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NR602 ACTUAL MIDTERM EXAM
[LATEST UPDATED VERSION]
Treatment of GABHS pharyngitis - CORRECT ANSWERS Penicillin V or
Amoxicillin for 10 days. Amoxicillin 500mg PO BID X 10 days
What are characteristics of fetal alcohol spectrum disorder? -
CORRECT ANSWERS Poor prenatal and postnatal growth
Hypotonia, poor coordination
Cardiac defects (e.g., VSD, ASD)
Narrow eyes, microphthalmia, large epicanthal folds, microcephaly,
small upper jaw, smooth groove in the upper lip, thin upper lip
Simian creases common
Tertiary Care - CORRECT ANSWERS intensive care, subacute care
highly complex care and therapy services from practitioners in a
hospital or overnight facility
quaternary care - CORRECT ANSWERS ● extension of tertiary care,
extremely specialized services (e.g. burn units and transplant
surgery) available typically only on a regional basis.
Port-Wine Stain (Nevus Flammeus) present as - CORRECT ANSWERS
pink-to-red, flat, stain-like lesions
blanches to pressure
irregular size/shape,usually, unilateral
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When should Port-Wine Stain be referred to a pediatric
ophthalmologist? - CORRECT ANSWERS If the birthmark is present
on the upper AND lower eyelids
or on the V1 and V2 branches of the Trigeminal Nerve (CN V).
Who should receive the 2-dose HPV vaccine - CORRECT ANSWERS
children who get the 1st dose BEFORE 15 yo.
When should the second dose of HPV vaccine take place? - CORRECT
ANSWERS 6-12 months after the first dose
What is GABHS? - CORRECT ANSWERS group a beta-hemolytic
streptococcus (Strep throat)
What is the first line ABX for dog and cat bites? - CORRECT ANSWERS
Amoxicillin clavulanate for 7-10 days
Why should a pt. with a Port-Wine Stain be referred to an
ophthalmologist? - CORRECT ANSWERS to rule out congenital
glaucoma or Sturge-Weber syndrome
treatment for Port-Wine Stain - CORRECT ANSWERS pulsed dye laser
The child who has one eye or best-corrected vision in one eye worse
than 20/40 and a small face to fit should be required to wear -
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CORRECT ANSWERS molded polycarbonate sport frames (American
National Standards Institute [ANSI] Z87.1 frames).
Symptoms of Kawasaki disease - CORRECT ANSWERS Fever x5 days
and one of the following:
enlarged lymph in the neck
bright-red rash
b/L conjunctivitis
dry cracked lips/strawberry tongue
diagnostics of Kawasaki disease - CORRECT ANSWERS monitor ECG
immediately.
CBC w/ diff, platelet count, CMP, ESR, and CRP
Requires echocardiogram & cardiologist.
Treatment of Kawasaki Disease - CORRECT ANSWERS ● IV
immunoglobulin - a single dose of 2 g/kg over 8 to 12 hours, ideally in
the first 10 days of the illness
● high-dose aspirin (80 to 100mg/kg/day in four divided doses, every
6 hours initially) until afebrile for at least 48 to 72 hours, then
lowering the aspirin dose to 3 to 5 mg/kg/day for 6 to 8 weeks with
discontinuation if the echocardiogram is normal
How long should a child f/u w/ cardiology after Kawasaki disease? -
CORRECT ANSWERS 1 year
NR602 ACTUAL MIDTERM EXAM
[LATEST UPDATED VERSION]
Treatment of GABHS pharyngitis - CORRECT ANSWERS Penicillin V or
Amoxicillin for 10 days. Amoxicillin 500mg PO BID X 10 days
What are characteristics of fetal alcohol spectrum disorder? -
CORRECT ANSWERS Poor prenatal and postnatal growth
Hypotonia, poor coordination
Cardiac defects (e.g., VSD, ASD)
Narrow eyes, microphthalmia, large epicanthal folds, microcephaly,
small upper jaw, smooth groove in the upper lip, thin upper lip
Simian creases common
Tertiary Care - CORRECT ANSWERS intensive care, subacute care
highly complex care and therapy services from practitioners in a
hospital or overnight facility
quaternary care - CORRECT ANSWERS ● extension of tertiary care,
extremely specialized services (e.g. burn units and transplant
surgery) available typically only on a regional basis.
Port-Wine Stain (Nevus Flammeus) present as - CORRECT ANSWERS
pink-to-red, flat, stain-like lesions
blanches to pressure
irregular size/shape,usually, unilateral
,2|Page
When should Port-Wine Stain be referred to a pediatric
ophthalmologist? - CORRECT ANSWERS If the birthmark is present
on the upper AND lower eyelids
or on the V1 and V2 branches of the Trigeminal Nerve (CN V).
Who should receive the 2-dose HPV vaccine - CORRECT ANSWERS
children who get the 1st dose BEFORE 15 yo.
When should the second dose of HPV vaccine take place? - CORRECT
ANSWERS 6-12 months after the first dose
What is GABHS? - CORRECT ANSWERS group a beta-hemolytic
streptococcus (Strep throat)
What is the first line ABX for dog and cat bites? - CORRECT ANSWERS
Amoxicillin clavulanate for 7-10 days
Why should a pt. with a Port-Wine Stain be referred to an
ophthalmologist? - CORRECT ANSWERS to rule out congenital
glaucoma or Sturge-Weber syndrome
treatment for Port-Wine Stain - CORRECT ANSWERS pulsed dye laser
The child who has one eye or best-corrected vision in one eye worse
than 20/40 and a small face to fit should be required to wear -
, 3|Page
CORRECT ANSWERS molded polycarbonate sport frames (American
National Standards Institute [ANSI] Z87.1 frames).
Symptoms of Kawasaki disease - CORRECT ANSWERS Fever x5 days
and one of the following:
enlarged lymph in the neck
bright-red rash
b/L conjunctivitis
dry cracked lips/strawberry tongue
diagnostics of Kawasaki disease - CORRECT ANSWERS monitor ECG
immediately.
CBC w/ diff, platelet count, CMP, ESR, and CRP
Requires echocardiogram & cardiologist.
Treatment of Kawasaki Disease - CORRECT ANSWERS ● IV
immunoglobulin - a single dose of 2 g/kg over 8 to 12 hours, ideally in
the first 10 days of the illness
● high-dose aspirin (80 to 100mg/kg/day in four divided doses, every
6 hours initially) until afebrile for at least 48 to 72 hours, then
lowering the aspirin dose to 3 to 5 mg/kg/day for 6 to 8 weeks with
discontinuation if the echocardiogram is normal
How long should a child f/u w/ cardiology after Kawasaki disease? -
CORRECT ANSWERS 1 year
