Test Banks For CURRENT Diagnosis & Treatment
Pediatrics 26th Edition by Maya Bunik; William W. Hay,
9781264269983, Chapter 1-46 Complete Guide
Acute bacterial rhinosinusitis - ANSWER A 14 y female girl developed a "cold"
about 2 weeks ago. One week ago, the symptoms started to improve slightly, but
then worsened. She complains of significant nasal congestion and headache. She
has not been taking any OTC meds. What is the most likely diagnosis?
Acute gastroenteritis - ANSWER A 3yr old girl is brought in after 2 days of
nonbilious vomiting, which is improving, and about 6 hours of watery, nonbloody
diarrhea. Her 5yr old brother had similar symptoms last week, and is still having
some diarrhea. What is the most likely diagnosis?
acute respiratory distress syndrome (ARDS) - ANSWER A 4yr old boy is admitted
to the PICU following near drowning. He is in respiratory distress and has a chest
radiograph suggestive of pulmonary edema. What is the most likely diagnosis?
- Intranasal Corticosteroids
- Oral and intranasal antihistamines
- leukotriene antagonists
- nasal saline rinses
Allergic Rhinitis - ANSWER A 9yr old girl has itchy nose, nasal congestion, and
sneezing every spring. On exam, she has red, swollen nasal turbinates, What
treatment options are available for her?
Amblyopia - ANSWER A child with strabismus is found to have decreased visual
acuity in her right eye. What is the name for this reduction in vision?
- Oxygen
- Epinephrine
- Diphenhydramine and ranitidine
- corticosteroids
- fluids for persistent hypotension
- bronchodialators if have bronchospasms
- vasopressors if hypotension is refractory to epi - ANSWER A 16yr old girl with
known peanut allergy develops an itchy rash, swollen lips and tongue, and difficult
breathing after eating some food at a party. List as many treatments as possible.
Appendicitis - ANSWER An 11yr old boy wakes with fever, right lower quadrant
abdominal pain, and is refusing breakfast. What is your diagnosis?
, Atrial Septal Defect (ASD) - ANSWER A 4 yr old boy, asymptomatic, presents with
systolic ejection murmur in upper sterna area, widely split S2, and a right heave.
What heart defect is it?
Asthma
- pulmonary function test FEV/FVC < 80% - ANSWER A 5yr old girl presents with
chest pain, cough, and FEV 1/FVC is 75% of predicted. What is the diagnosis?
Atypical Pneumonia (chlamydia)
-Macrolide 7-10 days
-Sulfisoxazole - ANSWER A 3 month old infant presents with fever, staccato
cough, conjunctivitis, and bilateral rales. Mother with history of vulvovaginitis. What is
your diagnosis and treatment?
Atypical Pneumonia (mycoplasma)
- Macrolide 7-10 days
-Cipro - ANSWER A 12yr old girl presents with fever, headache, malaise, sore
throat, bullous leasion on right tympanic membrane, and bilateral rales. What is your
diagnosis?
Atrioventricular Septal Defect (AVSD)
- 35%-40% with Trisomy 21 - ANSWER Newborn with Trisomy 21 presents with
congestive heart failure. What is the most likely heart defect.
bacterial conjunctivitis
- Topical abx, such as erythromycin, polymyxin-bacitracin, tobramycin,
fluoroquinolones - ANSWER A 15 month old boy has had bilateral red eyes with a
goopy yellow discharge. His mother reports that his eyes have been matted shut
when he awakes in the morning and from naps. What is your diagnosis and
treatment?
Bacterial pneumonia
- High dose Amoxil or a cephalosporin - ANSWER A 7yr old girl with prevous
history of cold symptoms wakes up at night with shaking chills, worsening of cough,
and fever. On exam, she is ill-appearing and has a temp of 104.0. Her RR is 42, and
has crackles on her posterior right lung fields. What is your diagnosis and outpatient
treatment?
Bacterial Vaginosis
- Metronidazole 500mg for 7 days - ANSWER A 15yr old girl presents with
malodorous gray vaginal d/c with her menses. Positive fishy odor with KOH test and
many clue cells seen with microscope. What is your diagnosis and treatment?
