NR 602 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Step 1 Asthma approach-Intermittent ANSWER -
>symptoms 2x or less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent ANSWER -
>Symptoms >2 x a week, less than once per day
requires SABA more than 2days/week, no more than
once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
Step 3 Asthma Approach-Moderate Persistant ANSWER -
>daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
,nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%
Step 4 Asthma Approach-Severe Persistent ANSWER -
>continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma ANSWER - >Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
Step 6 Asthma Approach ANSWER - >
Bulbar/palpebral conjunctival infection ANSWER - >May
be unilateral or bilateral
Leukocoria ANSWER - >abnormal appearance of a white
film in the pupil; immediate referral to pediatric
ophthalmologist warranted
,Causes: retinal detachment, cataract, retinal dysplasia,
newborn retinoblastoma
Visual screening in children ANSWER - >At least once
between ages 3-5 y/o according to USPSTF
AOM ANSWER - >RF: genetics, males, Native American,
siblings, low economic status, ages 6mo-3y, winter,
supine bottle feeding, daycare, tobacco smoke
S/S of AOM ANSWER - >erythema, otalgia, bulging TM,
absent cone of light
Dx of AOM ANSWER - >Audiometry, tympanometry,
possible lateral neck xray to r/o mass
TX of AOM ANSWER - >uncomplicated: supportive with
tylenol/ibuprofen; watchful waiting 48-72 in 6m-2y/o; <5
benzocaine otic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days
if allergy to PCN- augmentin, cefuroxime
Bacterial rhinosinusitis ANSWER - >Preceded by URI-
typically worsens after 5-7 days- not resolved in 2 weeks
, Sx of bacterial rhinosinusitis ANSWER - >Purulant nasal
congestion, drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis ANSWER - >Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis ANSWER - >Increased work of
breathing, prolonged expiration, grunting, retractions,
nasal flaring
Croup sx ANSWER - >Low grade fever, URI symptoms,
barking cough, inspiratory stridor can occur
Croup dx ANSWER - >Made from symptoms
Croup tx ANSWER - >Glucocorticoids possibly
0.6mg/kg-1mg/kg
humidified air
bronchodilators
Lead poisoning ANSWER - >Inactivated heme synthesis
by inhibiting insertion of iron-leads to microcytic
hypochromic anemia
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Step 1 Asthma approach-Intermittent ANSWER -
>symptoms 2x or less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent ANSWER -
>Symptoms >2 x a week, less than once per day
requires SABA more than 2days/week, no more than
once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
Step 3 Asthma Approach-Moderate Persistant ANSWER -
>daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
,nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%
Step 4 Asthma Approach-Severe Persistent ANSWER -
>continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma ANSWER - >Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
Step 6 Asthma Approach ANSWER - >
Bulbar/palpebral conjunctival infection ANSWER - >May
be unilateral or bilateral
Leukocoria ANSWER - >abnormal appearance of a white
film in the pupil; immediate referral to pediatric
ophthalmologist warranted
,Causes: retinal detachment, cataract, retinal dysplasia,
newborn retinoblastoma
Visual screening in children ANSWER - >At least once
between ages 3-5 y/o according to USPSTF
AOM ANSWER - >RF: genetics, males, Native American,
siblings, low economic status, ages 6mo-3y, winter,
supine bottle feeding, daycare, tobacco smoke
S/S of AOM ANSWER - >erythema, otalgia, bulging TM,
absent cone of light
Dx of AOM ANSWER - >Audiometry, tympanometry,
possible lateral neck xray to r/o mass
TX of AOM ANSWER - >uncomplicated: supportive with
tylenol/ibuprofen; watchful waiting 48-72 in 6m-2y/o; <5
benzocaine otic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days
if allergy to PCN- augmentin, cefuroxime
Bacterial rhinosinusitis ANSWER - >Preceded by URI-
typically worsens after 5-7 days- not resolved in 2 weeks
, Sx of bacterial rhinosinusitis ANSWER - >Purulant nasal
congestion, drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis ANSWER - >Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis ANSWER - >Increased work of
breathing, prolonged expiration, grunting, retractions,
nasal flaring
Croup sx ANSWER - >Low grade fever, URI symptoms,
barking cough, inspiratory stridor can occur
Croup dx ANSWER - >Made from symptoms
Croup tx ANSWER - >Glucocorticoids possibly
0.6mg/kg-1mg/kg
humidified air
bronchodilators
Lead poisoning ANSWER - >Inactivated heme synthesis
by inhibiting insertion of iron-leads to microcytic
hypochromic anemia
