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43 Cards in this Set
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Aaron is a healthy 8-year old boy with enuresis. He has not been able to stay dry at night since “potty training” began when he was 3 years old. His mother reports he was able to stay dry for an occasional night, but they are infrequent and non-sequential. The child is motivated to stop the bedwetting. His parents have tried stopping all fluid intake for 4-5 hours prior to bedtime. This did not help and increased constipation. Aaron’s father was a bedwetter himself until age 7 years. The pediatrician recommended a timed voiding schedule and alarm therapy, and this helped increase continence at night, with enuresis reported at 1-2 nights weekly. Diabetes insipidus has been ruled-out. Drug therapy is warranted at this time. Select the preferred medication for treating enuresis. Answer APseudoephedrine BPhenylephrine CDexamethasone DDesmopressin EImipramine |
DDesmopressin |
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Which age range correctly defines an infant? Answer A0 - 28 days B1 month - 6 months C1 month - 12 months D1 month to 18 months E1 year - 12 years |
C1 month - 12 months |
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Which of the following statements about croup are correct? (Select ALL that apply.) Answer ACroup is most common in children < 6 years old. BCroup is most commonly caused by a fungal infection. CMild cases require admission to the hospital for antibiotics to prevent progression to severe illness. DInflammation of the upper airway leads to the symptoms of croup. EEpinephrine is used in croup to relax bronchial smooth muscle and cause bronchodilation. |
ACroup is most common in children < 6 years old.
DInflammation of the upper airway leads to the symptoms of croup. EEpinephrine is used in croup to relax bronchial smooth muscle and cause bronchodilation. |
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In which of the following circumstances should the parent be referred to urgent care? Answer AA 2 year old has a rectal temperature of 102.4 degrees Fahrenheit. BA 5 year old has a cough that has improved over several days. CA 4 month old has a rectal temperature of 101.5 degrees Fahrenheit. DA 6 year old has a mild rash and no fever. EA 5 year old has knee pain that goes away after one dose of ibuprofen. |
CA 4 month old has a rectal temperature of 101.5 degrees Fahrenheit. |
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A 6-month-old, 4.1 pound baby who was born at 26 weeks gestation will be given palivizumab (Synagis) for prophylaxis of respiratory syncytial virus (RSV) infection. The infant will be given palivizumab 15 mg/kg IM, dosed on actual weight. Which of the following statements are correct? (Select ALL that apply.) Answer AThe dose of palivizumab, rounded to the nearest milligram, is 27 mg, to be administered by IM injection. BThe dose of palivizumab, rounded to the nearest milligram, is 29 mg, to be administered by IM injection. CA correct site for administration in this patient is the anterolateral thigh muscle. DA correct site for administration in this patient is the fatty tissue under the triceps. EFrequent handwashing and wiping of hard surfaces with soap and water or disinfectant may help stop infection and spread of RSV. |
CA correct site for administration in this patient is the anterolateral thigh muscle.
EFrequent handwashing and wiping of hard surfaces with soap and water or disinfectant may help stop infection and spread of RSV. |
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SA is a 2 year old male child. His parents brought him to Urgent Care because he has had a gradual loss of appetite for 4 days. They say that they he doesn't want to get out of bed and seems tired during the day. SA's Mom says that he started to cry when she washed his hair during his bath today. She thought maybe his head hurt. Upon physical exam, his salivary glands are very swollen and tender to touch. What childhood illness is most likely in this case? Answer AVaricella BMeasles CMumps DPolio EPertussis |
CMumps |
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Which of the following groups of medications are generally not used in pediatric patients? Answer AIron, tetracyclines, morphine, and codeine BTetracyclines, promethazine, acetaminophen, and fluoroquinolones CCodeine, iron, fluoroquinolones, and promethazine DTetracyclines, codeine, promethazine, and fluoroquinolones EMorphine, promethazine, fluoroquinolones, and tetracyclines |
DTetracyclines, codeine, promethazine, and fluoroquinolones |
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Chief Complaint: "Our little boy is sick and getting worse"
History of Present Illness: BW is a 22 month old child brought to the Pediatric Emergency Department by his parents at 11:30pm on 12/14/14. BW's father is a medical resident at the nearby orthopedic hospital so he is knowledgeable about the course of his son's illness. He states that his son has had difficulty with asthma and allergies since he was 11 months old. He sees a pediatrician pulmonologist. About 3 days ago, he noticed that his son had developed a mild cough and a runny nose. They used a humidifier and continued his regular medications. He seemed to be getting a little better. This morning the cough was noticeably worse, but the parents became very worried when his temperature increased to 102.8 degrees Fahrenheit and he began to have shortness of breath about an hour ago. They came to the ED immediately.
