2026 QUESTIONS WITH SOLUTIONS GRADED
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◉ What should a pregnant women do if she may be exposed to
varicella? Answer: - Consult healthcare provider
- Immune globulin (which contains antibodies to chicken pox virus)
may be administered
◉ What should women do after receiving the MMR vaccine? Answer:
- Avoid pregnancy for one month
- Women who have demonstrated nonimmunity to rubella should be
immunized immediately following birth
◉ What are some alternative medications (besides gabapentin) for
neuropathic pain? Answer: - Cymbalta (duloxetine)
- Lyrica (pregabalin)
◉ What are some medications used to treat muscle spasms?
Answer: - Baclofen (gablofen)
- Neurontin (gabapentin) - treats anticonvulsant and nerve pain
,◉ What are some diagnostic tests to diagnose neuropathic pain?
Answer: - Blood tests (vitamin deficiency, DM)
- Imaging tests (CT or MR to look for tumors and abnormalities)
- Nerve function test
- Nerve biopsy
- Skin biopsy (to look for reduction in nerve endings)
◉ What is a subdural hematoma? Answer: - Blood occurring
between the dura mater and the arachnoid membrane of the brain
and spinal cord
◉ What is an epidural hematoma? Answer: - Bleeding that occurs
between the tough outer membrane covering the brain (dura mater)
and the skull
◉ What is the first line of treatment for uncomplicated otitis media
in the pediatric patient without comorbidities? Answer: -
Amoxicillin
◉ How would a provider differentiate between bacterial and viral
otitis media? Answer: - Viral: symptoms improve or are no longer
symptomatic by 48 to 72 hours
- Bacterial: patient's symptoms improve or are no longer
symptomatic usually by 48 to 72 hours
,◉ What are common bacterial causes of pediatric otitis media?
Answer: - Streptococcus pneumonia
- Axilla cattaraugus
- Mouthless influenza B
◉ Why do providers prescribe antibiotics but instruct parents to
wait for 48 to 72 hours prior to starting? Answer: - To differentiate
between bacterial vs viral causes
◉ What causes thrush? Answer: - Yeast or fungus called Candida
albicans
- Usually picked up at birth and is common in newborns and babies
under 2 months
- Can develop if the breast is not dried properly after feeding and
yeast grows
◉ What medication may the pediatrician prescribe for babies and
mothers diagnosed with thrush? Answer: - Nystatin (to the insides
of the mouth and tongue, multiple times a day for 10 days)
- Fluconazole (Diflucan) in tough cases
, ◉ Since thrush can be passed from infant to mother via
breastfeeding, should breastfeeding be interrupted? Answer: - Not
unless the condition makes feeding excruciating
◉ What are some things that mothers can do to help mothers and
infants with thrush? Answer: - Expose the nipples to sunlight for a
few minutes each day since yeast hates sun
- Probiotics may help speed recovery and keep yeast at bay
◉ What is the diagnosis criteria for POTS? Answer: - Heartrate
increase of 30 bpm or more, or over 120 bpm within the first 10
minutes of standing
- In children, a revised standard of 40 bpm or more has been
adopted
- Tilt Table Test
◉ If a tilt table test is not available, how else may a provider
diagnose POTS? Answer: - Bedside measurements of heartrate and
blood pressure taken in the supine (laying down) and standing
position at 2-, 5-, and 10-minute intervals
◉ What are some common findings in patients with POTS? Answer: -
Hypovolemic (low blood volume)
- High levels of plasma norepinephrine while standing, reflecting
increased SNS activation