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1. where should pediatric history information be obtained from? -
ANSWER ✔ both patient and parent; obtain as much as possible from
patient to give child a degree of control over a potentially threatening
situation
2. what is mebendazole used for? - ANSWER ✔ hookworms; 3 days of
treatment; can cause liver toxicity
3. acyclovir side effects - ANSWER ✔ - renal tox
- neutropenia
- dose this per body weight
4. tamiflu (oseltamivir) side effects - ANSWER ✔ neuropsychiatric
events
5. fluconazole side effects - ANSWER ✔ - QT prolongation
- hepatotoxicity
,6. order of pediatric physical examination - ANSWER ✔ 1. inspection
first, from afar; examine skin color and work of breathing before
beginning exam; establish trust; allow child to sit in parents lap; defer
otoscopic exam until last
7. when should eyes and ears be examined? - ANSWER ✔ during every
health visit
8. 3 components of vision assessment - ANSWER ✔ - visual inspection
of eyes/eyelids
- alignment of eyes
- visual acuity
9. birth to age 3 ophthalmic exam includes: - ANSWER ✔ - eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
10. age 3 and up ophthalmic exam includes: - ANSWER ✔ - eye
history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
, - ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed
and record data as "corrected"
11. assessing newborn visual acuity - ANSWER ✔ should be able to
briefly track mother's face or brightly colored object within an hour
after birth (fixation reflex not developed for several weeks); dont talk
while assessing vision, baby may look toward sound rather than
visual stimulus
12. when patient presents with eye condition (infection, injury, etc),
what do you check first? - ANSWER ✔ visual acuity; UNLESS there
is chemical injury to eye, then you should irrigate first and refer to
ophthalmologist; when there is decreased acuity, also refer to
ophthalmologist
13.what is the visual acuity of a newborn? - ANSWER ✔ 20/200-
20/400; acuity reaches adult level of 20/20 by age 5
14. when to refer child to ophthalmologist - ANSWER ✔ - 3-5yr: if
acuity is less than 20/40 in either eye, or if theres a difference in two
lines in acuity between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a
difference in two lines in acuity between eyes
, 15. when to assess red reflex - ANSWER ✔ birth until the child can
read eye chart
16.when should you start to assess fixation and following? -
ANSWER ✔ 2 months; refer out if fixation and following are poor by
3 months
17.when to test corneal light reflex (hirschsbergs test)? - ANSWER ✔
3 months- 5 years; refer out for asymmetry in light reflex
18. when to start cover testing for strabismus - ANSWER ✔ 6 months-
5 years
19. when to start a fundoscopic exam - ANSWER ✔ 3 years
20. when to start preliterate eye chart testing - ANSWER ✔ 3-4 years
21. minimal visual acuity at age 3-5 - ANSWER ✔ 20/40
22. minimal visual acuity greater than 6 years old - ANSWER ✔ 20/30