Pediatric Exam I - Review Questions And
Answers Updated
An 11lb baby needs amoxicillin for OM. Please compute dose for baby.
Amoxicillin 400mg/5ml (BID dosing)
dosing 80mg/kg per day X 10 days
11/2.2=5kg
5kg X80mg /400mg X 5ml / 2doses= 2.5ml po BID
RX Amoxicillin 400/5ml #50ml
Sig: 2.5ml po BID X 10days
Zero ref
A 21 lb baby needs Cefdinir for OM. Please compute dose for baby
Cefdinir 250mg/5ml (once a day dosing) dosing 14mg/kg per day X 10 days
21/2.2=9.5kg
9.5kg X 14mg / 250mg X 5ml / 1 (dose) = 2.6ml (round up to 3ml once daily)
RX Cefdinir 250mg/5ml #30 ml
Sig: 3ml po q day X 10 days
Zero refills
A 31 lb toddler needs Azithromycin for strept (PCN allergy). Please compute dose
for toddler.
Azithromycin 200mg/5ml (once a day dosing)
dosing 12mg/kg per day (strept dose) X 5 days
31/2.2 = 14kg
14kg X 12mg / 200mg X 5ml / 1 (dose) = 4.2 (round down to 4ml once a day)
,RX: Azithromycin 200mg/5ml #20ml
Sig: 4ml po q day X 5 days
Zero refills
A 27lb toddler needs clindamycin for a possible MRSA skin lesion. Please
compute dose for toddler.
Clindamycin 75mg/5ml (TID dosing)
dosing 7mg/kg per day X 10 days
.2 = 12.27kg
12.27kg X 7mg / 75mg X 5ml / 3 dose = 2ml po TID
RX: Clindamycin 75mg/5ml # 60ml
Sig: 2ml po TID day X 10days
Zero refill
A 12lb baby needs Amoxicillin for OM. Please compute dose for baby.
Amoxicillin 400mg/5ml (BID dosing)
dosing 80mg/kg per day X 10 days
.2 = 5.45kg
5.45kg X 80mg / 400mg X 5ml / 2 doses = 2.725ml (round up to 3ml po BID)
Rx: Amoxicillin 400mg/5ml #60ml
Sig: 3 ml po BID day X 10 days
Zero refills
A 23 lb baby needs Cefdinir for OM. Please compute dose for baby.
Cefdinir 250mg/5ml (once a day dosing)
dosing 14mg/kg per day X 10 days
.2 = 10.45kg
10.45kg X 14mg / 250mg X 5ml / 1 dose = 2.93ml (round up to 3ml po once daily)
, Rx: Cefdinir 250mg/5ml #30ml
Sig: 3ml po q day X 10 days,
A 33lb toddler needs Azithromycin for strep. Please compute dose for toddler
Azithromycin 200mg/5ml (once a day dosing)
dosing 12mg/kg per day (strept dose) X 5 days
.2=15kg
15kg X 12mg / 200mg X 5ml / 1 dose = 4.5 ml (you can choose to round up to 5ml once
daily)
RX: Azithromycin 200mg/5 ml #25 ml
Sig: 5 ml po q day X 5 days
Zero refills
A 34lb toddler needs Clindamycin. Please compute dosing.
Clindamycin 75mg/5ml (TID dosing)
dosing 7mg/kg per day X 10 days
.2 = 15.45 kg
15.45kg X 7mg / 75ml X 5ml / 3 dose = 2.5 ml PO TID
RX Clindamycin 75mg/5ml #75ml
Sig: 2.5ml po TID day X 10 days
Zero refills,
Q: What is a common clinical feature of shaken baby syndrome?
a. Bruising
b. Greenstick fractures
c. Severe bilateral retinal hemorrhages
d. Clavicle fractures
c. Severe bilateral retinal hemorrhages
Answers Updated
An 11lb baby needs amoxicillin for OM. Please compute dose for baby.
Amoxicillin 400mg/5ml (BID dosing)
dosing 80mg/kg per day X 10 days
11/2.2=5kg
5kg X80mg /400mg X 5ml / 2doses= 2.5ml po BID
RX Amoxicillin 400/5ml #50ml
Sig: 2.5ml po BID X 10days
Zero ref
A 21 lb baby needs Cefdinir for OM. Please compute dose for baby
Cefdinir 250mg/5ml (once a day dosing) dosing 14mg/kg per day X 10 days
21/2.2=9.5kg
9.5kg X 14mg / 250mg X 5ml / 1 (dose) = 2.6ml (round up to 3ml once daily)
RX Cefdinir 250mg/5ml #30 ml
Sig: 3ml po q day X 10 days
Zero refills
A 31 lb toddler needs Azithromycin for strept (PCN allergy). Please compute dose
for toddler.
Azithromycin 200mg/5ml (once a day dosing)
dosing 12mg/kg per day (strept dose) X 5 days
31/2.2 = 14kg
14kg X 12mg / 200mg X 5ml / 1 (dose) = 4.2 (round down to 4ml once a day)
,RX: Azithromycin 200mg/5ml #20ml
Sig: 4ml po q day X 5 days
Zero refills
A 27lb toddler needs clindamycin for a possible MRSA skin lesion. Please
compute dose for toddler.
Clindamycin 75mg/5ml (TID dosing)
dosing 7mg/kg per day X 10 days
.2 = 12.27kg
12.27kg X 7mg / 75mg X 5ml / 3 dose = 2ml po TID
RX: Clindamycin 75mg/5ml # 60ml
Sig: 2ml po TID day X 10days
Zero refill
A 12lb baby needs Amoxicillin for OM. Please compute dose for baby.
Amoxicillin 400mg/5ml (BID dosing)
dosing 80mg/kg per day X 10 days
.2 = 5.45kg
5.45kg X 80mg / 400mg X 5ml / 2 doses = 2.725ml (round up to 3ml po BID)
Rx: Amoxicillin 400mg/5ml #60ml
Sig: 3 ml po BID day X 10 days
Zero refills
A 23 lb baby needs Cefdinir for OM. Please compute dose for baby.
Cefdinir 250mg/5ml (once a day dosing)
dosing 14mg/kg per day X 10 days
.2 = 10.45kg
10.45kg X 14mg / 250mg X 5ml / 1 dose = 2.93ml (round up to 3ml po once daily)
, Rx: Cefdinir 250mg/5ml #30ml
Sig: 3ml po q day X 10 days,
A 33lb toddler needs Azithromycin for strep. Please compute dose for toddler
Azithromycin 200mg/5ml (once a day dosing)
dosing 12mg/kg per day (strept dose) X 5 days
.2=15kg
15kg X 12mg / 200mg X 5ml / 1 dose = 4.5 ml (you can choose to round up to 5ml once
daily)
RX: Azithromycin 200mg/5 ml #25 ml
Sig: 5 ml po q day X 5 days
Zero refills
A 34lb toddler needs Clindamycin. Please compute dosing.
Clindamycin 75mg/5ml (TID dosing)
dosing 7mg/kg per day X 10 days
.2 = 15.45 kg
15.45kg X 7mg / 75ml X 5ml / 3 dose = 2.5 ml PO TID
RX Clindamycin 75mg/5ml #75ml
Sig: 2.5ml po TID day X 10 days
Zero refills,
Q: What is a common clinical feature of shaken baby syndrome?
a. Bruising
b. Greenstick fractures
c. Severe bilateral retinal hemorrhages
d. Clavicle fractures
c. Severe bilateral retinal hemorrhages
