NSG 6435 FINAL.

Tanner staging- several questions -penis elongation-what tanner stage? -Breast tenderness and buds in male-what is condition and stage? Gynecomastia, and what tanner stage?? I picked stage II Osgood Schlatter dx and ...

Tanner staging- several questions -penis elongation-what tanner stage? -Breast tenderness and buds in male-what is condition and stage? Gynecomastia, and what tanner stage?? I picked stage II Osgood Schlatter dx and tx Question is about knee pain in male patient with pain below knee and bump felt-osgood is answer Another question is what is the treatment? I picked symptomatic relief with OTC meds and rest. Other options included PT Klinefelter syndrome -male sex, XXY syndrome- that’s answer to one question, -the other is what are the physical characteristics of Klinefelter Fifths disease dx and tx MMR vaccine schedule- i picked first mmr vacc at 12-15 mo Varicella vaccination sched- i think this one had 2 parts to the answer; like first vacc 12-15 months and second 4-6 years ( I think this is the one) What vaccinations does 5 year old need? -all had IPV, MMR, Dtap plus one either flu, hep a, hep b or pneumococcal (I picked flu) Treatment for varicella- - pt with atopic dermatitis has rash on chest at various stages. Some are fluid filled vesicles others are crusted over. What is tx? There is only one answer that makes sense with antivirals and symptom management. Other answers listed antifungals, etc Tx for swimmer’s ear (select all) 2 options had oral antibiotics in the answer; the others were antibiotic/ steroid otic drops and optic abx drops Tx for AOM-(select all) pt with bulging left TM with yellow ottorhea- -prescribe pain meds -I can’t remember this option - admit to hospital for tx- due to the stupid answers I picked this one -refer for tubes Hand foot and mouth dx and tx Group A beta strep- what is diagnostic, what is tx- several questions This study source was downloaded by 100000840275362 from CourseHero.com on 04-30-2022 14:39:47 GMT -05:00 https://www.coursehero.com/file/62303972/NSG-6435-FINALdocx/ -- gives description of patient with cervical adenopathy, enlarged tonsils with exudate and foul breath and asks dx- group a beta hemolytic strep -diagnostic tests- I selected rapid antigen testing, and throat culture. -what is tx for strep? -penicillin, azithromycin, Levaquin and vanc. -I picked PCN Downs syndrome- what is dx- describes features with single palmar crease and flattened facial features. Anxiety in child during visit-what do you do? Talk with pt/ parents to put child at ease Splenomegaly- restrictions for sports r/t risk for splenic rupture? (Select all) - restrict contact sports for 3 weeks - limit exercise for 3 weeks - restrictions can be lifted after 4 weeks What condition is most likely in pts with history of fetal alcohol syndrome? – I put depression (I had no clue) Cognitive developmental milestones (ie. sensorimotor, preconceptual, concrete or formal) – there are questions about what category the patient falls into-there are 4 questions on this. Allergies- what would you prescribe? I picked nasal steroid and antihistamine (select all that apply) Separation anxiety- what is peak time frame of occurrence? I picked 8-15 months What should provider do for baby of mother with positive hep b? -give shot in hospital as normal -delay for 12 months - give med for hep b infection When should parents baby proof the home? - 4 months, 6 months, 9 or 12 months (I picked 6) Conjunctivitis- (select all that apply)- with green/yellow discharge - Avoid touching eyes and frequent handwashing - Instill eye drops - Compress to relieve itching/discomfort - Wash with tear free shampoo Few questions about sports physicals- trying to rem