Allergies: NKDA
Past Medical History: Asthma and environmental allergies. Child is up to date on all vaccinations.
Medications: Pulmicort Respules 0.25 mg BID at 0700 and 1600 via nebulizer and Singulair 4 mg daily at 2000.
Physical Exam / Vitals: Height: 33" Weight: 22 lbs Vitals: BP: 100/72 HR: 103 RR: 25 Temp: 102.9 F O2 sat: 96% General: Child is febrile accompanied by concerned parents. Coughing continuously. Low O2 sat and developing stridor. Cardiovascular: RRR Lungs: Clear to auscultation Extremities: No rashes or lesions
Labs: CBC and chemistry pending
Tests: CXR and blood culture pending
Plan: Admit to medical floor for further work up and treatment.
Question: The Emergency Department physician explains to BW's parents that he thinks BW's presentation is most consistent with RSV. How is RSV generally managed in healthy older children? Answer APalivizumab BVancomycin + cefotaxime CDexamethasone + racemic epinephrine DDesmopressin ESupportive care |
ESupportive care |
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A parent calls the pharmacy for a recommendation for her child's constipation. The child is 11 months old and has no medical problems. Which of the following is an appropriate recommendation? (Select ALL that apply.) Answer ADulcolax BPedi-Lax CMiraLax DGlycerin suppository ESimethicone drops
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BPedi-Lax CMiraLax DGlycerin suppository |
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A mother has a "colicky" newborn. He is crying after she feeds him, which lasts about an hour. The child has been seen by the pediatrician who told the mother that the baby is fine and to use an over-the-counter anti-gas agent. Which of the following products should be chosen? Answer AAdvil infant drops BMylicon infant drops CAcetaminophen infant drops DGaviscon infant drops EPhillips infant drops |
BMylicon infant drops |
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A seven year-old male patient will receive Pediacare Children’s Cough and Runny Nose liquid. The father tells the pharmacist that the doctor said to give 2 teaspoons to his son 3-4 times daily, as needed. The medication contains 160 mg of acetaminophen, 1 mg of chlorpheniramine maleate and 5 mg of dextromethorphan per teaspoon. Which of the following statements are correct? (Select ALL that apply.) Answer AThe child will get overdosed on dextromethorphan if he is given the dose that was recommended by the child's doctor. BThe child will get overdosed on acetaminophen if he is given the dose that was recommended by the child's doctor. CThe doses are safe as recommended. DChlorpheniramine is a decongestant. EDextromethorphan by itself comes as the brand product Delsym. |
CThe doses are safe as recommended.
EDextromethorphan by itself comes as the brand product Delsym. |
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Which of the following is correct about OTC medication use for common conditions in infants? (Select ALL that apply.) Answer ASimethicone drops are safe to recommend for gas in infants. BSuctioning with saline drops is preferred over OTC cough and cold products for congestion in infants. CParents should be counseled that using a household spoon is the most accurate way to measure infant medications. DChild and infant acetaminophen and ibuprofen products are all manufactured in the same concentration to minimize errors. EDiphenhydramine is safe for infants with runny nose and allergy symptoms. |
ASimethicone drops are safe to recommend for gas in infants. BSuctioning with saline drops is preferred over OTC cough and cold products for congestion in infants. |
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Which of the following is correct regarding Synagis prophylaxis? (Select ALL that apply.) Answer AThe correct dose of Synagis is 15 mg/kg IM daily for 5 months during RSV season. BSynagis is indicated to prevent serious cardiovascular disease caused by RSV. CSynagis prophylaxis is indicated for infants with chronic illness like congenital heart disease and chronic lung disease. DSynagis prophylaxis is indicated for infants born before 29 weeks gestation who are younger than 12 months at the start of RSV season. ERSV can be deadly in premature babies and neonates.
