PNCB PNP-PC LATEST
MASTER STUDY SET
What would you suspect if you saw a "steeple" sign on x-ray? -
ANSWERS-Croup
What would you suspect with a teen who complains of insidious
malaise, pharyngitis, and fever. On exam, patient has posterior cervical
lymphadenopathy, white exudate on tonsils, and splenomegaly. -
ANSWERS-Mononucleosis
What laboratory or diagnostics would you perform to confirm diagnosis
of mono? - ANSWERS-Mono spot
What are the criteria for the diagnosis of sinusitis? - ANSWERS-
**ONLY in children > 9 years of age due to sinus development
(1) Nasal drainage of any consistency for >10 days, with or without
daytime or nighttime cough
OR
(2) "Double Bump"- Initial nasal drainage, cough, fever that appeared to
get better for a short time, then got a lot worse
OR
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PAGE
1
, PNCB PNP-PC LATEST
MASTER STUDY SET
(3) Severe symptoms- >102F fever + purulent nasal discharge for 3+
days
What is treatment for sinusitis? - ANSWERS-Augmentin for 10-14
days, or 7 days after symptoms begin to improve
*IF not better in 72 hours, switch to Levaquin
What does MCHC refer to? - ANSWERS-"Color" of RBCs: average
Hgb concentration per RBC
*More accurate measure than MCH
Normal: 32-36%
What is MCV? - ANSWERS-Mean Corpuscular Volume
Average volume / size of RBCs
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PAGE
2
, PNCB PNP-PC LATEST
MASTER STUDY SET
Normal: 80-100
What is RCDW? - ANSWERS-Red cell distribution width
What would you suspect with increased RCDW? - ANSWERS-Iron
deficiency anemia
What do reticulocytes indicate? - ANSWERS-Baby RBCs
*Measure of how well the bone marrow is doing
What would you suspect with microcytic, hypochromic anemia with
increased RCDW and low reticulocytes? - ANSWERS-Iron Deficiency
Anemia
How would you correct for iron deficiency anemia? - ANSWERS-
Elemental iron 2-3mg/kg/day for 4 months
What would you suspect for a child with microcytic hypochromic
anemia with increased reticulocytes? - ANSWERS-Thalassemias
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PAGE
3
, PNCB PNP-PC LATEST
MASTER STUDY SET
What characteristics would you see in a child with untreated
thalassemia? - ANSWERS-Pale / bronze color skin
Tachycardia
Tachypnea
Frontal bossing
Failure to thrive
What cause do you suspect for a patient with megaloblastic anemia? -
ANSWERS-B12 deficiency
What vaccines should you give to a child with sickle cell disease? -
ANSWERS-All of them!
And extra Pneumovax 23
What lead level do you need to monitor outpatient? - ANSWERS-<5
mcg/dL up to 20-44 mcg/dL
What lead level do you need to start chelation therapy? - ANSWERS-
45-69 mcg/dL
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PAGE
4
MASTER STUDY SET
What would you suspect if you saw a "steeple" sign on x-ray? -
ANSWERS-Croup
What would you suspect with a teen who complains of insidious
malaise, pharyngitis, and fever. On exam, patient has posterior cervical
lymphadenopathy, white exudate on tonsils, and splenomegaly. -
ANSWERS-Mononucleosis
What laboratory or diagnostics would you perform to confirm diagnosis
of mono? - ANSWERS-Mono spot
What are the criteria for the diagnosis of sinusitis? - ANSWERS-
**ONLY in children > 9 years of age due to sinus development
(1) Nasal drainage of any consistency for >10 days, with or without
daytime or nighttime cough
OR
(2) "Double Bump"- Initial nasal drainage, cough, fever that appeared to
get better for a short time, then got a lot worse
OR
END OF
PAGE
1
, PNCB PNP-PC LATEST
MASTER STUDY SET
(3) Severe symptoms- >102F fever + purulent nasal discharge for 3+
days
What is treatment for sinusitis? - ANSWERS-Augmentin for 10-14
days, or 7 days after symptoms begin to improve
*IF not better in 72 hours, switch to Levaquin
What does MCHC refer to? - ANSWERS-"Color" of RBCs: average
Hgb concentration per RBC
*More accurate measure than MCH
Normal: 32-36%
What is MCV? - ANSWERS-Mean Corpuscular Volume
Average volume / size of RBCs
END OF
PAGE
2
, PNCB PNP-PC LATEST
MASTER STUDY SET
Normal: 80-100
What is RCDW? - ANSWERS-Red cell distribution width
What would you suspect with increased RCDW? - ANSWERS-Iron
deficiency anemia
What do reticulocytes indicate? - ANSWERS-Baby RBCs
*Measure of how well the bone marrow is doing
What would you suspect with microcytic, hypochromic anemia with
increased RCDW and low reticulocytes? - ANSWERS-Iron Deficiency
Anemia
How would you correct for iron deficiency anemia? - ANSWERS-
Elemental iron 2-3mg/kg/day for 4 months
What would you suspect for a child with microcytic hypochromic
anemia with increased reticulocytes? - ANSWERS-Thalassemias
END OF
PAGE
3
, PNCB PNP-PC LATEST
MASTER STUDY SET
What characteristics would you see in a child with untreated
thalassemia? - ANSWERS-Pale / bronze color skin
Tachycardia
Tachypnea
Frontal bossing
Failure to thrive
What cause do you suspect for a patient with megaloblastic anemia? -
ANSWERS-B12 deficiency
What vaccines should you give to a child with sickle cell disease? -
ANSWERS-All of them!
And extra Pneumovax 23
What lead level do you need to monitor outpatient? - ANSWERS-<5
mcg/dL up to 20-44 mcg/dL
What lead level do you need to start chelation therapy? - ANSWERS-
45-69 mcg/dL
END OF
PAGE
4
