Pediatrics - FNP Exam Rated A+ Latest
Update!!
What populations should never receive live vaccinations? - Answer- children less than 1
year
pregnant patients
immunocompromised patients
which vaccinations are live vaccines? - Answer- MMR
varicella
intranasal influenza
oral polio
rotavirus
what is the most common cause of AOM in pediatric patients? - Answer- streptococcus
pneumonia (40-50%)
h. influenza
moraxella catarrhalis
What findings are necessary for clinical diagnosis of acute otitis media? - Answer-
bulging of TM AND
new onset ear pain and/or otorrhea
what is the first line antibiotic treatment for AOM? What antibiotic should be chosen if
they have had antibiotics in the past 3 months? What if the patient has PCN allergy? -
Answer- first line= amoxicillin 80-90 mg/kg/d
Augmentin if recent antibiotics
PCN allergy (mild) = cefdinir or third gen cephalosporin
severe pcn allergy = azithromycin, clarithromycin or clindamycin
when should a child with recurrent AOM be referred to ENT? - Answer- 3+ episodes of
AOM in past 6 months OR
4+ episodes in past 12 months
What age are routine screenings for Autism performed? - Answer- 9, 18, 24, and 30
months
A pediatric patient presents with parent for c/o headaches. What red flag symptoms
would warrant imaging or ED referral? - Answer- Headache awakens child
Thunderclap headache
Associated neuro findings: nausea, vomiting; AMS
Age younger than 3 years
Absent family history of migraine
Update!!
What populations should never receive live vaccinations? - Answer- children less than 1
year
pregnant patients
immunocompromised patients
which vaccinations are live vaccines? - Answer- MMR
varicella
intranasal influenza
oral polio
rotavirus
what is the most common cause of AOM in pediatric patients? - Answer- streptococcus
pneumonia (40-50%)
h. influenza
moraxella catarrhalis
What findings are necessary for clinical diagnosis of acute otitis media? - Answer-
bulging of TM AND
new onset ear pain and/or otorrhea
what is the first line antibiotic treatment for AOM? What antibiotic should be chosen if
they have had antibiotics in the past 3 months? What if the patient has PCN allergy? -
Answer- first line= amoxicillin 80-90 mg/kg/d
Augmentin if recent antibiotics
PCN allergy (mild) = cefdinir or third gen cephalosporin
severe pcn allergy = azithromycin, clarithromycin or clindamycin
when should a child with recurrent AOM be referred to ENT? - Answer- 3+ episodes of
AOM in past 6 months OR
4+ episodes in past 12 months
What age are routine screenings for Autism performed? - Answer- 9, 18, 24, and 30
months
A pediatric patient presents with parent for c/o headaches. What red flag symptoms
would warrant imaging or ED referral? - Answer- Headache awakens child
Thunderclap headache
Associated neuro findings: nausea, vomiting; AMS
Age younger than 3 years
Absent family history of migraine
