PAEA PEDIATRICS EOR EXAM 2023-
m m m m
2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT
m m m m m m m
DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS)
|ALREADY GRADED A+ m m
Dx?mpreauricularmlymphadenopathy,mcopiousmwaterymeyemdischarge,mscantymmucoidmdischarge,musuallym
unilateralmwithmpunctate mstainingmonmslitmlampmexamination;mTx?m-manswer-dx:mviralmconjunctivitis
tx:msupportive m(coolmcompresses, martificialmtears) m+/-mantihistaminesmformitchingm(Olopatadine)
Dx?mbilateralmeyemitching,mtearing,mredness,mstringmdischarge,mchemosism(conjunctivalmswelling) mwithmcob
blestone mappearance mtominner/uppermeyelids;mTx?m-manswer-dx:mallergicmconjunctivitis
tx:mtopicalmantihistaminesm(H1mblockers) m(Olopatadine,mPheniramine/Naphazoline, mEmedastine),mtopical
m NSAIDm (ketorolac),m topicalm corticosteroids m(butms/emof mlongmtermm usem= mglaucoma, mcataracts, mHSVmkera
titis)
Dx?mpurulentmeye mdischarge,mlidmcrusting,mnomvisualmchanges,mabsence mofmciliaryminjection;mTx?m-
m answer-dx:m bacterialm conjunctivitis m (MCm S.m aureus, m Strepm pneumo, m H. m influenzae)
tx:mtopicalmabx m(erythromycin,mfluoroquinolones, msulfonamides,maminoglycosides);mifmcontactmlensmwear
ermcovermformpseudomonasmw/mfluoroquinolone mormaminoglycoside
ifmbacterialmconjunctivitismismfoundmtombe mchlamydiamormgonorrheamwhatmismthe mtx?m-manswer-
admitmformIV mandmtopicalmabx m(ophthomemergency)
-gonoccoccal:mIV mceftriaxone m+ mtopical
-chlamydia:mIV mazithromycin
neonatalmconjunctivitismismaka?mifmleftmuntreatedmcanmdevelopmwhat?m-manswer-
ophthalmiamneonatorum;mcornealmulceration,mopacification/scarring, mvisualmimpairment/blindness
standardmprophylaxismgivenmimmediatelymaftermbirthmtompreventmophthalmiamneonatorumm(neon
atalmconjunctivitis) mincludes:m-manswer-
erythromycinmointment,mtetracycline mointment,msilvermnitrate,mormpovidone-iodine
,ifmophthalmiamneonatorumm(neonatalmconjunctivitis) mdevelopsmonmdaym1maftermbirthmwhatmismthe mmostmli
kelymcause?mdaym2-5?mdaym5-7?mdaym7-11?m-manswer-daym1:msilvermnitrate m(chemicalmcause-
m prophylaxis m ism whatm canm cause m the m condition)
daym2-5:mgonococcal
daym5-7:mchlamydia
daym7-11:mHSV
orbitalm(septal) mcellulitismismusuallymsecondarymtom infectionminmmostmcommonlymwhatmage mgroup?
