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Worksheets

Pediatric Respiratory and Asthma

Total questions: 50

Worksheet time: 27mins

Name
Class
Date
1.

Which of the following are pediatric respiratory differences compared to adults

a)

Ribs are more horizontal

b)

Rib cartilage is more springy

c)

Nose breathers

d)

Smaller internal airway diameters

e)

Lower respiratory rates

2.

What is the Gold standard for diagnosing Foreign Body Aspiration

a)

CXR

b)

Rigid Bronchoscopy

c)

CT of the chest

d)

ur mom

3.

New onset of stridor in the setting of a URI or fever indicates

a)

Bronchiolitis

b)

Asthma

c)

Croup

d)

Strep Throat

4.

A prodrome of respiratory tract symptoms followed by a barky cough indicates (Creason)

a)

Bacterial Tracheitis

b)

Viral Croup

c)

Epiglottitis

d)

a dog

5.

Most common causative agent of Viral croup

a)

H. Influenza

b)

Corona Virus

c)

Epstein Barr Virus

d)

Parainfluenza virus

6.

Frontal Cervical Xray shows "Steeple Sign" indicating what respiratory disease?

a)

Viral Croup

b)

Foreign Body Aspiration

c)

Epiglottitis

d)

Bacterial Tracheitis

7.

The presence of cough and the absence of drool

a)

Viral Croup

b)

Epiglottitis

8.

Administration of which vaccine has helped decrease the incidence of epiglottitis? (Creason Q)

a)

Hib

b)

MMR

c)

dTap

d)

HPV

9.

Classic presentation of Epiglottitis includes the following

a)

Dysphagia

b)

Drooling

c)

Dyspnea

d)

Tripodding

e)

Dysuria

10.

Lateral Cervical Xray showing "Thumb print" sign indicates

a)

a thumb in the throat

b)

Epiglottitis

c)

Laryngeotracheitis

d)

Bacterial tracheitis

11.

Bronchoscopy showing normal epiglottis the presence of copious purulent tracheal secretions and membranes

confirms the diagnosis of

a)

Asthma

b)

Viral Croup

c)

Epiglottitis

d)

Bacterial Tracheitis

12.

most common isolated organism found in Bacterial Tracheitis

a)

Pseudomonas

b)

Staph aureus

c)

H. Influenza

d)

Parainfluenza

13.

Treatment for Bacterial Tracheitis includes

a)

Intubation

b)

Debridement

c)

Cricothyrotomy

d)

IV abx

14.

Cysts ranging from 2-10cm. Cyst walls are thin and may contain air, blood, pus or mucus. This develops from abnormal lung budding

a)

COPD

b)

Bronchogenic cysts

c)

Lung cancer

d)

Iron Lung

15.

The preferred diagnostic tool for Bronchiogenic Cysts is

a)

CXR

b)

CT

c)

U/S

d)

MRI

16.

This should be suspected in a child with chronic cough, persistent wheeze and recurrent PNA

a)

Asthma

b)

Pneumonia

c)

Foreign Body Aspiration (intra)

d)

Bronchiogenic cysts

17.

an inflammatory condition typically associated with fever, respiratory symptoms, and evidence of parenchymal involvement, either by PE or the presence of infiltrates on chest radiography

a)

Lung Cancer

b)

Pneumonia

c)

COPD

d)

Asthma

18.

Bacterial Community-Acquired PNA sx include of all of the following

a)

Abrupt onset

b)

high grade fever

c)

grunting

d)

retractions

e)

Nasal flaring

19.

All are treatment options for Bacterial CA PNA EXCEPT

a)

IV ampicillin for infants 4-12 wks old

b)

PO amox for 3mo to 5 yo children

c)

Amoxicillin for children older than 5yo

d)

Amox/clav for children older than 5yo

20.

Gradual onset fever, coryza (nasal inflammation), cough, hoarseness indicates

a)

Croup

b)

Viral PNA

c)

Pertussis

d)

Epiglottitis

21.

Treatment of aspiration PNA

a)

Intubation

b)

Clindamycin

c)

Doxycycline

d)

O2 administration

22.

The most common risk factor of TB is

a)

Exposure to another infected child

b)

Exposure to an infected cat

c)

Exposure to an infected adult

d)

Exposure to ur mom

23.

infiltrate with HILAR ADENOPATHY seen in image indicates what?

a)

Bronchogenic cysts

b)

TB

c)

Bronchiolitis

d)

Ford Bronco

24.

What is haracterized by upper respiratory symptoms (eg, rhinorrhea)

followed by lower respiratory infection with inflammation, which results in wheezing and/or crackles (rales)?

(creason q)

a)

Bronchiolitis

b)

Bronchitis

c)

Asthma

d)

Lung Cancer

25.

Most common Causative agent of Bronchiolitis

a)

Respiratory Synctival Virus (RSV)

b)

Pseudomonas

c)

S aureus

d)

Parainfluenza

26.

How would you treat a patient presenting with upper respiratory symptoms with wheeze and crackles (rales) indicating a lower resp infxn?

a)

a nice chest slap

b)

Outpatient tx with supportive care

c)

IV amoxicillin

d)

Intubation

27.

