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[Show more]Acute onset of severe pain and vomiting suggests what? correct answer: + Peritoneal irritation 
+ Acute gastric or intestinal obstruction 
+ Pancreaticobiliary disease 
 
(McPhee p 588) 
 
Persistent vomiting suggests what? correct answer: + Pregnancy 
+ Gastric outlet obstruction 
+ Gastroparesis...
Preview 4 out of 40 pages
Add to cartAcute onset of severe pain and vomiting suggests what? correct answer: + Peritoneal irritation 
+ Acute gastric or intestinal obstruction 
+ Pancreaticobiliary disease 
 
(McPhee p 588) 
 
Persistent vomiting suggests what? correct answer: + Pregnancy 
+ Gastric outlet obstruction 
+ Gastroparesis...
In children younger than 5 years of age, what is the most likely cause of recurrent wheezing? correct answer: asthma 
 
What are clues from the medical history that may facilitate a diagnosis of asthma? correct answer: family history, age at onset, pattern of wheezing, seasonal exacerbation, and s...
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Add to cartIn children younger than 5 years of age, what is the most likely cause of recurrent wheezing? correct answer: asthma 
 
What are clues from the medical history that may facilitate a diagnosis of asthma? correct answer: family history, age at onset, pattern of wheezing, seasonal exacerbation, and s...
Clinicians should not perform testing or initiate antibiotic therapy in patients with ________ unless pneumonia is suspected. correct answer: BRONCHITIS 
 
persistent fevers 
anterior cervical adenitis 
tonsillopharyngeal exudates correct answer: Group A Streptococcal pharyngitis 
 
Clinicians sho...
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Add to cartClinicians should not perform testing or initiate antibiotic therapy in patients with ________ unless pneumonia is suspected. correct answer: BRONCHITIS 
 
persistent fevers 
anterior cervical adenitis 
tonsillopharyngeal exudates correct answer: Group A Streptococcal pharyngitis 
 
Clinicians sho...
A mom calls your clinic and states that her child has a fever of 101, you should see immediately if: 
a)10 mos old w/mild ear pain 
b) 18 mos old w/diarrhea 
c) 3 year old w/runny nose 
d) 6 mos old & cries continuously - Answer: D 
 
Most common organisms for AOM is/are: 
A. St...
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Add to cartA mom calls your clinic and states that her child has a fever of 101, you should see immediately if: 
a)10 mos old w/mild ear pain 
b) 18 mos old w/diarrhea 
c) 3 year old w/runny nose 
d) 6 mos old & cries continuously - Answer: D 
 
Most common organisms for AOM is/are: 
A. St...
I'd like to get pregnant... I take Tegretol. How much folic acid do I need? correct answer: 0.4 mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants 
 
What is the recommended daily intake of folic acid for nonpregnant women with no known risk factors for neural tube defect? 
...
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Add to cartI'd like to get pregnant... I take Tegretol. How much folic acid do I need? correct answer: 0.4 mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants 
 
What is the recommended daily intake of folic acid for nonpregnant women with no known risk factors for neural tube defect? 
...
Diminution of headache in response to typical migraine therapies (e.g. seratonin receptor antagonists or ketorolac) does not rule out _________________ as underlying cause? correct answer: Subarachnoid hemorrhage or meningitis 
 
Mcphee p 39 
 
IMMEDIATE TREATMENT: Vascular events correct answer: ...
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Add to cartDiminution of headache in response to typical migraine therapies (e.g. seratonin receptor antagonists or ketorolac) does not rule out _________________ as underlying cause? correct answer: Subarachnoid hemorrhage or meningitis 
 
Mcphee p 39 
 
IMMEDIATE TREATMENT: Vascular events correct answer: ...
essentials for diagnosis for acute HA? correct answer: older than 40, rapid onset and SEVERE intensity, "thunderclap", fever, vision changes, neck stiffness, HIV infection, current or past hx HTN, neuro findings 
 
Just because imaging is normal for HA does not exclude what possible dx? correct a...
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Add to cartessentials for diagnosis for acute HA? correct answer: older than 40, rapid onset and SEVERE intensity, "thunderclap", fever, vision changes, neck stiffness, HIV infection, current or past hx HTN, neuro findings 
 
