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Exam (elaborations)

AANP practice questions/topics Questions with Detailed Verified Answers

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AANP practice questions/topics Questions with Detailed Verified Answers

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AANP practice questions/topics Questions with Detailed
Verified Answers




A 3yr old child has suspected pneumonia what abx is used to treat Strep Pneumonia Ans: ✓ ✓ ✓
High dose Amoxicillin 80-90mg/kg/day (Max 4g daily)


A 3yr old child has suspected pneumonia what abx is used to treat Strep Pneumonia with a hives
reaction to penicillin. What abx to use now Ans: ✓ ✓ ✓ Clindamycin (Macrolide)


A 1 year old child has increased respiratory rate with suspected pneumonia what diagnostics
support this diagnosis?


a. Chest x-ray


b. Cough


c. CBC Left shift. Increased WBCs, increased Polys & decreased Lymphs Ans: ✓ ✓ ✓ c. CBC Left
shift. Increased WBCs, increased Polys & decreased Lymphs


What do we not prescribe for a child with viral pneumonia?


a. Fluids


b. Antipyretics


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c. Cough suppressants


d. Hospitalization if in respiratory distress Ans: ✓ ✓ ✓ c. Cough suppressants . risks outweigh the
benefits. Can lead to respiratory depression, drowsiness and confusion. Decongestants can cause
agitation and insomnia.


A child presents with sneezing, watery eyes, URI that processes over a few days 3-5days to
wheezing with elevated RR has suspected bronchiolitis. What is the treatment of choice?


a. Symtom management


b. antibiotics


c. Send to the emergency department Ans: ✓ ✓ ✓ a. Symtom management


If moderate to severe symptoms such as respiratory distress, apena, SPO2 x<95%, caregiver concern
of symptoms refer to the ED!


Do not prescribe steroids or bronchodilators


What disease process has an inspiratory stridor, cough and hoarseness with a steeple sign ?


a. whooping cough/ pertussis


b. laryngotracheitis


c. RSV Ans: ✓ ✓ ✓ b. laryngotracheitis (croup)


How is mild retractions and mild paryngotracheitis and a treated?



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a. cool mist humidifier


b. nebulized albuterol


c. symptom treatment


d. single dose of oral dexamethasone (0.15-0.6mg/kg) Ans: ✓ ✓ ✓ d. single dose of oral
dexamethasone (0.15-0.6mg/kg)


How is severe retractions and severe paryngotracheitis and a treated? Ans: ✓ ✓ ✓ send to ER in
ambulance and give nebulized EPI!


A child has viral gastroenteritis which symptom is most concerning?


a. vomiting


b. fever


c. diarrhea for 4 days


d. weight loss Ans: ✓ ✓ ✓ d. weight loss.


signifies dehydration and give commercial electrolyte solution.


50ml/kg -100mg/kg over 4 hours


Avoid sports drinks they are too high in sugar


Severe dehydration need to send to ER for IV fluids


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