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CSynagis prophylaxis is indicated for infants with chronic illness like congenital heart disease and chronic lung disease. DSynagis prophylaxis is indicated for infants born before 29 weeks gestation who are younger than 12 months at the start of RSV season. ERSV can be deadly in premature babies and neonates. |
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A 2 week old female is brought to the hospital by her parents. She is sleeping more than usual and not eating. After examining the patient, the pediatrician on duty believes this could be meningitis. Which of the following is an appropriate empiric regimen for this patient? Answer AVancomycin and ceftriaxone BVancomycin and cefotaxime CAmpicillin monotherapy DAmpicillin and cefepime EAmpicillin and cefotaxime
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EAmpicillin and cefotaxime |
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A mother comes to the pharmacy asking for advice on something OTC to treat her daughter's fever. Her daughter is 13 months old and weighs 11 pounds. Her rectal temperature this morning was 39.7 degrees Celsius. The most appropriate recommendation is: Answer AMonitor the child for another 24 hours to see if the fever subsides before treating with OTC medications. BRecommend ibuprofen 25-50 mg every 6-8 hours. CRecommend acetaminophen 50-75 mg every 4-6 hours. DRecommend a cool bath to lower the child's temperature. ESeek medical care for the child immediately. |
ESeek medical care for the child immediately. |
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TW is a 6 year old female child being seen in the pediatrician's office today. She has a temperature of 102.4 degrees Fahrenheit and a rash covering her entire body. According to TW's parents, they noticed the rash on her face yesterday morning and it spread to cover most of her body by today. Three days ago TW's Mom noticed spots in her daughter's mouth. She said they were small, white and located on the inside of her daughter's cheeks. Based on this presentation and history, what childhood disease does TW have? Answer AMumps BRubella CVaricella DPertussis EMeasles
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EMeasles |
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Which of the following is correct about chickenpox? Answer AIt is caused by rubella and prevented with the Boostrix vaccine. BIt is caused by human papillomavirus and prevented with the Zostavax vaccine. CIt is caused by varicella zoster virus and prevented with the Zostavax vaccine. DIt is caused by rotavirus and prevented with the Rotarix vaccine. EIt is caused by varicella zoster virus and prevented with the Varivax vaccine. |
EIt is caused by varicella zoster virus and prevented with the Varivax vaccine |
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A 3 year old male child is in the emergency department. His parents are very worried because he hasn't been sleeping due to a cough that seems to be worse at night. The barking cough is evident throughout the exam and the child is inconsolable. Other pertinent findings include significant inspiratory stridor. Chest is clear to auscultation and the patient is afebrile. Based on the presentation described, which of the following drug regimens is warranted? Answer ADexamethasone only BNebulized racemic epinephrine only CNebulized racemic epinephrine and dexamethasone DNebulized racemic epinephrine, dexamethasone, and amoxicillin EDexamethasone and nebulized budesonide |
CNebulized racemic epinephrine and dexamethasone |
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A 5-month-old female infant, weight 3.4 kg, was born at term with no known health problems is treated for her first case of otitis media with amoxicillin at a dose of 150 mg BID x 7 days. At the two-week follow-up visit the pediatrician has documented fullness in the middle ear and a cloudy tympanic membrane. The patient is febrile with a temperature of 38.7 degrees Celsius. Which one of the following represent preferred options for treatment? (Select ALL that apply.) Answer AHigh-dose amoxicillin (90 mg/kg/day) for 7 days. BAmoxicillin/Clavulanic acid dosed at 150 mg (of the amoxicillin component) BID x 7 days. CAmoxicillin/Clavulanic acid dosed at 300 mg (of the amoxicillin component) BID x 7 days. DCefuroxime 50 mg BID x 7 days. EAzithromycin 30 mg x 2 days. |
BAmoxicillin/Clavulanic acid dosed at 150 mg (of the amoxicillin component) BID x 7 days. |
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Which of the following is correct about vaccination to prevent transmission of pertussis? (Select ALL that apply.) Answer APregnant women (weeks 27-36) should receive DTaP. BChildren < 7 years of age should the receive DTaP series. CInfants and children should receive Tdap at 2, 4, 6 and 12-15 months. DPregnant women (weeks 27-36) should receive Td. EChildren 7 - 10 years of age who were not fully vaccinated should receive a one time dose of DTaP. |
BChildren < 7 years of age should the receive DTaP series. |
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Chief Complaint: "Our little boy is sick and getting worse"
History of Present Illness: BW is a 22 month old child brought to the Pediatric Emergency Department by his parents at 11:30pm on 12/14/14. BW's father is a medical resident at the nearby orthopedic hospital so he is knowledgeable about the course of his son's illness. He states that his son has had difficulty with asthma and allergies since he was 11 months old. He sees a pediatrician pulmonologist. About 3 days ago, he noticed that his son had developed a mild cough and a runny nose. They used a humidifier and continued his regular medications. He seemed to be getting a little better. This morning the cough was noticeably worse, but the parents became very worried when his temperature increased to 102.8 degrees Fahrenheit and he began to have shortness of breath about an hour ago. They came to the ED immediately.