Just because imaging is normal for HA does not exclude what possible dx? correct a...
In children younger than 5 years of age, what is the most likely cause of recurrent wheezing? correct answer: asthma 
 
What are clues from the medical history that may facilitate a diagnosis of asthma? correct answer: family history, age at onset, pattern of wheezing, seasonal exacerbation, and s...
Preview 3 out of 17 pages
Add to cartIn children younger than 5 years of age, what is the most likely cause of recurrent wheezing? correct answer: asthma 
 
What are clues from the medical history that may facilitate a diagnosis of asthma? correct answer: family history, age at onset, pattern of wheezing, seasonal exacerbation, and s...
Acute Infection of the Pulmonary Parenchyma In a Patient That is acquired in the community correct answer: Community Acquired Pneumonia 
 
Community Acquired Pneumonia (CAP) correct answer: a type of pneumonia that results from contagious infection outside of a hospital or clinic 
 
8th Leading ca...
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Add to cartAcute Infection of the Pulmonary Parenchyma In a Patient That is acquired in the community correct answer: Community Acquired Pneumonia 
 
Community Acquired Pneumonia (CAP) correct answer: a type of pneumonia that results from contagious infection outside of a hospital or clinic 
 
8th Leading ca...
Calculation of estimated date of delivery (EDD) correct answer: 1st day of last menstrual period (LMP) 
+ 
7 days 
- 
3 months 
+ 
1 year 
 
Decherney Chap 6 
 
2 periods that comprise the 1st trimester correct answer: 1) Embryonic period: 2 - 10 weeks gestational age 
2) Fetal period: 8 weeks af...
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Add to cartCalculation of estimated date of delivery (EDD) correct answer: 1st day of last menstrual period (LMP) 
+ 
7 days 
- 
3 months 
+ 
1 year 
 
Decherney Chap 6 
 
2 periods that comprise the 1st trimester correct answer: 1) Embryonic period: 2 - 10 weeks gestational age 
2) Fetal period: 8 weeks af...
Acute onset of severe pain and vomiting suggests what? correct answer: + Peritoneal irritation 
+ Acute gastric or intestinal obstruction 
+ Pancreaticobiliary disease 
 
(McPhee p 588) 
 
Persistent vomiting suggests what? correct answer: + Pregnancy 
+ Gastric outlet obstruction 
+ Gastroparesis...
Preview 4 out of 40 pages
Add to cartAcute onset of severe pain and vomiting suggests what? correct answer: + Peritoneal irritation 
+ Acute gastric or intestinal obstruction 
+ Pancreaticobiliary disease 
 
(McPhee p 588) 
 
Persistent vomiting suggests what? correct answer: + Pregnancy 
+ Gastric outlet obstruction 
+ Gastroparesis...
Otitis Externa (Swimmer's Ear) correct answer: Inflammation of the outer ear and ear canal due to infection 
 
Cellulitis of the soft tissues of the external auditory canal correct answer: Otitis Externa 
 
What pathogens are responsible for Otitis Externa? correct answer: Pseudomonas aeruginosa...
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Add to cartOtitis Externa (Swimmer's Ear) correct answer: Inflammation of the outer ear and ear canal due to infection 
 
Cellulitis of the soft tissues of the external auditory canal correct answer: Otitis Externa 
 
What pathogens are responsible for Otitis Externa? correct answer: Pseudomonas aeruginosa...
Acute cystitis correct answer: Infection of bladder commonly due to coliform bacteria (E coli) and gram postive (enterococci) 
 
Symptoms of acute cystitis? correct answer: Irritating voiding symptoms, suprapubic discomfort, hematuria 
 
Treatment for uncomplicated cystitis in women includes? corr...
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Add to cartAcute cystitis correct answer: Infection of bladder commonly due to coliform bacteria (E coli) and gram postive (enterococci) 
 
Symptoms of acute cystitis? correct answer: Irritating voiding symptoms, suprapubic discomfort, hematuria 
 
Treatment for uncomplicated cystitis in women includes? corr...
What does folate deficiency resemble? correct answer: megaloblastic anemia as seen in B12 deficiency except that neurologic abnormalities are absent 
 
