Ahn 548 Exam 1 Actual Topics With Answers

Inborn errors of metabolism {Ans: Sx: altered LOC in a previously well-appearing infant, tachypnea without hypoxemia or distress, hypoglycemia, respiratory alkalosis, metabolic acidosis, recurrent "sepsis" without proven infection}4-6yo immunizations {Ans: DTaP 5th dose Polio 4th dose MMR 2nd dose Varicella 2nd dose}Insomnia {Ans: Difficulty initating sleep and nighttime awakenings Parents need to set limits for the child Establish clear bedtime rituals, put child to bed while awake, and create quiet bedtime envt Night waking normally begins at 9mo as separation anxiety sets in}2mo immunizations {Ans: Rotavirus DTaP HiB Pneumococcal conjugate Inactivated polio Meningococcal}Herpes Simplex (Perinatal) {Ans: acquired during transit through infected birth canal Sx days 5-14: localized (skin, eye, mouth) or disseminated (shock, pneumonia, hepatitis) disease Sx days 14-28: CNS- lethargy, fever, sz Dx: viral cultures from vesicles, PCR Tx: acyclovir 60mg/kg/d divided q8h- 14days if localized, 21 days if disseminated or CNS. Mom needs c/s if active genital disease If mom has active lesions at delivery, neonate needs eye, oropharynx, nasopharynx, rectum and blood HSV PCr- if colonized, treatment with acyclovir x10days (if no active lesions on infant)}Relative contraindications to combined oral contraceptives {Ans: Postpartum (first 3 wk) Breastfeeding 6wk-6mo Hypertension (adequately controlled