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MSN572 PEDS 2023-2024 EXAM|CTUAL EXAM
QUESTIONS WITH CORRECT DETAILED
ANSWERS ((VERIFIED ANSWERS) |ALREADY
GRADED A+.
when assessing a 3 month old for developmental dysplasia of the hips, which one of the following symptoms would be suspicious - ANSWER - limitation of abduction of the affected extremity, shortening of the femur and positive Ortolanis sign Exam of 6 week old infant, developmental hip dysplasia is suspected. If DHH is present, it might be evidenced by - ANSWER - limited abduction of the affected leg
Blue sclera, weak muscles, and increased joint flexibility during a newborn assessment may be suggestive of: - ANSWER - osteogenesis imperfecta normal finding in the msk assessment of a 3 year old would be the presence of - ANSWER - genu valgum symptoms indicative of shaken baby syndrome are related to - ANSWER - uncontrollable cerebral edema and hypoxia when assessing a 3 year old african american child, the most likely cause of black, dusky mucous membranes in related to - ANSWER - cyanosis findings would necessitate need for further evaluation in the newborn
- ANSWER - dusky cyanotic when crying which of the following infants would be seen immediately by the NP - ANSWER - 2 week old nasal congestion and rr 64 breaths/minute
examining the scrotum in a young male child, test the cremasteric reflex by - ANSWER - scratching the medial aspect of the thigh which of the following statements made by a parent would alert the NP to suspect autism - ANSWER - seems to be speaking less and less which one of the following pt positions would be least beneficial to examine the genitals of a young female child - ANSWER - child sit cross legged on the table disparity between the brachial and femoral pulses in a 4 month old could indicate - ANSWER - coarctation of the aorta (COA) assessing the HR of a healthy 13 month old child, which of the following sites is the most appropriate - ANSWER - apical pulse between the 3rd and 4th intercostal space in the left MCL most common cause of viral encephalitis in children is - ANSWER - herpes simplex type I
hemodynamic changes resulting from structural defects in children can lead to heart failure. the most common reason for these changes is related to - ANSWER - volume and pressure overload leading to decreased cardiac output which exam finiding is defined as congenital central displacement of the meatus of the penis - ANSWER - hypospadias presence of a heart murmur in a child would be considered organic is the child - ANSWER - 2 year old with congenital heart defect anticipatory guidance for the family of a pre-adolescent with a cognitive impairment should include info about - ANSWER - sexual development all of the following are causes for sensorineural hearing loss in children except - ANSWER - cerumen impaction
normal finding in the MSK exam of a 3 year old would be - ANSWER - genu-valgum 6 year old presents with a few small vesicles that are honey colored and weeping around the left nare. consistent with - ANSWER - impetigo which of the following substances is found in the urine of a child suspected of having a post streptococcal glomerulonephritis - ANSWER - blood and protein when performing a resp assessment on a 4 year old, further eval is warranted in presence of - ANSWER - supraclavicular retractions all of the following symptoms in a 10 month old would be indicative of acute otitis media except - ANSWER - increased mobility of the tympanic membrane infant presents with an inappropriately increasing head circumference and hydrocephalus confirmed by ct scan. in addition to these
findings, which one of the following would also be consistent with hydrocephalus? - ANSWER - tense, bulging fontanels The four classic structural defects of Tetralogy of Fallot include: - ANSWER - ventricular septal defect, overriding aorta, pulmonary stenosis, and RV hypertrophy children with type 1 diabetes usually present with which one of the following symptoms - ANSWER - polyuria 6 year old presents with sore throat, difficulty swallowing, and temp of 102 F. findings reveal lymphadenopathy and pharyngeal erythema. this is probably - ANSWER - pharyngitis 3 week old presents with generalized lacy, reticulated blue discoloration of the skin. suggestive of - ANSWER - cutis marmorata when the scrotum is transilluminated in a 4 month old boy, it lights up brightly. this finding may be consistent with - ANSWER - hydrocele
infant 8lb at birth, how much should be weigh at 12 months - ANSWER - 24lbs infants double birth weight by 6m and triple by 12m admin ear drops to 6 year old, pinna should be pulled - ANSWER - upward and back infant downward and back, older child upward and back A toddler with a suspected hearing loss would: - ANSWER - likely communicate through gestures 3 year old fever, cough over past 24 hours. findings on exam reveal temp 102F, HR 157, RR 40. tachypnea is most likely related to - ANSWER - the childs febrile state for every degree of fever RR will increase 3-4 bpm, HR will increase 8- 10 bpm
assessment findings of infant with increased ICP - ANSWER - drowsiness 13 year old insomnia, hyperactivity, gradual weight loss despite good appetite. warm, flushed, moist skin, and unusually fine hair. manifestations indicitive of what condition - ANSWER - hyperthyroidism 8 year old complains of itching in right ear and increase in pain when the pinna is pulled or tragus is palpated. exam reveals slight redness in the ear canal with a clear odorless fluid. suggestive of - ANSWER - otitis externa which symptom is present in an infant with pyloric stenosis - ANSWER - visible peristalsis A 9-month-old who has been a healthy, thriving infant presents with a poor appetite, two episodes of vomiting, three bloody stools with mucus and knees drawn to the abdomen with screaming. These are clinical manifestations of: - ANSWER - intussusception
fruity odor, and dry skin. these are symptoms of - ANSWER - ketoacidosis indication that there is a malfunction of a VP shunt in an older child would be the presence of a - ANSWER - headache upon awakening child presents with erythematous papules and vesicles that are weeping, oozing, and crusty. located over the forehead, wrists, elbows, and backs of knees. which condition are these symptoms associated? - ANSWER - atopic dermatitis 12 month old heart failure taking spironolactone, vasotec, lasix, tylenol. K+ is 3.1. which med is most likely decreasing the K+? - ANSWER - lasix
