One of the most common causes of viral gastroenteritis is:

Question 1 One of the most common causes of viral gastroenteritis is:

 

Norwalk virus

 

Rotavirus

 

Campylobacter

 

Shigella

 

Question 2The most serious case related to gastroenteritis would be:

 

Sunken fontanel in a 4-month-old, parched lips, and decreased urine output

 

A weight loss of 8 oz in a 22lb 6-month-old, pulse of 100, normal urine output

 

Pulse of 100 in a 4-year-old, altered specific gravity or urine and moist mucus membranes

 

Good oral intake, fever of 101 F, pale color and slight increase in fussiness in a 2-year-old

 

Question 3Contributing factors in cases of constipation include all of the following EXCEPT:

 

Too little fiber in diet

 

Disrupted routines

 

Psychosocial factors

 

Too little protein

 

Question 4A 7-year-old male brought to you by mother who is concerned about an itchy rash that has been getting worse on his feet and legs for the last 3 weeks. Mother states no one else has a rash at home. On exam you note a pale pink, pinpoint rash with scattered vesicles and several scabbed excoriations. The rash is linear and begins in the webs of the toes on the left foot but at ankle height on the right leg. He says it really itches and that sometimes wakes him up from sleep at night, itching intensely. You decide:

 

The diagnosis is atopic dermatitis, and the treatment is 1% hydrocortisone bid.

 

The diagnosis is varicella, and the rash will subside without treatment.

 

The diagnosis is scabies, and the treatment is Elimite cream in one application left on for 8 hours.

 

The diagnosis is roseola, no treatment because it is self-limiting.

 

Question 5The most likely organism to cause a UTI in the pediatric population is:

 

Staphylococcus Saprophyticus

 

Klebsiella

 

Chlamydiab

 

E Coli

 

Question 6One of the most commonly suggested reasons for primary enuresis is:

 

Medications such as theophylline

 

Genitourinary abnormalities

 

Family disruptions and stress

 

Delayed maturation of voiding inhibitory reflex

 

Question 7For a 6-year-old child with primary nocturnal enuresis, the first recommendation is:

 

Avoid criticism or punishment

 

Remove privileges

 

Treat with medication

 

Purchase an enuresis alarm

 

Question 8The best treatment for pediatric viral gastroenteritis would include all of the following EXCEPT:

 

An antidiarrheal agent

 

Increase fluids

 

Rest

 

Probiotic rich diet

 

Question 9You know that an adolescent male with a unilateral, red, painful scrotum has signs of:

 

Testicular torsion

 

Phimosis

 

Hydrocele

 

Glomerulonephritis

 

Question 10A mother presents with her 10-year son with complaint of a rash on his back x 1 week. Mom mentions that he has been itching his back after returning home from baseball practice. Denies fever. On exam you note 3 annular lesions up to 2cm in diameter with red scaly borders and central clearing on his low back. The best diagnosis for this child is:

 

Tinea corporis

 

Impetigo

 

Pityriasis Rosea

 

Tinea cruris

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