A 3 year old has been found unconscious with an empty bottle of his grandmother’s tricyclic antidepressants (TCA’s). After stabilizing the airway, you next order:

All of the following clinical circumstances increase caloric requirements except:

Which of the following situations in a patient with sickle cell disease is least likely to require a packed red blood cell transfusion?

Postoperative concerns in the child undergoing cardiac surgery  include airway, hemodynamics and function. The PNP remembers that cardiac output is determined in the child by the following:

All of the following are scored in the Pediatric Glasgow Coma Scale except:

In a patient < 2 months of age diagnosed with bacterial meningitis caused by E. coli, what antibiotics would you start?  

You have a 3 year old male patient on your pediatric service who has a history of hydrocephalus and currently has a VP shunt in place. You review the complications of having a shunt with your NP student. Which of the following is a true statement?  

Your terminally ill patient is requesting an increase in their morphine infusion because they are still experiencing pain. The current dose is 0.02mg/kg/hr IV. As the NP taking care of this patient, what would you do?    

You are consulting Peds Neurology for a 6 week old patient who presented to the pediatric floor with severe hypotonia and poor feeding. His birth history reveals an uncomplicated pregnancy and normal birth. His birth weight was 2500 g at 39 weeks GA. His APGAR scores were 8 and 9. On exam, he has a wide nasal bridge, low set ears, upturned nose, micrognathia, and a sacral dimple. Neuro exam reveals severe hypotonia with normal spontaneous movements and deep tendon reflexes. The metabolic newborn screen was normal. The head ultrasound shows a smooth cortex with mild ventriculomegaly. Which is the most appropriate next test in order to make the most appropriate diagnosis?

A 13-year-old male presents with a 24-hour history of sharp, pleuritic chest pain that is worse in the supine position. He recently had a viral illness a few weeks ago. Now has a fever at 38.5 C and a pericardial friction rub is heard on exam. The most likely diagnosis is: