Quiz: การใช้ยาอย่างสมเหตุผลในเด็กที่แผนกผู้ป่วยนอก Part 1

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1. A 6 month-old-boy presents with cough and runny nose for 2 days. He is otherwise doing well without any fever or tachypnea. Physical examination shows an alert child with clear nasal discharge. Which of the following is the most appropriate treatment? *

1 分

A. Chlorpheniramine

B. Loratadine

C. Desloratadine

D. Normal saline

2. Which of the following antitussives is contraindicated in children? *

1 分

A. Ammon carb

B. Bromhexine

C. Carbocysteine

D. Dextromethorphan

3. A 2.5 year-old-girl with persistent nasal discharge for 2 weeks. PE: T 37◦C, clear nasal discharge, no post nasal drip, no paranasal tenderness. Her previous antibiotics use was several months ago and she does not attend nursery.Which of the following is the most appropriate treatment? *

1 分

A. Normal saline irrigation

B. Amoxicillin 50 mg/kg/day

C. Amoxicillin 90 mg/kg/day

D. Amoxicillin/clavulanic acid (90 mg/kg/day: 6.4 mg/kg/day)

4. A 3 year-old-boy presented with nasal discharge and left ear pain for 1 day. PE: playful, T 38◦C, mild bulging with mild redness of left tympanic membrane. He attends kindergarten where there are a lot of children with common cold.Which of the following is the most appropriate treatment? *

1 分

A. Observation for 48-72 hours

B. Amoxicillin 50 mg/kg/day

C. Amoxicillin 90 mg/kg/day

D. Amoxicillin/clavulanic acid (90 mg/kg/day: 6.4 mg/kg/day)

5. Which of the following signs/symptoms is the most likely supportive evidence for acute bacterial pharyngitis? *

1 分

A. High fever

B. Hoarseness

C. Tonsillar exudate

D. Tender cervical lymph node

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