Miscellaneous Aanp Fnp Review

Front 1

tinea DoC:

Back 1

griseofulvin

Front 2

scaly, pale, salmon-colored trunk lesions:

Back 2

pityriasis rosea

Front 3

psoriasis:

Back 3

aggravated by stress

Front 4

yellowish, greasy rash on scalp, ears, and forehead:

Back 4

seborrheic dermatitis

Front 5

impetigo tx:

Back 5

staphylococcos: dicloxacillin

Front 6

to avoid complications of GABHS in child - ARF and PGSN, use the antibiotic ___.

Back 6

PCN

Front 7

hyphema is a:

Back 7

hemorrhagic lesion of the anterior chamber of the eye -> REFER to ophtalmologist

Front 8

external OM DoC:

Back 8

neomycin or polymyxin topically

Front 9

if pt (+) for strep, but has a PCN allergy, give:

Back 9

cephalosporin

Front 10

"Steeple Sign" on PA and lateral films seen indicate:

Back 10

croup

Front 11

"Pickle Sign?"

Back 11

mumps

Front 12

child with suspected viral infection should avoid taking ___.

Back 12

ASA

Front 13

vesicles and ulcers on tongue and pharynx with loss of appetite, sore throat, dysphagia has ___. Treat with ___.

Back 13

Herpangina; treat with APAP in order to reduce pain associated with oral ulcers and encourage fluid consumption

Front 14

High fever for about a week, which subsides. Now, new onset scarlet rash. Likely dx?

Back 14

roseola infantum

Front 15

mumps contagious for:

Back 15

1 day pre and 3 days post-swelling

Front 16

classic varicella presentation:

Back 16

centripetal progression, vesicular lesions, pruritus, lesions crust appear and crust over at varying intervals

Front 17

measure head circumference up until:

Back 17

36 m; 3y

Front 18

tx of tinea is ___. Take it with ___. Length of tx for corporis; for onchyo?

Back 18

griseofulvin PO; fatty foods enhance absorption; corporis tx length is 2-4w; onycho tx is 3-6 months - longer in toenails

Front 19

eczema (aka atopic dermatitis) location, tx:

Back 19

flexural, topical steroids, moisturizing creams abx for infections (m/c of which is erythromycin for Staph infections), antihistamines for pruritus

Front 20

psoriasis locations, tx:

Back 20

erythematous papules covered with thick white scales, chronic scaly plaques over elbows, knees, scalp; pinpoint pits in nail plate; Auspitz sign; tx with emollient creams topical steoids, Nizoral, phototherapy; DoC is topical steroids: fluocinonide / Lidex or clobetasol / Temovate

Front 21

port wine stain's aka

Back 21

neveus flammeus, stork bite

Front 22

bacterial conjunctivitis

Back 22

H. influ., Strepto. pneumo; yellow-green d/c, often unilateral, Winter Months; tx: erythromycin, fluoroquinolones

Front 23

viral conjunctivitis

Back 23

self-limiting; usually adenovirus, >6y/o; clear, watery d/c, URTI sx, Spring and Fall

Front 24

pre-req for development of rheumatic fever?

Back 24

infection with GABHS

Front 25

commonly occurs with atopic dermatitis (aka eczema)?

Back 25

asthma

Front 26

candida infection's aka:

Back 26

moniliasis, candidiasis, thrush

Front 27

if using Lamisil / terbinafine for ___, should monitor ___ periodically.

Back 27

onychomycoses; check LFT's

Front 28

for Strep throat, what is DoC:

Back 28

PCN V

Front 29

for H. Influenzae, what is the DoC?

Back 29

ceftriaxone: 2nd and 3rd generation cephalosporins or fluoroquinolones (cipro-, moxi-, levo-, gemi-floxacin)

Front 30

DoC for scabies:

Back 30

permethrin / Elimite 5% cream; applied at bedtime; wash of in AM; wash all clothing and linens in hot water; second application 1 week later

Front 31

tinea versicolor tx:

Back 31

selenium sulfide lotion 2.5% / Selsun Blue

Front 32

cradle cap aka:

Back 32

seborrheic dermatitis

Front 33

head lice tx:

Back 33

permethrin 1% / Nix shampoo for 10 minutes, rinse out; wash all linens and clothing for 30 min on high heat

Front 34

in pediatric pt. what is the DoC for sinusitis? length of tx?

Back 34

amox 80mg/kg/d OR Augmentin 45mg/kg/d OR Azithromycin 50mg/kg/d OR erythromycin 50mg/kg/d

Front 35

DoC for thrush?

Back 35

oral Nystatin / fluconazole

Front 36

etx of epiglottitis?

Back 36

H. Influenza, Type B (HiB); "Thumb Sign" seen on lateral C-spine plain films, REFER!

Front 37

influenza incubation period?

Back 37

1-4d

Front 38

HAV contagious for how long?

Back 38

1-3w

Front 39

rubeola / Measles rash presents first where?

Back 39

forehead -> face -> trunk; maculopapular rash; Koplik spots (small white papules on diffusely red base on the buccal mucosa)

Front 40

Rubella / German Measles contagion period:

Back 40

7d prior to and 7 days post illness

Front 41

erythema infectiosum aka

Back 41

Fifth Disease; Slapped-Cheek Syndrome

Front 42

tx MRSA dermatological infection with:

Back 42

Bactrim is MRSA DoC

Front 43

meningococcal meningitis cutaneous symptoms?

Back 43

petechiae, "blueberry muffin" appearance; can progress to purpura and SHOCK

Front 44

prophylaxis for MCV exposure:

Back 44

oral Rifampin 10mg/kg/dose PO 2xdx2d OR
ceftriaxone / Rocephin IM 125mg (< 15y/o) or 250mg for pt >15y/o

Front 45

cat scratch fever etx, findings, duration, tx?

