2026 NEWEST NR 602 ACTUAL
FINAL EXAM WITH COMPLETE
QUESTIONS AND VERIFIED
ANSWERS 100% RATED
CORRECT GRADE A+
|GUARANTEED PASS!!
Step 1 Asthma approach-Intermittent - answer-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 - answer-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 - answer-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 - answer-continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma - answer-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 - answer-
Bulbar/palpebral conjunctival infection - answer-May be unilateral or bilateral
Leukocoria - answer-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 - answer-At least once between ages 3-5 y/o according to
USPSTF
AOM - answer-RF: genetics, males, Native American, siblings, low economic status,
ages 6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke
, S/S of AOM - answer-erythema, otalgia, bulging TM, absent cone of light
Dx of AOM - answer-Audiometry, tympanometry, possible lateral neck xray to r/o mass
TX of AOM - answer-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
Bacterial rhinosinusitis - answer-Preceded by URI-typically worsens after 5-7 days- not
resolved in 2 weeks
Sx of bacterial rhinosinusitis - answer-Purulant nasal congestion, drainage, facial pain,
headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis - answer-Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis - answer-Increased work of breathing, prolonged expiration,
grunting, retractions, nasal flaring
Croup sx - answer-Low grade fever, URI symptoms, barking cough, inspiratory stridor
can occur
Croup dx - answer-Made from symptoms
FINAL EXAM WITH COMPLETE
QUESTIONS AND VERIFIED
ANSWERS 100% RATED
CORRECT GRADE A+
|GUARANTEED PASS!!
Step 1 Asthma approach-Intermittent - answer-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 - answer-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 - answer-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 - answer-continual symptoms
requires SABA multiple x a day
extremely limited activity
nighttime symptoms 7x a week
FEV <60%
Tx of asthma - answer-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 - answer-
Bulbar/palpebral conjunctival infection - answer-May be unilateral or bilateral
Leukocoria - answer-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 - answer-At least once between ages 3-5 y/o according to
USPSTF
AOM - answer-RF: genetics, males, Native American, siblings, low economic status,
ages 6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke
, S/S of AOM - answer-erythema, otalgia, bulging TM, absent cone of light
Dx of AOM - answer-Audiometry, tympanometry, possible lateral neck xray to r/o mass
TX of AOM - answer-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
Bacterial rhinosinusitis - answer-Preceded by URI-typically worsens after 5-7 days- not
resolved in 2 weeks
Sx of bacterial rhinosinusitis - answer-Purulant nasal congestion, drainage, facial pain,
headache, fever
No imaging required- if no improvement refer to ENT
Bronchiolitis - answer-Usually caused by RSV
wheezing present
<2 y/o
other causes; influenza, adenovirus, rhinovirus
S/s of bronchiolitis - answer-Increased work of breathing, prolonged expiration,
grunting, retractions, nasal flaring
Croup sx - answer-Low grade fever, URI symptoms, barking cough, inspiratory stridor
can occur
Croup dx - answer-Made from symptoms
