WorksheetsPeds Review for Final Exam
Total questions: 60
Worksheet time: 31mins
What is the mechanism of action for B-adrenergic agonist in treating asthma?
Constrict blood vessels
Accelerate the heart rate
Strengthen muscle contractions
Relax smooth muscles
Primary care providers should periodically assess for what, when caring for children with asthma on corticosteroids?
Leucopenia
Delays in growth
Anemia
Mental retardation
Ph 7.50 C02 39.0 Bicarb 29.4
Compensated respiratory alkalosis
Compensated metabolic alkalosis
Uncompensated respiratory acidosis
Uncompensated metabolic alkalosis
Acute rheumatic fever involves all of the following except:
Skin
Liver
Joints
Cardiac valves
Kawasaki Disease's treatment involves which two medications:
IVIG and steroids
HBIG and Hepatitis B vaccination
IVIG and Aspirin
Antibiotics and NSAIDS
Below are a list of signs of digoxin toxicity in children, except:
Bradycardia
Vomiting
Fever
Dysrhythmias
Infants are rarely receive more than how many mls in a single digoxin dose?
1 ml
2 ml
5 ml
10 ml
For an infant what is the cut off point where you should hold their digoxin dose?
If apical is below 90
If apical is below 70
If apical is below 60
If apical is below 50
For a child with hypercyanotic spells, you should do all of the following except:
Administer O2 at 10 liters per mask
Place infant in knee chest position
Give SQ or IV Morphine
Begin IV fluids
The classic form of Tetralogy of Fallot includes what four defects:
Coarctation of the Aorta, VSD, ASD, PS
VSD, PS, Over-riding Aorta, Right ventricular hypertrophy
Transportation of the Great Vessels, ASD, VSD, Left ventricular hypertrophy
VSD, ASD, PE, Right ventricular hypertrophy
Which condition has low platelets, RBCs and WBCs?
Thalassemia Major
Cooley's Anemia
ITP
Aplastic anemia
If both parents are carriers of the Sickle Cell trait, what are the chances of their children neither having the disorder or the trait?
25%
50%
75%
100%
Children with Beta-thalassemia are treated with packed RBCs and what?
Opiods
Deferoxamine
Antilymphocyte globulin
Factor VIII
Clinical manifestations of Immune thrombocytopenia include all of the following except which answer:
Seizures
Petechiae
Epistaxis
Hematuria
Which of these is poor source of iron?
Beef
Infant formula
Infant Rice Cereal
Whole Milk
What is the formula for calculating the ANC?
ANC= RBCs x ( Neutrophils + Bands)
ANC= WBCs x ( Monos + Bands)
ANC= WBCs x (Neutophils + Bands)
ANC= RBCS x ( Eosinophils + Bands)
All of these are acceptable treatments for oral mucusitis except:
Saline rinses
Baking soda
Lemon glycerine swabs
Soft tooth brushes
Because this tumor is usually encapsulated, they do not recommend palpating the child's abdomen, what is the disease called?
Wilms Tumor or Nephroblastoma
Neuroblastoma
Astrocytoma
Ewing Sarcoma
Post operative care for a brain tumor include all except:
Have the child rest on the non-operative side
Elevate the HOB 20-30%
Administer Mannitol
Place in trendelburg position
This type of Lymphoma is characterized by painless enlargement of a lymph node in the supraclavicular or cervical region and the presence of the Sternberg-Reed cell.
NHL
HD
VSD
NFL
This tumor originates from embryonic neural crest cells that normally give rise to the adrenal medulla and the sympathetic nervous system.
Wilm's Tumor
Retinoblastoma
Rhabdomyosarcoma
Neuroblastoma
Cushing's triad includes all but the following:
Elevated Systolic BP
Tachycardia
Decreased respirations
Bradycardia
What is a possible complication of minimal change nephrotic syndrome?
Weight loss
Infection
Hypoglycemia
Hyperactivity
Select the lab findings that are consistent with acute glomerulonephritis?
Elevated hemoglobin
Proteinuria
Leucopenia
Hematuria
Select from the following signs of an UTI in an infant.
Weight gain
Poor feeding
Over-hydration
Foul smelling urine
Seizures
All are factors in predisposing the development of an UTI except:
Short female urethra
Adequate fluid intake
Constipation
Incomplete emptying or over distention of the bladder
The classic triad of findings consistent with Hemolytic Uremic Syndrome:
Renal Failure
Leukocytosis
Anemia
Thrombocytopenia
Hypokalemia
Loss of energy, pallor, facial edema, uremic breath, hypertension, and intractable itching are all signs and symptoms of
(a)
These seizures have a local onset and involve a relatively small location of the brain.
