8/3/23 Retention Questions

What is a serious life-threatening complication of Tumor Lysis Syndrome?

• Hyponatremia

• Hyperkalemia

• Hemolytic Anemia

• Hypocalcemia

What is the maximum volume that can be safely removed during a large volume thoracentesis?

• 500-600 mL

• 200-250 mL

• 1000-1500 mL

• No limit

What is an appropriate treatment of post-obstructive pneumonia associated with malignancy?

• Doxycycline

• Ceftriaxone + Azithromycin

• Unasyn

• Vancomycin + Zosyn

Which child's feeding emergency can you most likely handle without a consultant or admission?

• 1. 13 month old with feeding intolerance pulled out his gastrostomy tube sometime during the night, at least 5 hours ago, while sleeping.  He had it placed at the age of 7 months. 

• 1. 4 year old with a complex genetic syndrome comes in after grandfather found his gasto-jejunostomy tube fallen out, spilling feed onto the bed.  It has been in place for 3 years.

• 3. 3 month old with history of prematurity and failure to thrive here after her gtube  accidentally pulled out when it got caught on his caregiver's sleeve during a diaper change.  The tube was placed 2 weeks ago.

• 4. 7 year old with history of short gut who relies on TPN through a central line for the bulk of his nutrition here with vomiting, diarrhea, and fever up to 103 x 1 day. 

A child with a tracheostomy for chronic lung disease that has been in place for 1 year, comes in with significant respiratory distress.  Your first action should be:

• 1. intubate from above

• 1. get a stat portable chest xray

• 1. change the tracheostomy tube

• 1. give albuterol nebs