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NRNP 6531 MIDTERM EXAM (4 VERSIONS, LATEST 2023-2024, 400 Q & A), Exams of Nursing

NRNP 6531 MIDTERM EXAM (4 VERSIONS, LATEST 2023-2024, 400 Q & A)

Typology: Exams

2024/2025

Available from 11/24/2024

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Download NRNP 6531 MIDTERM EXAM (4 VERSIONS, LATEST 2023-2024, 400 Q & A) and more Exams Nursing in PDF only on Docsity!

NRNP 6531 MIDTERM EXAM (4 VERSIONS, LATEST

2023 - 2024 , 400 Q & A) NRNP6531 WEEK 6 MIDTERM

EXAM: WALDEN UNIVERSITY

Test Week 6 - Midterm Exam Started 7/12/20 6:29 PM Submitted 7/12/20 7:24 PM Due Date 7/13/20 1:59 AM Status Completed Attempt Score 96 out of 100 points Time Elapsed 54 minutes out of 3 hours and 20 minutes Results Displayed Submitted Answers

Question 1

0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s

Question 2

1 out of 1 points Which of the following statements regarding adolescent substance use is true? Selected a. Answer: Tobacco is the most commonly abused substance during adolescence.

Question 3

1 out of 1 points You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today? Selected d.

Answer: DTaP, IPV, MMR, and Varivax

Question 4

1 out of 1 points The parents of a 7-year-old are concerned their son does not want to attend school. Which of the historical findings are not usually associated with the diagnosis of school phobia? Selected c. Answer: Chronic medical illness

Question 5

1 out of 1 points Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated? Selected b. Answer: Flushing the ear with water.

Question 6

1 out of 1 points You see a 7-year-old with complaints of "having accidents at night." Physical exam and history are unremarkable. Urinalysis, urine culture, and specific gravity are normal. His parents ask about the best treatment for this problem. The best response is Selected c. Answer: Fluid restriction and voiding prior to the night may be effective.

Question 7

1 out of 1 points You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall? Selected d. Answer: Counts to 4 and draws a person with three parts.

Question 8

1 out of 1 points Upon eye examination of a newborn, you note inner canthal folds and Brushfield spots. What do you suspect? Selected c. Answer: Down

syndrome

Question 9

1 out of 1 points I like to use my pincer grasp that involves the ablitily to pick up a small object such as a raisin or piece of cereal with the thumb and forefinger, and that is mastered around what age? Selected b. Answer: 9 months

Question 10

1 out of 1 points Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is preswent. The TM is normal. What is the proper management for his patient? Selected b. Answer: Topical Fluoroquiolone

Question 11

1 out of 1 points The diagnostic criteria for autism spectrum disorder include all of the following except Selected d. Answer: Tolerance of flexibility with routines

Question 12

1 out of 1 points Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the twoweek recheck, his TM was still erythematous and you cannot see the landmarks. He has persistent nasal congestion, he is not sleeping at night, and he has a 101°F fever. What is the next best step for Luke? Selected d. Answer: A 10 day course of Augmentin

Question 13

1 out of 1 points Which of the following would not suggest an eating disorder with a purging component? Selected d. Answer: Diarrhe a

Question 14

1 out of 1 points Role-play with equipment during the course of the physical exam would be the most beneficial with which age group? Selected d. Answer: Preschoole rs

Question 15

1 out of 1 points While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out? Selected d. Answer: Neurofibromato sis

Question 16

1 out of 1 points An expected milestone of a 4-year-old is the ability to Selected c. Answer: Copy a cross

Question 17

1 out of 1 points You receive a phone call from the mother of a 2-year-old. She states her child has sleep refusal. You suggest the child should be able to: Selected a. Answer: Set his own bedtime based on his internal clock.

Question 18

0 out of 1 points An eye that deviates in when covered but that returns to midline when uncovered is an Selected a. Answer: esotropi a

Question 19

1 out of 1 points A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child has not yet achieved which of the principles of Piaget?

Selected b. Answer: Conservati on

Question 20

1 out of 1 points A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none sense. Which of the following statements about him is correct? Selected b. Answer: He is too old to receive the Haemophilus influenzae Type B vaccine.