Partial Seizures
General Seizures
These seizures involve both hemispheres of the brain.
Partial Seizures
General Seizures
Remaining in a deep sleep, responsive to vigorous and repeated stimulation:
Persistent vegetative state
Coma
Stupor
Obtundation
What are the late signs of increased Intracranial Pressure in an infant or child?
Bradycardia
Posturing
Papilledema
Increased consciousness
Decreased consciousness
Hemorrhage into the space between the dura and the skull, bleeding is arterial, brain compression occurs rapidly.
Epidural hemorrhage
Subdural Hemorrhage
Bleeding between the dura and the arachnoid membrane, rupture of veins, develops more slowly.
Epidural Hemorrhage
Subdural Hemorrhage
Bacterial cerebrospinal fluid findings:
Elevated white blood cells
Normal protein content
Decrease glucose content
Negative gram stain
Cloudy consistency
Two common events that are present prior to the development of Reye's syndrome.
Viral infection
Bacterial infection
History of Aspirin administration
History of Tylenol administration
Medical treatment for Diabetes Insipidus:
Aldactone
Vasopressin
Growth Hormone
Insulin
The symptoms of pheochromocytoma include:
Hypotension
Tachycardia
Headache
Decreased GI activity
Weight gain
Adrenal cortex secretes:
Glucocorticoids
Epinephrine
Norepinephrine
Mineralocorticoids
Sex steroids ( Androgens, estrogens, & progestins)
Adrenal medulla secretes:
Glucocorticoids
Epinephrine
Norepinephrine
Mineralocorticoids
Sex steroids
Priority treatment for a child with DKA
IV fluids
IV insulin
The following are associated with Grave's Disease:
Hypothyroidism
Hyperthyroidism
Restlessness
Sleepy
Fine hair, warm moist skin
Addison's Disease is defined as:
Adrenocortical insufficiency
Hyperparathyroidism
Hyperthyroidism
Hypoparathyroidism
Pseudohypoparathyroidism
Charateristics of DM1
Adrupt onet
Gradual onset
Underweight
Overweight
Requires insulin always
The six "P's" of compartment syndrome include:
Pain
Paresthesia
Pink color of extremity
Pressure
Strong pulse
A self-limiting disorder with avascular necrosis of the femoral head defines:
Developmental Dysplasia of the Hip
Talipes Equinovarus
Legg Calve- Perthes Disease
Idiopathic Scoliosis
Pharmacological management of Juvenile Idiopathic Arthritis includes:
Anti-rheumatic drugs
NSAIDS
Steriods
Immunomodulators (Abatacept)
Antibiotics
Fragments of bone are broken and lie in the surrounding tissue, refers to what type of fracture?
Simple
Compound
Greenstick
Comminuted
The recommended age to screen for scoliosis is:
Girls 8 to 10
Girls 10 to 12
Boys 10 to 12
Boys 13 or 14
Newborns' osteomyelitis is most likely caused by:
Salmonella
Staphylococcus Aureus
Group B Streptococcus
Neisseria Gonorrhoeae
A rare genetic disorder that is characterized by bones that fracture easily:
Metatarsus Adductus
Slipped Capital Femoral Epiphysis
Osteogenesis Imperfecta
Juvenile Idiopathic Arthritis
Which disorder is characterized by progressive ascending flaccid paralysis and most patients regain full muscle strength?
Tetanus
Cerebral Palsy
Duchene's Muscular Dystrophy
Guillain- Barre Syndrome
The following are symptoms of infant botulism:
Vomiting
Constipation
Weak cry
Poor feeding
Which are associated anomalies for Myelomeningocele:
DDH
Esophageal atresia
Hydrocephalus
Clubfoot
Contains meninges, spinal fluid and nerve fibers:
Meningocele
Myelomeningocele
Which of the following are signs of DMD?
Waddling gait
Frequent falls
Increasing muscle strength in the upper arms
Lordosis
Gower Sign
A non-obstructive or communicating impairment that causes hydrocephalus is caused by:
Obstruction of the flow of CSF
Impaired absorption of the CSF
An obstructive or non-communicating impairment that causes hydrocephalus is caused by:
An obstruction or the flow of CSF
Impaired absorption of CSF
Treatment for Tetanus includes allof the following:
IV Tetanus Immunoglobulin
IM Tetanus Immunoglobulin
Tetanus Toxoid
Diazepam
Treatment for Legg-Calves Perthes involves which of the following:
NSAIDS
Rest and limited weight bearing
Adduction braces
Abduction braces
Opiods
