Questions for self-preparation

 Status asthmaticus

1.    What is the status asthmaticus?

2.    What factors influence on the development status asthmaticus?

3.    What symptoms characterize asthmatic status?

4.    How is status asthmaticus diagnosed?

5.    What methods are used for measurements of lung function?

6.    How do you understand “asthma is under control”?

7.    How do you understand reliever medications for children with asthma? What medications are used in this case? What doses are they prescribed?

8.    What are the controller medications and what treatment is used? What are the inhaled glucocorticosteroids do you know? How to prescribe them? What are there adverse effects of inhaled glucocorticosteroids do you know?

9.    What is the basis of preventive treatment for children with asthma? What the routes of administration are the most popular in children? Tell about the preferred and alternate devices for children of different age group?

10. What are the principles of oxygen therapy in pediatric practice?

Respiratory failure

1.    What is the respiratory failure?

2.    What factors influence on the development respiratory failure?

3.    What types of respiratory failure are there?

4.    What are the signs of ventilatory type respiratory failure?

5.    What are the signs of parenchymal type respiratory failure?

6.    What are general principles of therapy respiratory failure in children?

7.    What are the principles of oxygen therapy in pediatric practice?

8.    What is the indication for lung ventilation?

9.    What is the indication for lung ventilation in newborns?

10. What is the croup? What are the severity of stenosis?

 

Acute heart failure

1.    What is the definition of acute heart failure in children?

2.    Classification of acute heart failure in children.

3.    What are the clinical variants of acute heart failure?

4.    What are the main causes of acute heart failure in children?

5.    Name the clinical manifestations of acute left ventricular heart failure.

6.    Name the clinical manifestations of acute right ventricular heart failure.

7.    What body position should a child have with manifestations of acute left ventricular heart failure in emergency care?

8.    What is the drug of choice in the presence of pain and psychomotor excitation in a child with acute heart failure?

9.    What groups of drugs are contraindicated for administration in the presence of a hypoxemic crisis in a child?

10. What cardiotonic drugs should be used in the hypokinetic variant of myocardial insufficiency?

Paroxysmal tachycardia

1.    What is the paroxysmal tachycardia?

2.    What types of paroxysmal tachycardia are there?

3.    What are the main causes of paroxysmal tachycardia?

4.    What are the signs of supraventricular paroxysmal tachycardia?

5.    What signs on the ECG indicate supraventricular paroxysmal tachycardia?

6.    What emergency therapy should be prescribed to a child with supraventricular paroxysmal tachycardia?

7.    What are the signs of ventricular paroxysmal tachycardia?

8.    What signs on the ECG indicate ventricular paroxysmal tachycardia?

9.    What emergency therapy should be prescribed to a child with ventricular paroxysmal tachycardia?

10. What complications can occur in a child with paroxysmal tachycardia?

Stokes-Adams attacks

1.    What is the definition of Stokes-Adams syndrome?

2.    What causes of Stokes-Adams syndrome in children?

3.    What are the ECG signs of Stokes-Adams syndrome?

4.    What symptoms are characteristic of Stokes-Adams syndrome in children?

5.    Which medication is the recommended for emergеncy of Stokes-Adams syndrome in children?

6.    What is the mechanism of syncope in the Stokes-Adams syndrome?

7.    Why is Atropine sulfate usеd in Stokes-Adams syndrome?

8.    What are the indications for cardiopulmonary resuscitation in children with Stokes-Adams syndrome?

9.    What are the indications for urgent surgical implantation of a Cardiac Pacemaker?

10. What are the indications for Isoproterenol usеd in Stokes-Adams syndrome?

Hypertensive crisis

1.    What is the hypertensive crisis?

2.    What form of arterial hypertension often leads to a hypertensive crisis in the pediatric population?

3.    What is end-organs damage for arterial hypertension?

4.    What values of blood pressure are characteristic of hypertensive crisis in children different ages?

5.    What are groups of medicines is used for hypertensive crisis in children?

6.    Which medication is the recommended first line treatment for hypertensive crisis in children?

7.    Which mеdication is usеd as intrаvenous therаpy for hypеrtensive emergеncy?

8.    Why is Sodium nitrоprusside usеd in hypertensive emergency?

9.    Why is Enalapril contraindicated for the relief of hypertension in patients with acute renal failure?

10. Which drug is preferable to use for the correction of hypertension in patients with pheochromocytoma?

Collapse and unconsciousness

1.    What is the transient acute cerebrovascular disorders?

2.    What causes acute cerebrovascular disorders in children?

3.    What types of syncope exist?

4.    What is the mechanism of development of vasovagal syncope?

5.    What heart diseases can cause syncope?

6.    What characterizes the prodromal period of syncope?

7.    What is the immediate treatment of syncope at different stages of development?

8.    What is the algorithm for managing children with syncope states?

9.    What is a collapse? What are the reasons for its occurrence?

10. What are the diagnostic criteria and emergency therapy for collapse?

Acute liver failure

1.    What is the definition of acute liver failure?

2.    What are the main causes of acute liver failure in children?

3.    What forms of acute liver failure do you know?

4.    What are the hereditary and metabolic diseases of the liver that can lead to the development of acute liver failure?

5.    What are the clinical manifestations of acute liver failure?

6.    Which indicator best reflects the state of synthetic liver function?

7.    What indicators of assessment of the general condition of the child should be monitored in the development of acute liver failure?

8.    For what purpose is mannitol used in acute liver failure?

9.    What drugs are used to reduce the level of hyperammonemia in children with acute liver failure?

10. What drug is used in the development of hepatorenal syndrome in children with acute liver failure?

Acute renal failure

1.    What homeostatic functions of the kidneys do you know?

2.    What is the definition of acute renal failure?

3.    What are the criteria for the diagnosis of acute renal failure?

4.    What forms of acute kidney injury are classified?

5.    What causes of acute renal failure in children?

6.    What are groups of medicines is used for acute renal failure in children?

7.    What are the indications for renal replacement therapy usеd for children with acute renal failure?

8.    Determine conservative treatment in the absence of indications for hemodialysis.

9.    What is the emergency treatment for hyperkalemia?

10. What is the emergency treatment for metabolic acidosis in children?

Gastrointestinal bleeding

1.    What form of portal hypertension is most common in childhood?

2.    What is the most serious complication of portal hypertension?

3.    What is the most typical age for intestinal intussusception?

4.    What instrumental method is used primarily in the presence of a clinical picture of bleeding from the upper gastrointestinal tract?

5.    What is a mechanical stop of bleeding from varicose veins of the esophagus?

6.    What the instrumental method  is used primarily in the presence of a clinical picture of bleeding from the lower gastrointestinal tract?

7.    To which group of drugs do aminocaproic acid belong?

8.    What is the purpose of using of Octreotide for gastrointestinal bleeding?

9.    What drugs are used in the presence of thrombocytopenia in patient with gastrointestinal bleeding?

10. What methods of endoscopic hemostasis do you know?

Seizures in children

1.    What are the main causes of seizures in children?

2.    What are the clinical and diagnostic criteria for febrile seizures in children?

3.    What metabolic disorders in the body can cause convulsions?

4.    What are the indications for urgent hospitalization of a patient with convulsions?

5.    What is the plan for examining a child with seizures?

6.    What groups of drugs are the drugs of first choice for seizures in children?

7.    What are the most common side effects of phenytoin?

8.    What are the indications for phenobarbital?

9.    What are the drugs used to relieve seizures in a child with hypocalcemia?

10. What should be done to prevent cerebral edema during a prolonged seizures?