Max .40 .mg/kg/day .
EXCEPT .JRA, .asthmatics .may .have .NSAID .sensitivity
, What .workup/testing .should .be .done .for .FUO? .- .ANS✓✓-1st .line .is .appropriate
.to .be .done .in .primary .care
CMC, .CMP, .Sed .rate, .CRP .(expensive, .takes .time)
UA .and .cx, .Blood .cx, .PPD, .CXR, .EBV .and .CMV .serologies
Urine .specimen .(straight .cath .is .the .best .way)
Febrile .>3wks- .proceed .with .other .testing .like .CT, .etc
Be .mindful .of .insurance, .cost
Which .type .of .pneumonia .is .more .common .in .kids? .- .ANS✓✓-Viral
How .does .penumonia .present? .- .ANS✓✓-Sudden .onset, .absence .of .respiration
.sx, .presence .of .localized .findings .on .chest .auscultation-- .suspect .bacterial
.pneumo. .Most .common .causative .organism .is .strep .pneumo
What .are .atypical .types .of .pneumonia? .- .ANS✓✓-Mycoplasma, .chlamydial
Reason .to .admit .with .PNA? .- .ANS✓✓-Suspicion .of .MRSA, .underlying .CV .or
.cardiopulmonary .condition, .metabolic .d/o, .neuro .d/o, .developmental .delay,
.infants .> .4-6 .mo
Tx .of .PNA? .- .ANS✓✓-High .dose .amoxicillin .90mg/kg/day .divided .in .2 .doses
If .PNA .thought .to .be .atypical, .then .use .a .macrolide
Should .see .clinical .improvement .48-72 .hrs
Which .of .the .following .would .indicate .impending .resp .failure .in .a .child .with
.croup?
Barking .cough
Audible .stridor .at .rest
Suprasternal .and .sternal .retractions .at .rest
Lethary .or .decreased .level .of .consicousness .- .ANS✓✓-Lethargy
pay .attention .to .stridor .and .retractions .always .tho
Which .of .the .following .abx .should .be .rx .for .the .empiric .tx .of .FUO .in
.immucompetent .children?
Amoxicillin-clavulanate
Azithromycin
Isoniazid
None .- .ANS✓✓-None. .empiric .abx .should .not .be .used .for .FUO
In .a .child .with .bacterial .pna, .when .would .clinical .improvement .be .expected
.after .initiating .abx .with .activity .against .the .pathogen? .- .ANS✓✓-48-72 .hours
For .a .child .treated .with .for .uncomplicated .bacterial .pna .as .an .outpatient, .when
.should .a .repeat .chest .xray .be .obtained .to .document .clearance .of .pneumonia?
.- .ANS✓✓-A .chest .xray .is .not .needed .to .document .clearance .of .pna.
A .7 .month .old .fully .immunized .female .presents .to .the .office .with .fever. .Mom
.reports .she .has ."not .been .herself" .and .felt ."a .bit .warm .on .the .forehead." .Vitals
2025
What .is .a .fever .of .unknown .origin .(FUO)? .- .ANS✓✓-Fever .of .100.4 .or .greater
.that .lasts .more .than .10-14 .days .without .a .documented .source .from .physical
.exam/screening .labs
What .is .prolonged .fever? .- .ANS✓✓-Single .illness .in .which .fever .that .exceeds
.that .which .expected .for .the .clinical .dx. .Ex- .fever .>10 .days .for .viral .URI .or .>3
.wks .for .mono
What .is .the .preferred .method .to .take .temp? .- .ANS✓✓-Rectal .or .oral
What .education .should .be .provided .to .caregivers .about .a .child's .fever? .- .ANS
✓✓-Fever .is .symptom, .not .a .disease. .
Fever .has .positive .attributes .such .as .killing .bacteria/viruses
Treat .the .comfort .of .the .child, .fever .does .not .always .have .to .be .brought .down
If .child .is .bundled .up, .unbundle .and .assess .temp
Always .record .a .temp, .not .hand .to .forehead
What .is .on .the .common .reasons .for .delayed .dx? .- .ANS✓✓-Missed .hx .clues.
