602 Final Exam Quiz With 100% Correct Answers.

S/s of bronchiolitis {Ans: Increased work of breathing, prolonged expiration, grunting, retractions, nasal flaring}TX of AOM {Ans: uncomplicated: supportive with tylenol/ibuprofen; watchful waiting 48-72 in 6m-2y/o; <5 benzocaine otic drops 1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days if allergy to PCN- augmentin, cefuroxime}Cholesteatoma {Ans: cystlike mass composed of epithelial cells and cholesterol occurring in the middle ear; may be associated with chronic otitis media Exam: chronic OM, purulant otorrhea vertigo/hearing loss, pearly white lesion present on or behind TM TX: surgical-refer to otolaryngologist}Psoriasis treatment {Ans: ■ Topical STEROIDS ■ Topical RETINOIDS (TAZOROTENE) ■ TAR preparations (PSORALEN drug class).}Red flags with headaches {Ans: vomiting that relieves headache pain that awakens child first/worst headache occipital region with neck pain Tx: MRI if ICP symptoms present, neuro exam abnormal, dizziness/double vision present}Findings of IDA {Ans: infants/toddlers-restless irritable, PICA, pagophagia (desire to ingest ice), anorexia, developmental delays}UTI {Ans: dx: if ill child-catheterization should be used not bagged specimens causes cx with >100,000 in clean catch, >50,000 in catheterization Tx: infant 2-24 months should have antx 7-14 days bactrim 8-12mg/kg amoxicillin if <3 months 20-30mg/kg/day in 2 doses augmentin cephelexin pyridium for >6 years old children <2