Question 21

1 out of 1 points Which of the following issues or concepts is relevant to the school-age child? Selected b. Answer: Erikson's initiative versus guilt

Question 22

1 out of 1 points You would be concerned about the language development of a child who: Selected c. Answer: Stutters when excited or tired at the age of 7

Question 23

1 out of 1 points You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose? Selected b. Answer: amoxicillin and potassium clavulanate (Augmentin)

Question 24

1 out of 1 points A 2-year-old boy has been slightly less than the 50th percentile for weight, height and head circumference, but in the last 6 months he has fallen to slightly less than the 25th percentile for weight. The pregnancy was normal, his development is as expected, and the family reports no psychosocial problems. The mother says that he is now a finicky eater (wants only macaroni and cheese at all meals), but she insists that he eat a variety of foods. The meals

are marked by much frustration for everyone. His examination is normal. Which of the following is the best next step in his care? Selected b. Answer: Reassurance and counseling for family about childhood normal developmental stage

Question 25

1 out of 1 points Which of the following characterizes middle adolescence (14 to 16 years old)? Selected a. Answer: Intense peer group involvement, feelings of immortality, sexual experimentation

Question 26

1 out of 1 points Which of the following foreign body in the nose requires immediate removal? Selected c. Answer: batter y

Question 27

1 out of 1 points Which is the correct order for introduction of solid foods to an infant? Selected d. Answer: Cereal, vegetables, fruits, and meats

Question 28

1 out of 1 points FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is: Selected d. Answer: Behavior therapy

Question 29

1 out of 1 points A 15-month-old boy says “mama” and “dada,” points and gestures if he wants things, and follows simple one-step commands. Your best response is which of the following? Selected c. Answer: Tell parent, "Your child's language development is normal."

Question 30

1 out of 1 points A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile, height about the 10th percentile, and head circumference at the 50th percentile. The planned pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity seems sufficient. The child has had no illness. The examination is unremarkable except for the child’s small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33% respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140, chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no white blood cells, bacteria, protein, ketones, or reducing substances. Which of the following is the most appropriate therapy for this child? Selected e. Answer: Oral supplementation with bicarbonate

Question 31

1 out of 1 points Which of the following signs may indicate a baby is not receiving sufficient breastmilk? Selected c. Answer: Sleepiness, jaundice, and vomiting

Question 32

0 out of 1 points Which of the following children should be referred for a comprehensive developmental evaluation? Selected b. Answer: A 19-month-old with explosive temper tantrums.

Question 33

1 out of 1 points By what age should most children be able to sit well without support? Selected c. Answer: 9 months

Question 34

1 out of 1 points I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I? Selected d. Answer: 6 months

Question 35

1 out of 1 points Parents bring their 16-year-old daughter for a “well-child” checkup. She looks normal on examination. As part of your routine care you plan a urinalysis. The father pulls you aside and asks you to secretly run a UDS on his daughter. Which of the following is the most appropriate course of action? Selected d. Answer: Explore the reasons for the request with the parents and the adolescent and perform a UDS with the adolescent's permission if the history warrants.

Question 36

1 out of 1 points A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian syndrome? Selected b. Answer: free testosterone

Question 37

1 out of 1 points Which of the following complication of strep pharyngitis cannot be prevented with antibiotics? Selected c. Answer: Glomerulonephri tis

Question 38

1 out of 1 points A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential? Selected d. Answer: "Sometimes I feel like ending my life."

Question 39

1 out of 1 points Which of the following screenings should adolescents have done annually? Selected a. Answer: Psychosocial screening, blood pressure, body mass index

Question 40

1 out of 1 points Which of the following substances is associated with pupillary constriction? Selected b. Answer: Heroi n

Question 41

1 out of 1 points The appropriate lab tests in assessment of cervical adenitis include all of the following except: Selected d. Answer: Blood culture

Question 42

1 out of 1 points What method can be safely used to remove cerumen in a 15-month-old child's ear? Selected b. Answer: Irrigation using warm water from a soft bulb syringe

Question 43

1 out of 1 points Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has difficulty staying on task. You determine that he should have a neurodevelopmental evaluation because he is showing signs of Selected b. Answer: ADH D

Question 44

1 out of 1 points A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as: Selected c. Answer: Bruxis m

Question 45

1 out of 1 points The father of a 3-year-old is concerned because the child stutters. What should your approach be?