Allergies: NKDA
Past Medical History: Asthma and environmental allergies. Child is up to date on all vaccinations.
Medications: Pulmicort Respules 0.25 mg BID at 0700 and 1600 via nebulizer and Singulair 4 mg daily at 2000.
Physical Exam / Vitals: Height: 33" Weight: 22 lbs Vitals: BP: 100/72 HR: 103 RR: 25 Temp: 102.9 F O2 sat: 96% General: Child is febrile accompanied by concerned parents. Coughing continuously. Low O2 sat and developing stridor. Cardiovascular: RRR Lungs: Clear to auscultation Extremities: No rashes or lesions
Labs: CBC and chemistry pending
Tests: CXR and blood culture pending
Plan: Admit to medical floor for further work up and treatment.
Question: BW's father thinks his child should have a lumbar puncture. What disease is he concerned about? Answer ALaryngotracheobronchitis BMeningitis CRespiratory syncytial virus DEnuresis EPolio |
BMeningitis |
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A child's parents are concerned that giving acetaminophen to their child could cause severe rashes. They heard about this on the evening news on television. The pharmacist counsels the parents that the risk is very rare and informs them that acetaminophen has been used in most patients safely for years. To be safe, she wishes to inform the parents concerning early warning symptoms of a hypersensitivity reaction. If a patient was to develop a severe skin reaction to acetaminophen (or another drug) what are the likely initial symptoms that would be seen prior to the onset of rash? Answer ANausea, vomiting BFever and muscle aches CYellowing skin DTingling of the extremities ESevere headache, dry mouth, light sensitivity
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BFever and muscle aches |
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Desmopressin is a synthetic form of vasopressin (anti-diuretic hormone), which regulates fluid volume. It is used for patients with inadequate vasopressin (which results in diabetes insipidius), for treating bedwetting in children (enuresis) and for reducing bleeding in hemophilia (Von Willebrand's disease). Select available formulations for desmopressin: Answer AInjection BSuppository, rectal CNasal spray DTopical paste EOral tablet |
AInjection
CNasal spray
EOral tablet |
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Latanya is a nine-year old African American who is hospitalized with acute sickle cell crisis. She complains of pain in the chest, lower back and legs. She has been hospitalized previously with acute pain crises. Known allergies include severe rash to amoxicillin. Her pain is rated as "20" on a scale of 1-10. At the last hospitalization six months ago she received adequate pain treatment with intravenous morphine at a dose of 5 mg every four hours. Calculate the daily dose of morphine that will likely be required to provide adequate pain control for this child: Answer A5 mg B20 mg C24 mg D30 mg E34 mg |
D30 mg |
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Aaron is a healthy 8-year old boy with enuresis. He has not been able to stay dry at night since "potty training" began when he was 3 years old. His mother reports he was able to stay dry for an occasional night, but they are infrequent and non-sequential. The child is motivated to stop the bedwetting. His parents have tried stopping all fluid intake for 4-5 hours prior to bedtime. This did not help and increased constipation. Aaron's father was a bedwetter himself until age 7 years. The pediatrician recommended a timed voiding schedule, and this helped increase continence at night, with enuresis reported at 1-2 nights weekly. Diabetes insipidus has been ruled-out. Drug therapy is warranted at this time. Select drug therapy options that are useful for treating enuresis. (Select ALL that apply.) Answer APseudoephedrine BPhenylephrine CDesmopressin DImipramine EDDAVP |
CDesmopressin DImipramine EDDAVP |
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Latanya is a nine-year old African American who is hospitalized with acute sickle cell crisis. The pharmacist is preparing intravenous fluids for this patient. She adds 2 grams of potassium chloride to 1 L of D5W/1/2 normal saline. What is the estimate of the osmolarity per liter (mOsm/L) of this solution assuming the final volume is 1 L (MW of sodium = 23, potassium = 39, chloride = 35.5 and dextrose is 198)? Answer A64 B128 C256 D460 E512 |
D460 |
