Cardiology
Neurology
Immunizations
Infectious Diseases
Oncology
100

What are the three main signs of Digoxin toxicity in a child?

What are bradycardia, arrhythmias, and vomiting

100

These are the 2 most common symptoms in pediatric concussions.

What are confusion and amnesia.

100

Permanent contraindication to receiving vaccines

Anaphylactic reactions to previous vaccines

100

While the rash for measles generally starts on the face, the rash for Varicella starts here.

Abdomen/trunk

100

This condition can result from having cancer. This can cause increased uric acid, potassium levels, and even renal failure. Common treatments include: insulin, bicarbonate, kayexalate, and allopurinol. What is this condition?

Tumor Lysis Syndrome

200

What are the four main defects comprising Tetralogy of Fallot?

What are VSD, Over-riding aorta, pulmonary stenosis, and right-sided hypertrophy

200

This number on the Glasgow Coma Scale (or lower) is indicative of a coma.

What is 8.

200

Expectant mothers should receive this vaccine during each pregnancy, ideally between her 27-36 weeks.

What is Tdap vaccine.

200

These are the three “C”s of measles

Cough, conjunctivitis, and coryza

200

A child has a WBC count of 100; mature neutrophils of 7%; and Bands of 7%. This child’s ANC is calculated to be 140. Can this child go back to school?

No. A child’s ANC needs to be greater than 500 in order for them to go back to school.

300

What congenital cardiac condition manifests with a drastic difference in blood pressures of the upper and lower extremities?

What is coarctation of the aorta.

300

The 3 late signs of increased ICP involved in Cushing’s triad are?

Increased systolic BP(causing a widened pulse pressure), irregular respirations and bradycardia.

300

The rotavirus vaccine is administered this way.

What is orally?

300

Positive results of these 2 clinical signs would provide strong suspicion for bacterial meningitis.

Kernig and Brudzinski signs

300

What are possible treatments for osteogenic sarcoma? And if the child has a mass in the distal femur what is a common approach to above the knee amputation? And why do they do this?

Common treatments include: Chemo + Surgery; limb salvage procedure; amputation. For above the knee amputations, it is common for surgeons to preserve the bending functionality of the child’s leg by attaching the child’s foot in a backwards position. This ensures a better fit for their prosthetic leg. 
400

This drug would be considered first choice for an infant experiencing an acute hypercyanotic “tet” spell.

What is Morphine (IV)

400

When distinguishing CSF from clear nasal drainage, a urine dipstick may be utilized to check for the presence of what?

What is glucose.

400

These are live vaccines.

MMR, varicella

400

Fever, sore throat, and lymphadenopathy are the triad of symptoms for this disease

Infectious mononucleosis

400

Low grade fever, night sweats, weight loss >10%, asymptomatic lymphadenopathy, abdominal pain, nausea, and pruritis are all symptoms of what common adolescent and young adult cancer? 

Hodgkin’s Lymphoma. 
500

This cardiac defect is deemed incompatible with life due to the lack of communication between the right atrium and right ventricle.

What is tricuspid atresia.

500

This steroid can be used for short periods of time to treat “Jackknife Seizures” or Infantile Spasms.

What is ACTH.

500

This vaccine is given to newborns before hospital discharge.

What is hepatitis B?

500
Varicella is contagious at this period.

1-2 days before rash until lesions have crusted

500
A 3 year old boy is recently diagnosed with ALL and his ANC is currently 450. Given his age and the Fall/ Early Winter season, he is set to be given the flu shot. As his nurse, you are responsible for administering his vaccination. However, the order reads nasal flu. Can this child receive this vaccination?

No. Given the child’s low ANC and immunosuppressive state, he cannot receive the nasal flu vaccine because it is the life version of this vaccine. 

M
e
n
u