QUIZ 4 NURS 5432 UTA
Pyloric Stenosis - CORRECT ANSWER -Progressive narrowing of the pyloric canal occurring
during infancy
Risk factors: first degree relative affected, strong familial aggregation, multiple gestation, c-
section, preterm infant, firstborn child, formula feeding.
Signs and Symptoms: projectile postprandial non-bilious vomiting that is progressive in
severity and frequency beginning after 2-3 weeks of age. OLIVE SHAPED MASS PALPABLE IN
RUQ. Peristaltic waves visible across abdomen after feeding. Insatiable hunger with
weightloss and dehydration.
Pinworm - CORRECT ANSWER -caused by Enterobius vermicularis.
Signs/Symptoms: asymptomatic, severe perianal/intravaginal itching typically at night,
vulvovaginitis in girls, enuresis.
Treatment: Pyrantel pamoate 1mg/kg max 1 g two doses given 2 weeks apart for whole
family. OR
albendazole 400mg PO 1 dose and another in 2 weeks for whole family.
H. pylori treatment - CORRECT ANSWER -14 days of Quadruple therapy:
PPI, amoxicillin BID, metronidazole BID, and clarithromycin BID (PAMC) OR
PPI, bismuth, metronidazole, and tetracycline for 14 days (PTMB)
