E01_09 Prescribing: Pediatrics Flashcards

1
Q

2017_Pediatrics

A 20 kg 5 y.o. male brought to OPD. BP 140/100 SS: oliguria, tea-colored urine. The ff is true regarding hypertension in this age group:

A. Essential hypertension is the most probable cause
B. Any antihypertensive drug approved for adult use can be given
C. Hypertension in this child is caused by fluid overload and furosemide should be started
D. Thiazide is the better diuretic of choice in this patient based on adult hypertension guidelines.

A

C. Hypertension in this child is caused by fluid overload and furosemide should be started

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2
Q

2017_Pediatrics

8 y.o. 25 kg male consulted due to 5 days fever and sore throat. PE: exudative tonsillopharyngitis. You decide to give amoxicillin at 30 mg/kg/day to be divided in doses for 10 days. Best taken as:

B. Amoxicillin 250mg/5ml 5ml 3x a day for 10 days

A

B. Amoxicillin 250mg/5ml 5ml 3x a day for 10 days

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3
Q

2017_Pediatrics

10 kg infant dx to have systemic viral illness was given paracetamol 10-15 mg/kg/day every 4 hrs. Which of the ff is the most appropriate drug preparation and dosing for the patient:

C. Paracetamol drops 100mg/ml 1ml every 4 hrs.

A

C. Paracetamol drops 100mg/ml 1ml every 4 hrs.

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4
Q

2017_Pediatrics

60 kg 15 yo was given cefuroxime for UTI. Cefuroxime is commonly given at 20-30 mg/kg/day 2 divided doses. Preparations available for this drug include: 125mg/5ml, 250mg/5ml and 500mg/tablet. The ff is/are true regarding prescription for this patient:

A. Either the liquid or tablet preparation can be given depending on the child’s preference.
B. Considering the weight, the absolute dose given to the patient may exceed the adult dose.
C. The patient may be given at least 2500mg of Cefuroxime per day.
D. All of the above

A

A. Either the liquid or tablet preparation can be given depending on the child’s preference.

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5
Q

2017_Pediatrics

Compliance in the pediatric population may be enhanced by which of the ff:

A. Encouraging the toddler to take the medication even if it is not palatable.
B. Selecting a convenient dosage form and dosing interval.

A

B. Selecting a convenient dosage form and dosing interval.

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6
Q

2013_Pediatrics

TRUE about the correct dosage and interval in children?

A. The correct dose can be reliably predicted based on age
B. The absolute pediatric dose usually exceeds the absolute adult dose
C. Less frequent dosing increases compliance
D. All of the above

A

C. Less frequent dosing increases compliance

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7
Q

2013_Pediatrics

Unique effect of drugs in the pediatric population is exemplified by which of the following:

A. Higher dose of non-depolarizing neuromuscular blocking agents needed to induce paralysis
B. Increased sensitivity to Verapamil, a CCB
C. Increased sensitivity to INH causing less hepatic injury
D. Suppression of linear growth by fluoroquinolones

A

D. Suppression of linear growth by fluoroquinolones

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8
Q

2018_Pediatrics

Unique adverse effects of meds in children

A. Phenobarbital - hyperactivity
B. BZD - less respiratory depression
C. INH - hepatotoxic, so LFTs must be done
D. Metoclopromide - less likely to cause dystonic movements

A

A. Phenobarbital - hyperactivity

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