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WorksheetsPediatric Respiratory and Asthma
Total questions: 50
Worksheet time: 27mins
Which of the following are pediatric respiratory differences compared to adults
Ribs are more horizontal
Rib cartilage is more springy
Nose breathers
Smaller internal airway diameters
Lower respiratory rates
What is the Gold standard for diagnosing Foreign Body Aspiration
CXR
Rigid Bronchoscopy
CT of the chest
ur mom
New onset of stridor in the setting of a URI or fever indicates
Bronchiolitis
Asthma
Croup
Strep Throat
A prodrome of respiratory tract symptoms followed by a barky cough indicates (Creason)
Bacterial Tracheitis
Viral Croup
Epiglottitis
a dog
Most common causative agent of Viral croup
H. Influenza
Corona Virus
Epstein Barr Virus
Parainfluenza virus
Frontal Cervical Xray shows "Steeple Sign" indicating what respiratory disease?
Viral Croup
Foreign Body Aspiration
Epiglottitis
Bacterial Tracheitis
The presence of cough and the absence of drool
Viral Croup
Epiglottitis
Administration of which vaccine has helped decrease the incidence of epiglottitis? (Creason Q)
Hib
MMR
dTap
HPV
Classic presentation of Epiglottitis includes the following
Dysphagia
Drooling
Dyspnea
Tripodding
Dysuria
Lateral Cervical Xray showing "Thumb print" sign indicates
a thumb in the throat
Epiglottitis
Laryngeotracheitis
Bacterial tracheitis
Bronchoscopy showing normal epiglottis the presence of copious purulent tracheal secretions and membranes
confirms the diagnosis of
Asthma
Viral Croup
Epiglottitis
Bacterial Tracheitis
most common isolated organism found in Bacterial Tracheitis
Pseudomonas
Staph aureus
H. Influenza
Parainfluenza
Treatment for Bacterial Tracheitis includes
Intubation
Debridement
Cricothyrotomy
IV abx
Cysts ranging from 2-10cm. Cyst walls are thin and may contain air, blood, pus or mucus. This develops from abnormal lung budding
COPD
Bronchogenic cysts
Lung cancer
Iron Lung
The preferred diagnostic tool for Bronchiogenic Cysts is
CXR
CT
U/S
MRI
This should be suspected in a child with chronic cough, persistent wheeze and recurrent PNA
Asthma
Pneumonia
Foreign Body Aspiration (intra)
Bronchiogenic cysts
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
Lung Cancer
Pneumonia
COPD
Asthma
Bacterial Community-Acquired PNA sx include of all of the following
Abrupt onset
high grade fever
grunting
retractions
Nasal flaring
All are treatment options for Bacterial CA PNA EXCEPT
IV ampicillin for infants 4-12 wks old
PO amox for 3mo to 5 yo children
Amoxicillin for children older than 5yo
Amox/clav for children older than 5yo
Gradual onset fever, coryza (nasal inflammation), cough, hoarseness indicates
Croup
Viral PNA
Pertussis
Epiglottitis
Treatment of aspiration PNA
Intubation
Clindamycin
Doxycycline
O2 administration
The most common risk factor of TB is
Exposure to another infected child
Exposure to an infected cat
Exposure to an infected adult
Exposure to ur mom
infiltrate with HILAR ADENOPATHY seen in image indicates what?
Bronchogenic cysts
TB
Bronchiolitis
Ford Bronco
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)
Bronchiolitis
Bronchitis
Asthma
Lung Cancer
Most common Causative agent of Bronchiolitis
Respiratory Synctival Virus (RSV)
Pseudomonas
S aureus
Parainfluenza
How would you treat a patient presenting with upper respiratory symptoms with wheeze and crackles (rales) indicating a lower resp infxn?
a nice chest slap
Outpatient tx with supportive care
IV amoxicillin
Intubation
This is an injected medication that is used to help prevent
RSV in children
Dabigatran
Palvizumab (SYNAGIS)
Ivermectin
Peptobismol
Cystic fibrosis is a(n)
automatic transmission disorder
autosomal recessive disorder
autosomal dominant disorder
autographic disorder
An elevated immunoreactive trypsin (IRT)level at newborn screen indicates what disease?
Bronchiogenic Cancer
Cystic Fibrosis
Trisomy 21
Asthma
Clinical findings of CF include
Meconium ileus (virtually diagnostic)
recurrent respiratory infxn (esp pseudomonas and S. Aureus)
bulky, foul-smelling stool
chronic sinusitis
The best test for diagnosing Cystic Fibrosis
Sweat test
Genetic test
SAT test
Stress test
Which stage of Pertussis is the inspiratory whoop heard?
(Creason Q)
Paroxysmal stage (10-14 days)
Catarrhal stage (1-9 days)
Convalescent stage (week 4)
Back stage (
Causative agent of Pertussis/whooping cough
Bordatella pertussis
Pseudomonas
S. Aureus
parainfluenza
Diagnostic test for Pertussis
Throat culture
Pertussis antigen test via nasopharyngeal cultures
Pertussis antibody Assay
Pertussis antigen test via rectal swab
Inflammation and scarring in the lungs that can cause chronic lung disease
Bronchopulmonary Dysplasia
Smoking
Interstitial lung disease
cystic fibrosis
Prevention of SIDS includes the acronym ABC that stands for
Alone
Back
Crib
Above
Back
Crib
After
Bed
Cry
Airway
Breathing
Circulation
Scoliosis is a lateral abnormal curvature of the spine which is most commonly seen in adolscent females. It is measured using what diagnostic tool?
MRI of spine
Cobb angle
Xray of spine
CT of spine
Anterior depression of the chest wall that may be symmetrical or asymmetrical with respect to the midline
Pectus excavatum
Pectus Carinatum
A protrusion of the upper or lower (more common) portion of the sternum
Pectus Excavatum
Pectus Carinatum
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
Asthma
Brief resolved unexplained events (BRUE)
Sudden Infant Death Syndrome (SIDS)
Chronic Obstructive Lung Disease (COPD)
Intermittent stridor in infants that resolves by 2 years old
Pertussis
Laryngeomalacia
Aspiration PNA
Viral Croup
Classic triad of Asthma
(Creason Q)
JVD
HoTN
Muffled heart sounds
Dyspnea
Cough
Wheeze
Asthma
Eczema
Allergies
Dyspnea
Dysphagia
Drool
Trigger of Asthma include
Aspirin
Infection
Environmental and occupational allergens
Exhaled irritants
Emotions
Expiratory wheezing often accompanied by
recurrent dry or productive cough and SOA is a classic finding of
Bronchiolitis
Asthma
Cystic Fibrosis
Pertussis
Gold standard for diagnosing Asthma is
CT of chest
Pulmonary Function Test
Liver Function Test
CXR
Obstructive defect is defined as
Reduction in tidal volume
Reduction in maximal expiratory flow
Reduction in maximal inspiratory flow
Reduction in expiratory volume
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
Severe persistent
intermittent
mild persistent
moderate persistent
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?
severe persistent
intermittent
mild persistent
moderate persistent
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?
severe persistent
Intermittent
moderate persistent
mild persistent
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?
severe persistent
intermittent
moderate persistent
mild persistent