-manswer-sinus;m7-12y;mothermcausesminclude mdental/facialminfxnsmormbacteremia
whatmismthemmostmcommonmsinusminfectionm(90%) mthatmcausesmsecondarymorbitalmcellulitis?mwhatmorgani
smsmare mthe mcause?m-manswer-
ethmoid;mS.maureus,mStrep.mpneumo,mGABHSm(Strep.mpyogenes), mH.minfluenzae
workmup/Dx?mdecreasedmvision,mpainmw/mocularmmovement,mproptosism(bulgingmeye),meyelidmerythemama
ndmedema;mtx?m-manswer-dx:morbitalmcellulitis
workmup:mCTmscanm(showingminfxnmof mfatm&mocularmmuscles)mormM
RImtx:mIVmantibioticsm(Vanc,mClinda,mCefotaxime,mAmpicillin/Sulbac
tam)
whatmismthe mdifferencemb/tmorbitalm(septal) mcellulitismandmpreseptalmcellulitis?m-manswer-
preseptalmmaymstillmhavemocularmpain,mrednessmandmswellingmbutmNOmvisualmchangesmormpainmw/mocul
armmvmtm(hasn'tmaffectedmthe mmuscles)
misalignmentmofmthemeyesmismaka?mwhenmdoesmstable mocularmalignmentmpresentminminfants?m-manswer-
m strabismus;m 2-3m mos
convergentmstrabismusmismaka?mdivergentmstrabismusmismaka?m-manswer-
convergent:mesotropiam(deviatedminwardm"crossmeyed")
divergent:mexotropiam(deviatedmouward)
am+ mHirschbergmcornealmlightmreflexmtest,mdiplopia,mscotomasm(blindmspots),mormamblyopiam(lazymeye
) mare mclinicalmmanifestationsmofmwhatmcondition?mwhatmothermtestsmcanmbe mperformed?m-manswer-
strabismus;mcover-
uncovermtestmtomdetermine mthe mangle mof mstrabismus,mcovermtest,mconvergence mtesting
,howmcanmstrabismusmbe mtreated?m- manswer--
patchmtherapy:mnormalmeye mismcoveredmtomstimulate mandmstrengthenmthe maffectedmeye
-eyeglasses
-corrective mtherapy:mif msevere mormunresponsive mtomconservative mtherapy
ifmnotmtreatedmbefore m2my/o,mamblyopiammaymoccurmandmcause mdecreasedmvisualmacuitymthatmismnotm
correctable
Dx?m1-
2mdaysmof mearmpain,mpruritisminmthe mearmcanal,mauricularmdischarge,mpressure/fullness,mhearingmusuallympr
eserved,mpainmwithmtugmtestmandmtragusmpressure,mauditorymcanalmerythema/edema/debris, mrecentmswi
mmingmpoolmuse;mMCmorganisms?mTx?m-manswer-Dx:motitismexterna
MCmorganisms:m*pseudomonas*,mproteus,ms.maureus,ms.mepidermis,mGABHS,manaerobesm(peptostreptoco
ccus),maspergillus
Tx:m1.mprotectmearmagainstmmoisturem(isopropylmalcoholmandmaceticmacid)m2.mciprofloxacin/dexamethason
e m(ofloxacinmsafemifmthere mismanmassociatedmTMmperf) m3.mAminoglycoside mcombom(neomycin/polytrim-
B/hydrocortisone m-BUTmnotmusedmif mperf msuspectedmbcmototoxicm4.mamphotericinmBmifmfungal
malignantmotitismexternamismosteomyelitismatmthe mskullmbase msecondarymtom
infxn;mMCmseenmi
nmwhatmptmpopulations;mTx?m-manswer-
pseudomonas;mMCminmDMmandmimmunocompromisedmpts;mTxmw/mIVmCeftazidimemormPiperacillinm+ mFQ
m orm Aminoglycoside
acute motitismmediamismanminfectionmofmthemmiddle mear,mtemporalmbonemandmmastoidmairmcellsmthatmismMC
m preceded m by m - m answer-
amviralmURImthatmcausesmedemamofmeustachianmtube,mnegativempressure,mtransudationmofmfluidmandmmucu
sminmmiddle mearmthatmallowsmformbacterialmgrowth
