FNP PEDIATRICS EXAM,PRACTICE EXAM AND STUDY GUIDE LATEST 2024 ACTUAL EXAMTEST BANK 1200, Exams of Public Health

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GUIDE LATEST 2024 ACTUAL EXAMTEST BANK 1200

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

You receive a call from a mother of a 2yo girl with a temp of 101F and diarrhea for 5 days with 6-8 liquid stools/day. How would you advise this mother?

a. Go to ER now

b. Come to the office tomorrow morning

c. NPO

d. Loperamide 10ml after each loose stool - ansb

You see BD for the first time at age 6 weeks. BD has bright red, raised, rubbery lesion of irregular shape & 2cm in diameter on the occiput. What condition do you suspect BD has?

a. malignant melanoma

b. Port-wine stain

c. Capillary hemangioma

d. Burn - ansc

You suspect at A.F. age 9yo; has either pityriasis alba or vitiligo. Which of the following would not confirm the diagnosis of pityriasis alba?

a. AF's skin would be normally pigmented except for areas of depigmentation

b. AFs skin would have one or more scaly areas of hypopigmentation

c. AF complains of mild itching in areas of hypopigmentation

d. AFs lesions became more pronounced when she was exposed to sunlight - ansa

You suspect MN as having chronic psoriasis. Which of the following is characteristic of her lesions if she has psoriasis vulgaris?

a. scaly erythematous patches and plaques 3-10mm in diameter

b. round or oval in shape

c. large scaly silver-white plaque 5-10cm in diameter

d. located mainly on her trunk - ansc

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QUESTIONS AND CORRECT DETAILED ANSWERS

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You would be concerned about the language development of a child who:

a. repeats simple phrases at 32mo

b. stutters when excited or tired at 42mo

c. has a vocabulary of 10 words at 12mo

d. pronounces words that are understandable at 36mo - ansb

You would expect a school age child to:

a. grow 1.5in per year

b. grow 0.5in per year

c. Gain about 6lb per year

d. Gain about 3lb per year - anscrmity means physical or mental weakness****

"Boggy" nasal mucous membranes with serous drainage upon examination usually suggests:

a. sinusitis

b. polyps

c. URI

d. allergic rhinitis - ansd

"incident to" billing is specific to:

a. Medicare

b. Medicaid

c. Medicare & Medicaid

d. Private insurance companies - ansa

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QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

1. A 10mo old child has been diagnosed with gastroenteritis. He attends a child care facility. What is the most likely cause of his illness?

a. Clostridium difficile

b. Rotavirus

c. Salmonella

d. Cryptosporidium - ansb

1. A typical febrile seizure is most likely to be the problem of which of the following children?

a. A 1yo with otitis media & a fever of 104F

b. A 3mo old with unequal pupils & bulging fontanels

c. An 11yo with fever of 101F who is on valproic acid for seizure disorder

d. A 5yo with bacterial meningitis - ansa

1. Baseline management of all neonates with ABO incompatibility includes:

a. Phototherapy

b. Serial monitoring of bilirubin & hemoglobin levels

c. Exchange transfusion

d. Simple transfusion of packed RBCs - ansb

1. Secondary hypothyroidism results from:

a. Excess release of thyroid hormone beyond the newborn period

b. Intrauterine exposure to thyrotoxic drugs

c. Disease or disorder of the thyroid gland itself

d. Disease or disorder of the hypothalamus or pituitary gland compromising thyroid function - ansd

1. Septicemia in the newborn period is likely caused by which organism?

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QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

a. Listeria monocytogenes

b. Haemophilus influenza

c. Neisseria meningitides

d. Streptococcus pneuomniae - ansa

1. Urinary tract infections (UTI) are the most common pediatric urinary tract problems seen in primary care. Which of the following statements is not true regarding UTIs?

