Peds final exam updated .docx - Respiratory: 1. What...

Respiratory:
1. What medication is used to treat stridor from laryngotracheobronchitis (croup)?
2. Treatment for respiratory infections
Give small feedings, decrease anxiety, and upright position. DO NOT give Cough Meds.
?
3. Test used to diagnose Cystic fibrosis ?

4. Pt with asthma - if wheezing treat with albuterol. Expected findings- clubbing of fingers, longer
expiatory phase, and chronic dry cough.
5. When caring for a pt with epiglottis - NEVER PUT ANYTHING IN THEIR MOUTH
6. Otitis media - Ear infections, you can prevent with HIB vaccine. Causes: Bottle propping, Lying flat while
eating, Smaller/ short estuation tubes under the age of 3. Breast feeding reduces the risk of this.
7. Meningitis Symptoms - NIC: N uchal rigidity (stiff neck), I CP changes, C heyanne stokes RR (deeper and
faster breathing pattern)
8. Mono/Epstein Barr Virus

GI :
9. What helps prevent constipation ?
10. Hirschsprung’s disease - GI disorder is associated with lack of peristalsis causing abdominal
distension.
11. Acid based balance associated with vomiting
Which one is associated with diarrhea
12. Wilms tumor : DO NOT palpate abdomen.

13. Good sources of fiber- Brown rice, Whole grains, Uncooked raw veggies, Popcorn. (Cooked vegetables
destroy fiber content)
14. What causes constipation ? Milk, immobility, hypothyroid, antihistamines. DOES NOT : hyperthyroid
15. Moderate dehydration ? Irritability . Severe sign : Lethargy, sunken eyes, and marked tachycardia
16. Specific gravity- If too high means pt is dehydrated. Normal value - 1.002 and 1.030
CARDIAC:
17. Kawasaki’s disease - Vascular, Think RED, RED HANDS, RED FEET, STRAWBERRY TOUNGE.
Kids with Kawasaki’s disease are at risk for aneurysm!
Give them aspirin & gamma globulin!
18. Coarctation of aorta causes high bp in upper body vessels causing high bp in arms and legs
19. Major Jones criteria for Rheumatic fever?
Joint pain and Carditis ARE MAJOR. Fever and chorea are MINOR. You need positive strep test to DX.
Treatment : Bedrest, relief of pain and fever (anti-inflammatory, ASA, steroids), antimicrobial therapy
initially then chemoprophylaxis monthly for a minimum of 5 yrs.