Selected d. Answer: Explain that this can be normal until 4 years of age.

Question 46

1 out of 1 points A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best response is: Selected b. Answer: 10 hours at night and 3-4 hours during the day

Question 47

1 out of 1 points Josh, age 13, has some enlargement of the scrotum and testes, a reddened scrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tanner stage Selected d. Answer: II

Question 48

1 out of 1 points Which of the following eye findings would be considered an ophthalmic emergency? Selected d. Answer: Unilateral vesicular lesions on the upper eyelid in a 3-week old.

Question 49

1 out of 1 points Mark is in the exam room. You are concerned he may have epiglottitis. In what position do these patients prefer to sit? Selected d. Answer: Sitting up and leaning forward

Question 50

1 out of 1 points A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is: Selected c. Answer: Assessing the family supports available to the child.

Question 51

1 out of 1 points Which of the following statements about bullying is true?

Selected d. Answer: It occurs most commonly during unstructured times (lunch, recess, etc.).

Question 52

1 out of 1 points For adolescent girls, peak height velocity should occur by Tanner Stage (SMR): Selected c. Answer: 3

Question 53

1 out of 1 points You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child’s development will not be normal because she mixes up the two languages. You respond: Selected b. Answer: "Your child's speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age."

Question 54

1 out of 1 points A 4-month-old presents with both eyes turning inward. What is this called? Selected b. Answer: Esotropi a

Question 55

1 out of 1 points An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102. (F). Which important eye assessment do you need to consider? Selected d. Answer: Ocular mobility

Question 56

1 out of 1 points Which of the following strategies would not be appropriate to include as part of your treatment plan of an 8- year-old boy who is obese? Selected a.

Answer: Referral to nutritionist for weight reduction plan.

Question 57

1 out of 1 points A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th^ percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. She currently takes phenobarbital for seizures. Which of the following would most likely explain this child’s small size? Selected c. Answer: Congenital cytomegalovirus infection

Question 58

0 out of 1 points Head and chest circumferences should be equal at: Selected b. Answer: 3 years of age

Question 59

1 out of 1 points Which of the following represents normal sequencing of development in a toddler? Selected a. Answer: Feeds self, can undress self with help, washes hands, imitates housework.

Question 60

1 out of 1 points A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28year-old mother who had received no prenatal care. An evaluation is likely to suggest his MR is related to which of the following? Selected e. Answer: Complications of prematurity

Question 61

1 out of 1 points A child's head circumference is routinely measured on each well visit until what age? Selected b. Answer: 2 years

Question 62

1 out of 1 points I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot balance on one foot for 1 second. I am: Selected b. Answer: 2 - 1/2 years old (30 months)

Question 63

1 out of 1 points An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis? Selected a. Answer: Viral pharyngitis

Question 64

1 out of 1 points Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism? Selected c. Answer: Haemophilus influenza

Question 65

1 out of 1 points Blood pressure should be measured at well-child visits starting at age: Selected c. Answer: 3 years

Question 66

1 out of 1 points Sandy, age 18 months, crosses her legs when lifted from behind rather than pulling them up. Her legs are also hard to separate, making diaper changing difficult. She persistently uses only one hand. What condition do you suspect? Selected a. Answer: Cerebral

palsy

Question 67

0 out of 1 points A common feature of 2-year-old behavior is: Selected b. Answer: Stranger anxiety

Question 68

1 out of 1 points Appropriate anticipatory guidance for the parents of an 8-year-old girl includes Selected d. Answer: Information that the child will start to value personal idols and role models.

Question 69

1 out of 1 points Which of the following statements is true regarding lying and stealing by the school-age child? Selected d. Answer: They represent a common, transient problem.

Question 70

1 out of 1 points Epiglottitis has decreased due to which immunization? Selected c. Answer: Hi b

Question 71

1 out of 1 points A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents report that she is doing poorly in school and is disruptive in the classroom. They ask you what they can do. Your best response is: Selected b. Answer: "Use a consistent approach with behavioral cues both at home and at school."