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Samantha is a four year-old child who weighs 37 pounds and is 39.5 inches tall. She presents to the medical office with her mother. Samantha has a congenital ventricular septal defect and absence seizures, with breakthrough episodes on ethosuximide. She will be started on valproic acid at an initial dose of 15 mg/kg/day in an attempt to control the seizures. Her parents will sprinkle the Depakote Sprinkle 125 mg capsules on a small amount of food twice daily, with breakfast and with dinner. How many capsule/s will she receive with breakfast? Answer A1 capsule B2 capsules C3 capsules D4 capsules E5 capsules |
A1 capsule |
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A 5-month-old female infant, weight 3.4 kg, was born at term with no known health problems is treated for her first case of otitis media with amoxicillin at a dose of 150 mg BID x 7 days. At the two-week follow-up visit the pediatrician has documented fullness in the middle ear and a cloudy tympanic membrane. The patient is febrile with a temperature of 38.7 degrees Celsius. Which one of the following represent preferred options for treatment? (Select ALL that apply.) Answer AHigh-dose (90 mg/kg/day) amoxicillin for 7 days. BAmoxicillin/Clavulanic acid dosed at 150 mg (of the amoxicillin component) BID x 7 days CAmoxicillin/Clavulanic acid dosed at 250 mg (of the amoxicillin component) BID x 7 days. DCeftriaxone 170 mg intramuscular injection for 3 days. EAzithromycin 30 mg x 2 days. |
BAmoxicillin/Clavulanic acid dosed at 150 mg (of the amoxicillin component) BID x 7 days
DCeftriaxone 170 mg intramuscular injection for 3 days. |
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Armando is a pediatric patient with AIDS-wasting syndrome who is unable to meet his nutritional needs from normal intake. He has been receiving enteral formula to supplement his diet, which has resulted in stomach upset and diarrhea. To help alleviate the GI symptoms the pharmacist will reduce the osmolarity of the formula from 520 mOsm/L to 300 mOsm/L. How many milliliters of purified water are needed to reduce 500 mL of this solution to the desired osmolarity of 300 mOsm/L? Answer A244 mL B247 mL C350 mL D360 mL E367 mL |
E367 mL |
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David is an 8 week old infant with thrush. The physician has ordered nystatin suspension 100,000 units to each side of mouth PO QID with instructions to the parents to brush the suspension into the recesses of the child's mouth. Which of the following statements concerning this prescription are correct? (Select ALL that apply.) Answer ANystatin suspension, if taken by a child or adult, should (preferably) be held in the mouth for a short while prior to swallowing; the usual instructions are to “swish and swallow.†BThere is no need to shake this type of formulation; it is retained in a uniform distribution. CThe total daily dose is 400,000 units nystatin suspension. DThrush is an infection caused by a fungus called trychophyton. EThis medication is well-tolerated, but some patients get mild gastrointestinal side effects. |
ANystatin suspension, if taken by a child or adult, should (preferably) be held in the mouth for a short while prior to swallowing; the usual instructions are to “swish and swallow.â€
CThe total daily dose is 400,000 units nystatin suspension.
EThis medication is well-tolerated, but some patients get mild gastrointestinal side effects. |
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A prescription is written for cefuroxime oral suspension 30 mg/kg/day divided BID x 10 days for a 7 year old patient (weight 42 pounds). How many milligrams should the patient receive for each dose? Round to the nearest milligram. Answer A72 B143 C286 D573 E630 |
C286 |
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Jadan is a 2 year, 3-month-old boy being treated for otitis media. He is going to receive a prescription for amoxicillin 90 mg/kg/day. He weighs 26 pounds and is 35 inches tall. Jadan is allergic to peanuts and has been prescribed an Epipen for use if accidental exposure. His mother carries an Epipen in her purse and the daycare has an EpiPen for his use in the office. Calculate the amoxicillin dose in milligrams that should be administered every 12 hours. Round the answer to the nearest 10-milligram dose. Do not enter units; enter the number only.