When does megaloblastic anemia of folate deficiency develop? correct answer: within 4-5 months 
 
When does neural tube closure take place? correc...
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Add to cartWhat does folate deficiency resemble? correct answer: megaloblastic anemia as seen in B12 deficiency except that neurologic abnormalities are absent 
 
When does megaloblastic anemia of folate deficiency develop? correct answer: within 4-5 months 
 
When does neural tube closure take place? correc...
When does malrotation occur? correct answer: at about the 10th week of gestation 
 
What is a malrotation? correct answer: a congenital abnormality that occurs during the embryonic phase of development when the midgut retracts into the abdominal cavity. The midgut rotates counterclockwise 
 
When ...
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Add to cartWhen does malrotation occur? correct answer: at about the 10th week of gestation 
 
What is a malrotation? correct answer: a congenital abnormality that occurs during the embryonic phase of development when the midgut retracts into the abdominal cavity. The midgut rotates counterclockwise 
 
When ...
The most common pediatric infectious disease; otherwise known as the common cold correct answer: Acute viral rhinitis 
 
How long can symptoms of acute viral rhinitis last? correct answer: 14 days 
 
What are the symptoms of acute viral rhinitis? correct answer: sudden onset 
clear or mucoid rhin...
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Add to cartThe most common pediatric infectious disease; otherwise known as the common cold correct answer: Acute viral rhinitis 
 
How long can symptoms of acute viral rhinitis last? correct answer: 14 days 
 
What are the symptoms of acute viral rhinitis? correct answer: sudden onset 
clear or mucoid rhin...
Croup: What pathogen is responsible for MOST cases of viral croup? correct answer: Usually caused by Parainfluenza types 1-4: Type 3-Usually infected by 3 y/o (usually in 1st year of life), annual peak in spring/summer; Type 1 & 2- gradually over the first 5 years of life, peak in fall 
 
Croup: De...
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Add to cartCroup: What pathogen is responsible for MOST cases of viral croup? correct answer: Usually caused by Parainfluenza types 1-4: Type 3-Usually infected by 3 y/o (usually in 1st year of life), annual peak in spring/summer; Type 1 & 2- gradually over the first 5 years of life, peak in fall 
 
Croup: De...
What are the 3 characteristics of Asthma correct answer: Bronchoconstriction 
Airway Inflammation 
Reversible airflow limitation 
 
Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta agonist or w/ bronchospasms due to beta blocker meds? correct answer: Ipratropium B...
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Add to cartWhat are the 3 characteristics of Asthma correct answer: Bronchoconstriction 
Airway Inflammation 
Reversible airflow limitation 
 
Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta agonist or w/ bronchospasms due to beta blocker meds? correct answer: Ipratropium B...
proper otoscopic technique correct answer: Proper technique: 
Note that he is bracing his finger against the child's cheek, if patient moves, so does otoscope 
 
OTITIS EXTERNA correct answer: Cellulitis of the soft tissues of the external auditory canal 
-AKA swimmers ear 
 
Otitis externa patho...
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Add to cartproper otoscopic technique correct answer: Proper technique: 
Note that he is bracing his finger against the child's cheek, if patient moves, so does otoscope 
 
OTITIS EXTERNA correct answer: Cellulitis of the soft tissues of the external auditory canal 
-AKA swimmers ear 
 
Otitis externa patho...
Which increased lab value would indicate multiple myeloma? correct answer: Total Protein 
 
What is used to test for suspected hepatic disease and protein deficiency? correct answer: Total Protein 
 
A decrease in this lab would indicate pregnancy, cytotoxic drugs, and dietary deficiency correct a...
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Add to cartWhich increased lab value would indicate multiple myeloma? correct answer: Total Protein 
 
What is used to test for suspected hepatic disease and protein deficiency? correct answer: Total Protein 
 
A decrease in this lab would indicate pregnancy, cytotoxic drugs, and dietary deficiency correct a...
The strongest identifiable predisposing factor for the development of asthma is _________, but obesity is increasingly recognized as a risk factor. correct answer: Atopy 
A syndrome characterized by a tendency to be "hyperallergic". 
(papa 243) 
 
Essentials of Asthma Diagnosis: 
- Episodic or c...
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Add to cartThe strongest identifiable predisposing factor for the development of asthma is _________, but obesity is increasingly recognized as a risk factor. correct answer: Atopy 
A syndrome characterized by a tendency to be "hyperallergic". 
(papa 243) 
 
Essentials of Asthma Diagnosis: 
- Episodic or c...
Should Abx be prescribed for non specific URI in which sinus, pharyngeal and lower airway symptoms are present but not prominent? correct answer: No-It is appropriate to offer symptomatic treatments such as decongestants, analgesics, and antipyretics. 
 
