Peds Pulmonary

Question 1

another name for IRD (infant respiratory distress)

Answer 1

hyaline membrane disease

Question 2

IRDS shows up usually when premature infants are __ gestational age

Answer 2

less than 28 wks

Question 3

RF for infant to get IRDS

Answer 3

infant of DM mom
C-section
multifetal preg
Family Hx

Question 4

what causes RDS

Answer 4

surfactant deficiency?

Question 5

t/f kid with IRDS will have diminished breath sounds and falling blood pressure

Answer 5

true will also have..

mixed resp / metabolic acidosis

Question 6

CXR with ground glass appearance…

Answer 6

infant respiratory distress syndrome

Question 7

how do we prevent IRDS

Answer 7

beta methasone 48 hrs prior to delivery btwn 23-34 wks

Question 8

IRDS TX

Answer 8

warm humidified 02 keep between 55-79.. so sats over 90

Question 9

if an infant needs to be intubated at birth what should be given once stablized

Answer 9

surfactant

Question 10

inflammation of bronchioles

Answer 10

bronchiolitis

Question 11

was is the most common agent of bronchiolitis

Answer 11

usually caused by an acute viral infection

RSV most common

Question 12

most common lower respiratory tract infection in infants and kids under 2yrs

Answer 12

bronchiolitis

Question 13

when do bronchiolitis sx peak

Answer 13

day 3-4 of illness

Question 14

children with bronchiolitis with a fever less than 60 days have..

Answer 14

high risk of serious bacterial infection (SBI)

evaluate for sepsis

Question 15

bronchiolitis tx

Answer 15

hydrate
oxygenation
nasal suction
influenza antivirals

ribavirin severe cases

Question 16

40% of bronchiolitis pts will have…

Answer 16

wheezing through age 5

about 10% will have wheezing past then

Question 17

leading cause of infant death from viral infection

Answer 17

RSV

respiratory syncytial virus

Question 18

t/f rsv is more common in boys than girls

Answer 18

true

Question 19

incubation period for RSV

Answer 19

4 days

Question 20

t/f rsv stays alive in dried secretions for several days

Answer 20

true

Question 21

lab test for RSV

Answer 21

RSV rapid antigen test

useful at beginning of season

Question 22

most common RSV infxn complication

Answer 22

otitis media

low % of pt get bacterial pneumonia

Question 23

synagis is..

Answer 23

super expensive but for RSV prevention

IM injection qmo during RSV season

Question 24

age of infant eligible for synagis

Answer 24

born less than 29 wks yet still under 12 mo old

infants under 2 with CLD

or

infants born under 32 wks who had 02 req for 28+ days after birth

Question 25

asthma more common in boys or girls

Answer 25

boys

Question 26

asthma more common in African American or non

Answer 26

African American

Question 27

one of the most common causes of ED visits

Answer 27

pediatric asthma

Question 28

80% asthma onset is before__yo

Answer 28

80% before 6yo

Question 29

asthma is more common in ...

Answer 29

lower ses

Question 30

asthma sx are typically worse at...

Answer 30

night

Question 31

URI sx for 1-3 days before sx of upper airway obstruction

Answer 31

croup

Question 32

barky cough, hoarseness, inspiratory stridor

Answer 32

croup cough

Question 33

ages of croup

Answer 33

3 mo - 5 yrs peak incidence is 2yo

Question 34

t/f croup sx worse at night like asthma

Answer 34

true

Question 35

croup aka..

Answer 35

laryngotracheobronchitis

Question 36

croup is usually due to...?

Answer 36

parainfluenza virus

Question 37

croup more common in girls / boys?

Answer 37

boys

Question 38

croup more common during what time of year?

Answer 38

late fall and winter

Question 39

croup dx

Answer 39

CXR: steeple sign

Question 40

croup tx at home

Answer 40

cool mists, steamy bathroom for exacerbations

Question 41

croup tx ed

Answer 41

nebulized racemic epinephrine corticosteroids

Question 42

spasmodic croup related to..

Answer 42

allergic component | resolves rapidly with tx

Question 43

acute, fulminating course of high fever, sore throat, dyspnea, rapidly progressing respiratory obstruction

Answer 43

acute epiglottitis

Question 44

epiglottitis is less common now bc

Answer 44

of the HiB vaccine

Question 45

main pathogens today for epiglottits

Answer 45

S. pyogenes S. pneumonia S. aureus

Question 46

RF for epiglottitis

Answer 46

unimmunized or | underimmunized pts

Question 47

thumb sign on radiology

Answer 47

epiglottitis

Question 48

abx for epiglottits

Answer 48

ceftriaxone cefixime combo ampicillin and sulbactam

Question 49

nickname of pertussis

Answer 49

whooping cough

Question 50

pathogen for pertussis

Answer 50

bordetella pertussis

Question 51

course of pertussis is how long?

Answer 51

6 wk course

Question 52

incubation period for pertussis

Answer 52

3-12 days

Question 53

non distinctive sx of congestion and rhinorrhea

Answer 53

catarrhal stage

Question 54

dry cough, intermittent, irritative hack with paroxysmal episodes

Answer 54

paroxysmal stage

Question 55

slow resolution of arxysmal episodes

Answer 55

convalescent stage pertussis

Question 56

infants under 3 mo with pertussis..

Answer 56

can't whoop - do not generate the - inspiratory pressure

Question 57

gold standard of pertussis dx

Answer 57

culture

Question 58

t/f pertussis is reportable dz

Answer 58

true

Question 59

Suspect in patient who has predominant complaint of cough especially in the absence of fever, malaise, myalgia, exanthema or sore throat

Answer 59

pertussis

Question 60

abx pertussis

Answer 60

erythromycin or azithromycin

Question 61

when hospitialize for pertussis

Answer 61

infants under 3 mo 3-6 with severe paroxysm premie infants

Question 62

pertussis prvt

Answer 62

VACCINATION