NURS 6541N: Primary Care Adolescnt & Child2016 Winter Qtr 11/28-02/19-PT27

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NURS-6541N-3/NURS-6541C-3-Primary Care Adolescnt & Child2016 Winter Qtr 11/28-02/19-PT27 QUESTION 1 1. Which of the following children is most likely to have a febrile seizure? ... a. A 1-year-old with otitis media and a fever of 104°F b. A 3-month-old with unequal pupils and a bulging fontanelle c. An 11-year-old with a fever of 102°F who is on valproate for a seizure disorder d. A 5-year-old with stiff neck and meningismus 1 points QUESTION 2 1. The most definitive features of “growing pains” include: a. Exclusion of other causes of lower extremity pain b. Pain, swelling, and erythema c. Limp and decreased ambulation d. Painless joint involvement 1 points QUESTION 3 1. Which of the following diagnostic tests are indicated for a child with a first-time nontraumatic, non-febrile seizure? a. CBC with differential, basic metabolic panel, skull X-ray, and CT scan of the head b. CBC with differential, basic metabolic panel, liver function tests, and electroencephalogram (EEG) c. CBC with differential, liver function tests, and electroencephalogram (EEG) d. Liver function tests and basic metabolic panel 1 points QUESTION 4 1. Which of the following is characteristic of slipped capital femoral epiphysis? a. It spontaneously resolves without intervention; intervention is to improve long-term outcomes. b. It is associated with a fracture along the growth plate. c. It is always bilateral. d. It is best treated by casting the hips in adduction. 1 points QUESTION 5 1. Which of the following signs is characteristic of Duchenne muscular dystrophy? a. School-age children are unable to keep up with their peers when running. b. At birth, affected infants are notably hypotonic and ”floppy.” c. The earliest symptom is a refusal to bear weight. d. Abnormal gait and posture become evident during the preschool years. 1 points QUESTION 6 1. Which of the following statements regarding Osgood-Schlatter disease is true? a. Quadriceps stretching is contraindicated. b. It is more common in obese children and adolescents. c. Pain worsens with rest and improves with exercise. d. Growth spurts contribute to the phenomenon. 1 points QUESTION 7 1. Which of the following statements regarding scoliosis is correct? a. The majority of cases are idiopathic. b. Most cases have an onset in the preschool years. c. Males have a 3:1 occurrence rate over females. d. The best way to detect minor curvatures is to examine the spine in the standing position. 1 points QUESTION 8 1. Correct management of a dislocated hip in the newborn is likely to include: a. Triple diapering until orthopedics can evaluate the child b. Following the child carefully for the first 6 months, then referring to orthopedics if no improvement c. Use of a Pavlik harness to ensure flexion d. Traction and surgical reduction 1 points QUESTION 9 1. Which of the following diagnostic tests should be performed routinely following an episode of bacterial meningitis? a. CT scan of the brain b. Electroencephalogram (EEG) c. Hearing evaluation d. Psychometric and IQ testing 1 points QUESTION 10 1. Michael is a 3-year-old with a recent upper respiratory tract infection. His mother states he began limping in the last 24 hours and he is complaining of anterior thigh pain on the affected side. He is afebrile, is unable to move his hip without considerable pain, and is maintaining his hip in a flexed, externally rotated position. This scenario is consistent with: a. Septic arthritis of the hip b. Transient synovitis of the hip c. Legg-Calvé-Perthes disease d. Slipped capital femoral epiphysis 1 points [Show More]

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