and Answers (2025 Edition)
Questions
1. Question: What can acetaminophen cause in pediatric patients?
Answer: Hepatic dysfunction
Rationale: Acetaminophen overdose can lead to liver toxicity in children.
2. Question: What can alcohol cause in pediatric patients?
Answer: Aggressive behavior, hypertension
Rationale: Alcohol ingestion in children may result in behavioral changes and
cardiovascular effects.
3. Question: What can aminoglycosides cause in pediatric patients?
Answer: Hearing loss
Rationale: Aminoglycosides are ototoxic, risking auditory damage in children.
4. Question: What can aspirin cause in pediatric patients?
Answer: Asthma
Rationale: Aspirin can trigger aspirin-induced asthma via arachidonic acid pathways.
5. Question: What is aspirin-induced asthma (AIA) related to?
Answer: Arachidonic acid, cyclooxygenase enzyme, prostaglandins
Rationale: AIA involves arachidonic acid metabolism disruption, leading to
prostaglandin imbalance.
6. Question: How should pediatric doses be compared to adult doses?
Answer: Never exceed adult dose
Rationale: Pediatric doses are calculated to avoid exceeding safe adult dosages.
7. Question: What is Clark’s Rule for pediatric dosing?
Answer: Child weight (kg)/70 kg x adult dose or child weight (lbs)/150 lbs x adult dose
Rationale: Clark’s Rule adjusts adult doses based on child weight for safe
administration.
8. Question: What complications can sulfonamides cause in pediatric patients?
Answer: Kernicterus
Rationale: Sulfonamides displace bilirubin, risking kernicterus in neonates.
9. Question: What can tetracyclines cause in pediatric patients?
Answer: Permanent tooth discoloration
Rationale: Tetracyclines bind to developing teeth, causing staining.
10. Question: What can corticosteroids cause in pediatric patients?
Answer: Growth suppression
Rationale: Long-term corticosteroids inhibit growth hormone release in children.