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NUNP 6541 PEDIATRIC FINAL EXAM-WALDEN U QUESTIONS AND
CORRECT ANSWERS (GRADED A+) LATEST UPDATE
Terms in this set (180) Q & A
Recommended treatment for RSV in a 7 month old (outpatient)
- answer- Use of saline drops and suctioning of the nares. Indications of when to use
antipyretics. Signs of respiratory distress or dehydration. Guidelines for feeding an infant with
signs of mild respiratory distress which includes smaller more frequent feedings; monitoring
of the respiratory rate; and guarding against vomiting. The parents should be educated that
the child may have the symptoms over the course of 2-3 weeks
Epiglottitis s/s
- answer- Acute and rapid onset of high fever, chills, and toxicity. Severe sore throat and
drooling saliva. Will not eat or drink, muffled (hot potato) voice, and anxiety. Sitting posture
with hyperextended neck with open-mouth breathing. Stridor, tachycardia, and tachypnea
Epiglottitis prevention
- answer- Haemophilus influenzae type B (Hib) vaccine
Steeple sign
- answer- a radiologic sign found on radiograph where the subglottic tracheal narrowing
produces a shape of a church steeple which supports a diagnosis of croup
Foreign body aspiration antibiotic?
- answer- Depends on the nature of the material aspirated, plus the location and degree of
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obstruction. Bronchial or laryngeal foreign body aspiration, a bronchoscopy must be
performed for removal of the foreign body
Antibiotics for bronchiolitis?
- answer- Use of saline drops and suctioning of the nares. There is no evidence to support the
routine use of antibiotics
Antibiotics for croup?
- answer- Nebulized epinephrine, corticosteroids (dexamethasone oral or IM), blow by oxygen
or heliox in severe croup. Racemic epinephrine with the use of corticosteroids to limit
rebound swelling
Antibiotics for epiglottitis?
- answer- Establish an airway preferably by nasotracheal intubation. Administer IV antibiotics
such as rocephin to cover H.influenzae. Administer oxygen and respiratory support.
Antibiotics should be continued for 10 days. Rifampin prophylaxis 20 mg/kg in a single dose
(maximum of 600 mg) for 4 days for infants and children, 600 mg once a day for adults for 4
days. Should be provided for household contacts who are at risk (Younger than 4 years old
who is non-immunized or incompletely immunized, children less than 12 months who have
not received primary series of Hib, and immunocompromised children.
Asthma treatment
- answer- The pharmacological management of asthma in children is based on the severity of
asthma and the child's age. After initial control, decrease treatment to the least amount of
medication needed to maintain control. Systemic corticosteroids may be needed at any time
and stepped up if there is a major flare-up of symptoms.
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Step 1 Asthma management for children 0-4 years old
- answer- Step 1: SABA (Short acting beta2-agonist) PRN: With viral respiratory symptoms
short acting beta 2-agonist should be used every 4-6 hours up to 24 hours (longer with a
physician consult). Consider short course of oral systemic corticosteroids if severe
exacerbation. Frequent use of SABA may indicate the need to step up treatment
Step 2 Asthma management for children 0-4 years old
- answer- Step 2: Consider consultation with asthma specialist. Low dose of inhaled
corticosteroids.
Step 3 asthma mgmt for children 0-4 yrs
- answer- Step 3: Medium-dose of inhaled corticosteroids
Steps 4-6 asthma mgmt for children 0-4 yrs
- answer- Step 4: Medium-dose ICS and Long acting beta2-agonist or montelukast.
Step 5: High dose ICS and Long acting beta 2-agonist or montelukast.
Step 6: High dose of ICS and LABA or montelukast and oral corticosteroids
Steps 1-3 asthma mgmt for children 5-11 yrs
- answer- Step 1: SABA (Short acting beta 2-agonist) PRN: Increasing the use of short-acting
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beta 2-agonist or use greater than 2 days a week for symptom relief generally indicates
inadequate control and the need to step up treatment.
Step 2: Consider consultation with asthma specialist. Low dose of inhaled corticosteroids.
Step 3: Low dose of inhaled corticosteroid and LABA. Or medium dose of inhaled
corticosteroids.
Steps 4-6 asthma mgmt for children 5-11 yrs
- answer- Step 4: Medium-dose ICS and LABA or medium dose of inhaled corticosteroid and
leukotriene receptor antagonist or theophylline. .
Step 5: High dose ICS and LABA or high dose of inhaled corticosteroid and leukotriene
receptor antagonist or theophylline. .
Step 6: High dose of ICS and LABA and oral corticosteroids or high dose of inhaled
corticosteroids and leukotriene receptor antagonist or theophylline and oral corticosteroids.