a. Symptoms are often nonspecific, especially in infancy

b. Urine culture is required for definitive diagnosis

c. Trimethoprim-sulfamethoxazole is a drug of choice for most children

d. Radiologic studies are rarely indicated with first infection - ansd

1. Which of the following disorders is usually associated with adduction of the forefoot?

a. Internal femoral torsion

b. Talipes equinovarus congenital

c. Genu valgum

d. Internal tibial torsion - ansb

1. which of the following is a characteristic physical sign of fragile X syndrome in adolescent males?

a. Small posteriorly rotated ears

b. Macroorchidism

c. Hypertonia

d. Double hair whirl - ansb

1. Which of the following is true for idiopathic scoliosis, which occurs primarily in adolescents?

a. Mild curves occur equally between the sexes

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QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

b. Generally there is no family history

c. Back pain is usually associated with curves of 35 degrees or greater

d. Bracing is indicated for thoracic curves of 10-25 degrees - ansa

2. A 2yr girl presents with symptoms of painful urination, frequency, & occasional incontinence over the past week. When seen in your office, she has a temperature of 101.6F. Which of the following would be your approach in establishing a definitive diagnosis?

a. Clean-catch midstream collection of specimen for urine analysis

b. Clean-catch midstream collection of specimen for urine culture

c. Straight catheterization collection of specimen for urine culture

d. Voiding cystourethrogram (VCUG) - ansc

2. Congenital hypothyroidism has a higher incidence in which of the following populations?

a. African-americans

b. Hispanic & native Americans

c. Asian-americans

d. Euro-americans - ansb

2. In a healthy, 8mo old with diarrhea but not dehydration, what would be the most appropriate device to give parents?

a. Encourage ½ strength formula for 12hrs

b. Give oral hydration solution (ORT) for 12hrs

c. Give only fluids until stool turns to normal

d. Give bananas and cereal as tolerated - ansd

2. Signs & symptoms of bacterial sepsis in children beyond the neonatal period include?

a. Cough, fever, abdominal pain

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b. Vesicular rash, pruritus, fever

c. Irritability, fever, lethargy

d. Abdominal pain, diarrhea, vomiting - ansc

2. The most common rheumatoid disease of childhood is:

a. Systemic lupus erythemtosus

b. Kawasaki disease

c. JRA

d. Legg-Calve-Perthes disease - ansc

2. Which of the following is not associated with Rh incompatibility?

a. Mother Rh negative, baby Rh positive

b. Mother Rh positive, baby Rh negative

c. More severe in subsequent sensitized pregnancies

d. Hemolysis may occur up to 6 weeks or more - ansb

2. Which of the following physical stigmata are common in newborns with Down syndrome?

a. Microcephaly, large ears & mouth, flattened philtrum

b. Hypotonia, large appearing tongue & small mouth, upward slant to eyes

c. Fair mottled skin, large hands & feet, broad stocky neck

d. Funnel or pigeon-breasted chest, Brushfield spots, extra digits - ansb

2. Which of the following responses during a tonic-clonic seizure is most important to teach family members of a child who has these seizures?

a. Restrain the child

b. Insert an airway into the mouth to prevent tongue biting

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c. Note the time, duration, & activity of the seizure

d. Protect child from injury - ansd

3 mo rachel cannot remain seated upright without support. At what age will she acquire the seated position with support?

a. 7mo

b. 9mo

c. 12mo

d. 14mo - ansa

3. a 2mo infant, with hx of sacral myelomeningocele repair, has an increase in head circumference from the 75th to the 95th percentile. What is the most appropriate first action?

a. Order a stat head CT scan

b. Refer to neurosurgery for management

c. Recheck it at the next well-child visit

d. Recheck & replot the child's head circumference - ansd

3. Clinical jaundice of the distal extremities would be noted at a bilirubin level of:

a. <5mg/dl

b. 5mg/dl

c. 10mg/dl

d. >15mg/dl - ansd

3. Radiographic findings of disease progression and sphericity of femoral head is helpful in the diagnosis and followup of:

a. Transient synovitis of the hip

b. Osgood-schlatter disease

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QUESTIONS AND CORRECT DETAILED ANSWERS

