How do you treat bacterial conjunctivitis? – correct answer Erythromycin ophthalmic eye ointment,
apply to lower lid QID x 5-7 days
how do you treat allergic conjunctivitis – correct answer OTC allergy drops like zaditor
DO NOT USE TOPICAL STEROIDS
Corneal abrasion – correct answer Contact lenses is most common cause of injury (ask if they wear
contacts), Conduct visual eye exam, refer if worsens
Red painful eye – correct answer Referral! Refer if vision is worse than 20\/40 at 3 years old or worse than
20\/30 at 5+ years old
Eye pain with palpation – correct answer Referral! If painful, think herpes blepharitis or
keratoconjunctivitis & REFER
Clin man of hordeolum – correct answer eye is usually horribly tender, red, feels like something is in the
eye
s in stye = STAPH
Trx for hordeolum – correct answer spontaneous drainage
warm compres
erythromycin ointment
Clin man\/trx of chalazion – correct answer firm, painless lump
can have more than one at a time, upper or lower eyelid
c for chronic
self limiting- warm compress
What is the trx for otitis externa (OE) – correct answer antibiotic +\/- steroids
neomycin\/polymycin\/hydrocort gtts
What is the trx for acute otitis media (AOM) – correct answer High dose amoxicillin 80-90 mg\/kg
Otitis media with effusion typically follows what? How do you treat? – correct answer AOM
Watch and wait
Restless child present with barking seal cough – correct answer Croup
CXR= (+) steeple sign
Tx: Dexamethasone
White plaque with erythematous border and can bleed if scraped – correct answer Candidiasis\/ thrush
Treatment for pertussis (whooping cough) – correct answer Azithromycin
Muffled voice, tripod position, drooling, stridor, thumbprint sign on XRAY, cannot swallow – correct
answer Epiglottitis
Hot potato voice, trismus, dysphagia and deviation of uvula – correct answer Peritonsillar abscess
Presentation of Foreign Body Obstruction in child – correct answer Acute onset of wheezing in a child
with no history of asthma should alert the clinician to a possible airway foreign body
First line treatment for strep throat – correct answer Amoxicillin; If PCN allergy: Azithromycin
3 bugs responsible for sinusitis, bacterial conjunctivitis, and AOM – correct answer S. pneumonia, h.
influenza, m. catarrhalis
Sneezing, rhinorrhea, nasal mucosa is pale and boggy on exam – correct answer Allergic rhinitis
AOM that hasn’t resolved – correct answer mastoiditis; Immediate referral
Sinusitis – correct answer If unilateral pain and\/or length of time >10-14 days, first line Tx: amoxicillin;
Failure of tx or recent abx use: Augmentin
Allergic rhinitis – correct answer clear or yellow (straw color), itchy eyes and watery, some redness to
nose\/throat, nose boggy, turbinates-pale and swollen, cobblestoning in throat from post nasal drainage.
Tx: intranasal glucocorticoids (pt teaching that overuse or incorrect use can lead to septal perforation)
Nasal foreign body – correct answer A nasal foreign body should be suspected in a child who presents
with recent UNILATERAL nasal obstruction, rhinorrhea, and odor.
If you suspect community-acquired pneumonia – correct answer order an antibiotic based off the
probable etiology<\/p>\n\n\n\n