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Bonus Quick Fires

Of the choices listed, which is the most appropriate for a severe toxicodendron dermatitis (poison ivy or poison oak exposure)?

a. 1% topical steroids

b. Topical calamine lotion

c. 14 days of oral methylprednisolone

d. A “steroid dose pack”

e. Oral diphenhydramine q 6 hours

Which of the following therapies is recommended for mild stuttering in an otherwise healthy 2-year-old child?

a. Observation

b. Trial of risperidone

c. Trial of olanzapine (Zyprexa)

d. 2 minutes of time-out

e. Referral to speech pathologist

An underweight 18-month-old child with nasal polyps should be evaluated for which of the following?

a. Adrenal insufficiency

b. Allergies

c. Cystic fibrosis

d. Nasal foreign body

e. Sinusitis

Which of the following therapies is most appropriate for a 5-year-old child with a 3-day history of a hordeolum (stye) of the left eye?

a. Topical azithromycin

b. Incision and drainage

c. Examination of eye under anesthesia

d. Systemic antibiotics

e. Warm compresses and eye hygiene

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