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[Show more]Review the criteria for observation or "watchful waiting" in a child diagnosed with AOM 
Watchful waiting is appropriate for patients without severe symptoms, > 2 yr old, with unilateral or bilateral AOM without otorrhea. 
 
It is also acceptable for 6mo- 2yr with unilateral AOM without otorrhe...
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Add to cartReview the criteria for observation or "watchful waiting" in a child diagnosed with AOM 
Watchful waiting is appropriate for patients without severe symptoms, > 2 yr old, with unilateral or bilateral AOM without otorrhea. 
 
It is also acceptable for 6mo- 2yr with unilateral AOM without otorrhe...
Acute onset of severe pain and vomiting suggests what? 
+ Peritoneal irritation 
+ Acute gastric or intestinal obstruction 
+ Pancreaticobiliary disease 
 
(McPhee p 588) 
 
 
 
Persistent vomiting suggests what? 
+ Pregnancy 
+ Gastric outlet obstruction 
+ Gastroparesis 
+ Intestinal dysmotility 
...
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Add to cartAcute onset of severe pain and vomiting suggests what? 
+ Peritoneal irritation 
+ Acute gastric or intestinal obstruction 
+ Pancreaticobiliary disease 
 
(McPhee p 588) 
 
 
 
Persistent vomiting suggests what? 
+ Pregnancy 
+ Gastric outlet obstruction 
+ Gastroparesis 
+ Intestinal dysmotility 
...
A mom calls your clinic and states that her child has a fever of 101, you should see immediately if: 
a)10 mos old w/mild ear pain 
b) 18 mos old w/diarrhea 
c) 3 year old w/runny nose 
d) 6 mos old & cries continuously 
Answer: D 
 
 
 
Most common organisms for AOM is/are: 
A. Strep pneumonia 
B. ...
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Add to cartA mom calls your clinic and states that her child has a fever of 101, you should see immediately if: 
a)10 mos old w/mild ear pain 
b) 18 mos old w/diarrhea 
c) 3 year old w/runny nose 
d) 6 mos old & cries continuously 
Answer: D 
 
 
 
Most common organisms for AOM is/are: 
A. Strep pneumonia 
B. ...
I'd like to get pregnant... I take Tegretol. How much folic acid do I need? 
0.4 mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants 
 
 
 
What is the recommended daily intake of folic acid for nonpregnant women with no known risk factors for neural tube defect? 
a. 40 μg 
b...
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Add to cartI'd like to get pregnant... I take Tegretol. How much folic acid do I need? 
0.4 mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants 
 
 
 
What is the recommended daily intake of folic acid for nonpregnant women with no known risk factors for neural tube defect? 
a. 40 μg 
b...
For moderate persistant asthma, symptoms occur 
Daily 
 
 
 
For moderate persistant asthma, SABA use is 
Daily 
 
 
 
For moderate persistant asthma, nighttime awakenings ages 0-4 
3-4 times/month 
 
 
 
For moderate persistant asthma, nighttime awakenings for >5 
> once a week, not nightly 
...
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Add to cartFor moderate persistant asthma, symptoms occur 
Daily 
 
 
 
For moderate persistant asthma, SABA use is 
Daily 
 
 
 
For moderate persistant asthma, nighttime awakenings ages 0-4 
3-4 times/month 
 
 
 
For moderate persistant asthma, nighttime awakenings for >5 
> once a week, not nightly 
...
BRONCHITIS 
Clinicians should not perform testing or initiate antibiotic therapy in patients with ________ unless pneumonia is suspected. 
 
 
 
Group A Streptococcal pharyngitis 
persistent fevers 
anterior cervical adenitis 
tonsillopharyngeal exudates 
 
 
 
rapid antigen detection 
Clinicians sh...
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Add to cartBRONCHITIS 
Clinicians should not perform testing or initiate antibiotic therapy in patients with ________ unless pneumonia is suspected. 
 