.Ex- .animal/insect .exposure, .travel .hx, .TB .r/f, .dietary .(unpasteurized .milk)
90% .of .time .should .be .spent .asking .questions
What .medication .is .the .gold .standard .for .children .with .fever? .- .ANS✓✓-
Acetaminophen
What .is .the .dosing .for .acetaminophen? .- .ANS✓✓-ONLY .use .160mg/5 .ml .(NOT
.100mg)
10-15mg/kg/dose .q .4-8hours
Max .4-5 .doses .per .24hrs
12y/o+ .= .max .4g/day
>12y/o .= .max .2.6g/day
What .is .the .dosing .for .ibuprofen? .- .ANS✓✓-6mo .and .up
Fever .<102.5 .= .5mg/kg/dose
Fever .>102.5 .= .10mg/kg/dose
Max .40 .mg/kg/day .
EXCEPT .JRA, .asthmatics .may .have .NSAID .sensitivity
, What .workup/testing .should .be .done .for .FUO? .- .ANS✓✓-1st .line .is .appropriate
.to .be .done .in .primary .care
CMC, .CMP, .Sed .rate, .CRP .(expensive, .takes .time)
UA .and .cx, .Blood .cx, .PPD, .CXR, .EBV .and .CMV .serologies
Urine .specimen .(straight .cath .is .the .best .way)
Febrile .>3wks- .proceed .with .other .testing .like .CT, .etc
Be .mindful .of .insurance, .cost
Which .type .of .pneumonia .is .more .common .in .kids? .- .ANS✓✓-Viral
How .does .penumonia .present? .- .ANS✓✓-Sudden .onset, .absence .of .respiration
.sx, .presence .of .localized .findings .on .chest .auscultation-- .suspect .bacterial
.pneumo. .Most .common .causative .organism .is .strep .pneumo
What .are .atypical .types .of .pneumonia? .- .ANS✓✓-Mycoplasma, .chlamydial
Reason .to .admit .with .PNA? .- .ANS✓✓-Suspicion .of .MRSA, .underlying .CV .or
.cardiopulmonary .condition, .metabolic .d/o, .neuro .d/o, .developmental .delay,
.infants .> .4-6 .mo
Tx .of .PNA? .- .ANS✓✓-High .dose .amoxicillin .90mg/kg/day .divided .in .2 .doses
If .PNA .thought .to .be .atypical, .then .use .a .macrolide
Should .see .clinical .improvement .48-72 .hrs
Which .of .the .following .would .indicate .impending .resp .failure .in .a .child .with
.croup?
Barking .cough
Audible .stridor .at .rest
Suprasternal .and .sternal .retractions .at .rest
Lethary .or .decreased .level .of .consicousness .- .ANS✓✓-Lethargy
pay .attention .to .stridor .and .retractions .always .tho
Which .of .the .following .abx .should .be .rx .for .the .empiric .tx .of .FUO .in
.immucompetent .children?
Amoxicillin-clavulanate
Azithromycin
Isoniazid
None .- .ANS✓✓-None. .empiric .abx .should .not .be .used .for .FUO
In .a .child .with .bacterial .pna, .when .would .clinical .improvement .be .expected
.after .initiating .abx .with .activity .against .the .pathogen? .- .ANS✓✓-48-72 .hours
For .a .child .treated .with .for .uncomplicated .bacterial .pna .as .an .outpatient, .when
.should .a .repeat .chest .xray .be .obtained .to .document .clearance .of .pneumonia?
.- .ANS✓✓-A .chest .xray .is .not .needed .to .document .clearance .of .pna.
A .7 .month .old .fully .immunized .female .presents .to .the .office .with .fever. .Mom
.reports .she .has ."not .been .herself" .and .felt ."a .bit .warm .on .the .forehead." .Vitals
