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Flashcards in CPS Review Deck (22)
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1

treatment of scabies in > 3 months of age

5% permethrin cream - leave on 12-24 hrs, repeat after 7 days

2

treatment of scabies in infants and pregnant women

sulphur in petroleum jelly daily x 3 days

3

potential benefits of circumcision (lowest NNT)

HPV reduction, HSV reduction, reduced risk of UTI in those with risk factors

4

CPS recommendations re circumcision

not recommended routinely, parents can make choice based on their personal beliefs

5

what is a risk in the first week after rotavirus vaccination?

intussusception

6

when should you give the rotavirus vaccine?

after 6 weeks of age and before 8 months (to reduce risk of intussusception)

7

ankyloglossia - prevalence, incidence, genetics

prevalence 4-10%, typically isolated congenital anomaly, may be genetic predisposition

8

organisms causing neonatal opthalmia

neisseria gonorrhea, chlamydia trachomatis

9

treatment of neonatal opthalmia

erythromycin is NOT recommended (up to 25% of strains of gonorrhea are resistant, not effective against chlamydia)
- should do conjunctival culture, then ceftriaxone 50mg/kg IV/IM

10

what is pediculosis

infestation with head lice

11

treatment of head lice

topical head lice insecticide i.e. 1% permethrin/pyrethrin (2x, 7-10 days apart)
- do not recommend excluding children from school, no environmental decontamination required

12

when to consider UTI abx prophylaxis

grade IV or V VUR or significant urologic abnormality

13

what antibiotic would you use for UTI prophylaxis

septra or nitrofurantoin

14

risk factors for severe bronchiolitis

- preterm < 35 weeks, < 3 months old, hemodynamically sig cardiopulm disease, immunodeficiency

15

consider admission for bronchiolitis when...

- severe resp distress, O2 required to keep sats > 90%, dehydration, cyanosis/apnea, risk factor for severe disease, family unable to cope

16

recommended for management of bronchiolitis

oxygen, hydration

17

equivocal recommendation for management of bronchiolitis

may trial epineb, superficial nasal suctioning, 3% hypertonic saline neb, combined epi/dex

18

early presentation of lyme disease

erythema migrans, presents in 7-14 days, non-pruritis, spontaneously resolves in 4 weeks

19

diagnosis of lyme disease (early vs late)

early: clinical diagnosis, late disease: ELISA screen followed by western blot

20

when is the highest risk of severe bacterial sepsis after splenectomy?

first 3 years post-splenectomy, but risk always present for life

21

vaccinations in splenectomized patient

Pneumococcus (PCV13, PPV23), meningococcus (MCV4, 4CMenB), hemophilus influenza B (primary + booster), influenza (for patient and household contacts)

22

when to consider imaging after concussion

focal neurologic signs, seizures, prolonged LOC