whatmare mthe m4mMCmorganismsmseenminmacute motitismmedia?m- manswer-
*Strepmpneumo*,mH.minfluenza,mMoraxellamcatarrhalis,mStrepmpyogenesm(samemasmseenminmacute msinusiti
s)
Dx:mfever,motalgia,mearmtuggingminminfants,mconductivemhearingmloss,mstuffiness,mpossiblemdrainage mfrom
mear, mbulging/erythematousm TMmw/meffusion,m decm TMm mobility m onmpneumaticm otoscopy;m Tx?m-m answer-
dx:macute motitismmedia
tx:m1stmline-mamoxicillin,m2ndmline-maugmentinm(amoxicillin-clavulate);mif mPCNmallergy-
m azithromycin, m clarithromycin, m erythromycin-
sulfisoxazole, mtrimethoprim/sulfamethoxazole, mif mPCNmadverse meffectmbutmnotmallergy-
, m ceftriaxone,mcefdinir,mcefixine
m m m m
2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT
m m m m m m m
DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m
ANSWERS)
|ALREADY GRADED A+ m m
Dx?mpreauricularmlymphadenopathy,mcopiousmwaterymeyemdischarge,mscantymmucoidmdischarge,musuallym
unilateralmwithmpunctate mstainingmonmslitmlampmexamination;mTx?m-manswer-dx:mviralmconjunctivitis
tx:msupportive m(coolmcompresses, martificialmtears) m+/-mantihistaminesmformitchingm(Olopatadine)
Dx?mbilateralmeyemitching,mtearing,mredness,mstringmdischarge,mchemosism(conjunctivalmswelling) mwithmcob
blestone mappearance mtominner/uppermeyelids;mTx?m-manswer-dx:mallergicmconjunctivitis
tx:mtopicalmantihistaminesm(H1mblockers) m(Olopatadine,mPheniramine/Naphazoline, mEmedastine),mtopical
m NSAIDm (ketorolac),m topicalm corticosteroids m(butms/emof mlongmtermm usem= mglaucoma, mcataracts, mHSVmkera
titis)
Dx?mpurulentmeye mdischarge,mlidmcrusting,mnomvisualmchanges,mabsence mofmciliaryminjection;mTx?m-
m answer-dx:m bacterialm conjunctivitis m (MCm S.m aureus, m Strepm pneumo, m H. m influenzae)
tx:mtopicalmabx m(erythromycin,mfluoroquinolones, msulfonamides,maminoglycosides);mifmcontactmlensmwear
ermcovermformpseudomonasmw/mfluoroquinolone mormaminoglycoside
ifmbacterialmconjunctivitismismfoundmtombe mchlamydiamormgonorrheamwhatmismthe mtx?m-manswer-
admitmformIV mandmtopicalmabx m(ophthomemergency)
-gonoccoccal:mIV mceftriaxone m+ mtopical
-chlamydia:mIV mazithromycin
neonatalmconjunctivitismismaka?mifmleftmuntreatedmcanmdevelopmwhat?m-manswer-
ophthalmiamneonatorum;mcornealmulceration,mopacification/scarring, mvisualmimpairment/blindness
standardmprophylaxismgivenmimmediatelymaftermbirthmtompreventmophthalmiamneonatorumm(neon
atalmconjunctivitis) mincludes:m-manswer-
erythromycinmointment,mtetracycline mointment,msilvermnitrate,mormpovidone-iodine
,ifmophthalmiamneonatorumm(neonatalmconjunctivitis) mdevelopsmonmdaym1maftermbirthmwhatmismthe mmostmli
kelymcause?mdaym2-5?mdaym5-7?mdaym7-11?m-manswer-daym1:msilvermnitrate m(chemicalmcause-
m prophylaxis m ism whatm canm cause m the m condition)
daym2-5:mgonococcal
daym5-7:mchlamydia
daym7-11:mHSV
orbitalm(septal) mcellulitismismusuallymsecondarymtom infectionminmmostmcommonlymwhatmage mgroup?