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c. Legg-Calve-perthes disease

d. Slipped Capital Femoral epiphysis - ansc

3. The most likely organism to cause UTI in the pediatric population is:

a. Staphylococcus saprophyticus

b. Klebsiella

c. Chlamydia

d. E. coli - ansd

3. When evaluating a child with abdominal pain, what symptom would lead to a likely organic etiology?

a. Night waking

b. Pallor

c. Suprapubic pain

d. Sweating - ansa

3. Which of the following is an appropriate strategy to instruct the parents of an 18mo old child who has just been diagnosed with a febrile seizure and who has a fever of 104F?

a. Give asprin every 4hrs for temp over 101F

b. Bathe with tapid water

c. Dress warmly to avoid chills

d. First aid management during a seizure - ansd

3. Which of the following is not a sign or symptom of congenital hypothyroidism?

a. Hoarse cry

b. Frequent stooling

c. Coarse features

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QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

d. Lethargy - ansb

3. Which of the following vaccines provides protection against a common type of sepsis/meningtitis?

a. Smallpox vaccination

b. Hep B vaccine

c. Haemophilus influenzae vaccine

d. Inactivated polio vaccine - ansc

4. a 2 week old presents with mucopurulent eye discharge with injection and edema of the conjunctiva. The 15yr old mother had no prenatal care. What is the most likely organism?

a. Staphylococcus aureus

b. Gonococcus

c. C. pneumoniae

d. C. trachomatis - ansd

4. A 4yo boy is brought in by his mother, concerned about the sudden onset of painful limp in his right leg 2 days ago. Today he has a low grade fever. Which of the following diagnosis is most likely?

a. Osgood-schlatter

b. JRA

c. Osteomyelitis

d. Transient synovitis of the hip - ansd

4. Although relatively rare in the U.S., diphtheria can occur among under-immunized children. Which of the following clusters of signs, symptoms, and physicals findings would suggest diphtheria in a child presenting with upper respiratory complaints?

a. Low grade fever, sore throat, nasal discharge, grayish-white pseudo-membrane in his/her throat

b. Abrupt onset of high fever, severe sore throat, nasal discharge, and grayish-white pseudo-membrane in his/her throat

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c. Low grade fever, abrupt onset of severe sore throat with difficulty swallowing and drooling

d. Abrupt onset of high fever, severe sore throat, with difficulty swallowing & drooling - ansa

4. beta-chain synthesis is absent in:

a. beta-thalassemia minor

b. beta-thalassemia intermedia

c. beta-thalassemia major

d. alpha-thalassemia trait - ansc

4. One of the most commonly suggested reasons for primary enuresis is:

a. Certain medications, such as theophilline

b. Genitourinary abnormalities

c. Family disruptions and stress

d. Delayed maturation of voiding inhibitory reflex - ansd

4. The most common cause of hyperthyroidism in children & adolescents is:

a. Graves (autoimmune disease)

b. Thyroid cancer

c. Thyroid nodules

d. Pituitary tumor - ansa

4. Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would most likely point to pyloric stenosis?

a. Diarrhea

b. Appropriate growth

c. Acts hungry after vomiting

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d. Sausage shaped mass in abdomen - ansc

4. What is the primary public health measure to decrease the incidence of bacterial meningitis in infants & children?

a. Keeping infants & young children away from crowded places

b. Set up screening measures in schools

c. Routinely giving immunizations such as Hib & PCV

d. Provide written information about meningitis to high school students - ansc

5. a newborn presents with a large VSD, rocker bottom feet, overlapping second & third fingers, & fourth & fifth fingers with hypotonia. What is the most likely diagnosis?