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530 |
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Mallory is a 3 year girl being treated for otitis media. She will receive amoxicillin 90 mg/kg/day. The pharmacy has in stock amoxicillin suspension 250 mg/5 mL. Mallory weighs 33 pounds. How much amoxicillin suspension, in mL, should be administered to Mallory daily? Round the answer to the nearest milliliter. Do not enter units; enter the number only.
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27 |
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A seven year-old male patient will receive Pediacare Children's Cough and Runny Nose liquid. The father tells the pharmacist that the doctor said to give 2 teaspoons to his son 3-4 times daily, as needed. The medication contains 160 mg of acetaminophen, 1 mg of chlorpheniramine maleate and 5 mg of dextromethorphan per teaspoon. Which of the following statements are correct? (Select ALL that apply.) Answer AThe child will get overdosed on dextromethorphan if he is given the dose that was recommended by the child’s doctor. BThe child will get overdosed on acetaminophen if he is given the dose that was recommended by the child’s doctor. CThe doses are safe as recommended. DThe chlorpheniramine is a decongestant. EDextromethorphan by itself comes as the brand product Delsym. |
CThe doses are safe as recommended.
EDextromethorphan by itself comes as the brand product Delsym. |
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A seven year-old male patient will receive Pediacare Children's Cough and Runny Nose liquid. The medication contains 160 mg of acetaminophen, 1 mg of chlorpheniramine maleate and 5 mg of dextromethorphan per teaspoon. Which of the following statements are correct? (Select ALL that apply.) Answer AThe FDA recommends that OTC cough and cold products should not be used for infants and children under 6 years of age due to the risk of serious and potentially life-threatening side effects. BThe pharmacist should recommend that the parent use a standard size teaspoon in order to make sure the child receives an accurate dose; “teaspoons†come in different sizes. CThe chlorpheniramine is an antihistamine that will produce a sedative effect. DThe parents need to be careful not to over-use acetaminophen, which may also be administered separately for pain or fever. EThe dextromethorphan is used as a mucolytic.
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CThe chlorpheniramine is an antihistamine that will produce a sedative effect. DThe parents need to be careful not to over-use acetaminophen, which may also be administered separately for pain or fever. |
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A 6-month-old, 4.1 pound baby who was born at 26 weeks gestation will be given palivizumab (Synagis) for prophylaxis of respiratory syncytial virus (RSV) infection. The infant will be given palivizumab 15 mg/kg IM, dosed on actual weight. Which of the following statements are correct? (Select ALL that apply.) Answer AThe dose of palivizumab, rounded to the nearest milligram, is 27 mg, to be administered by IM injection. BThe dose of palivizumab, rounded to the nearest milligram, is 29 mg, to be administered by IM injection. CA correct site for administration in this patient is the anterolateral thigh muscle. DA correct site for administration in this patient is the fatty tissue under the triceps. EFrequent handwashing and wiping of hard surfaces with soap and water or disinfectant may help stop infection and spread of RSV. |
CA correct site for administration in this patient is the anterolateral thigh muscle.
EFrequent handwashing and wiping of hard surfaces with soap and water or disinfectant may help stop infection and spread of RSV. |
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Aaron is an eight year old boy with enuresis who will receive desmopressin tablets. Which of the following dosing regimens is correct for initiation of therapy? Answer ATake one 0.1 mg twice daily BTake one 0.1 mg three times daily CTake 0.2 mg at bedtime DTake 0.2 mg twice daily ETake 0.2 mg three times daily |
CTake 0.2 mg at bedtime |
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Maya is a four-year old girl who has had a swollen knee for the past few weeks. She cannot fully extend her leg and has limped into the medical office. She presents with swelling (effusion) of her right knee. She weighs 28.8 pounds. Labs reveal an ESR of 12 and report the ANA as positive. She receives a diagnosis of juvenile rheumatoid arthritis and is started on methotrexate, and ibuprofen to be dosed at 10 mg/kg Q 8 hours. The pharmacy has generic and brand (Advil and Motrin) formulations of ibuprofen suspension 160 mg/5 mL. Select a correct recommendation for ibuprofen for Maya: Answer A2 mL Q 8 hours B3 mL Q 8 hours C4 mL Q 8 hours D5 mL Q 8 hours E5.5 mL Q 8 hours |
C4 mL Q 8 hours |
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Randa is a 13-month old child with a viral-induced fever. She is 18.4 pounds and 28.8 inches. Her parents report that she has been fussy and irritable and feels "hot" She has a fever of 39.4 degrees Celsius. Which of the following dosing recommendation for acetaminophen for this child is correct? Answer A80 mg every 4-6 hours as-needed for fever. B80 mg every 8-12 hours as-needed for fever. C100 mg every 4-6 hours as-needed for fever. D140 mg every 6-8 hours as-needed for fever. E165 mg every 4-6 hours as-needed for fever.