Pediatrics 26th Edition by Maya Bunik; William W. Hay,
9781264269983, Chapter 1-46 Complete Guide
Acute bacterial rhinosinusitis - ANSWER A 14 y female girl developed a "cold"
about 2 weeks ago. One week ago, the symptoms started to improve slightly, but
then worsened. She complains of significant nasal congestion and headache. She
has not been taking any OTC meds. What is the most likely diagnosis?
Acute gastroenteritis - ANSWER A 3yr old girl is brought in after 2 days of
nonbilious vomiting, which is improving, and about 6 hours of watery, nonbloody
diarrhea. Her 5yr old brother had similar symptoms last week, and is still having
some diarrhea. What is the most likely diagnosis?
acute respiratory distress syndrome (ARDS) - ANSWER A 4yr old boy is admitted
to the PICU following near drowning. He is in respiratory distress and has a chest
radiograph suggestive of pulmonary edema. What is the most likely diagnosis?
- Intranasal Corticosteroids
- Oral and intranasal antihistamines
- leukotriene antagonists
- nasal saline rinses
Allergic Rhinitis - ANSWER A 9yr old girl has itchy nose, nasal congestion, and
sneezing every spring. On exam, she has red, swollen nasal turbinates, What
treatment options are available for her?
Amblyopia - ANSWER A child with strabismus is found to have decreased visual
acuity in her right eye. What is the name for this reduction in vision?
- Oxygen
- Epinephrine
- Diphenhydramine and ranitidine
- corticosteroids
- fluids for persistent hypotension
- bronchodialators if have bronchospasms
- vasopressors if hypotension is refractory to epi - ANSWER A 16yr old girl with
known peanut allergy develops an itchy rash, swollen lips and tongue, and difficult
breathing after eating some food at a party. List as many treatments as possible.
Appendicitis - ANSWER An 11yr old boy wakes with fever, right lower quadrant
abdominal pain, and is refusing breakfast. What is your diagnosis?
, Atrial Septal Defect (ASD) - ANSWER A 4 yr old boy, asymptomatic, presents with
systolic ejection murmur in upper sterna area, widely split S2, and a right heave.
What heart defect is it?
Asthma
- pulmonary function test FEV/FVC < 80% - ANSWER A 5yr old girl presents with
chest pain, cough, and FEV 1/FVC is 75% of predicted. What is the diagnosis?
Atypical Pneumonia (chlamydia)
-Macrolide 7-10 days
-Sulfisoxazole - ANSWER A 3 month old infant presents with fever, staccato
cough, conjunctivitis, and bilateral rales. Mother with history of vulvovaginitis. What is
your diagnosis and treatment?
Atypical Pneumonia (mycoplasma)
- Macrolide 7-10 days
-Cipro - ANSWER A 12yr old girl presents with fever, headache, malaise, sore
throat, bullous leasion on right tympanic membrane, and bilateral rales. What is your
diagnosis?
Atrioventricular Septal Defect (AVSD)
- 35%-40% with Trisomy 21 - ANSWER Newborn with Trisomy 21 presents with
congestive heart failure. What is the most likely heart defect.
bacterial conjunctivitis
- Topical abx, such as erythromycin, polymyxin-bacitracin, tobramycin,
fluoroquinolones - ANSWER A 15 month old boy has had bilateral red eyes with a
goopy yellow discharge. His mother reports that his eyes have been matted shut
when he awakes in the morning and from naps. What is your diagnosis and
treatment?
Bacterial pneumonia
- High dose Amoxil or a cephalosporin - ANSWER A 7yr old girl with prevous
history of cold symptoms wakes up at night with shaking chills, worsening of cough,
and fever. On exam, she is ill-appearing and has a temp of 104.0. Her RR is 42, and
has crackles on her posterior right lung fields. What is your diagnosis and outpatient
treatment?
Bacterial Vaginosis
- Metronidazole 500mg for 7 days - ANSWER A 15yr old girl presents with
malodorous gray vaginal d/c with her menses. Positive fishy odor with KOH test and
many clue cells seen with microscope. What is your diagnosis and treatment?
