FNP Peds Final Questions With Complete Solutions
2 parent families Correct Answers -married
-unmarried
-remarried/blended: most do well, comm resources
-gay/lesbian: same as hetero, better if told sooner
-working parents
5th disease Correct Answers erythema infectiosum
-slapped cheeks followed by trunk rash then outward
-parvovirus B19
-spread by resp tract secretions
ADHD management Correct Answers -determine affects on
home, school
-combo of behavioral and meds is best
-Straterra is only non-stimulant, NRSI, can lead to suicide
-stimulants: 1st line (methylphenidate, amphetamine)
-Vyvanse 30mg=adderall 10mg
-r/o cardiac before starting
-guanfacine, clonidine if not working
Adoptive parents Correct Answers -don't know health history,
needs
-don't know developmental history
Animal bite Correct Answers -Pasteurella multocida, Staph,
strep
-80% are dog
-risk of infection: 10-15% dog, 50% cat
-dog bites: abrasion, laceration, puncture
,-cat bites: deeper puncture
-treat with augmentin or cephalixin, clindamycin if PCN allergic
( w or w/o trimethoprim-sulfamethoxazole)
-give abx: puncture, over bone, hand, face, crushing injury, into
muscle or joint space, immunosuppressed,
-do not close wound
-tetanus and rabies if needed
Appendicitis Correct Answers -anorexia, peri-umb pain, RLQ
pain, McBurney point
-bent over, will not jump
-CT, CBC (elev WBC)
ASD-red flags Correct Answers -atrial enlargement
-pulmonary HTN
-reversal of shunt
Asthma Correct Answers -x-ray findings: peribronchial thick,
flat diaphragm, hyperinflation, patchy atelectasis
-treat with SABA
asthma classifications Correct Answers mild intermittent:
s/s <2d/wk
pm s/s 2x/mo
SABA <2d/wk
no limitation
mild persistent:
s/s >2d/wk but not daily
pm 3-4 x a mo
SABA >2d/wk but not daily
, minor limitation
Moderate persistent
s/s daily
pm>1x a week but not every pm
SABA daily
some limitation
Severe persistent
s/s throughout day
pm often nightly
SABA several x a day
extremely limited
atopic dermatitis Correct Answers -Means "FAIRING UP".
-redness, papules, vesicles, edema, serous discharge, crusts
-more common in kids, but seen in teens and adults
-lichenification and scratch marks common
-allergic: high IgE levels
-MAY BE AUTOIMMUNE
-classic locations: hands, wrist, neck, ankles, folds, flexural
areas
-THE ITCH THAT RASHES.
breast feeding Correct Answers -ensure palate intact
-observe for tongue tie (frenulum, tongue extension)
-0.5-1 oz wt gain a day
-meets wt expect (return to birth wt by 2-3 weeks, double by
6mo, triple by 1)
-6-8 wet diapers a day
-satisfied after feeding
2 parent families Correct Answers -married
-unmarried
-remarried/blended: most do well, comm resources
-gay/lesbian: same as hetero, better if told sooner
-working parents
5th disease Correct Answers erythema infectiosum
-slapped cheeks followed by trunk rash then outward
-parvovirus B19
-spread by resp tract secretions
ADHD management Correct Answers -determine affects on
home, school
-combo of behavioral and meds is best
-Straterra is only non-stimulant, NRSI, can lead to suicide
-stimulants: 1st line (methylphenidate, amphetamine)
-Vyvanse 30mg=adderall 10mg
-r/o cardiac before starting
-guanfacine, clonidine if not working
Adoptive parents Correct Answers -don't know health history,
needs
-don't know developmental history
Animal bite Correct Answers -Pasteurella multocida, Staph,
strep
-80% are dog
-risk of infection: 10-15% dog, 50% cat
-dog bites: abrasion, laceration, puncture
,-cat bites: deeper puncture
-treat with augmentin or cephalixin, clindamycin if PCN allergic
( w or w/o trimethoprim-sulfamethoxazole)
-give abx: puncture, over bone, hand, face, crushing injury, into
muscle or joint space, immunosuppressed,
-do not close wound
-tetanus and rabies if needed
Appendicitis Correct Answers -anorexia, peri-umb pain, RLQ
pain, McBurney point
-bent over, will not jump
-CT, CBC (elev WBC)
ASD-red flags Correct Answers -atrial enlargement
-pulmonary HTN
-reversal of shunt
Asthma Correct Answers -x-ray findings: peribronchial thick,
flat diaphragm, hyperinflation, patchy atelectasis
-treat with SABA
asthma classifications Correct Answers mild intermittent:
s/s <2d/wk
pm s/s 2x/mo
SABA <2d/wk
no limitation
mild persistent:
s/s >2d/wk but not daily
pm 3-4 x a mo
SABA >2d/wk but not daily
, minor limitation
Moderate persistent
s/s daily
pm>1x a week but not every pm
SABA daily
some limitation
Severe persistent
s/s throughout day
pm often nightly
SABA several x a day
extremely limited
atopic dermatitis Correct Answers -Means "FAIRING UP".
-redness, papules, vesicles, edema, serous discharge, crusts
-more common in kids, but seen in teens and adults
-lichenification and scratch marks common
-allergic: high IgE levels
-MAY BE AUTOIMMUNE
-classic locations: hands, wrist, neck, ankles, folds, flexural
areas
-THE ITCH THAT RASHES.
breast feeding Correct Answers -ensure palate intact
-observe for tongue tie (frenulum, tongue extension)
-0.5-1 oz wt gain a day
-meets wt expect (return to birth wt by 2-3 weeks, double by
6mo, triple by 1)
-6-8 wet diapers a day
-satisfied after feeding
