Question 1
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Question 2
Lisa has Cushing’s syndrome. You would suspect her to have or to develop
Question 3
A 4-year- old female with profuse vomiting, sweating, lacrimation, and diarrhea, who seizes in the emergency room. Which of the following is the most likely etiology?
Question 4
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing?
Question 5
An 18-month-old African American girl is brought to your office because she has been crying and stopped walking today. She will crawl, however. Her mom denies any injury to the child. On examination, she is crying but consolable in her mother’s arms. She has bruising and swelling just proximal to the left ankle. An x-ray reveals a spiral fracture of the tibia. At this time, you advise the mother that:
Question 6
Tracy, the mother of a 2-year-old, is concerned because her daughter walks on her toes
all the time. What do you tell her?
Question 7
Vomiting in infancy has a long list of differential diagnoses. Which of the following other symptoms would mostly likely point to pyloric stenosis?
Question 8
The following clinical description best matches which genetic disorder? An institutionalized male juvenile delinquent upon close examination has severe nodulocystic acne, mild pectus excavatum, large teeth, prominent glabella, and relatively long face and fingers. His family says he has poor fine motor skills (such as penmanship), an explosive temper, and a low-normal IQ.
Question 9
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis?
Question 10
A 6-year-old boy is left alone for 10 hours, now with hematemesis and pneumomediastinum on chest x-ray. Which of the following is the most likely etiology?
Question 11
In mild to moderate attacks of acute asthma, Albuterol should be given every 4-6 hours prn and routine medication should be
Question 12
A 2-year-old presents to your office with the following symptoms: nasal congestion and rhinorrhea for 48 hours, low-grade fever, and a harsh/barky cough that is significantly worse at night. Inspiratory stridor is present and she has clear but slightly decreased breath sounds. Which of the following treatments is best?
Question 13
A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping forehead, cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly, microphthalmia, and omphalocele. Which of these is the most likely diagnosis?
Question 14
Which of the following physical stigmata are common in newborns with Down syndrome?
Question 15
You have a patient that you think may have intussusception. Which of the following finding may you see?
Question 16
Which of the following is true regarding the diagnosis of epiglottitis?
Question 17
An 8-month-old baby arrives to the office with his mother with a complaint of decreased left arm movement. He is a product of a normal term pregnancy, has had no medical problems, and was in good health when his mother dropped him off at the daycare center. Upper arm radiographs show a left humerus spiral fracture. Which of the following is the most appropriate next step in management?
Question 18
A 6-week-old boy, born by vaginal delivery after an uncomplicated term gestation, has experienced cough and “fast breathing” for 2 days. His mother relates that he has a 1-week history of nasal congestion and watery eye discharge, but no fever or change in appetite. He has a temperature of 99.4°F and a respiratory rate of 44 breaths/min. He has nasal congestion, clear rhinorrhea, erythematous conjunctivae bilaterally, and watery, right eye discharge. His lungs demonstrate scattered crackles without wheezes. Which of the following is the most likely pathogen?
Question 19
The parents of an 8-year-old Down Syndrome boy arrive for his annual well -child visit. He wants to participate in sports, including the Special Olympics. Until further examination can be completed, which of the following sports would you suggest as being safe?
Question 20
Of the following patients, which child should not receive a tuberculin skin test?
Question 21
A 3-week old presents to the office in January with a 1-week history of nasal congestion and occastional cough. On the night prior to the visit in infant developed a fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored breathing. On exam, you note an ill -appearing infant who is lethergic with wheezing, tachypnea, and intercostal retractions. The infant is home with the mom at this time; however, has a sibling who is 4-years-old and is in daycare and recently had cold symptoms. If the patient has been diagnosed with RSV bronchiolitis, which of the following would be the treatment of choice?
Question 22
The peak incidence for adolescent gynecomastia occurs at age
Question 23
Which of the following statements is not true with slipped capital femoral epiphysis?
Question 24
Which of the following patients least warrents a sweat chloride test?
Question 25
Which of the following objective data are associated with significantly better long-term outcomes in children born with open spina bifida?
Question 26
Unilateral wheezing is a finding suggestive of
Question 27
Which malignancy is associated with genitourinary anomalies?
Question 28
All of the following is treatment for a child with phimosis except
Question 29
A 14-year- old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn’s disease?
Question 30
Which of the following is not associated with congenital adrenal hyperplasia?
Question 31
Fifth disease is usually
Question 32
Which of the following is not characteristic of an apparent life-threatening event (ALTE)?
Question 33
Which of the following conditions is most responsible for developmental delays in children?
Question 34
Lyme disease is most closely associated with which of the following skin lesions?
Question 35
Jason, age 14, appears with tender discoid breast tissue enlargement (2-3 cm in diameter) beneath the areola. Your next action would be to
Question 36
Riley, a 12-year- old girl, has scaly, hyperpigmented lesions in a “Christmas tree” distribution. It is predominantly on her trunk. One lesion is on her buttock that is larger than the other, at about 4 cm in diameter. What is your diagnosis?
Question 37
Seborrhea dermatitis is common for both infants and adolescents. Which is not correct for this condition?
Question 38
The following clinical description best matches which genetic disorder? A 15-year-old girl with primary amenorrhea is noted to be well below the 5th percentile for height. She has hypertension, a low posterior hairline, prominent and low-set ears, and excessive nuchal skin.
Question 39
When a neonate is initially protected against measles, mumps, and rubella because the mother is immune, this is an example of which type of immunity?
Question 40
A 2-year- old presents with a history of wheezing and persistent cough. The father reports the child had a coughing/choking episode about a week ago that was spontaneously resolved. A few days later she began to cough and wheeze. This scenario is most consistent with
Question 41
While doing a 5-year-old well child exam, you notice two small patches of hair loss. Broken hair is present, as is erythema and scaling. On the basis of this information, which of these is the likely diagnosis?
Question 42
A 3-week-old male infant with 2 days of projectile, nonbilious vomiting and constant feeding. Which of the following is the most likely etiology?
Question 43
The most significant major contributor or contributors to asthma morbidity and mortality is/are
Question 44
Individuals with chronic adrenal insufficiency often have
Question 45
A healthy 8-month-old infant presents with diarrhea but no dehydration. What is the best advice to give to the parents?
Question 46
Anthony is a known asthmatic. He has symptoms three times a week but never more than once a day. Exacerbations affect his normal activities occasionally. He awakens with cough three to four times a month. You classify his asthma as
Question 47
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is
Question 48
Which of the following is not a sign or symptom of congenital hypothyroidism?
Question 49
A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare facility.
What is the likely cause of the illness?
Question 50
A 7-year-old presents with abrupt fever, stridor, drooling, and hyperextension of the neck. You examine the nose and throat and notice one tonsil is enlarged and there is marked erythema of the pharynx with uvular deviation. Which is most appropriate?