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You are taking care of a 5 yr old with known asthma admitted to the PICU for acute exacerbation. She is NPO with IVF on continuous albuterol, IV Methylprednisone and 24 hrs of atrovent. She continues to have wheezing and respiratory distress with intercostal retractions. What is the next Best treatment strategy?  

You are taking care of a 7 year old admitted with meningitis. What are the most common bacterial organisms in this age group? 

Which of the following responses during a tonic-clonic seizure is MOST appropriate to teach family members of a child who has a seizure disorder?

When placing a chest tube for a pneumothorax what are the landmarks one should look for? 

Co-morbidity associated with fragile X syndrome include all of the following EXCEPT?

Stan is playing with his ball, and Oliver is playing with his car, but they are each watching what the other is doing.  Stan and Oliver are involved in what type of play? 

A 4 day old male presents to the ED with encephalopathy, alkalosis, and hypothermia. Which inborn error of metabolism are you most concerned for? 

The MAX function returns the smallest value in a range.

Patients with acute nephrotic syndrome may present with all BUT which if the following signs?

You are caring for a 3 month old with FTT who is S/P surgical VSD closure. He had a long cardiopulmonary bypass time and you have identified on post op day #1 that he meets criteria for Acute Kidney Injury. His Serum creatinine and NGAL are elevated on today’s labs and his renal perfusion pressure overnight has been below his set goal based on age. Based on the information that you have what is the most likely etiology of his AKI?