NR602/NR 602 Final Chamberlain Exam
Questions & Answers 100% CORRECT
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Terms in this set (179)
Vision Screening Rec's for Children once at age 3-5 yo and then at regular intervals
(USPSTF) Grade B recommendation
Refer child to opthalmology if... any abn's in eye mvmt
dark or white spots in pupil
PERLLA absent by age 6
asymm pupil size
change in color or brightness of vision
Audiometry Screening Recs in at birth prior to hospital d/c
Children once before 24-30 m and ongiong as
appropriate
OM pathogens (bacterial & viral) bacterial: H influenza, Group A Strep, S.
Pneumoniae*, m. catarrhalis
viral: m. pneumoniae, RSV, influenza
,Manifestations of AOM in Peds acute onset middle ear inflammation with...
absent cone of light of TM
erythema
otalgia
otorrhea
opaque/cloudy TM
air/fluid behind TM
decreased TM mobility on pneumatic otoscope
is AOM with effusion erythmatous? NO!
Tx of AOM without effusion uncomplicated or suspected course...
supportive care with Tyl/Advil
watchful waiting 48-72 h in pts 6 m-2 y
>5 yo: benzocaine otic drops
AOM 1st line ABX & alternative amox 80-90 mg/kg/d Q12 x 10 d
alt: cefdinir, cefuroxime, cefizime for 10 d in
pediatric dosing
AOM tx with effusion tympanometry tubes if @ risk for developmental
delay
watchful waiting for 3 m (75-90% cases
spontaneously resolve)
typical course of bacterial kid worsens after 5-7d post URI or unresolved
rhinosinusitis in kids URI x 2 wk or longer
manifestations of bacterial present for 10 d or worsen w/i 10 d after initial
rhinosinusitis in kids improvement of URI
purulent nasal drg
nasal congestion
HA
fever
facial pain
purulent PND
, RSV essential facts RSV #1 cause of bronchiolitis in kids
typically <2 yo
highly contagious, droplet spread
characterized by wheezing
@ Risk of RSV premies
lung disease
immunocompromise/suppression
daycare
RSV Manifestations after several days of incubation...
cough
rhinorrhea
prolonged expiration
wheezing, crackles
intercostal retractions, grunting, nasal flaring
increased WOB
what is Croup? acute viral inflammatory disease of larynx,
primarily w/in the subglottic space
croup manifestations Inspiratory stridor
Barking "seal-like" cough, hoarseness
Onset may be sudden or gradual
May or may not have fever
Drooling due to pain and swelling
croup CXR findings Steeple sign - subglottic narrowing
mild croup severity barking cough
no/intermittent stridor @ rest
playful/happy
Questions & Answers 100% CORRECT
Save
Terms in this set (179)
Vision Screening Rec's for Children once at age 3-5 yo and then at regular intervals
(USPSTF) Grade B recommendation
Refer child to opthalmology if... any abn's in eye mvmt
dark or white spots in pupil
PERLLA absent by age 6
asymm pupil size
change in color or brightness of vision
Audiometry Screening Recs in at birth prior to hospital d/c
Children once before 24-30 m and ongiong as
appropriate
OM pathogens (bacterial & viral) bacterial: H influenza, Group A Strep, S.
Pneumoniae*, m. catarrhalis
viral: m. pneumoniae, RSV, influenza
,Manifestations of AOM in Peds acute onset middle ear inflammation with...
absent cone of light of TM
erythema
otalgia
otorrhea
opaque/cloudy TM
air/fluid behind TM
decreased TM mobility on pneumatic otoscope
is AOM with effusion erythmatous? NO!
Tx of AOM without effusion uncomplicated or suspected course...
supportive care with Tyl/Advil
watchful waiting 48-72 h in pts 6 m-2 y
>5 yo: benzocaine otic drops
AOM 1st line ABX & alternative amox 80-90 mg/kg/d Q12 x 10 d
alt: cefdinir, cefuroxime, cefizime for 10 d in
pediatric dosing
AOM tx with effusion tympanometry tubes if @ risk for developmental
delay
watchful waiting for 3 m (75-90% cases
spontaneously resolve)
typical course of bacterial kid worsens after 5-7d post URI or unresolved
rhinosinusitis in kids URI x 2 wk or longer
manifestations of bacterial present for 10 d or worsen w/i 10 d after initial
rhinosinusitis in kids improvement of URI
purulent nasal drg
nasal congestion
HA
fever
facial pain
purulent PND
, RSV essential facts RSV #1 cause of bronchiolitis in kids
typically <2 yo
highly contagious, droplet spread
characterized by wheezing
@ Risk of RSV premies
lung disease
immunocompromise/suppression
daycare
RSV Manifestations after several days of incubation...
cough
rhinorrhea
prolonged expiration
wheezing, crackles
intercostal retractions, grunting, nasal flaring
increased WOB
what is Croup? acute viral inflammatory disease of larynx,
primarily w/in the subglottic space
croup manifestations Inspiratory stridor
Barking "seal-like" cough, hoarseness
Onset may be sudden or gradual
May or may not have fever
Drooling due to pain and swelling
croup CXR findings Steeple sign - subglottic narrowing
mild croup severity barking cough
no/intermittent stridor @ rest
playful/happy
