602 MIDTERM EXAM QUESTIONS AND
ANSWERS | Instant PDF Download
How is Kawasaki disease diagnosed?
No specific lab test. (no blood test)
Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue
and dry fissured lips - Swelling of hands and feet.
- Enlarged lymph nodes in the neck - Diffuse red
rash covering most of the body. - Redness of eyes. o
Illness cannot be explained by any known disease
process.
How to treat Kawasaki disease:
IVIG and aspirin
What is retinoblastoma?
malignant tumor of the retina
signs and symptoms of
retinoblastoma
whitish glow in pupil - cat's eye reflex (leukocoria). Eyes looking in different
directions, poor vision, eye swelling, eye redness
When should children be screened for retinoblastoma
from birth up to the age of 7 years. After age 7 years, no further
screening of asymptomatic children is recommended, unless they are
known to carry an RB1 mutation. Most children diagnosed are younger
than 3 years old.
,Risk factors for retinoblastoma
Diets low in fruits and vegetables among mothers during pregnancy
Exposure to chemicals in gasoline or diesel exhaust during pregnancy
Exposure of fathers to
radiation Older age among
fathers
s/sx of hypothyroidism in pediatric clients
Slowed growth rate
Puffy face
Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
Is imaging warranted in a pediatric client with
Asthma imaging should be minimized r/t the exposure
to radiation in children.
What is intermittent asthma?
Rule of 2's:
Symptoms: <2 days/week
Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerbations.
, Intermittent asthma means that you only have symptoms
sometimes. People with intermittent asthma usually have
symptoms 2 days a week or less often What is mild persistent
asthma?
• Symptoms >2 days/week but not daily
• Nighttime awakenings: 3-4x/month
• SABA use > 2 days/week but not daily
• Interference with normal activity: Minor
• Lung Function
- FEV*: > 80% predicted
- FEV1/FVC: normal
Persistent asthma means that you have symptoms regularly. People with
mild persistent asthma have asthma symptoms more than twice a week,
but not every day.
What is moderate persistent asthma?
•Symptoms Daily
• Nighttime awakenings: >1x/week but not nightly
• SABA use Daily
• Interference with normal activity Some limitations
• Lung Function
- FEV*: < 60% but< 80% predicted
- FEV1/FVC: reduced 5%
People with moderate persistent asthma have asthma symptoms every
day. Your lung spirometry tests will show decreased lung function.
What is severe persistent asthma?
•Symptoms throughout the day
• Nighttime awakenings: often nightly
• SABA use Several times a day
• Interference with normal activity Extremely limited
• *Lung Function
- FEV*: < 60% predicted
- FEV1/FVC: reduced 5%