** Theophylline levels must be monitored.
Differentials for patient with sore throat
- answer- Strep pharyngitis
Peritonsillar abscess
NUNP 6541 PEDIATRIC FINAL EXAM-WALDEN U QUESTIONS AND
CORRECT ANSWERS (GRADED A+) LATEST UPDATE
Terms in this set (180) Q & A
Recommended treatment for RSV in a 7 month old (outpatient)
- answer- Use of saline drops and suctioning of the nares. Indications of when to use
antipyretics. Signs of respiratory distress or dehydration. Guidelines for feeding an infant with
signs of mild respiratory distress which includes smaller more frequent feedings; monitoring
of the respiratory rate; and guarding against vomiting. The parents should be educated that
the child may have the symptoms over the course of 2-3 weeks
Epiglottitis s/s
- answer- Acute and rapid onset of high fever, chills, and toxicity. Severe sore throat and
drooling saliva. Will not eat or drink, muffled (hot potato) voice, and anxiety. Sitting posture
with hyperextended neck with open-mouth breathing. Stridor, tachycardia, and tachypnea
Epiglottitis prevention
- answer- Haemophilus influenzae type B (Hib) vaccine
Steeple sign
- answer- a radiologic sign found on radiograph where the subglottic tracheal narrowing
produces a shape of a church steeple which supports a diagnosis of croup
Foreign body aspiration antibiotic?
- answer- Depends on the nature of the material aspirated, plus the location and degree of
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obstruction. Bronchial or laryngeal foreign body aspiration, a bronchoscopy must be
performed for removal of the foreign body
Antibiotics for bronchiolitis?
- answer- Use of saline drops and suctioning of the nares. There is no evidence to support the
routine use of antibiotics
Antibiotics for croup?
- answer- Nebulized epinephrine, corticosteroids (dexamethasone oral or IM), blow by oxygen
or heliox in severe croup. Racemic epinephrine with the use of corticosteroids to limit
rebound swelling
Antibiotics for epiglottitis?
- answer- Establish an airway preferably by nasotracheal intubation. Administer IV antibiotics
such as rocephin to cover H.influenzae. Administer oxygen and respiratory support.
Antibiotics should be continued for 10 days. Rifampin prophylaxis 20 mg/kg in a single dose
(maximum of 600 mg) for 4 days for infants and children, 600 mg once a day for adults for 4
days. Should be provided for household contacts who are at risk (Younger than 4 years old
who is non-immunized or incompletely immunized, children less than 12 months who have
not received primary series of Hib, and immunocompromised children.
Asthma treatment
- answer- The pharmacological management of asthma in children is based on the severity of
asthma and the child's age. After initial control, decrease treatment to the least amount of
medication needed to maintain control. Systemic corticosteroids may be needed at any time
and stepped up if there is a major flare-up of symptoms.
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Step 1 Asthma management for children 0-4 years old
- answer- Step 1: SABA (Short acting beta2-agonist) PRN: With viral respiratory symptoms
short acting beta 2-agonist should be used every 4-6 hours up to 24 hours (longer with a
physician consult). Consider short course of oral systemic corticosteroids if severe
exacerbation. Frequent use of SABA may indicate the need to step up treatment
Step 2 Asthma management for children 0-4 years old
- answer- Step 2: Consider consultation with asthma specialist. Low dose of inhaled
corticosteroids.
Step 3 asthma mgmt for children 0-4 yrs
- answer- Step 3: Medium-dose of inhaled corticosteroids
Steps 4-6 asthma mgmt for children 0-4 yrs
- answer- Step 4: Medium-dose ICS and Long acting beta2-agonist or montelukast.
Step 5: High dose ICS and Long acting beta 2-agonist or montelukast.
Step 6: High dose of ICS and LABA or montelukast and oral corticosteroids
Steps 1-3 asthma mgmt for children 5-11 yrs
- answer- Step 1: SABA (Short acting beta 2-agonist) PRN: Increasing the use of short-acting
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beta 2-agonist or use greater than 2 days a week for symptom relief generally indicates
inadequate control and the need to step up treatment.
Step 2: Consider consultation with asthma specialist. Low dose of inhaled corticosteroids.
Step 3: Low dose of inhaled corticosteroid and LABA. Or medium dose of inhaled
corticosteroids.
Steps 4-6 asthma mgmt for children 5-11 yrs
- answer- Step 4: Medium-dose ICS and LABA or medium dose of inhaled corticosteroid and
leukotriene receptor antagonist or theophylline. .
Step 5: High dose ICS and LABA or high dose of inhaled corticosteroid and leukotriene
receptor antagonist or theophylline. .
Step 6: High dose of ICS and LABA and oral corticosteroids or high dose of inhaled
corticosteroids and leukotriene receptor antagonist or theophylline and oral corticosteroids.
** Theophylline levels must be monitored.
Differentials for patient with sore throat
- answer- Strep pharyngitis
Peritonsillar abscess
