Aquifer pediatrics case EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

PEDIATRICS EXAM zm




Exam Solution zm




FM Case 21 12 year old female with fever 2026 A+ GRA
zm zm zm zm zm zm zm zm zm zm zm




DE ASSURED COMPLETE SOLUTIONS AND VERIFIED AN
zm zm zm zm zm zm




SWERS (1AFB2) zm




QUESTION 1 zm




Which of the lung findings listed below would signify that there is a lung consolidatio
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



n if you and Dr. Lee were to hear them? Select all that apply.
zm zm zm zm zm zm zm zm zm zm zm zm zm



A. Egophony
zm



B. Increased tactile fremitus
zm zm zm



C. Wheezing
zm



D. Dullness to percussion
zm zm zm



E. Crackles F. Rhonchi G. Whispered pectoriloquy
zm zm zm zm zm zm




ANSWER

A. zm Egophony
B. zm Increased tactile fremitus zm zm



D. zm Dullness to percussion zm zm



E. zm Crackles G. Whispered pectoriloquy zm zm zm




QUESTION 2 zm




Rapid Strep Centor criteria zm zm zm




ANSWER

*Give one point for each positive response:* - Tonsillar exudate or erythema -
zm zm zm zm zm zm zm zm zm zm zm zm



Anterior cervical adenopathy - Cough absent -
zm zm zm zm zm zm zm



Fever present: >> Age 3 to 14 years: +1 point >> Age 15 to 45 years: 0 points >> Age over 45 yea
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



rs: -1 point *Adult* Score 0-2 > Symptomatic tx wo testing Score 3-
zm zm zm zm zm zm zm zm zm zm zm zm



5 > Rapid test Test positive > Tx with antibiotics Test Negative > Symptomatic Tx (unless high risk)
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z



m*Children:* Score 0-1 > symptomatic tx wo testing Score 2-
zm zm zm zm zm zm zm zm zm



5 > Rapid test Test positive > Tx antibiotics Test Negative > culture and tx if positive
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm




QUESTION 3 zm

, Influenza symptoms zm




ANSWER

fever, chills, headache, body aches, fatigue, sore throat, dry cough, stuffy nose (no intestinal sympto
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ms)



QUESTION 4 zm




Caused by virus like RSV, young children peaks at 6 months of age, starts as viral illn
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ess and progress to wheezing, cough, dyspnea and cyanosis
zm zm zm zm zm zm zm zm




ANSWER

Bronchiolitis



QUESTION 5 zm




Most Important / Most Likely Diagnoses for Acute Pediatric Cough and Fever
zm zm zm zm zm zm zm zm zm zm zm




ANSWER

Pneumonia- bacterial Pneumonia- viral Bronchitis-
zm zm zm zm



acute Influenza Streptococcal pharyngitis Pneumonia- atypical
zm zm zm zm zm zm




QUESTION 6 zm




Fever >100.4 (38), no prodromal sx (like rhinorrhea or myalgia), gradual onset and th
zm zm zm zm zm zm zm zm zm zm zm zm zm



e usual symptoms include pleuritic chest pain, fever, chills, and dyspnea. Cough is usu
zm zm zm zm zm zm zm zm zm zm zm zm zm



ally present, but may not be prominent. Focal crackles appreciated, decreased breath
zm zm zm zm zm zm zm zm zm zm zm zm



sounds in one lung field. zm zm zm zm




ANSWER

Bacterial pneumonia zm




QUESTION 7 zm




Child age 4months - zm zm zm



5 years, atypical presentation, i.e., chills, fever, dry, nonproductive cough, and the pre
zm zm zm zm zm zm zm zm zm zm zm zm zm



dominance of extrapulmonary symptoms such as GI symptoms and arthralgias.
zm zm zm zm zm zm zm zm zm




ANSWER

Viral Pneumonia zm




QUESTION 8 zm