BURNS PEDIATRIC PRIMARY CARE 6TH AND
7TH EDITION FINAL PAPER EXAM PREP
QUESTIONS AND ANSWERS GUARANTEED
TO PASS
◉ Symptoms of Peptic Ulcer Disease
Answer: Vague, dull abdominal pain most common
Symptoms may wax and wane
Pain with eating; can awaken from sleep
GI tract bleeding
Poor feeding, GI bleeding, slow growth in infants
Poorly localized pain in older children
Iron deficiency anemia
Family history of PUD
, Predisposing factors
◉ H.pylori
Answer: A bacterial infection transmitted via vomit, saliva, feces,
contaminated water
Causes chronic inflammation in antrum and stomach body.
The cause of most ulcers
◉ Average age with appendicitis
Answer: 6-10 years, perforation more common in children <5yrs
◉ Appendicitis Physical Findings (6)
Answer: 1. RLQ involuntary guarding with rebound tenderness
2. +Psoas sign (Iliopsoas Test): pain with right thigh extension
3. +Obturator sign: pain with internal rotation of flexed right thigh
4. Positive Rovsing's sign: RLQ pain when pressure is applied to LLQ
5. Local abdominal tenderness
6. Low grade fever (high fever suggests perforation or another
diagnosis)
7TH EDITION FINAL PAPER EXAM PREP
QUESTIONS AND ANSWERS GUARANTEED
TO PASS
◉ Symptoms of Peptic Ulcer Disease
Answer: Vague, dull abdominal pain most common
Symptoms may wax and wane
Pain with eating; can awaken from sleep
GI tract bleeding
Poor feeding, GI bleeding, slow growth in infants
Poorly localized pain in older children
Iron deficiency anemia
Family history of PUD
, Predisposing factors
◉ H.pylori
Answer: A bacterial infection transmitted via vomit, saliva, feces,
contaminated water
Causes chronic inflammation in antrum and stomach body.
The cause of most ulcers
◉ Average age with appendicitis
Answer: 6-10 years, perforation more common in children <5yrs
◉ Appendicitis Physical Findings (6)
Answer: 1. RLQ involuntary guarding with rebound tenderness
2. +Psoas sign (Iliopsoas Test): pain with right thigh extension
3. +Obturator sign: pain with internal rotation of flexed right thigh
4. Positive Rovsing's sign: RLQ pain when pressure is applied to LLQ
5. Local abdominal tenderness
6. Low grade fever (high fever suggests perforation or another
diagnosis)
