Pediatric Medicine Multiple Choice Questions and Answers, Quizzes of Nursing

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Question 1 1 / 1 pts Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram. Which of the following diagnosis would you suspect Robert as having? Correct! Marfan syndrome Question 2 0 / 1 pts An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000, but is otherwise normal. Serum electrolytes are normal. The next step is Correct Answer Refer to surgery for evaluation for appendicitis. Question 3 1 / 1 pts Prophylactic penicillin should be started in children with sickle cell anemia by Correct! 2 to 3 months of age Question 4 1 / 1 pts The most common presentation of Hirschsprung disease is which of the following? Infrequent bowel movements Question 5 1 / 1 pts The results of the hemoglobin A1c test are LESS reliable in children with which of the following conditions? (Hint: select two) Cystic Fibrosis Sickle Cell

Disease Question 6 1 / 1 pts What does a low level of thyroid stimulating hormone (TSH) indicate? Hyperthyroidism Question 7 0 / 1 pts Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. Test Results Fasting blood glucose

mg/dL 2 hour postprandial glucose

mg/dL Correct Answer Impaired fasting glucose, postprandial glucose within normal limits Question 8 1 / 1 pts Ana is a 14-year-old female and has not yet started her menstrual cycle. The history is noncontributory and the physical is normal. Mom started her menstrual cycle at 14-years of age. Ana's breast development and pubic hair began about a year ago. Mom is very concerned. The most appropriate initial step would be to Reassure, educate the family, and follow up if her cycle has not started in 12 months. Question 9 1 / 1 pts A common presenting symptom of inflammatory bowel disease is Correct! Unexplained fever Question 10 1 / 1 pts The appropriate lab tests in assessment of cervical adenitis include all of the following except : Blood culture Question 11 1 / 1 pts

The peak incidence of osteosarcoma is

15-19 years of age Question 12 1 / 1 pts Jason, age 14, appears with tender discoid breast tissue enlargement (2-3 cm in diameter) beneath the areola. Your next action would be to Correct! Perform watchful waiting for 1 year. Question 13 0 / 1 pts Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes. She is worried that she will not fit in with her friends anymore because she does not think she can have all the same snacks they have. How do you respond? Just be sure that your snacks are high in fats and proteins and to count your carbs. Question 14 1 / 1 pts A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn's disease? Blood, mucous diarrhea Question 15 1 / 1 pts A 16-year-old girl has enuresis, frequent urination, a white vaginal discharge, and a dark rash around her neck. Her serum glucose level is 250 mg/dL, and her urinalysis is positive for 2+ glucose but is otherwise negative. Which of the following is the most likely diagnosis? Type II diabetes Question 16 1 / 1 pts Six months after being diagnosed with what appears to be insulin- dependent diabetes, the 5-year-old in the case presentation has a significant decrease in his insulin requirement. Which of the following is the most likely explanation? He has entered the "honeymoon phase" of his diabetes. Question 17

1 / 1 pts A 15-year-old girl has a 1-month history of urinary frequency without dysuria and recent onset of an itchy rash beneath both breasts. She has been gaining weight over the past year and regularly complains of fatigue. She is afebrile, with a weight greater than the 99th percentile and has an erythematous, macular rash beneath both breasts characterized by satellite lesions. Urinalysis is significant for 2+ glucosuria but no pyuria. Which of the following is the most likely diagnosis? Correct! Diabetes mellitus Question 18 1 / 1 pts A mother brings a 2-year-old to your ofÏce with the a complaint that for the past 4 days she passes 5 to 10 watery stools per day that often contain undigested food. The child appears healthy and has no other GI symptoms. She is acting, eating, and voiding normally. Weight gain is normal and the mother states she often drinks (her favorite drink is Kool-Aid) instead of eating. The best management for this condition is: Counsel to decrease fluid intake, increase dietary fiber, and increase fats to 40% of calories. Question 19 1 / 1 pts Maddie, age 2, had a complete blood count (CBC) drawn at her last visit. It indicates that she has a microcytic hypochromic anemia. What should you do now at this visit? Obtain a lead level. Question 20 1 / 1 pts Which of the following is not a sign or symptom of congenital hypothyroidism? Frequent stooling