The Tanner scale (5 stages) of sexual maturity rating allows for accurate classification of
physical pubertal maturation. During the examination of your patient, you notice that the
pubic hair is increased in quantity,
...
The Tanner scale (5 stages) of sexual maturity rating allows for accurate classification of
physical pubertal maturation. During the examination of your patient, you notice that the
pubic hair is increased in quantity, is darker, and is present in they typical female
triangle but in a smaller quantity. which of the following Tanner stages does this
description meet?
Tanner stage 111
John, age 5, was diagnosed with ruptured tympanic membrane as a result of acute otitis
media 2 weeks ago. He was treated with oral antibiotics at the time of diagnosis and
has finished his course. He has no purulent drainage, his plan of care should include:
*Educate the parents about the strategies to prevent water from entering the
middle ear (Rationale: page 744. "Prevention")*
You see a healthy 18 month old for a well child visit. At the 12 month visit he received
the diphtheria, tetanus, and accellular pertussis (DTaP) third dose; hepatitis B second
dose: measles, mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second
dose; pneumococcal conjugate (PCV13) fourth dose; and Haemophilus influenzae type
B (HIB) fourth dose. Which of the following do you order today?
Varicella and DTaP
* DTaP, varicella, hepatitis A, and hepatitus B *
DTaP, IPV, varicella, PCV13, and hepatitis B
Hib, PCV13, and hepatitus A
A 7 year old presents with a complaint of ear pain with purulent discharge he sates it
hurts when he is lying on the affected side and when anyone touches his pinna. The
most likely diagnosis is?
Otitis media with effusion
* Otitis externa *
Acute otitis media
Otitis interna
A 7 year old presents to your office with several linear, curved lines approximately 4
millimeters in length that end in a papule. The lines are near the umbilicus and waist
area. He complains about sever itching that is worse at night. you suspect:
* Scabies *
Hives
Fleas
Ticks
An expected milestone of a 4 year old is the ability to:
* Imitate a square, copy a cross or circle and draw a person in three parts *
Rationale: p 80 table 6-2 & Denver II chart
Thalia is a fifteen year old who is referred to your women's health practice by her school
counselor . She has macromastia and has been teased and ridiculed by her classmates
at school. Which of the following would be the first step in dealing with this problem?
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Encourage Thalia to wear loose clothing and a bra with strong support
Refer Thalia to a therapist for counseling and support, including anti-bullying.
* Assess Thalia's Tanner staging for breasts and date of menarche *
You see a 6 month old for a well child visit and the mother tells you the child's
grandmother recommends that she give the infant whole milk and eggs when he starts
solids. What should you tell the mother:
* The baby should remain on infant formula and introduce stage 2 baby foods for
now *
You diagnose a 14 year old with tinea capitis. Which of the following treatment do you
recommend
Oral griseofulvin microsize taken with whole milk or other fatty foods, and
selenium sulfide/sporicidal shampoo
Most children can independently dress themselves by age:
2 years
3 years
* 4 years * (Rationale: page 80 table 6-2 and Denver II)
6 years
Nancy is an eleven year old presenting for an annual well child visit. When reviewing
the physiology of puberty, you recall that the initiation of puberty begins physiologically
whit the release of GnRhby the:
* hypothalamus * p.601
Adolescence sexuality is important to understand and to discuss with your patients.
Sexual behavior begins with childhood curiosity. Based upon the following
characteristics, you would define your patient in which level of adolescence: low
physical and mental investment in sexuality, information gathering on the topic of
sexuality, prepubertal appearance and masturbation
* Preadolescence/school age children *
early adolescence
middle adolescence
late adolescence
Adolescence is a period of time where patients undergo significant biological,
psychological, and emotional growth. Which of the following characteristics describe the
psychosocial development of middle adolescence?
Middle school years between ages ten and thirteen
Late elementary school from ages eight to nine
* High school years from ages fifteen to seventeen *
Ages seventeen to twenty-one and post high school years
I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but
I can't balance on one foot for 2 seconds. I am:
1 1/2 years old
* 2 1/2 years old *
3 1/2 years old
4 years old
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