Paediatric pharmacy attachment pre/post test

You receive an inquiry about IV augmentin dose for 2 weeks old baby boy, 4kg, cover for aspiration pneumonia. What would be your suggestion? (allowed to use references)

• 25mg/kg (100mg) BD

• 30mg/kg (120mg) TDS

• 30mg/kg (120mg) BD

• 1.2g TDS

Choose the correct statement(s) below regarding respiratory illness

• Episodic wheeze and multiple trigger wheeze are two types of pre-school wheezing

• In paediatrics, pneumonia is an indication to start inhaled corticosteroid to reduce lungs inflammation.

• Patients with acute bronchiolitis may not require steroid or bronchodilators

• Patients with bronchopulmonary dysplasia usually have atopic triad (eczema, allergic rhinitis and conjuctivitis)

Which of the following can be used for viral croup?

• Oral/IV dexamethasone

• IV hydrocortisone

• Neb budesonide

• Neb adrenaline

• Oral prednisolone

A child with acute exacerbation of multitrigger wheeze was given IV magnesium sulphate last night. What was the dose of magnesium sulphate given? (strength of MgSO4 in ward: 5g in 10ml)

• 100mg/kg, correct dose

• 100mg/kg, incorrect dose

• 50mg/kg, correct dose

• 50mg/kg, incorrect dose

Which of the following are correct regarding management of AGE patient in paediatrics?

• 10kg child should be given ORS 100ml per purge

• Zinc oxide cream can be given to patients with AGE even though the child does not have nappy rash.

• Normal saline should not be used for fluid resuscitation due to risk of hypernatremia.

• Each sachet of oral rehydration salt should be reconstituted with approximately 8 ounce of water.

A patient was prescribed with zinc oxide cream, miconazole cream BD. How should you counsel on direction of use of both creams

• To apply zinc oxide first, followed by miconazole cream on affected area, twice a day. This is to prevent miconazole being diluted by zinc oxide.

• To apply zinc oxide and miconazole at separate time. E.g. To apply zinc oxide at 6am, 6pm while miconazole to be applied at 9am, 9pm.

• To mix both creams and apply at the same time, twice a day. To allow homogenous distribution of both creams.

• To apply zinc oxide generously on buttocks after each pampers change while miconazole to be applied twice daily on affected areas. Apply miconazole first, followed by zinc oxide.

11 year old girl, 35kg, 141cm, newly diagnosed nephrotic syndrome. Planned to be started with oral prednisolone. What dose would you suggest? (You are allowed to use reference)

• 30mg BD

• 40mg OD

• 40mg EOD

• 35mg BD

How to prepare 180ml of albumin 5% from albumin 20%?

• Draw 135ml of albumin 20%, dilute with 45ml of normal saline

• Draw 40ml of albumin 20%, dilute with 140ml of normal saline

• Draw 140ml of albumin 20%, dilute with 40ml of normal saline

• Draw 45ml of albumin 20%, dilute with 135ml of normal saline

Which of the following is true regarding nephrotic syndrome and glomerular nephritis?

• Nephrotic syndrome has proteinuria while nephritis has haematuria.

• Regular frusemide should used in nephrotic syndrome in paediatrics

• Nephrotic syndrome can be treated with steroids while nephritis may not.

• One of the characteristic of nephrotic syndrome is azotemia

Which of the following vaccine is/are live vaccine?

• Mumps, Measle, Rubella (MMR)

• Japanese Encephalitis (JE) vaccine (Immojev®)

• Pneumococcal conjugate vaccine (Prevenar 13®)

• BCG