Question 72

1 out of 1 points

You see a 3-year-old for a well-child visit. His mother informs you that potty training has been very easy because he “has an amazing internal clock. He falls asleep, gets hungry, and has bowel movements at the same time every day.” This describes which aspect of temperament? Selected c. Answer: Rhythmici ty

Question 73

1 out of 1 points A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at home; the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5 minutes. He has breastfed well and has not required a health care professional visit since birth. Which of the following vitamin deficiencies might explain his condition? Selected a. Answer: Vitamin K

Question 74

1 out of 1 points A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and disoriented. Many notice his abusive language. Which of the following agents is most likely responsible for his condition? Selected d. Answer: Alcoh ol

Question 75

1 out of 1 points An 11-year-old girl has dizziness, pupillary dilation, nausea, fever, techycardia, and facial flushing. She says she can "see" sound and "hear" colors. The agent likely to be responsible is which of the following? Selected e. Answer: Lysergic acid diethylamide (LSD)

Question 76

1 out of 1 points You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate further evaluation? Selected d.

Answer: An equal A-P and transverse chest diameter.

Question 77

1 out of 1 points Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. Selected d. Answer: Impaired fasting glucose, postprandial glucose within normal limits

Question 78

1 out of 1 points A 2-year-old child weighs 34 lb. What type of car seat should the child use? Selected a. Answer: A forward-facing car seat in the back of the vehicle.

Question 79

1 out of 1 points Most children can independently get dressed by themselves by age: Selected d. Answer: 5 years

Question 80

1 out of 1 points Which adolescent would be at greatest risk for developing anorexia nervosa? Selected c. Answer: 14 - year-old female gymnast

Question 81

1 out of 1 points The most common substance used in middle school is Selected d. Answer: Alcoh

ol

Question 82

1 out of 1 points Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge. You cannot transilluminate the sinuses. You suspect which common sinus to be affected? Selected b. Answer: Maxillary sinus

Question 83

1 out of 1 points What is the most traumatic, yet common form and of child abuse seen in pediatric primary care? Selected c. Answer: Shaken baby syndrome

Question 84

1 out of 1 points A 9-year-old who weighs 70 pounds asks why she can't sit in the front passenger seat of the family car. Your best response is Selected c. Answer: The safest place for children under 12 years old and 100 pounds is in the backseat of the car.

Question 85

1 out of 1 points During a “well-child” visit, the parents of a healthy 5-month-old offer a great amount of information. Which of the following bits of information is of most concern? Selected b. Answer: Limited eye contact with parents.

Question 86

1 out of 1 points All of the following are consistent with peritonsillar abscess except: Selected a. Answer: Trismu s

Question 87

1 out of 1 points During a domestic health assessment, the CDC recommends screening every refugee child for which of the following diseases? Selected b. Answer: tuberculos is

Question 88

1 out of 1 points A Mantoux test in a child with no risk factors is considered positive with a reaction of: Selected c. Answer: at least 15 mm induration

Question 89

1 out of 1 points A 2-day-old newbornwith conjunctivitis is likely due to Selected d. Answer: Chemical irritation from eye drops

Question 90

1 out of 1 points You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage? Selected b. Answer: Formal operational

Question 91

1 out of 1 points A mother brings her 4-week-old infant into the office because she noticed small yellowwhite glistening bumps on her infant's gums. She says they look like teeth but is concerned that they may be cancer. You diagnose these bumps as Selected b. Answer: Epstein's pearls

Question 92

1 out of 1 points Flourescein staining of the eye is used to detect a Selected a. Answer: Corneal abrasion

Question 93

1 out of 1 points A new mom calls the NP on postpartum day 5. She reports her newborn wants to nurse for 30 minutes every 1- 1/2 to 2 hours. Which of these is the best response? Selected b. Answer: "This is a very healthy breastfeeding pattern. Be sure to rest when you can. You are doing a great job."

Question 94

1 out of 1 points Tammy, age 3, is at the office for her well-child visit. She has trouble removing her own shirt as requested. Her mother yanks off her shirt after smacking her wrist and saying, "you must do as you're told quickly." Which action is indicated? Selected d. Answer: Observe Tammy for signs of child abuse.

Question 95

1 out of 1 points Which of the following injuries is most likely to be caused by abuse of a toddler? Selected c. Answer: A displaced posterior rib fracture.