Back 45

Bartonella henselae - a G(-) bacillus, contact with infected animal; much LAD; lasts 2-4m; tx is symptomatic / supportive

Front 46

most fevers are caused by:

Back 46

viruses

Front 47

FUO, defined:

Back 47

prolonged fever (>3w) with unknown etiology (>100F) AND no specific dx after 3-7d or after 3d of outpatient visits, etc.

Front 48

dosage for pads with fever of APAP:

Back 48

10-15mg/kg q 4-6h for children >2m/o

Front 49

majority of pediatric fevers last ___ days.

Back 49

2-3d

Front 50

any febrile infant (2-3m or younger) with a temperature > 100.4 needs hospitalization and septic workup

Back 50

true; c'est vrai!

Front 51

m/c chronic condition in children is:

Back 51

asthma / reactive airway disease; 1/15 Americans, 1/4 of ER visits, #1 reason for missed school days

Front 52

in asthma workup, suspect ___ sx at night:

Back 52

increased cough, chest tightness, dyspnea, and wheezing at night in asthma

Front 53

CPM in nml NB:

Back 53

30-60 cpm

Front 54

nml CPM in a 1-4 year old:

Back 54

20-30cpm

Front 55

nml CPM in a 12+ year old pt:

Back 55

12-20cpm

Front 56

acute bronchitis: etx, sx, tx:

Back 56

viral inflammation of tracheal and bronchial mucosa; dry, hacking unproductive cough, may have dyspnea; tx: supportive, self-limiting illness

Front 57

chronic bronchitis:

Back 57

productive cough for >3 months for >= 2 consecutive years; cough and wheezing likely

Front 58

bronchiolitis: etx, sx, tx:

Back 58

RSV viral inflammation of small airways, decreased expiratory flow; peak incidence in 2-6 month olds; secondary smoke is a RF

Front 59

Pneumonia, bacterial tx:
< 5y/o
> 5y/o

Back 59

<5 y/o: amoxicillin or, if Complicated -> cefuroxime and vancomycin
>5 y/o: azithromycin 12 mg/kg/d

Front 60

Pneumonia, if Mycoplasma Pneumoniae is the causative agent tx:

Back 60

erythromycin, azitrhomycin or (vancomycin)

Front 61

Port Wine Stain / Neveu Flammeus covering 1/2 the face can signify:

Back 61

Sturg-Weber Syndrome: seizures, retardation, glaucoma, hemiplegia

Front 62

m/c benign tumor of infancy is:

Back 62

hemangioma

Front 63

oral dosage for antibiotics in acne and drugs:

Back 63

erythromycin 250-500mg 2xd
doxycycline 50-100mg 2xd (NOT in <8y/o because it's a tetracycline)

Front 64

common acne treatment includes three treatment components:

Back 64

benzoyl peroxide 2.5% + Retin-A + topical Erythromycin 1%
watch for photosensitizing effect

Front 65

impetigo: etx, tx:

Back 65

(#1) Staph and GABHS, most likely; tx with systemic abx: dicloxacillin or erythromycin and topical mupirocin / Bactroban 3xdx10d applied to affected skin

Front 66

impetigo contagious until:

Back 66

48 hours after proper abx treatment has commenced

Front 67

Griseofulvin PO for ___.

Back 67

Tinea infections; take with fatty meal; photosensitizing

Front 68

if diaper rash continues longer than 3d, it is considered:

Back 68

colonized with candida; use Nystatin cream / powder

Front 69

>6 cafe au lait spots could indicate:

Back 69

neurofibromatosis

Front 70

milia: appearance, etx

Back 70

white, yellow papules, increased sebaceous activity due to maternal hormones; 50% of infants get it

Front 71

erythema toxicum appearance:

Back 71

50% of newborns, small firm pustules and papules, clustered in up to 100; brief, transient, no tx; first 48h of life

Front 72

MRSA, revisited:
abx tx:

Back 72

1st line: Bactrim
clindamycin
doxycycline or minocycline (photosensitivity and NOT for <8y/o)

Front 73

cat scratch disease / fever:

Back 73

m/c cause of chronic LAD, pt is usually not very sick; NOT bacterial; spontaneous resolution in 2-4m

Front 74

retinoblastoma, m/c finding:

Back 74

strabismus; usually by 2y/o; rare intraocular tumor; metastasis; REFER; m/c malignant tumor in infant

Front 75

Moro Reflex, defined:

Back 75

startle at loud noise (birth to 3m)

Front 76

what abx to use for sinusitis if allergic to PCN (amoxicillin or Augmentin is DoC for sinusitis)?

Back 76

azithromycin or erythromycin

Front 77

3 m/c etx of bacterial nasopharyngitis:

Back 77

1. GABHS (30%)
2. Neisseria Gonorrhea
3. Corynebacterium Diphtheriae

Front 78

for Strep throat, DoC is:

Back 78

PCN V / G IM (erythromycin if allergic to PCN)

Front 79

for Scarlet Fever, DoC is:

Back 79

PCN V / G IM (remember, it is a sequela of GABHS...)

Front 80

if increased inspiratory effort in child, suspect:

Back 80

upper airway obstruction

Front 81

if increased expiratory effort in a child, suspect:

Back 81

lower airway obstruction

Front 82

CF diagnosed via:

Back 82

sweat test

Front 83

CF sweat test result indicating (+) for CF?

Back 83

chloride concentration >60mmol/L

Front 84

CF primary affected systems:

Back 84

respiratory and GI (insufficient pancreatic enzymes produced)

Front 85

CF, other problems associated with:

Back 85

increased risk of DM, osteoporosis, infertile males, lower fertility in females; lung deficiency begins early; nutrient deficiencies