a. Fragile X syndrome

b. Down syndrome

c. Edwards Syndrome

d. Klinefelter's syndrome - ansc

5. Infants younger than 6mo of age with pertussis frequently require hospitalization to manage:

a. Fever, cough, dehydration

b. Coughing paroxysms, apnea, cyanosis, feeding difficulties

c. Coughing paroxysms, dehydration, renal failure

d. Seizure, fever, pneumonia - ansb

5. Suzanne, a 7yo comes to you for a physical exam prior to participation in soccer. Suzanne's mother is concerned that the child "still has accidents at night." You determine that Suzanne has primarily nocturnal enuresis and your first recommendation to her is to:

a. Avoid use of criticism or punishment

b. Use a sticker/star chart

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c. Treat with medication

d. Purchase an enuresis alarm - ansa

5. The type of seizure that first presents during infancy in which the infant goes into a "jack knife" posture is:

a. Febrile seizures

b. Infantile spasm

c. Absence seizure

d. Atonic "drop" attacks - ansb

5. which of the following are most often associated with hemoglobin C?

a. growth retardation

b. hepatosplenomegaly

c. usually asymptomatic

d. frontal bossing - ansc

5. Which of the following is not found in an adolescent with untreated Grave's disease?

a. Behavioral problems

b. Sleep disturbances

c. Tendency to gain weight easily

d. Tachycardia - ansc

5. Which of the following is the appropriate regimen for pinworm medication?

a. Daily x 7days, repeat as needed

b. TID for 10 days, repeat as needed

c. BID for 3 days, repeat in 2 weeks

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d. 1 dose/1 time, repeat in 2 weeks - ansd

5. Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip?

a. Observe & reexamine at 2 week well child visit

b. Triple diapering in nursery

c. Pavlik harness

d. Surgical reduction - ansc

6. A physical finding not usually associated with talipes equinovarus congenita is:

a. Contracture of the illiotibial bands

b. Deep crease on medial border of foot

c. Atrophy of calf muscles

d. Small foot with limited dorsiflexion - ansa

6. Diagnostic findings consistent with beta-thalassemia are:

a. Hemoglobin-normal

b. Reticulocytes-normal

c. Hgb A2 <3.

d. Hypochromia, microcytosis - ansd

6. In which of the following children would you most suspect hyperthyroidism?

a. A 16yo male who complains about restlessness

b. A 14yo adolescent female who is heat intolerant & has amenorrhea

c. A male preteen with behavior problems

d. A 6yo female who complains of tiredness - ansb

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6. Mrs. Doyle is upset. 2mo old John's frequent vomiting has her convinced that "something is seriously wrong". Which of the following is most suggestive of GER?

a. He's gained 5oz this month

b. He has a slight wheeze today

c. He eats hungrily after vomiting

d. He drinks 7-8oz every 3-4hrs - ansd

6. One of the most appropriate agents used to treat influenza A is:

a. Acyclovir

b. Osteltamivirc

c. Erythromycin

d. Tetracycline - ansb

6. The incidence of cryptorchidism at one year of age is about 1%. The best explanation for this is:

a. Examination of the scrotum begins at this age

b. A child can usually stand, making palpation of the testes easier

c. Spontaneous resolution often occurs in first year

d. Surgical repair can now be done in neonatal period - ansc

6. Which of the following problems is common in a child with Hurler's syndrome?

a. Developmental delay from birth

b. Sleep obstructive apnea

c. Ectopic lentis

d. Congenital heart disease - ansb

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QUESTIONS AND CORRECT DETAILED ANSWERS

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6. Which of the following would not be associated with an uncomplicated concussion?

