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NR 602 Midterm Exam – Question and Answers

1. Role-play with equipment during the course of a physical examination would be most beneficial with which of the following groups?
2. What is the Ortolani Sign?
3. When performing a physical examination of a toddler, which of the following body parts would examine last?
4. What are three findings using Jones criteria for Rheumatic Fever?
5. While examining a 4-month-old boy, you are unable to palpate one of his testes. The next most appropriate step is:
6. Concurrent Otitis media and Conjunctivitis are likely due to which?
7. What is the appropriate management of a child with asthma who presents with acute wheezing and/or coughing?
8. Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her face above the right nares. She has a history of having a bad scratch in the same area several days ago. What condition do you suspect?
9. The most appropriate management of a 5-year-old with a firm non-tender nodule in the mid-upper eyelid for 3 weeks would be:
10. A 10-month-old child has been diagnosed with gastroenteritis. He attends a childcare facility. What is the most likely cause of illness?
11. If a child or any patient describes a “pop” in the knee. What is this indicative of?
12. A 7-year-old African American female presents with several hyperkeratotic raised, periungual lesions on the two middle fingers of her left hand. She has a history of nail biting. The most likely diagnosis is:
13. Management of scoliosis depends on the severity of the curve as well as the age of the child. Which of the following would require surgical intervention?
14. Treatment of true central precocious puberty is best achieved with:
15. Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg. Today she presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg. What is her percentage of dehydration?
16. Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip?
17. When considering catch-up vaccination in children for IPV vaccinations, it is important to understand one of the following considerations is NOT a consideration when administering the vaccine:
18. An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is:
19. A 4-week-old presents to your office in mid=January with a 1-week history of nasal congestion and occasional cough. On the evening prior to this visit, the infant developed a temperature of 102, refused to breastfeed, and had proximal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethargic with tachypnea.
20. What needs to be included when educating parents about a febrile seizure?
21. A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a painful limp in his right leg 2 days ago. Today he has a low-grade fever. Which of the following diagnoses is most likely?
22. In addition to penicillin, all of the following antibiotics can be used to treat strep pharyngitis except:
23. Primary dysmenorrhea is due to:
24. Which behavior would NOT be expected in a two-year-old?
25. The most common congenital heart defect in children is:
26. Michael is a 15-year-old high school student who presents for a school sports physical. He appears to be in good health but is concerned about a bad headache he had a few weeks ago. He is concerned because his mother’s friend dried of a brain tumor. You tell Michael that the most common type of headache with onset in adolescence is:
27. Treatment for testicular torsion primarily?
28. What is important to understand about encopresis?
29. Newborn W.R. has a vascular lesion that will not fade as she gets older. What is your diagnosis?
30. Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would most likely point to pyloric stenosis?
31. Which malignancy is associated with genitourinary anomalies?
32. A child has mild persistent asthma. Appropriate daily medication should include:
33. A 3-year-old has an edematous, mildly erythematous right upper eyelid for 1 day with a fever of 103. An important eye assessment would be:
34. What diagnosis should be considered if the infant has not passed meconium in the first 24 hours of life?
35. A child with juvenile idiopathic arthritis (JIA) can present with which asymptomatic condition warrants close to follow-up?
36. A 15-month-old failed treatment with amoxicillin for otitis media. At his 2-week recheck, his TM remained red with distorted landmarks, and he persisted with nasal congestion and poor nighttime sleeping, and he has had 101 fever for the past 2 days. The next best step would be to treat with:
37. Which of the following is an absolute contraindication for use of combined hormonal contraceptives in adolescent women?
38. The most common trigger for an acute asthma episode in a very young child is:
39. Which of the following findings could be expected to occur in a baby with intussusception?
40. The appropriate management of Osgood-Schlatter disease includes:
41. In a healthy, 8-month-old with diarrhea but no dehydration, what would be the most appropriate advice to give parents?
42. The most common rheumatoid disease of childhood is:
43. When assessing for croup, what is a common finding on x-ray?
44. Which chromosomal abnormality is associated with short stature in girls?
45. Which activities are common in a 4-5-year-old child?
46. A 14-year-old female presents to the clinic and is demonstrating some hesitancy in discussing an important issue regarding her self-identity. What is the appropriate actions on behalf of the clinician?
47. The most definitive feature or features for a diagnosis of “growing pains” includes:
48. When examining an adolescent between the ages of 10-13 years of age it is important to remember what characteristics regarding socio-emotional development.
49. On exam, an 8-year-old was seen at your clinic with complaints of persistent pain to the left leg with a limp. What is the most likely cause of this condition?
50. Cara is a 16-year-old adolescent who has been sexually active with… male partner for 6 months. They have used condoms consistently. Cara is interested in a hormonal method as well. Your advice includes all of the following except which one?
51. Role=play with equipment during the course of a physical examination would be most beneficial with which of the following age groups?
52. For children 2 to 4 years of age, the most common cause of head injury is:
53. In a healthy, 8-month-old with diarrhea but no dehydration, what would be the most appropriate advice to give parents?
54. The appropriate management of Osgood-Schlatter disease includes:
55. The organism that causes hand, foot, and mouth syndrome is what virus?
56. Judy has a history of remission and exacerbation of acne that has followed the pattern of menses for 2 years. However, the condition over the last 6 months has worsened to a moderate degree of severity and has been chronic and persistent. You prescribe…
57. Which malignancy is associated with genitourinary anomalies?
58. A 15-month-old failed treatment with amoxicillin for otitis media. AT his 2-week recheck, his TM remained red and distorted…..
59. Which of the following is not considered preventative management for iron deficiency anemia?
60. In mild to moderate attacks of asthma, albuterol should be given every 4-5 hours PRN and routine medications should be:
61. In addition to penicillin, all of the following antibiotics can be used to treat strep pharyngitis except:
62. The most definitive feature or features for a diagnosis of “growing pains” includes:
63. Which of the following foods would be appropriate for a child with celiac disease?
64. When performing a physical examination of a toddler, which of the following body parts would you examine last?
65. Daily eyelid cleaning with diluted baby shampoo and a cotton-tipped applicator would be appropriate in the treatment of which of the following conditions?
66. Primary dysmenorrhea is due to:
67. Management of scoliosis depends on the severity of the curve as well as the age of the child. Which of the following would require surgical intervention?
68. A 10-year-old has marked ear pain, not want anyone to touch his ear. The canal is edematous and exudate is present. TM Is normal. How should this be managed?
69. Patients with otitis externa should be instructed to do which of the following?
70. A 2-year-old female has lymphedema of the hands and feet, with low posterior hairline, cubitus valgus, and a history of intrauterine growth restrictions. Which of the following defects is the most common among the children with these signs?