OPD cases

Question 1

Headache

Answer 1

Paracetamol q6 PRN or other pain reliever

Question 2

Conjuctivitis

Answer 2

If bacterial: Tobramycin Ophthalmic solution

Instill 1-2 drops in affected eye every 6 hours for 7 days

Frequent handwashing and isolation

Question 3

Otitis media

Answer 3

Co-amoxiclav 40mg/kg/day BID
Visualized and intact tympanic membrane: Polymixin + Neomycin + Dexamethasone
(3-3-7)
3 drops to affected ear TID for 7 days

TM not visualized:
Ciprofloxacin + Dexamethasone (3-3-7)

Pain reliever

Question 4

viral rhinitis

Answer 4

Phenylpropanolamine or Phenylephrine
syrup: 2-6 yo: 2.5ml
7-12 yo: 5ml

Cetirizine + Phenylephrine syrup:
1-4yo: 2.5ml; 5-10yo: 5ml BID

Question 5

Allergic rhinitis

Answer 5

Cetirizine syrup
(Alnix)
6-12yo: 5-10ml BID x 1-2 weeks

Question 6

Epistaxis

Answer 6

Oxymetazoline nasal spray
1-2 sprays to affected nostril BID for 3 days only

Question 7

Pharyngitis/sore throat/acute exudative tonsillopharyngitis

Answer 7

Co-amoxiclav 40mkday BID x 10 days

Question 8

Dental caries

Question 9

teething issues

Question 10

oral thrush

Question 11

Herpangina

Answer 11

Oral gel q6 for pain
Increase oral fluid intake
avoid hot drinks
Paracetamol for pain

Question 12

HFMD

Answer 12

Acyclovir 20mkdose QID x 5 days
Paracetamol for pain
Cetirizine for itchiness

Question 13

Scarlet Fever

Answer 13

Paracetamol
Preferred: Amoxicillin 50mkday q12
Alternative: Cephalexin 25-50mkday or Clindamycin 20 mkday q8
Hydration

Question 14

Pneumonia

Answer 14

Amoxicillin 50 mkday or Cefuroxime 20-30 q12

Question 15

Asthma

Answer 15

Prednisone 1mkdose
Salbutamol nebulization

Question 16

AGE

Answer 16

ORS (maintenance rate)
Zinc
Probiotics
for diaper rash: zinc oxide

Question 17

Food allergies

Answer 17

antihistamine

Question 18

Lactose intolerance

Question 19

Constipation

Answer 19

Diet modification
Lactulose
Glycerine suppository

Question 20

Abdominal pain

Question 21

UTI

Answer 21

Cefuroxime 20-30 mkday BID x 7 days

Question 22

Hypospadias

Question 23

Muscle strain

Answer 23

Ibuprofen (if no allergies)
Warm compress

Question 24

Impetigo

Answer 24

Cloxacillin 50-100 q6 PO

Question 25

Ringworm

Answer 25

Clotrimazole

Question 26

Scabies

Answer 26

Permethrine lotion, apply from neck down and wash the next day

Question 27

Varicella

Answer 27

Acyclovir 20 mkdose isolation until all lesions are crusted Paracetamol for fever antihistamine

Question 28

Head lice

Question 29

Atopic dermatitis

Answer 29

Moisturizer mometasone ointment, apply thinly to affected areas BID x 7 days Mild soap Cetirizine if with itching antibiotics if with infection

Question 30

measles

Answer 30

Virtamin A x 3 doses Assess if with Pneumonia and otitis media Paracetamol Cetirizine

Question 31

Anemia

Answer 31

Ferrous sulfate