NR 602 Midterm Exam graded-A 2021

• 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: • Verruca ...

• 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: • Verruca vulgaris • Management of scoliosis depends on the severity of curve as well as the age of the child. Which of the following would require surgical intervention? • Thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees. • Treatment of true central precocious puberty is best achieved with: • Gonadotropin-releasing hormone agonist • 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? -7% • Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip? -Pavlik harness • 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: • IPV is can be given routinely beyond the age of 18 years of age in the U.S. • An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is: • An echocardiogram • 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. • RSV bronchiolitis • What needs to be included when educating parents about a febrile seizure? • Children may experience repeated seizures • 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? • Transient synovitis of the hip • In addition to penicillin, all of the following antibiotics can be used to treat strep pharyngitis except: • Bactrim • Primary dysmenorrhea is due to: • Elevated prostaglandin level • Which behavior would NOT be expected in a two-year old? • Draws a circle • The most common congenital heart defect in children is: • Ventricular septal defect • 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: -Tension headache • Treatment for testicular torsion primarily? • Immediate surgical referral • What is important to understand about encopresis? • The DSM 5 describe the condition as a repeated passage of stool into inappropriate places such as child’s underpants. • Newborn W.R. has a vascular lesion that will not fade as she gets older. What is your diagnosis? • Port-wine stain (nevus flammeus) • Vomiting in infancy has a long list of differential diagnosis. Which accompanying symptom would most likely point to pyloric stenosis? • Acts hungry after vomiting • Which malignancy is associated with genitourinary anomalies? • Wilm’s tumor • A child has mild persistent asthma. Appropriate daily medication should include: • An inhaled low-dose corticosteroid • 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: • Ocular mobility • What diagnosis should be considered if the infant has not passed meconium in the first 24 hours of life? • Congenital ganglionic megacolon • A child with juvenile idiopathic arthritis (JIA) can present with which asymptomatic condition that warrants close to follow up? • Uveitus and needs to have routine ophthalmologic screening with slit-lamp every 3 months if the ANA is positive. • 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: • A 10-day course of Augmentin • Which of the following is an absolute contraindication for use of combined hormonal contraceptives in adolescent women? • History of thromboembolism • The most common trigger for an acute asthma episode in the very young child is: • Viral respiratory infections • Which of the following findings could be expected to occur in a baby with intussusception? • Inconsolable screening • The appropriate management of Osgood-Schlatter disease includes: • Decreasing activity, applying ice, and taking prescribing NSAIDS • In a healthy, 8-month-old with diarrhea but no dehydration, what would be most appropriate advice to give parents? • Give bananas and cereal as tolerated • The most common rheumatoid disease of childhood is: • Juvenile idiopathic arthritis • When assessing for croup, what is a common finding on xray? • Subglottic narrowing (steeple sign) • Which chromosomal abnormality is associated with short statue in girls? • Turner syndrome • Which activities are common in a 4-5 year-old child? • Independent toileting (may need help to wipe) • 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? -The provider should use gender neutral terms to allow the adolescent to feel more comfortable with discussing this issue • The most definitive feature or features for a diagnosing of “growing pains” includes: -Exclusion of other causes of lower extremity pain