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C100 mg every 4-6 hours as-needed for fever. |
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Aaron is an eight year old boy with enuresis who will receive desmopressin tablets. Which of the following side effects is most likely? Answer AHeadache BSeizures CInsomnia DSkin photosensitivity/photophobia EIrritability/mood swings |
AHeadache |
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Samantha is a four year-old child who weighs 37 pounds and is 39.5 inches tall. She presents to the medical office with her mother. Samantha has a congenital ventricular septal defect and absence seizures, with breakthrough episodes on ethosuximide. She will be started on valproic acid at an initial dose of 15 mg/kg/day in an attempt to control the seizures. Her parents will sprinkle the Depakote Sprinkle 125 mg capsules on a small amount of food twice daily, with breakfast and with dinner. Which of the following counseling statements should be provided to the parents by the pharmacist? (SelectALL that apply.) Answer AThis drug may cause very bad and sometimes deadly liver problems. This most often happens within the first 6 months of using this drug. Call your child's doctor if your child has dark urine, is feeling tired, is not hungry, has an upset stomach, is throwing up, or has yellowing of the skin or eyes. BThis drug may cause very bad and sometimes deadly pancreas problems (pancreatitis). This could happen in children at any time during care. Symptoms of pancreatitis include tummy pain, upset stomach, throwing up, or not feeling hungry. Call your child's doctor right away if your child has any of these symptoms. CThis drug comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this drug is refilled. DThis drug may cause very bad birth defects if your child takes it while your child is pregnant. It can also cause the baby to have a lower IQ. Do not give this drug to prevent migraine headaches if your child is pregnant. If your child is pregnant and takes this drug for seizures or bipolar disorder, talk to your child's doctor to see if your child needs to keep taking this drug. EIt is important to chew the medicine thoroughly or not enough of the medicine will get into the child’s body and the medicine may not work well |
AThis drug may cause very bad and sometimes deadly liver problems. This most often happens within the first 6 months of using this drug. Call your child's doctor if your child has dark urine, is feeling tired, is not hungry, has an upset stomach, is throwing up, or has yellowing of the skin or eyes. BThis drug may cause very bad and sometimes deadly pancreas problems (pancreatitis). This could happen in children at any time during care. Symptoms of pancreatitis include tummy pain, upset stomach, throwing up, or not feeling hungry. Call your child's doctor right away if your child has any of these symptoms. CThis drug comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this drug is refilled. |
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A child who weighs 64 pounds will receive epinephrine at a dose of 0.01 mg per kilogram every 20 minutes as-needed, not to exceed 0.5 mg in a single dose. Calculate the dose, in milligrams, rounded to the nearest tenth. Do not enter units in the answer; enter the number only.
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0.3 |
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Randa's parents ask the pharmacist about recent reports concerning the safety of acetaminophen. Which of the following statements are correct? (Select ALL that apply.) Answer AThe FDA has warned that acetaminophen has been associated with a risk of rare but serious and potentially fatal skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis (AGEP). BAnyone who develops a skin rash or reaction while using acetaminophen or any other pain reliever/fever reducer should stop taking the drug and seek medical attention immediately. CPatients who have experienced a serious skin reaction with acetaminophen should not take the drug again. DThe FDA recommends that the safe dose of acetaminophen is 325 mg or less per dosage unit. EKeeping the unit dose to less than 325 mg reduces the risk of severe skin reactions. |
AThe FDA has warned that acetaminophen has been associated with a risk of rare but serious and potentially fatal skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis (AGEP). BAnyone who develops a skin rash or reaction while using acetaminophen or any other pain reliever/fever reducer should stop taking the drug and seek medical attention immediately. CPatients who have experienced a serious skin reaction with acetaminophen should not take the drug again. DThe FDA recommends that the safe dose of acetaminophen is 325 mg or less per dosage unit. |
