PEDS HEENT

Question 1

H. Flu, M. Cat and Strep pneumo are causes of what disorder?

Answer 1

Bacterial conjunctivitis

Question 2

pt. presents with unilateral injection, thick purulent discharge.

Answer 2

bacterial conjunctivitis

Question 3

How do you treat bacterial conjunctivitis

Answer 3

erythromycin drops, TMP-Polymyxin B drop

Question 4

neonatal conjunctivitis commonly caused by what?

Answer 4

chlamydia trachomatis

Question 5

gold standard for diagnosis of neonatal conjunctivitis?

Answer 5

NAAT

Question 6

Tx for neonatal conjunctivitis

Answer 6

erythromycin 50mg/kg PO QID for 14 days

Question 7

rapidly progressive

profuse purulent discharge

severe and sight threatening

chemosis…

Answer 7

hyperacute bacterial conjunctivitis

Question 8

what causes hyperacute bacterial conjunctivitis

Answer 8

n. gonorrhoeae

Question 9

Tx for n. gonorrhoeae bacterial conjunctivitis

Answer 9

ophthalmo referral + hospitalization

Question 10

foreign body sensation

opacity w/ penlight

Hx of contact wearing

Answer 10

pseudomonal Keratitis

Question 11

Tx for keratitis?

Answer 11

anti-pseudomonal abx, urgent referral

Question 12

burning, gritty sensation

watery, stringy discharge

LAD

Answer 12

viral conjunctivitis

Question 13

cause of viral conjunctivitis?

Answer 13

adenovirus

Question 14

Tx for viral conjunctivitis?

Answer 14

sx relief, self limiting

Question 15

watery, stringy discharge

ocular pruritis

bilateral injection

Hx atopy

Answer 15

Allergic conjunctivitis

Question 16

Tx for allergic conjunctivitis?

Answer 16

> 3 yo antihistamine w/ mast-cell stabilizing properties

> 4yo cromolyn drops

Question 17

Fever > 5 days

bilateral conjunctivitis

morbilliform rash

adenopathy

strawberry tongue

hand desquamination

Answer 17

kawasaki

Question 18

screen for cardiovascular sxs in kawasaki?

Answer 18

echocardiogram

Question 19

Tx for kawasaki?

Answer 19

IV Ig, high dose aspirin

Question 20

strabismus dx

Answer 20

corneal light reflection

cover uncover

Question 21

nasolacrimal obstruction

Answer 21

dacrostenosis

Question 22

tx for dacrostenosis

Answer 22

massage lacrimal sac

Question 23

tx for dacrocystitis

Answer 23

clinda for mild

vanco for severe

Question 24

common causes of AOM

Answer 24

strep pneumo, h. flu, m. cat

Question 25

otalgia, bulging TM

Answer 25

AOM

Question 26

tx for AOM

Answer 26

amoxicillin 90 mg/kg q 12 hrs

Question 27

when consider augmentin for AOM?

Answer 27

recent b-lactam, purulent conjunctivitis, recurrent AOM

Question 28

AOM tx for PCN allergy/

Answer 28

cefdinir

Question 29

When do you want to f/u w/ AOM?

Answer 29

48-72 hours

Question 30

Unilateral AOM under 2... do you give abx?

Answer 30

yes

Question 31

severe otalgia under 6 mo... do you treat w/ abx?

Answer 31

yes

Question 32

recurrent AOM within 15 days of failed tx

Answer 32

augmentin

Question 33

recurrent AOM after 15 days of failed tx

Answer 33

ceftriaxone

Question 34

retracted TM, amber otorrhea

Answer 34

OME

Question 35

Tx for OME

Answer 35

self-limited

Question 36

cause of OE?

Answer 36

p. aeruginosa

Question 37

otalgia, tragus tenderness, erythema/edema of EAC

Answer 37

OE

Question 38

Tx for OE?

Answer 38

floxin otic, cortisporin, ciprodex

Question 39

allergic shiners dennie morgan lines blue, boggy mucosa cobblestoning

Answer 39

allergic rhinitis

Question 40

DOC for allergic rhinitis?

Answer 40

intranasal steroids

Question 41

when to consider immunotherapy for allergic rhinitis?

Answer 41

max environmental control and on optimal medical regimen

Question 42

pedunculated tumor peeled grape appearance associated with CF, chronic sinusitis, allergic rhinitis

Answer 42

nasal polyps

Question 43

SAMTERs triad:

Answer 43

nasal polyps, ASA sensitivity, Asthma

Question 44

Tx for nasal polyps?

Answer 44

decongestants

Question 45

nontoxic appearing low grade fever cough erythema of nasal mucosa rhinorrhea

Answer 45

viral URI

Question 46

complications of viral URI

Answer 46

AOM, asthma, acute bacterial sinusitis

Question 47

What tx for viral URI should you avoid in children under 6

Answer 47

OTC decongestants

Question 48

cold sxs not improving after 10 days fever purulent discharge for 3 days "double sickening"

Answer 48

ABRS

Question 49

Sinusitis dx studies?

Answer 49

x-ray, CT

Question 50

Tx of ABRS

Answer 50

augmentin 45 mg/kg/day

Question 51

sore throat fever what agent caused this

Answer 51

pharyngitis adenovirus, coxackie a

Question 52

fatigue cervical LAD splenomegaly GAS sxs

Answer 52

EBV

Question 53

Dx of EBV

Answer 53

heterophile antibody test/monospot

Question 54

tx for EBV

Answer 54

activity restriction for 4 weeks

Question 55

abrupt onset of sxs sore throat + exudate palatal petechiae cervical LAD sandpaper rash

Answer 55

GAS

Question 56

Dx for GAS

Answer 56

rapid antigen detection if negative, throat culture

Question 57

tx for GAS

Answer 57

within 48 hours Oral PCN/Amoxicillin, 1st gen cephalosporin

Question 58

tx of GAS with PCN allergy

Answer 58

azithro

Question 59

complications of strep

Answer 59

acute rheumatic fever post strep glomerulonephritis

Question 60

tonsil removal indicated for...

Answer 60

7 episodes in a year 5 episodes in 2 years 3 episodes in 3 years

Question 61

Tx of oral candidiasis?

Answer 61

nystatin oral suspension

Question 62

fever myalgia parotitis

Answer 62

mumps

Question 63

tx for mumps

Answer 63

supportive care