a. Focal motor signs

b. Brief loss of consciousness

c. Headache

d. Confusion or amnesia for the event - ansa

7. A characteristic feature of polyarticular JIA disease is:

a. The involvement of 5 + inflamed joints

b. Confinement to lower extremity joints, knees, and ankles

c. Asymmetric involement

d. High, daily intermittent spiking fevers - ansa

7. Asplenic children are at increased risk for which of the following?

a. Bacterial infections

b. Fungal infections

c. Viral infections

d. Parasites - ansa

7. Communicating hydrocele is best differentiated from the noncommunicating type by the fact that:

a. There is no association with hernia

b. It usually resolves on its own

c. The fluid is static in the scrotum

d. Frequently develops into hernia - ansd

7. The most common thyroiditis is:

a. Subacute thyroiditis caused by a viral infection of the gland

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b. Acute suppurative thryoiditis caused by bacterial infection

c. Caused by exposure to radiation or trauma

d. Hashimoto's or chronic autoimmune thyroiditis - ansd

7. Which of the following factors is not usually present in a 4yo with migraine headaches?

a. Complaints of pain in one side of the head only

b. Positive family hx in immediate relatives

c. Pain relieved by brief sleep

d. Recurrent abdominal pain - ansa

7. Which of the following symptoms are characteristic of rubella?

a. Vesicular, crusted lesions & high fever

b. Postauricular lymphadenopathy & low grade fever

c. Intense pruritus, usually in finger webs, buttocks, thighs, & ankles

d. Rough textured maculopapular rash that blanches with pressure - ansb

7. You see Jack, a 20mo old toddler with normal growth and development in your office for diarrhea. His mother tells you that he is passing up to three loose stools a day and that he drinks 20oz of apple juice/day. What is the most likely diagnosis?

a. Crohns disease

b. Giardia lamblia

c. Celiac disease

d. Nonspecific "toddler" diarrhea - ansd

7. Young infants with cerebral palsy often show:

a. Voracious appetite & weight gain

b. Increased muscle tone in the first weeks of life

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c. Hypotonia in the first weeks of life

d. Unusually severe reactions to their first immunizations - ansc

7.5yo Jimmy presents to your clinic with inspiratory stridor, drooling, and a temp of 105F. He insists on sitting up during the exam. What is your diagnosis?

a. foreign body aspiration

b. reactive airway disease

c. croup

d. epiglottitis - ansd

8. A 5yo child is born at 28 weeks gestation has mild spastic diplegia. Which evaluation is important before the child is placed in regular kindergarten?

a. Stanford-binet IQ test

b. Carey scale of temperament

c. CBC with diff

d. Chromosome studies - ansa

8. Although uncommon, a potential sequela of rubella may include:

a. Pneumonia & chronic otitis media

b. Arthritis, thrombocytopenia & encephalitis

c. Oophoritis & infertility

d. Arthritis, carditis, and neurological involvement - ansb

8. ANA seropositivity for antibodies is:

a. A valuable diagnostic marker for JIA

b. Is not + in any other childhood diseases

c. More commonly found in older boys or in systemic disease

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d. Present in over 75% of cases - ansa

8. Baby Sally was in your office last week for her 6mo check up. Her weight was 7kg. Today she presents with diarrhea and vomiting for 4 days. Today her weight was 6.5kg. What is her percentage of dehydration?

a. 5%

b. 7%

c. 10%

d. <1% - ansb

8. In counseling parents when their child is diagnosed with mild hypospadias, suggest that the following may be part of the management:

a. Circumcision

b. Radiography

c. Consult with pediatric urology

d. Surgical correction at 2yrs of age - ansc

8. Nephrogenic, or vasopressin-resistant, diabetes insipidus:

a. Is caused by anatomic defects in the brain causing hypofunction of the pituitary or hypothalamus

b. Results from damage to the hypothalamus or pituitary from surgical trauma or infection

c. Caused by reduced renal responsiveness to antidiuretic hormone (ADH)

d. Has oliguria as a primary presenting symptom - ansc

8. The parents of a Sarah, a 13mo old, are very concerned after she experienced a 2nd simple febrile seizure. At today's visit, they ask you about the use of medications to prevent any further seizures. Which of the following statements is true regarding febrile seizure prophylaxis?

