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Pediatrics Exam Practice Questions

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Pediatrics Exam Practice Questions

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25 Questions

1. Most Common Cause Of Secondary Lactase Deficiency?

Lots of diarrheaHigh vitamin c- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l

2. Summarise The Nsw Clinical Practice Guidelines For The Diagnosis And Management Of Croup. Features That Make Alternate Diagnoses More Likely? Assessment Of Severity And Subsequent Treatment Based On This? What Is Not Supported By Evidence In Terms Of Treatment?

High vitamin cOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/lLots of diarrhea- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited value

3. What Is Jaundice In The First 24 Hours Referred To As? Why Does Kernicterus Occur With Severe Jaundice And Above What Bilirubin Level Do We Worry About Kernicterus?

High vitamin cOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueLots of diarrhea

4. Vitamin Associated With Kidney Stones?

- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/lHigh vitamin cLots of diarrhea

5. Barky Cough, Hoarseness, Inspiratory Stridor With Steeple Sign On Xray - Dx?

One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/lLots of diarrheaCroup- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited value

6. Htn Buzzword: Wide Spaced Nipples, Webbing Of The Neck

One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueTurner's (coarc)Lots of diarrhea

7. If A Parents Cholesterol Is Greater Than ____, Screen The Child.

Lots of diarrhea- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited value240One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l

8. Causes Of Folate Deficiency?

One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueIbd / anticonvulsants / methotrexate / trimethoprimLots of diarrhea

9. Treatment For Cyanide Poisoning

Lots of diarrheaSodium thiosulfateOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited value

10. Child With Neurofibromatosis Presents With Decreased Vision. What Is It?

Lots of diarrheaOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/lOptic glioma- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited value

11. Signs That Hyperbili Is Non-Physiologic?

Appearance in 24-36 hrs, bili > 5 mg/dl/d, bili > 12mg/dl in full term with no listed conditions, jaundice for > 10-14 daysLots of diarrhea- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l

12. If A Parents Cholesterol Is Greater Than ____, Screen The Child.

13. Risk Factors For Deafness? (5) How Are Ome And Aom Distinguished On Otoscopy?

Lots of diarrhea- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/lInfective- recurrent chronic otitis media - congenital infections e.g. Cmv, syphilis, rubella - meningitis - acoustic neuroma- mumps - ototoxic medications (gentamicin) - low birth weight, prematurity, family history genetic- downs, treacher collins, alports - family history of oteosclerosis aom: bright red and bulging with loss of the normal light reflection; occasionally there is acute perforation with pus visible in the external canal. Ome: dull and retracted (opposite) eardrum often with a fluid level visible

14. Htn Buzzword: Wide Spaced Nipples, Webbing Of The Neck

- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueTurner's (coarc)One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/lLots of diarrhea

15. Uses Thumb To Grasp Cube

Lots of diarrheaOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l6-8 months- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited value

16. Components And Examples Of Questions In A Headsss History.

One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueLots of diarrheaHome â€“ who is at home, who are you close to? Do you like it? Education/eating â€“ do you like school?, How are you going at school? Do you have friends? How is your eating? Are you being bullied? Activities: what do you like to do? Do you have any hobbies or sports? What do you get enjoyment out of? Drugs: have you ever taken any alcohol or illegal drugs? How much when? Over the counter drugs? Suicidality- have you every want to hurt yourself or planned to kill yourself? Safety- has anyone threatened you recently? (guided by history) sexual- do you have a boyfriend/girlfriend? Are you sexually active? Is there anyone you are intimate with? Do you use protection/condoms (safe sex)? Have you ever been concerned you might be pregnant or have a sexually transmitted illness?

17. Which One Is Covered By A Membrane? Omphalocele Or Gastroschisis

One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/lLots of diarrhea- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueOmphalocele

18. Kid With Low Tibc, Low Serum Iron, Low Ferritin, High Rdw - Dx?

- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueLots of diarrheaMicrocytic anemiaOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l

19. What Metabolic/Electrolyte Disturbance Will A Baby With Cf Have

Hyponatremic, hypokalemic alkalosisOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueLots of diarrhea

20. Preventer Medications For Asthma?

Tilade (chromoglycate) & intal and intal forte (inhaled nsaids) montelukast qvar flixotide, pulmicort, alvesco soclenoside Lots of diarrhea- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l

21. What Is The Typical Patient For Adolescent Blount's Disease?

- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueLots of diarrheaOverweight african american (intervention is bracing --> surgery if worsens)One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l

22. What Is The Most Common Cause Of Post Infectious Arthritis?

- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueParvovirus b19 (erythema infectiosumLots of diarrheaOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l

23. Do Most Children With Recurrent Cough Without Wheeze Have Asthma?

- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited valueNo. Recent studies suggest that children with recurrent cough/persisten cough without wheeze or other symptoms suggestive of asthma, are more likely to have an alternative diagnosis. They also suggest overdiagnosis of these children with the label 'cough-variant asthma'.One of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/lLots of diarrhea

24. Treatment Of Generalized Tonic Clonic Seizures?

Lots of diarrheaValproic acid, phenytoine, carbamazepineOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited value

25. Recurrent Abscess; Serratia Uti

Chronic granulomatous diseaseLots of diarrheaOne of the forms of pathological jaundice- requires immediate treatment with phototherapy. (others include high conjugated sbr=serum bilirubin, and rapid/prolonged 2 week rise) kernicterus is the damage to the cns that occurs when unconjugated bilirubin crosses the bbb. This is fat soluble and there is alot of fat in the brain so it damages areas like the basal ganglia (used to cause athetoid cp). Kernicterus occurs when sbr above about 340umol/l- a child less than 3 months of age is more likely to have a structural airway problem. A child between 1 and 3 years with acute onset respratory difficulty without fever may have an inhaled foreign body. The combo of expiratoy and inspiratory stridor increases the likely hood of underlying fixed tracheal obstruction. - assessment of severity- classed as mild. moderate or severe to guide treatment using algorythm. Mild= mild chest wall retractions and mild tachycardia, but stridor at rest will not be present, and generally appears happy and interested in surroundings. *no pharm treatment necessary. Moderate= persisting stridor at rest, chest wall retractions, use of the accessory muscles of respiration and increasing heart rate. *the child will need systemic corticosteroids and observation for a minimum of four hours. If the child continues to have stridor at rest, then further treatment will be considered. Severe= as above plus child change in behaviour eg) restless, agitation, looks ill/cyanosed. *immediate application of mask oxygen with further nebulised adrenaline as preparations are made to intubate the child by someone skilled in paediatric intubation, systemic steroids once airway secured. Not supported by literature= oximetry is not well correlated with severity of croup, lateral airways xray/ chest xray unncessary to confirm diagnosis croup is a clinical diagnosis (in the absence of additional findings eg) crackles on auscultation), no support for mist therapy, and clinical scoring systems are of limited value

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❤ If you liked Fatskills, consider supporting us by checking out The Life Manuals You Never Got.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know? Privacy | Terms |

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All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know?
Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson
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