-manswer-sinus;m7-12y;mothermcausesminclude mdental/facialminfxnsmormbacteremia
whatmismthemmostmcommonmsinusminfectionm(90%) mthatmcausesmsecondarymorbitalmcellulitis?mwhatmorgani
smsmare mthe mcause?m-manswer-
ethmoid;mS.maureus,mStrep.mpneumo,mGABHSm(Strep.mpyogenes), mH.minfluenzae
workmup/Dx?mdecreasedmvision,mpainmw/mocularmmovement,mproptosism(bulgingmeye),meyelidmerythemama
ndmedema;mtx?m-manswer-dx:morbitalmcellulitis
workmup:mCTmscanm(showingminfxnmof mfatm&mocularmmuscles)mormM
RImtx:mIVmantibioticsm(Vanc,mClinda,mCefotaxime,mAmpicillin/Sulbac
tam)
whatmismthe mdifferencemb/tmorbitalm(septal) mcellulitismandmpreseptalmcellulitis?m-manswer-
preseptalmmaymstillmhavemocularmpain,mrednessmandmswellingmbutmNOmvisualmchangesmormpainmw/mocul
armmvmtm(hasn'tmaffectedmthe mmuscles)
misalignmentmofmthemeyesmismaka?mwhenmdoesmstable mocularmalignmentmpresentminminfants?m-manswer-
m strabismus;m 2-3m mos
convergentmstrabismusmismaka?mdivergentmstrabismusmismaka?m-manswer-
convergent:mesotropiam(deviatedminwardm"crossmeyed")
divergent:mexotropiam(deviatedmouward)
am+ mHirschbergmcornealmlightmreflexmtest,mdiplopia,mscotomasm(blindmspots),mormamblyopiam(lazymeye
) mare mclinicalmmanifestationsmofmwhatmcondition?mwhatmothermtestsmcanmbe mperformed?m-manswer-
strabismus;mcover-
uncovermtestmtomdetermine mthe mangle mof mstrabismus,mcovermtest,mconvergence mtesting
,howmcanmstrabismusmbe mtreated?m- manswer--
patchmtherapy:mnormalmeye mismcoveredmtomstimulate mandmstrengthenmthe maffectedmeye
-eyeglasses
-corrective mtherapy:mif msevere mormunresponsive mtomconservative mtherapy
ifmnotmtreatedmbefore m2my/o,mamblyopiammaymoccurmandmcause mdecreasedmvisualmacuitymthatmismnotm
correctable
Dx?m1-
2mdaysmof mearmpain,mpruritisminmthe mearmcanal,mauricularmdischarge,mpressure/fullness,mhearingmusuallympr
eserved,mpainmwithmtugmtestmandmtragusmpressure,mauditorymcanalmerythema/edema/debris, mrecentmswi
mmingmpoolmuse;mMCmorganisms?mTx?m-manswer-Dx:motitismexterna
MCmorganisms:m*pseudomonas*,mproteus,ms.maureus,ms.mepidermis,mGABHS,manaerobesm(peptostreptoco
ccus),maspergillus
Tx:m1.mprotectmearmagainstmmoisturem(isopropylmalcoholmandmaceticmacid)m2.mciprofloxacin/dexamethason
e m(ofloxacinmsafemifmthere mismanmassociatedmTMmperf) m3.mAminoglycoside mcombom(neomycin/polytrim-
B/hydrocortisone m-BUTmnotmusedmif mperf msuspectedmbcmototoxicm4.mamphotericinmBmifmfungal
malignantmotitismexternamismosteomyelitismatmthe mskullmbase msecondarymtom
infxn;mMCmseenmi
nmwhatmptmpopulations;mTx?m-manswer-
pseudomonas;mMCminmDMmandmimmunocompromisedmpts;mTxmw/mIVmCeftazidimemormPiperacillinm+ mFQ
m orm Aminoglycoside
acute motitismmediamismanminfectionmofmthemmiddle mear,mtemporalmbonemandmmastoidmairmcellsmthatmismMC
m preceded m by m - m answer-
amviralmURImthatmcausesmedemamofmeustachianmtube,mnegativempressure,mtransudationmofmfluidmandmmucu
sminmmiddle mearmthatmallowsmformbacterialmgrowth
whatmare mthe m4mMCmorganismsmseenminmacute motitismmedia?m- manswer-
*Strepmpneumo*,mH.minfluenza,mMoraxellamcatarrhalis,mStrepmpyogenesm(samemasmseenminmacute msinusiti
s)
Dx:mfever,motalgia,mearmtuggingminminfants,mconductivemhearingmloss,mstuffiness,mpossiblemdrainage mfrom
mear, mbulging/erythematousm TMmw/meffusion,m decm TMm mobility m onmpneumaticm otoscopy;m Tx?m-m answer-
dx:macute motitismmedia
tx:m1stmline-mamoxicillin,m2ndmline-maugmentinm(amoxicillin-clavulate);mif mPCNmallergy-
m azithromycin, m clarithromycin, m erythromycin-
sulfisoxazole, mtrimethoprim/sulfamethoxazole, mif mPCNmadverse meffectmbutmnotmallergy-
, m ceftriaxone,mcefdinir,mcefixine
