THERAPEUTICS

1. A three-year-old has acute otitis media. She is not allergic to any medications. Which if any antibiotics would you prescribe and why?
2. An eighteen-month-old has purulent conjunctivitis without other findings. How would you manage this patient?
3. A four-year-old girl urinary urgency and dysuria. A clean catch urine shows 50-100 white blood cells. How would you manage this child?
4. A mother asks whether she should use ibuprofen or acetaminophen for fever in her child what is the appropriate dose. What would you tell her?
5. A six-year-old boy has been coughing, particularly at night for 3 days. He has diffuse wheezes. Discuss your initial assessment and treatment.
6. A thirteen-year-old has had a persistent cough without other complaints or findings for the past week. It is now interfering with sleep. How would you manage this patient?
7. A ten-year-old presents with a headache, nasal discharge and a mild cough. His examination is unremarkable. How would you manage this patient?
8. A two-year-old presents with a persistent pruritic rash on his arms and legs. He has patches of erythema with obvious excoriations on the extensor surfaces of his arms and legs and also in the antecubital fossae. How would you treat this condition?
9. An eleven-year-old has a sore throat and a positive rapid streptococcal test. Discuss your assessment and initial management.
10. A known asthmatic complains of worsening cough and wheezing, unresponsive to inhaled albuterol. How would you manage this patient?
11. A six-year-old swimmer complains of otalgia and ear discharge. His right external ear canal is filled with a purulent discharge. Discuss your diagnosis and initial treatment plan.
12. The mother of two young children asks which sunscreen and insect repellent to use on a camping trip. What advice would you give her?
13. A breast-feeding mother is giving oral tetracycline for pneumonia. She wants to know if it safe to take the medication while breast-feeding. How would you Council her?
14. A two-year-old boy with multiple drug allergies is diagnosed with pneumonia. The physician would like to use doxycycline or ciprofloxacin to treat him. How would you Council the parents?