NR 602 Final exam|| 2024 LATEST UPDATE|| CORRECT QUESTIONS|| VERIFIED
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Course
NR 602
Institution
NR 602
Step 1 Asthma approach-Intermittent - ANSWER 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
Step 2 Asthma Approach-Mild persi...
S/S of AOM - ANSWER erythema, otalgia, bulging TM, absent cone of light
Dx of AOM - ANSWER Audiometry, tympanometry, possible lateral neck xray to r/o mass
, TX of AOM - ANSWER 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
Lead poisoning testing - ANSWER Children with Medicaid need lead level @ 12 months and 24 months-
capillary finger stick with venous sample as f/u
AAP recommends 6-9-12-18-24 mo as well as 3-4-5-6 y/o
Lead levels - ANSWER <5 is normal
>69 requires chelation
Genu varum - ANSWER Bow legged as a result of uterine position- normal finding up to 3y/o
Legg-Calve-Perthes Disease - ANSWER Avascular necrosis of femoral head- epiphyses associated with
trauma, synovitis
Legg-Calve-Perthes Disease RF - ANSWER Associated with low birth weight, socioeconomic status, or
white race
Legg-Calve-Perthes Disease s/s - ANSWER Onset of painful limp of thigh, knee, or hip worse with activity,
not relieved by rest
restricted by abduction and rotation of affected hip
Legg-Calve-Perthes Disease Tx - ANSWER Abduction brace or long leg cast
Congenital Hip Dysplasia s/s - ANSWER Thick fold asymmetry, leg length inequality, walking children-
painless limp
Congenital Hip Dysplasia Dx & Tx - ANSWER Positive Barlow maneuver, ortolani or Allis sign
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