NR 602 ACTUAL Final exam Latest
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,Step 1 Asthma approach-Intermittent - correct ans:symptoms 2x or less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent - correct ans:Symptoms >2 x a week, less than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
Step 3 Asthma Approach-Moderate Persistant - correct ans:daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%
Step 4 Asthma Approach-Severe Persistent - correct ans:continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma - correct ans:Stepwise approach
, step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
Step 6 Asthma Approach - correct ans:
Bulbar/palpebral conjunctival infection - correct ans:May be unilateral or bilateral
Leukocoria - correct ans:abnormal appearance of a white film in the pupil; immediate referral to
pediatric ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
Visual screening in children - correct ans:At least once between ages 3-5 y/o according to USPSTF
AOM - correct ans:RF: genetics, males, Native American, siblings, low economic status, ages 6mo-3y,
winter, supine bottle feeding, daycare, tobacco smoke
S/S of AOM - correct ans:erythema, otalgia, bulging TM, absent cone of light
Dx of AOM - correct ans:Audiometry, tympanometry, possible lateral neck xray to r/o mass
TX of AOM - correct ans:uncomplicated: supportive with tylenol/ibuprofen; watchful waiting 48-72 in
6m-2y/o; <5 benzocaine otic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days
if allergy to PCN- augmentin, cefuroxime
Verified Version And Frequently tested
With Expected real Questions With
Well Elaborated Correct Answers
GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,Step 1 Asthma approach-Intermittent - correct ans:symptoms 2x or less per week
asymptomatic and normal PED
requires SABA 2 days/week
no interference with normal activities
brief exacerbations
nighttime symptoms 2x or less a month
lung fx- FEV>80% predicted
Step 2 Asthma Approach-Mild persistent - correct ans:Symptoms >2 x a week, less than once per day
requires SABA more than 2days/week, no more than once a day
exacerbations may affect activity
nighttime symptoms 3-4x a month
FEV> 80% predicted
Step 3 Asthma Approach-Moderate Persistant - correct ans:daily symptoms
daily use of SABA
some limitations
2x or more per week exacerbations
nighttime symptoms more than 1x per week, not nightly
FEV >60% but <80%
Step 4 Asthma Approach-Severe Persistent - correct ans:continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma - correct ans:Stepwise approach
, step 1: SABA PRN
step 2: low dose ICS
Step 3: low dose ICS+ LABA or medium dose ICS
step 4: Medium dose ICS+LABA
Step 5: high dose ICS+ LABA
Step 6: High dose ICS+LABA + corticosteroid
Step 6 Asthma Approach - correct ans:
Bulbar/palpebral conjunctival infection - correct ans:May be unilateral or bilateral
Leukocoria - correct ans:abnormal appearance of a white film in the pupil; immediate referral to
pediatric ophthalmologist warranted
Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma
Visual screening in children - correct ans:At least once between ages 3-5 y/o according to USPSTF
AOM - correct ans:RF: genetics, males, Native American, siblings, low economic status, ages 6mo-3y,
winter, supine bottle feeding, daycare, tobacco smoke
S/S of AOM - correct ans:erythema, otalgia, bulging TM, absent cone of light
Dx of AOM - correct ans:Audiometry, tympanometry, possible lateral neck xray to r/o mass
TX of AOM - correct ans:uncomplicated: supportive with tylenol/ibuprofen; watchful waiting 48-72 in
6m-2y/o; <5 benzocaine otic drops
1st line antx: amoxicillin 80-90mg/kg/day Q12 x 10days
if allergy to PCN- augmentin, cefuroxime