Question 96

1 out of 1 points Hannah, age 4, is brought into the office by her father. She complains of a sore throat, difficulty swallowing, copious oral secretions, stridor, and a temperature of 102F. She does not have pharyngeal erythema or cough. What do you suspect? Selected d. Answer: Epiglottit is

Question 97

1 out of 1 points Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist Selected c. Answer: Apply bilateral eye patches.

Question 98

1 out of 1 points Which of the following children has abnormal language development? Selected c. Answer: Speech is 50% understandable at 36 months of age

Question 99

1 out of 1 points The parent of a 2-year-old tells you her daughter recently started having breathholding spells. She tells you the older sibling “did the same thing” and asks you for help. You advise her that after a breath-holding event: Selected a. Answer: Act as if nothing abnormal happened.

Question 100

1 out of 1 points You assess a 15-year-old's visual acuity and note her vision to be 20/50 in the right eye. She asks you what that means and you respond Selected d. Answer: "You can see at 20 feet with your right eye what most people can see at 50 feet."

Question 101

1 out of 1 points You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower lateral incisor bulges. You recommend: Selected e. Answer: A and D

NURS 6541 MIDTERM EXAM PREP TEST SOLUTION CONTAINING 100 QUETSIONS WITH

Question 1

ALL CORRECT ANSWERS UPDATED SOLUTION

What is the most common form of child abuse seen in pediatric primary care?

Question 2

Which of the following conditions requires urgent inpatient admission?

Question 3

An eye that deviates in when covered but that returns to midline when uncovered is an

Question 4

All of the following are consistent with peritonsillar abscess except:

Question 5

Which adolescent would be at greatest risk for developing anorexia nervosa?

Question 6

A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as:

Question 7

FIRST-LINE therapy for preschoolers (4-5 years of age) diagnosed with attention-deficit hyperactive disorder is:

Question 8

A 7-year-old has just been diagnosed with attention deficit hyperactivity disorder (ADHD). Her parents report that she is doing poorly in school and is disruptive in the classroom. They ask you what they can do. Your best response is:

Question 9

The most common substance used in middle school is

Question 10

The most likely weight of a 1-year-old whose birth weight was 6-1/2 pounds would be:

Question 11

Which of the following characterizes middle adolescence (14 to 16 years old)?

Question 12

Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is present. The TM is normal. Mark should be instructed to do which of the following?

Question 13

A 2-year-old child weighs 34 lb. What type of car seat should the child use?

Question 14

An expected milestone of a 4-year-old is the ability to

Question 15

A child's central visual acuity is 20/30 by age

Question 16

Early reflexive responses that are not related to survival include all but:

Question 17

Sam has an otitis media. He also presents with conjunctivitis. This is due to which organism?

Question 18

Which of the following children has abnormal language development?

Question 19

Appropriate advice for a mother of a 2-week-old child here for a “well child” visit includes which of the following?

Question 20

A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets. Following the initial emergent care and stailization, the most important part of the management is:

Question 21

Miguel, age 14, was hit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see the ophthalmologist

Question 22

A 4-month-old presents with both eyes turning inward. What is this called?

Question 23

Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge. You cannot transilluminate the sinuses. You suspect which common sinus to be affected?

Question 24

You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child’s development will not be normal because she mixes up the two languages. You respond:

Question 25

Sarah, 7 years old, is in the office today. All of the following are acceptable management options for allergic rhinitis, except

Question 26

The mother of a 4-year-old tells you he likes to "play with himself" while playing and watching television. You advise the mother to

Question 27

Which of the following would not suggest an eating disorder with a purging component?

Question 28

I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I can’t wave bye-bye yet. How old am I?

Question 29

You see a 13-year-old who reports she is learning some basic geometry (areas, volume etc.). The ability to successfully master these concepts occurs during which Piaget developmental stage?

Question 30

A 7-year-old boy with mental retardation was born at home at 26 weeks gestation to a 28year-old mother who had received no prenatal care. An evaluation is likely to suggest his MR is related to which of the following?

Question 31

You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would suggest the child is not ready to start kindergarten in the fall?

Question 32

A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none sense. Which of the following statements about him is correct?

Question 33

Conductive hearing loss can be caused by

Question 34