NURS 629 – EXAM 2 Focused Review (Maryville
University – Most Tested Topics & Questions)
Questions with 100% Correct Answers
Exam 2 typically covers:
- ENT & Respiratory (croup, otitis, sinusitis, pneumonia,
asthma)
- Cardiology (murmurs, hypertension, syncope, chest
pain)
- Dermatology (common rashes, infections, infestations)
- Infectious Disease (strep, mono, Lyme, roseola, fifth
disease, etc.)
- Hematology (anemia, ITP, sickle cell crises)
- Adolescent medicine (menstrual disorders, acne,
contraception basics)
- Neurology (headache, seizures, tics)
,| # | Question | Correct Answer & Rationale |
|---|----------|----------------------------|
| 1 | Classic presentation of croup at 10 p.m.? | Barking
cough, stridor, hoarseness – *Dexamethasone 0.6 mg/kg
×1 + racemic epinephrine if moderate/severe* |
| 2 | First-line antibiotic for AOM in a penicillin-allergic 4-
year-old? | *Cefdinir or cefuroxime* (or
azithromycin/clindamycin if type I allergy) |
| 3 | 7-year-old with asthma has nighttime symptoms 3–
4×/month and uses albuterol 3×/week. Step? | *Step 3 –
low-dose ICS + PRN SABA* |
| 4 | Grade 2/6 vibratory systolic murmur at LUSB, louder
with supine, disappears sitting. Diagnosis? | *Innocent
Still’s murmur* |
| 5 | 13-year-old BP 138/88 on three visits (95th %ile =
125/78). Diagnosis? | *Stage 2 hypertension* – start
workup + consider meds |
| 6 | Most common cause of viral pneumonia in 3–8-
year-olds? | *Respiratory syncytial virus (RSV)* |
, | 7 | 15-year-old with sore throat, fatigue, posterior
cervical nodes, splenomegaly. Next test? | *Monospot or
EBV serology* |
| 8 | Honey-crusted lesions around mouth/nose? |
*Impetigo → Mupirocin TID × 5–7 days* |
| 9 | 6-year-old with slapped-cheek rash, then lacy rash
on trunk 2 days later? | *Erythema infectiosum
(parvovirus B19)* – no school exclusion after rash |
| 10 | Linear burrows in finger webs + nocturnal itching?
| *Scabies → Permethrin 5% two applications 7 days
apart* |
| 11 | 4-year-old with fever ×5 days, strawberry tongue,
peeling fingers. Diagnosis? | *Kawasaki disease → IVIG +
high-dose aspirin* |
| 12 | First-line treatment for moderate acne in 14-year-
old? | *Topical benzoyl peroxide + topical retinoid ± oral
doxycycline* |
| 13 | 16-year-old female with heavy menses ×9 days,
Hgb 8.8 g/dL. Most common cause? | *Von Willebrand
disease* |
University – Most Tested Topics & Questions)
Questions with 100% Correct Answers
Exam 2 typically covers:
- ENT & Respiratory (croup, otitis, sinusitis, pneumonia,
asthma)
- Cardiology (murmurs, hypertension, syncope, chest
pain)
- Dermatology (common rashes, infections, infestations)
- Infectious Disease (strep, mono, Lyme, roseola, fifth
disease, etc.)
- Hematology (anemia, ITP, sickle cell crises)
- Adolescent medicine (menstrual disorders, acne,
contraception basics)
- Neurology (headache, seizures, tics)
,| # | Question | Correct Answer & Rationale |
|---|----------|----------------------------|
| 1 | Classic presentation of croup at 10 p.m.? | Barking
cough, stridor, hoarseness – *Dexamethasone 0.6 mg/kg
×1 + racemic epinephrine if moderate/severe* |
| 2 | First-line antibiotic for AOM in a penicillin-allergic 4-
year-old? | *Cefdinir or cefuroxime* (or
azithromycin/clindamycin if type I allergy) |
| 3 | 7-year-old with asthma has nighttime symptoms 3–
4×/month and uses albuterol 3×/week. Step? | *Step 3 –
low-dose ICS + PRN SABA* |
| 4 | Grade 2/6 vibratory systolic murmur at LUSB, louder
with supine, disappears sitting. Diagnosis? | *Innocent
Still’s murmur* |
| 5 | 13-year-old BP 138/88 on three visits (95th %ile =
125/78). Diagnosis? | *Stage 2 hypertension* – start
workup + consider meds |
| 6 | Most common cause of viral pneumonia in 3–8-
year-olds? | *Respiratory syncytial virus (RSV)* |
, | 7 | 15-year-old with sore throat, fatigue, posterior
cervical nodes, splenomegaly. Next test? | *Monospot or
EBV serology* |
| 8 | Honey-crusted lesions around mouth/nose? |
*Impetigo → Mupirocin TID × 5–7 days* |
| 9 | 6-year-old with slapped-cheek rash, then lacy rash
on trunk 2 days later? | *Erythema infectiosum
(parvovirus B19)* – no school exclusion after rash |
| 10 | Linear burrows in finger webs + nocturnal itching?
| *Scabies → Permethrin 5% two applications 7 days
apart* |
| 11 | 4-year-old with fever ×5 days, strawberry tongue,
peeling fingers. Diagnosis? | *Kawasaki disease → IVIG +
high-dose aspirin* |
| 12 | First-line treatment for moderate acne in 14-year-
old? | *Topical benzoyl peroxide + topical retinoid ± oral
doxycycline* |
| 13 | 16-year-old female with heavy menses ×9 days,
Hgb 8.8 g/dL. Most common cause? | *Von Willebrand
disease* |