This is an injected medication that is used to help prevent

RSV in children

a)

Dabigatran

b)

Palvizumab (SYNAGIS)

c)

Ivermectin

d)

Peptobismol

28.

Cystic fibrosis is a(n)

a)

automatic transmission disorder

b)

autosomal recessive disorder

c)

autosomal dominant disorder

d)

autographic disorder

29.

An elevated immunoreactive trypsin (IRT)level at newborn screen indicates what disease?

a)

Bronchiogenic Cancer

b)

Cystic Fibrosis

c)

Trisomy 21

d)

Asthma

30.

Clinical findings of CF include

a)

Meconium ileus (virtually diagnostic)

b)

recurrent respiratory infxn (esp pseudomonas and S. Aureus)

c)

bulky, foul-smelling stool

d)

chronic sinusitis

31.

The best test for diagnosing Cystic Fibrosis

a)

Sweat test

b)

Genetic test

c)

SAT test

d)

Stress test

32.

Which stage of Pertussis is the inspiratory whoop heard?

(Creason Q)

a)

Paroxysmal stage (10-14 days)

b)

Catarrhal stage (1-9 days)

c)

Convalescent stage (week 4)

d)

Back stage (

33.

Causative agent of Pertussis/whooping cough

a)

Bordatella pertussis

b)

Pseudomonas

c)

S. Aureus

d)

parainfluenza

34.

Diagnostic test for Pertussis

a)

Throat culture

b)

Pertussis antigen test via nasopharyngeal cultures

c)

Pertussis antibody Assay

d)

Pertussis antigen test via rectal swab

35.

Inflammation and scarring in the lungs that can cause chronic lung disease

a)

Bronchopulmonary Dysplasia

b)

Smoking

c)

Interstitial lung disease

d)

cystic fibrosis

36.

Prevention of SIDS includes the acronym ABC that stands for

a)

Alone

Back

Crib

b)

Above

Back

Crib

c)

After

Bed

Cry

d)

Airway

Breathing

Circulation

37.

Scoliosis is a lateral abnormal curvature of the spine which is most commonly seen in adolscent females. It is measured using what diagnostic tool?

a)

MRI of spine

b)

Cobb angle

c)

Xray of spine

d)

CT of spine

38.

Anterior depression of the chest wall that may be symmetrical or asymmetrical with respect to the midline

a)

Pectus excavatum

b)

Pectus Carinatum

39.

A protrusion of the upper or lower (more common) portion of the sternum

a)

Pectus Excavatum

b)

Pectus Carinatum

40.

acute, unexpected change in breathing in younger than 1yo infants that Last for less than 1 min. (often <20-30 sec) and returns to baseline with reassuring history

a)

Asthma

b)

Brief resolved unexplained events (BRUE)

c)

Sudden Infant Death Syndrome (SIDS)

d)

Chronic Obstructive Lung Disease (COPD)

41.

Intermittent stridor in infants that resolves by 2 years old

a)

Pertussis

b)

Laryngeomalacia

c)

Aspiration PNA

d)

Viral Croup

42.

Classic triad of Asthma

(Creason Q)

a)

JVD

HoTN

Muffled heart sounds

b)

Dyspnea

Cough

Wheeze

c)

Asthma

Eczema

Allergies

d)

Dyspnea

Dysphagia

Drool

43.

Trigger of Asthma include

a)

Aspirin

b)

Infection

c)

Environmental and occupational allergens

d)

Exhaled irritants

e)

Emotions

44.

Expiratory wheezing often accompanied by

recurrent dry or productive cough and SOA is a classic finding of

a)

Bronchiolitis

b)

Asthma

c)

Cystic Fibrosis

d)

Pertussis

45.

Gold standard for diagnosing Asthma is

a)

CT of chest

b)

Pulmonary Function Test

c)

Liver Function Test

d)

CXR

46.

Obstructive defect is defined as

a)

Reduction in tidal volume

b)

Reduction in maximal expiratory flow

c)

Reduction in maximal inspiratory flow

d)

Reduction in expiratory volume

47.

Symptoms occur less than twice a week, and night time symptoms occur less than twice a month, need of SABA less than 2 days/week, no interference with normal activity is what classification of Asthma

a)

Severe persistent

b)

intermittent

c)

mild persistent

d)

moderate persistent

48.

Symptoms occur more than twice a week (but not daily), and nighttime symptoms occur more frequently than twice a month but fewer than five times a month. Use of SABA >2 days/week but not daily. Minor limitation with normal activity. what classification of asthma is this?

a)

severe persistent

b)

intermittent

c)

mild persistent

d)

moderate persistent

49.

Symptoms occur daily, and night time symptoms occur more than five times a month. Use of SABA daily. Some limitation with normal activity.

What classification of Asthma?

a)

severe persistent

b)

Intermittent

c)

moderate persistent

d)

mild persistent

50.

The patient has continuous symptoms throughout the day with nighttime awakenings often 7 times/week. Use of SABA several times per day. Extremely limited with normal activities.

What classification of asthma is this?

a)

severe persistent

b)

intermittent

c)

moderate persistent

d)

mild persistent