QuestionI1I
1Iout IofI1Ipoints
I
AnI11-year-oldIhasIbeenIdiagnosedIwithImildIintermittent Iasthma. IWhichIofIthe IfollowingIisInot Ia
Iroutine Ipart IofIthe Iclinical Imanagement?
SelectedIAnswer: I c. I
School Iex
...
QuestionI1I
1Iout IofI1Ipoints
I
AnI11-year-oldIhasIbeenIdiagnosedIwithImildIintermittent Iasthma. IWhichIofIthe IfollowingIisInot Ia
Iroutine Ipart IofIthe Iclinical Imanagement?
SelectedIAnswer: I c. I
School Iexcuse ItoInot Iparticipate IinIrecessIand/orIphysical IeducationIactivities
QuestionI2I
1Iout IofI1Ipoints
I
AI14-year-oldIhasIaI3-weekIhistoryIofIfever, Ianorexia, IandIabdominal Ipain. IWhat Iadditional
IsymptomIwouldIcause ItheINPItoIsuspect ICrohn'sIdisease?
SelectedIAnswer: I b. I
Blood, ImucousIdiarrhea
QuestionI3I
1Iout IofI1Ipoints
I
AI9-year-oldIisIdiagnosedIwithIdyspepsia Iwithout Ihematemesis, Imelena, IorIoccult Iblood. ITheImost
Iappropriate Inext IstepIis
SelectedIAnswer: I a. I
Trial IofIranitidine I(Zantac)
QuestionI4I
1Iout IofI1Ipoints
I
Jesse, Iage I5, IhasIa IdiagnosisIofIencopresis. IAfterIthe Idiagnosis, Iwhat IwouldIbeIyourInext Iaction?
SelectedIAnswer: I a. I
Rule Iout IaIneurologic Idisorder.
QuestionI5I
0Iout IofI1Ipoints
I
AI15-year-oldIgirl IhasIexperiencedIabdominal Ipain, Ivomiting, IandIlethargyIforI3Idays. IHerIchest Iand
Ithroat IexaminationsIare Iclear, Ibut IherIabdominal IexaminationIisIsignificant IforIright IlowerIquadrant
Ipain. IRectal IexaminationIisIequivocal IforIpain, IandIherIpelvic IexaminationIisIremarkable IforIpain
IuponImovement IofIherIcervix. ILaboratoryIdata Iinclude IelevatedIwhite IbloodIcell Icount, Iserum
Iglucose Ilevel IofI145Img/dL, IandIserumIbicarbonate Ilevel IofI21mEq/dL. IHerIurinalysisIisIremarkable
IforI1+Iwhite IbloodIcells, I1+Iglucose, IandI1+Iketones. IWhichIofIthe IfollowingIisIthe Imost Ilikely
Idiagnosis? I
SelectedIAnswer: I a. I
Appendicitis
QuestionI6I
0Iout IofI1Ipoints
I
AIpreviouslyIhealthyImale IhasIaI3-monthIhistoryIofIincreasingIheadaches, IblurredIvision, Iand
IpersonalityIchanges. IPreviouslyIhe IadmittedItoImarijuana IexperimentationImore IthanI1IyearIago. IOn
IexaminationIheIisIa Ihealthy, Iathletic-appearingI17-year-oldIwithIdecreasedIextraocularIrange Iof
ImotionIandIleft Ieye Ivisual Iacuity. IWhichIofItheIfollowingIisItheIbest Inext IstepIinIhisImanagement? I
SelectedIAnswer: I e. I
Urine IdrugIscreen
QuestionI7I
1Iout IofI1Ipoints
I
Kelly, IyourI11-year-oldIwell Ivisit Ipatient, IpresentsItoIthe Ioffice IwithIweight Iloss, Ipolyuria, Iand
Ipolydipsia. IWhichIofIthe IfollowingIdoIyouIneedItoIrule Iout?
SelectedIAnswer: I c. I
DiabetesImellitus
QuestionI8I
0Iout IofI1Ipoints
I
LisaIhasICushing'sIsyndrome. IYouIwouldIsuspect IherItoIhave IorItoIdevelop
SelectedIAnswer: I d. I
GeneralizedIincreasedIpigmentationsIofIthe Iskin
QuestionI9I
1Iout IofI1Ipoints
I
Tracy, ItheImotherIofIaI2-year-old, IisIconcernedIbecause IherIdaughterIwalksIonIherItoesIall ItheItime.
IWhat IdoIyouItell Iher?
SelectedIAnswer: I b. I
Toe IwalkingIisIconsideredInormal Iuntil Iage I3.
QuestionI10I
1Iout IofI1Ipoints
I
The IpeakIincidence IforIadolescent Igynecomastia IoccursIat Iage
SelectedIAnswer: I d. I
13ItoI14IyearsIofIage
QuestionI11I
0Iout IofI1Ipoints
I
AI12-year-oldIgirl IwasIbrought ItoItheIemergencyIdepartment Ibecause IofIsevere Isore Ithroat, Im
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