NR 602 Final Exam Complete Accurate
Actual Questions With Verified Answers
(100% correct verified solutions)
Brandnew Version. Graded A+
AOM - {✔✔CORRECT VERIFIED ANSWERS✔✔}-RF: genetics, males, Native
American, siblings, low economic status, ages 6mo-3y, winter, supine bottle
feeding, day-care, tobacco smoke
S/S of AOM - {✔✔CORRECT VERIFIED ANSWERS✔✔}-erythema, otalgia,
bulging TM, absent cone of light
Dx of AOM - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Audiometry,
tympanometry, possible lateral neck Xray to r/o mass
TX of AOM - {✔✔CORRECT VERIFIED ANSWERS✔✔}-uncomplicated:
supportive with
Tylenol/ibuprofen; watchful waiting 48-72 in 6m-2y/o; <5 benzocaine optic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days if
allergy to PCN- augment in, cefuroxime
,Bacterial rhinosinusitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Preceded by
URI-typically worsens after 5-7 days- not resolved in 2 weeks
Sx of bacterial rhinosinusitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Purulent nasal congestion, drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Usually
caused by RSV wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Increased work
of breathing, prolonged expiration, grunting, retractions, nasal flaring
Croup sx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Low grade fever, URI
symptoms, barking cough, inspiratory stridor can occur
Croup dx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Made from symptoms
Croup tx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Glucocorticoids possibly
0.6mg/kg-1mg/kg humidified
air bronchodilators
,Lead poisoning - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Inactivated heme
synthesis by inhibiting insertion of iron-leads to microcytic hypochromic anemia
Source of lead poisoning - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Lead
based pain
Those at risk for lead poisoning - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Children 2-3 y/o summer months
Lead poisoning testing - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Children
with Medicaid need lead level @ 12 months and 24 months-capillary finger stick
with venous sample as f/u
AAP recommends 6-9-12-18-24 mo as well as 3-4-5-6 y/o
Lead levels - {✔✔CORRECT VERIFIED ANSWERS✔✔}-<5 is normal
>69 requires chelation
Genu varum - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Bow legged as a result
of uterine position- normal finding up to 3y/o
Legg-Calve-Perthes Disease - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Avascular necrosis of femoral head- epiphyses associated with trauma, synovitis
Legg-Calve-Perthes Disease RF - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Associated with low birth weight, socioeconomic status, or white race
, Legg-Calve-Perthes Disease s/s - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Onset of painful limp of thigh, knee, or hip worse with activity, not relieved by
rest restricted by abduction and rotation of affected hip
Legg-Calve-Perthes Disease Tx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Abduction brace or long leg cast
Congenital Hip Dysplasia s/s - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Thick
fold asymmetry, leg length inequality, walking children- painless limp
Congenital Hip Dysplasia Dx & Tx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Positive Barlow maneuver, ortolani or Allis sign
US for <4 months, X-ray AP of pelvis >4 months
Tx: refer to orthopedist, pavlik harness, child should be seen weekly to prevent
skin breakdown, necrosis
Toxic trait synovitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Unilateral
inflammation arthritis; acute onset; decreased ROM extension and internal
rotation; painful hip, crying at night; common in boy 3-6 y/o
Toxic trait synovitis Dx and Tx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Dx:
WBC with leukocytosis, increased ESR, hip xray normal
To: BR, NSAIDs, non WB
Impetigo - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Superficial layers of
the skin Nonbullous or bullous
Actual Questions With Verified Answers
(100% correct verified solutions)
Brandnew Version. Graded A+
AOM - {✔✔CORRECT VERIFIED ANSWERS✔✔}-RF: genetics, males, Native
American, siblings, low economic status, ages 6mo-3y, winter, supine bottle
feeding, day-care, tobacco smoke
S/S of AOM - {✔✔CORRECT VERIFIED ANSWERS✔✔}-erythema, otalgia,
bulging TM, absent cone of light
Dx of AOM - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Audiometry,
tympanometry, possible lateral neck Xray to r/o mass
TX of AOM - {✔✔CORRECT VERIFIED ANSWERS✔✔}-uncomplicated:
supportive with
Tylenol/ibuprofen; watchful waiting 48-72 in 6m-2y/o; <5 benzocaine optic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days if
allergy to PCN- augment in, cefuroxime
,Bacterial rhinosinusitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Preceded by
URI-typically worsens after 5-7 days- not resolved in 2 weeks
Sx of bacterial rhinosinusitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Purulent nasal congestion, drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Usually
caused by RSV wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Increased work
of breathing, prolonged expiration, grunting, retractions, nasal flaring
Croup sx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Low grade fever, URI
symptoms, barking cough, inspiratory stridor can occur
Croup dx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Made from symptoms
Croup tx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Glucocorticoids possibly
0.6mg/kg-1mg/kg humidified
air bronchodilators
,Lead poisoning - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Inactivated heme
synthesis by inhibiting insertion of iron-leads to microcytic hypochromic anemia
Source of lead poisoning - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Lead
based pain
Those at risk for lead poisoning - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Children 2-3 y/o summer months
Lead poisoning testing - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Children
with Medicaid need lead level @ 12 months and 24 months-capillary finger stick
with venous sample as f/u
AAP recommends 6-9-12-18-24 mo as well as 3-4-5-6 y/o
Lead levels - {✔✔CORRECT VERIFIED ANSWERS✔✔}-<5 is normal
>69 requires chelation
Genu varum - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Bow legged as a result
of uterine position- normal finding up to 3y/o
Legg-Calve-Perthes Disease - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Avascular necrosis of femoral head- epiphyses associated with trauma, synovitis
Legg-Calve-Perthes Disease RF - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Associated with low birth weight, socioeconomic status, or white race
, Legg-Calve-Perthes Disease s/s - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Onset of painful limp of thigh, knee, or hip worse with activity, not relieved by
rest restricted by abduction and rotation of affected hip
Legg-Calve-Perthes Disease Tx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Abduction brace or long leg cast
Congenital Hip Dysplasia s/s - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Thick
fold asymmetry, leg length inequality, walking children- painless limp
Congenital Hip Dysplasia Dx & Tx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
Positive Barlow maneuver, ortolani or Allis sign
US for <4 months, X-ray AP of pelvis >4 months
Tx: refer to orthopedist, pavlik harness, child should be seen weekly to prevent
skin breakdown, necrosis
Toxic trait synovitis - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Unilateral
inflammation arthritis; acute onset; decreased ROM extension and internal
rotation; painful hip, crying at night; common in boy 3-6 y/o
Toxic trait synovitis Dx and Tx - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Dx:
WBC with leukocytosis, increased ESR, hip xray normal
To: BR, NSAIDs, non WB
Impetigo - {✔✔CORRECT VERIFIED ANSWERS✔✔}-Superficial layers of
the skin Nonbullous or bullous