a. Short-term anticonvulstant prophylaxis with valprior acid is indicated after 3 febrile seizures

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b. Prolonged anticonvulsant prophylaxis with phenobabital for preventing recurrent febrile convulsions is now recommended

c. Diazepam may be indicated for children <12mo who have recurrent, complex febrile seizures

d. Fever management with Tylenol to keep the fever below 102F will prevent another seizure. - ansc

8. Which of the following is not considered preventative management for iron deficiency anemia?

a. Iron fortified cereal from 6-12mo of age

b. Iron fortified formula until 6mo of age

c. No cow's milk until 1yr of age

d. If breastfeeding, supplemental iron drops or iron fortified cereal by 4-5mo of age - ansb

9. A mother with Marfan syndrome comes with her 5yo for a checkup. The child has myopia & a + wrist & thumb sign. She reports that she was told by her last health care provider not to worry about this child. What is the next best step?

a. Raise the issue of a genetic referral

b. Reassure her

c. Follow the child for further signs of Marfan syndrome

d. Refer to ophthalmology - ansa

9. An infant with polydipsia, polyuria, irritability, and failure to thrive, should be evaluated for:

a. Diabetes insipidus

b. Homocystinuria

c. Growth hormone deficiency

d. Hyperglycemia - ansa

9. Dislocation in the hip of a child 6mo or older may typically present with:

a. Asymmetry of skin folds

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b. Atrophied hip muscles

c. Positive Galeazzi sign

d. Negative trendelenburg sign - ansc

9. On physical exam of a 2yo uncircumcised male, you note that the foreskin is retracted and discolored. There is swelling of the glans. The most likely diagnosis is

a. Phimosis

b. Balanitis

c. UTI

d. Paraphimosis - ansd

9. Problems associated with NF1 (neurofibromatosis) most likely require medical treatment to include the following?

a. Learning disabilities

b. Transient tics

c. Obsessive-compulsive behavior

d. Progressive mental retardation - ansa

9. Rubeola is:

a. Preventable by active immunization

b. Caused by human herpesvirus 6

c. Treated with intravenous acyclovir

d. Not associated with severe complications (e.g., encephalitits, pneumonia - ansa

9. The expected clinical severity of hemoglobin sickle C disease (Hgb SC) is:

a. Asymptomatic

b. Marked to moderate

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c. Mild to moderate

d. Severe - ansc

9. What clinical signs would you expect to see in Sally on your examination (with 7% dehydration)?

a. Normal capillary refill

b. Normal fontanel

c. Cool mottled skin

d. Dry mucous membranes - ansd

9yo Jon has recently been diagnosed with mild intermittent asthma. Which of the following is not a routine part of his management?

a. spirometry eval

b. metered dose inhaler technique demonstration

c. environmental triggers & control methods review

d. allergy skin testing - ansd

9yo Tom is in the clinic for a "cold" that lasted for 10 days. He has no complaints of breathing problems. A physical exam reveals temp of 100F, edematous cervical lymph nodes, mucopurulent drainage from the middle meatus, erythematous pharynx & malodorous breath. Tom's management should include:

a. culture of nasal drainage

b. radiograph of the sinuses

c. measurement of erythrocyte sedimentation rate

d. use of an antibiotic - ansd

10. An 11yo girl is brought in by her mother complaining of severe headaches associated with nausea & vomiting. Which of the following s/s would lead you to consider a brain tumor as part of your differential diagnosis?

