You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular
pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine
(MMR); one va
...
You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular
pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine
(MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today?
Selected
Answer:
c.
Tetanus and diphtheria toxoid with acellular pertussis (TdaP), MMR, hepatitus B,
and IPV
Question 4
0 out of 1 points
A 6-month-old infant has been growing poorly. His parents have changed his formula three times
without success. His examination is remarkable for a pale, emaciated child with little subcutaneous
fat and anterior fontanelle fullness. His laboratory test results are notable for a hemolytic anemia and
prolonged bleeding times. Which of the following is the most appropriate next step?
Selected Answer: e.
Perform a hemoglobin electrophoresis
Question 5
1 out of 1 points
Max, a 9-year-old boy, is a very active child with limited self-control. He is easily distracted and has
difficulty staying on task. You determine that he should have a neurodevelopmental evaluation
because he is showing signs of
Selected Answer: d.
ADHD
Question 6
1 out of 1 points
You see a 3-year-old for a well-child visit. His mother informs you that potty training has been very
easy because he “has an amazing internal clock. He falls asleep, gets hungry, and has bowel
movements at the same time every day.” This describes which aspect of temperament?
Selected Answer: b.
Rhythmicity
Question 7
1 out of 1 points
A fifteen-year-old female makes a statement to you during a well visit. Which of the following
statements should not be kept confidential?
Selected Answer: a.
"Sometimes I feel like ending my life."
Question 8
0 out of 1 points
The appropriate lab tests in assessment of cervical adenitis include all of the following except:
Selected Answer: c.
PPD
Question 9
0 out of 1 points
You would be concerned about the language development of a child who:
Selected Answer: b.
Pronounces words that are not understandable at 2 years of age
Question 10
0 out of 1 points
An eye that deviates in when covered but that returns to midline when uncovered is an
Selected Answer: a.
esotropia
Question 11
0 out of 1 points
A 14-year-old female comes into the office for an urgent visit after taking 10 valium tablets.
Following the initial emergent care and stailization, the most important part of the management is:
Selected Answer: c.
Obtaining a psychiatric consultation.
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