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602 Final EXAM WITH 100 VERIFIED ANSWERS

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602 Final EXAM WITH 100% VERIFIED ANSWERS Step 1 Asthma approach-Intermittent Step 2 Asthma Approach-Mild persistent Step 3 Asthma Approach-Moderate Persistant Step 4 Asthma Approach-Severe Persistent Tx of asthma Step 6 Asthma Approach Bulbar/palpebral conjunctival infection Leukocoria V...

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  • March 26, 2024
  • 25
  • 2023/2024
  • Exam (elaborations)
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602 Final Exam Study Questions with 100%
Correct Answers | Verified

1). Step 1 asthma approach-intermittent

 Ans: symptoms 2x or less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations

nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted


2). Step 2 asthma approach-mild persistent

 Ans: Symptoms >2 x a week, less than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted


3). Step 3 asthma approach-moderate persistant

 Ans: daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%


4). Step 4 asthma approach-severe persistent

 Ans: continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%




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, 5). Tx of asthma

 Ans: Stepwise approach
step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid


6). Step 6 asthma approach

 Ans:


7). Bulbar/palpebral conjunctival infection

 Ans: May be unilateral or bilateral


8). Leukocoria

 Ans: abnormal appearance of a white film in the pupil; immediate referral to pediatric
ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma


9). Visual screening in children

 Ans: At least once between ages 3-5 y/o according to USPSTF


10). Aom

 Ans: RF: genetics, males, Native American, siblings, low economic status, ages
6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke


11). S/s of aom

 Ans: erythema, otalgia, bulging TM, absent cone of light


12). Dx of aom

 Ans: Audiometry, tympanometry, possible lateral neck xray to r/o mass




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, 13). 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


14). Bacterial rhinosinusitis

 Ans: Preceded by URI-typically worsens after 5-7 days- not resolved in 2 weeks


15). Sx of bacterial rhinosinusitis

 Ans: Purulant nasal congestion, drainage, facial pain, headache, fever
No imaging required- if no improvement refer to ENT


16). Bronchiolitis

 Ans: Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus


17). S/s of bronchiolitis

 Ans: Increased work of breathing, prolonged expiration, grunting, retractions, nasal
flaring


18). Croup sx

 Ans: Low grade fever, URI symptoms, barking cough, inspiratory stridor can occur


19). Croup dx

 Ans: Made from symptoms


20). Croup tx

 Ans: Glucocorticoids possibly
0.6mg/kg-1mg/kg




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