 
 
Group A Streptococcal pharyngitis 
persistent fevers 
anterior cervical adenitis 
tonsillopharyngeal exudates 
 
 
 
rapid antigen detection 
Clinicians sh...
After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies? 
Question options: 
a) Elevated TSH 
 
b) Normal TSH 
 
c) Low TSH 
 
d) Undetectable TSH 
b) normal TSH 
 
 
 
Which of the following is diagnostic for diabetes mellitus? 
Question...
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Add to cartAfter 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies? 
Question options: 
a) Elevated TSH 
 
b) Normal TSH 
 
c) Low TSH 
 
d) Undetectable TSH 
b) normal TSH 
 
 
 
Which of the following is diagnostic for diabetes mellitus? 
Question...
The strongest identifiable predisposing factor for the development of asthma is _________, but obesity is increasingly recognized as a risk factor. 
Atopy 
A syndrome characterized by a tendency to be "hyperallergic". 
(papa 243) 
 
 
 
Essentials of Asthma Diagnosis: 
- Episodic or chronic sympto...
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Add to cartThe strongest identifiable predisposing factor for the development of asthma is _________, but obesity is increasingly recognized as a risk factor. 
Atopy 
A syndrome characterized by a tendency to be "hyperallergic". 
(papa 243) 
 
 
 
Essentials of Asthma Diagnosis: 
- Episodic or chronic sympto...
What groups are at highest risk for TB? 
- Elderly 
- Person previously residing where TB is endemic or history of travel to such an area. 
- Homeless and extremely impoverish children 
- Pts with AIDS 
- Residents or employess of correctional institutions or nursing homes 
- Drug users 
- Healthcar...
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Add to cartWhat groups are at highest risk for TB? 
- Elderly 
- Person previously residing where TB is endemic or history of travel to such an area. 
- Homeless and extremely impoverish children 
- Pts with AIDS 
- Residents or employess of correctional institutions or nursing homes 
- Drug users 
- Healthcar...
The 50 year old patient c/o heartburn, typically 30 minutes after meals when he reclines on his couch, in the absence of 'alarm' symptoms, what should be the initial treatment? 
a. PPI for 4-8 weeks 
b. H2 antagonist for 4-8 weeks 
c. Refer to GI for upper endoscopy 
d. Antacids prn for heartburn ...
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Add to cartThe 50 year old patient c/o heartburn, typically 30 minutes after meals when he reclines on his couch, in the absence of 'alarm' symptoms, what should be the initial treatment? 
a. PPI for 4-8 weeks 
b. H2 antagonist for 4-8 weeks 
c. Refer to GI for upper endoscopy 
d. Antacids prn for heartburn ...
dyspepsia 
epigastric pain/discomfort, early satiety or postprandial fullness 
 
 
 
causes of dyspepsia 
food/drug intolerance, stress/anxiety, peptic ulcer disease (PUD), GERD, H. pylori (assoc with PUD), pacreatic & biliary disease (rare) 
 
 
 
signs and symptoms of dyspepsia 
nonspecific sympto...
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Add to cartdyspepsia 
epigastric pain/discomfort, early satiety or postprandial fullness 
 
 
 
causes of dyspepsia 
food/drug intolerance, stress/anxiety, peptic ulcer disease (PUD), GERD, H. pylori (assoc with PUD), pacreatic & biliary disease (rare) 
 
 
 
signs and symptoms of dyspepsia 
nonspecific sympto...
Diminution of headache in response to typical migraine therapies (e.g. seratonin receptor antagonists or ketorolac) does not rule out _________________ as underlying cause? 
Subarachnoid hemorrhage or meningitis 
 
Mcphee p 39 
 
 
 
IMMEDIATE TREATMENT: Vascular events 
+ Intracranial hemorrhage 
+...
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Add to cartDiminution of headache in response to typical migraine therapies (e.g. seratonin receptor antagonists or ketorolac) does not rule out _________________ as underlying cause? 
Subarachnoid hemorrhage or meningitis 
 
Mcphee p 39 
 
 
 
