MVU NURS 629 EXAM 3 Exam Study Pack 2026/2027
– Revision Guide & Explained Solutions
Otitis media - ANSWER✔✔Middle ear infection; common causes: S.
Pneumoniae, H. Influenzae, M. Catarrhils
Otitis externa - ANSWER✔✔Outer ear infection; common causes:
Pseudomonas aeruginosa, Staphylococcus Aureus
Hearing Test - ANSWER✔✔Evaluation of hearing; normal range -10 to +15;
severe loss 71-90
Strabismus - ANSWER✔✔· Misalignment of eyes—"lazy eye" or cross-eyed
· Loss of depth perception and double vision
Findings
o Intermittent exotropia; Squinting; Nystagmus
sinusitis - ANSWER✔✔· URI sx >10 days without improvement; Severe sx with
high fever and purulent drainage at onset lasting 3-4 days
· Symptoms worse on day 6 or 7 of URI
-o Augmentin, Azithromycin or Bactrim DS x10 days
o Decongestant, antihistamines, saline rinses, nasal steroids
pharyngitis - ANSWER✔✔Amoxicillin 50-80 mg/kg/day x10 days
,Cephalosporin or Macrolide if allergy
Warm water gargle
Tylenol/NSAIDs
Infectious Mononucleosis - ANSWER✔✔· Viral syndrome—Fever, Exudative
pharyngitis, Adenopathy (posterior cervical)
· Epstein-Barr virus; Spread via saliva; Incubation 2-5 weeks
Symptomatic unless severe
Corticosteroids
Treat with Erythromycin if strep to avoid rash d/t Amox or PCN
No contact sports for 1 mo
F/U 1-2 weeks
Ankyloglossia - ANSWER✔✔tongue tie
Coartion of the Aorta - ANSWER✔✔Congenital narrowing of the thoracic aorta
that restricts blood flow to the lower body
-can lead to HTN and CHF.
-BP higher in arms than legs, weak pulses in legs
-Balloon dilation, anastomosis
, Surgical resection
CAN REOCCUR
Transposition of great arteries - ANSWER✔✔· Incompatible with life; reverse
position of the aorta and pulmonary artery causing mixing of oxygenated and
unoxygenated blood
· Cyanosis immediately after birth
-Prostaglandin E1 IV
Surgical intervention
Balloon atrial septostomy
Congestive Heart Failure - ANSWER✔✔Treat underlying cause, cardiology
consult, delay live immunizations for at least 6 months after ZASAQ
pathologic murmur - ANSWER✔✔o Radiation, diastolic, grade ≥IV, interferes
with S1 &S2. Increases with sitting/standing, unequal femoral and/or radial
pulses. Abnormal health history. CBC can help r/o anemia as cause of murmur.
benign/innocent murmur - ANSWER✔✔o Heard in up to 50%-80% of children.
Midsystolic, no radiation, does not interfere with S1 & S2. Decreases with
sitting/standing, equal femoral and radial pulses. Normal H&P with no c/o
dizziness/syncope/SOB with exercise. Comes and goes, gets louder with fever,
exercise and anxiety.
rheumatic heart disease - ANSWER✔✔· Inflammatory connective tissue
disorder; autoimmune
– Revision Guide & Explained Solutions
Otitis media - ANSWER✔✔Middle ear infection; common causes: S.
Pneumoniae, H. Influenzae, M. Catarrhils
Otitis externa - ANSWER✔✔Outer ear infection; common causes:
Pseudomonas aeruginosa, Staphylococcus Aureus
Hearing Test - ANSWER✔✔Evaluation of hearing; normal range -10 to +15;
severe loss 71-90
Strabismus - ANSWER✔✔· Misalignment of eyes—"lazy eye" or cross-eyed
· Loss of depth perception and double vision
Findings
o Intermittent exotropia; Squinting; Nystagmus
sinusitis - ANSWER✔✔· URI sx >10 days without improvement; Severe sx with
high fever and purulent drainage at onset lasting 3-4 days
· Symptoms worse on day 6 or 7 of URI
-o Augmentin, Azithromycin or Bactrim DS x10 days
o Decongestant, antihistamines, saline rinses, nasal steroids
pharyngitis - ANSWER✔✔Amoxicillin 50-80 mg/kg/day x10 days
,Cephalosporin or Macrolide if allergy
Warm water gargle
Tylenol/NSAIDs
Infectious Mononucleosis - ANSWER✔✔· Viral syndrome—Fever, Exudative
pharyngitis, Adenopathy (posterior cervical)
· Epstein-Barr virus; Spread via saliva; Incubation 2-5 weeks
Symptomatic unless severe
Corticosteroids
Treat with Erythromycin if strep to avoid rash d/t Amox or PCN
No contact sports for 1 mo
F/U 1-2 weeks
Ankyloglossia - ANSWER✔✔tongue tie
Coartion of the Aorta - ANSWER✔✔Congenital narrowing of the thoracic aorta
that restricts blood flow to the lower body
-can lead to HTN and CHF.
-BP higher in arms than legs, weak pulses in legs
-Balloon dilation, anastomosis
, Surgical resection
CAN REOCCUR
Transposition of great arteries - ANSWER✔✔· Incompatible with life; reverse
position of the aorta and pulmonary artery causing mixing of oxygenated and
unoxygenated blood
· Cyanosis immediately after birth
-Prostaglandin E1 IV
Surgical intervention
Balloon atrial septostomy
Congestive Heart Failure - ANSWER✔✔Treat underlying cause, cardiology
consult, delay live immunizations for at least 6 months after ZASAQ
pathologic murmur - ANSWER✔✔o Radiation, diastolic, grade ≥IV, interferes
with S1 &S2. Increases with sitting/standing, unequal femoral and/or radial
pulses. Abnormal health history. CBC can help r/o anemia as cause of murmur.
benign/innocent murmur - ANSWER✔✔o Heard in up to 50%-80% of children.
Midsystolic, no radiation, does not interfere with S1 & S2. Decreases with
sitting/standing, equal femoral and radial pulses. Normal H&P with no c/o
dizziness/syncope/SOB with exercise. Comes and goes, gets louder with fever,
exercise and anxiety.
rheumatic heart disease - ANSWER✔✔· Inflammatory connective tissue
disorder; autoimmune