a. Throbbing pain accompanied by severe light sensitivity

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b. Bilateral throbbing pain

c. Preceded by a visual aura

d. More severe in the morning followed by vomiting - ansd

10. For a newborn, the correct management of hip dislocation should include:

a. Use of flexion-abduction device such as Pavlik harness to stabilize hip

b. Follow and observe closely for 3-4 weeks then refer to ortho

c. Surgical reduction

d. Traction for 6 weeks - ansa

10. Meatal stenosis, narrowing of the distal urethra, is seen in the following:

a. Orchiopexy

b. Circumcision

c. Epididymitis

d. Hypospadias repair - ansb

10. Sally is vomiting and diarrhea has stopped. If she needs oral replacement therapy (ORT) today, what would be the appropriate amount to recommend?

a. 325-350 cc over 4hrs

b. 600-700cc over 4hrs

c. 600-700cc over 12hrs

d. 325-350cc over 8hrs - ansb

10. The expected hemoglobin range for sickle cell anemia is:

a. 6.5-9.5g/dl

b. 13.5-16.5g/dl

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c. 8.5-12.5g/dl

d. 9.5-13.5g/dl - ansa

10. Which of the following is appropriate advice for the mother of a newborn?

a. The child should sleep on her back

b. The child should sleep on her back or side

c. The child should be allowed to sleep in a carseat at night

d. The child can sleep on her comforter - ansa

10. Which one of the following is not characteristic of constitutional growth delay?

a. There is generally no hx of a similar growth pattern in other family members

b. The child usually remains constitutionally small as an adult

c. Final adult stature tends to be normal

d. Weight & height at birth are generally in the lower percentiles - ansc

10. You are examining a child who has fever, coryza, cough, conjunctivitis, malaise, & anorexia. During the oral examination, you observe red eruptions with white centers on the buccal mucosa. What are these eruptions called?

a. Pastia's spots

b. Rubelola spots

c. Koplik's spots

d. Strawberry spots - ansc

11. A 5yo female presents for a school physical with a complaint of hyperactivity, a mild developmental delay, aversion of gaze, hand mannerism, long thing face with slightly dysmorphic ear. What is the likely diagnosis?

a. Fragile X

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b. Turner's Syndrome

c. Fetal alcohol syndrome

d. Williams syndrome - ansa

11. A newborn or infant with birth length <50% and microphallus should be suspected of having:

a. Growth hormone deficiency

b. Congenital hypothyroidism

c. Primordial short stature

d. Down syndrome - ansa

11. Duchenne muscular dystrophy is characterized by which of the following s/s?

a. A birth, affected infants are notably hypotonic, "floppy" babies

b. Earliest symptom is often refusal to bear weight

c. Abnormalities of gait and posture become evident during preschool years

d. Unable to keep up with peers when running by school age - ansc

11. During a track meet, a 14yo male pole vaulter falls to the ground screaming in pain. He complains of intense, searing pain in his right scrotum. He vomits twice while waiting for the ambulance. He most likely has:

a. Orchitis

b. Hydrocele

c. Acute epididymitis

d. Testicular torsion - ansd

11. Pinworms can cause which of the following?

a. Constipation

b. Anal itching

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c. Abdominal pain

d. Diarrhea - ansb

11. prophylactic penicillin should be initiated in children with sickle cell anemia by:

a. 3yrs of age

b. 12mo of age

c. 2-3mo of age

d. 9mo of age - ansc

11. The National Institutes of Health Consensus conference on NF (neurofibromatosis) describes guidelines for diagnosis of NF. Which of the following is not among the diagnostic criteria?

a. Family hx of first degree relative with NF1

b. 6 or more "café au lait" spots >15 mm

c. freckling in armpits or groin

d. optic glioma - ansb

11. Which of the following best describes the treatment for roseola?

a. Acetaminophen or ibuprofen for fever, parental reassurance

b. Warm compresses for salivary gland swelling

c. Oral acyclovir, 20mg/kg/dose, four times/day

d. Bed rest, saline gargles for sore throat - ansa

11yo Mark is diagnosed with constitutional growth delay. Appropriate management includes:

a. starting him on low dose testosterone therapy now

b. counseling regarding delayed onset of puberty

c. thyroxine replacement