IMMEDIATE TREATMENT: Vascular events 
+ Intracranial hemorrhage 
+...
Calculation of estimated date of delivery (EDD) 
1st day of last menstrual period (LMP) 
+ 
7 days 
- 
3 months 
+ 
1 year 
 
Decherney Chap 6 
 
 
2 periods that comprise the 1st trimester 
1) Embryonic period: 2 - 10 weeks gestational age 
2) Fetal period: 8 weeks after fertilization OR 10 weeks a...
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Add to cartCalculation of estimated date of delivery (EDD) 
1st day of last menstrual period (LMP) 
+ 
7 days 
- 
3 months 
+ 
1 year 
 
Decherney Chap 6 
 
 
2 periods that comprise the 1st trimester 
1) Embryonic period: 2 - 10 weeks gestational age 
2) Fetal period: 8 weeks after fertilization OR 10 weeks a...
Red reflex test technique 
- An ophthalmoscope is used to check both eyes 
- Room darkened for maximal pupil dilation 
- Use largest diameter of light with setting at zero 
- Evaluate at arm's length from child with child looking straight at light 
 
 
 
Normal red reflex test findings 
- Light ora...
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Add to cartRed reflex test technique 
- An ophthalmoscope is used to check both eyes 
- Room darkened for maximal pupil dilation 
- Use largest diameter of light with setting at zero 
- Evaluate at arm's length from child with child looking straight at light 
 
 
 
Normal red reflex test findings 
- Light ora...
Croup: What pathogen is responsible for MOST cases of viral croup? 
Usually caused by Parainfluenza types 1-4: Type 3-Usually infected by 3 y/o (usually in 1st year of life), annual peak in spring/summer; Type 1 & 2- gradually over the first 5 years of life, peak in fall 
 
 
 
Croup: Definition 
in...
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Add to cartCroup: What pathogen is responsible for MOST cases of viral croup? 
Usually caused by Parainfluenza types 1-4: Type 3-Usually infected by 3 y/o (usually in 1st year of life), annual peak in spring/summer; Type 1 & 2- gradually over the first 5 years of life, peak in fall 
 
 
 
Croup: Definition 
in...
PUD tx for active ulcer not attributable to H. Pylori if uncomplicated or complicated 
PPI: 4 weeks for uncomplicated duodenal ulcer 
8 weeks for uncomplicated gastric ulcer 
 
or 
 
h2 receptor antagonist: once daily at bedtime for 6 weeks for uncomplicated duodenal ulcer or twice daily for 8 weeks...
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Add to cartPUD tx for active ulcer not attributable to H. Pylori if uncomplicated or complicated 
PPI: 4 weeks for uncomplicated duodenal ulcer 
8 weeks for uncomplicated gastric ulcer 
 
or 
 
h2 receptor antagonist: once daily at bedtime for 6 weeks for uncomplicated duodenal ulcer or twice daily for 8 weeks...
Acute viral rhinitis is commonly known as 
the most common pediatric infectious disease "common cold." 
 
 
 
S/S of 
Sudden onset of clear or mucoid rhinorrhea, nasal congestion, and fever. May have sore throat and cough with erythematous nose, throat, and TMs. 
 
 
 
how long can a patient with ...
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Add to cartAcute viral rhinitis is commonly known as 
the most common pediatric infectious disease "common cold." 
 
 
 
S/S of 
Sudden onset of clear or mucoid rhinorrhea, nasal congestion, and fever. May have sore throat and cough with erythematous nose, throat, and TMs. 
 
 
 
how long can a patient with ...
When does malrotation occur? 
at about the 10th week of gestation 
 
 
 
What is a malrotation? 
a congenital abnormality that occurs during the embryonic phase of development when the midgut retracts into the abdominal cavity. The midgut rotates counterclockwise 
 
 
 
When do infants typically bec...
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Add to cartWhen does malrotation occur? 
at about the 10th week of gestation 
 
 
 
What is a malrotation? 
a congenital abnormality that occurs during the embryonic phase of development when the midgut retracts into the abdominal cavity. The midgut rotates counterclockwise 
 
 
 
When do infants typically bec...
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