What are the s/s of sinusitis that require a...
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Add to cartShould Abx be prescribed for non specific URI in which sinus, pharyngeal and lower airway symptoms are present but not prominent? correct answer: No-It is appropriate to offer symptomatic treatments such as decongestants, analgesics, and antipyretics. 
 
What are the s/s of sinusitis that require a...
how many months is the childbearing year correct answer: 13 
 
how are these months divided correct answer: 2 months preconception, 9 months pregnancy, 2 months postpartum 
 
what is preconception care correct answer: Strengthening the parents physically and preparing them through education and e...
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Add to carthow many months is the childbearing year correct answer: 13 
 
how are these months divided correct answer: 2 months preconception, 9 months pregnancy, 2 months postpartum 
 
what is preconception care correct answer: Strengthening the parents physically and preparing them through education and e...
Which of the following is NOT TRUE of the diagnosis of stress and adjustment disorders? 
a. Anxiety and depression clearly secondary to an identifiable stress. 
b. Subsequent symptoms require a larger stressor to be elicited. 
c. Alcohol is commonly used in self-treatment. 
d. all of the above corre...
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Add to cartWhich of the following is NOT TRUE of the diagnosis of stress and adjustment disorders? 
a. Anxiety and depression clearly secondary to an identifiable stress. 
b. Subsequent symptoms require a larger stressor to be elicited. 
c. Alcohol is commonly used in self-treatment. 
d. all of the above corre...
The most common pediatric infectious disease; otherwise known as the common cold correct answer: Acute viral rhinitis 
 
How long can symptoms of acute viral rhinitis last? correct answer: 14 days 
 
What are the symptoms of acute viral rhinitis? correct answer: sudden onset 
clear or mucoid rhin...
Preview 4 out of 39 pages
Add to cartThe most common pediatric infectious disease; otherwise known as the common cold correct answer: Acute viral rhinitis 
 
How long can symptoms of acute viral rhinitis last? correct answer: 14 days 
 
What are the symptoms of acute viral rhinitis? correct answer: sudden onset 
clear or mucoid rhin...
the test used to check for corneal light reflex in each eye, and its symmetry is called correct answer: hirshberg test 
 
What is the difference in recurrent sinusitis and chronic sinusitis correct answer: recurrent is defined as successive episodes of bacterial infections of the sinuses each last...
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Add to cartthe test used to check for corneal light reflex in each eye, and its symmetry is called correct answer: hirshberg test 
 
What is the difference in recurrent sinusitis and chronic sinusitis correct answer: recurrent is defined as successive episodes of bacterial infections of the sinuses each last...
After exposure to toxic fumes, a pt gradually develops cough and dyspnea, he most likely has: correct answer: Acute Bronchiolitis 
 
Risk factors for development of bronchiolitis in the adult pt include: 
a. exposure to toxic fumes 
b. viral infection 
c. organ transplant 
d. systemic lupus erythem...
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Add to cartAfter exposure to toxic fumes, a pt gradually develops cough and dyspnea, he most likely has: correct answer: Acute Bronchiolitis 
 
Risk factors for development of bronchiolitis in the adult pt include: 
a. exposure to toxic fumes 
b. viral infection 
c. organ transplant 
d. systemic lupus erythem...
Normal factors promoting reflux in infants are all except: (Hay 624) 
a. stomach capacity 
b. feeding frequency 
c. self-settling skills 
d. positioning after feeding correct answer: B—feeding volume but not frequency influences reflux 
 
Conditions associated with reflux in kids include: (Hay 62...
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Add to cartNormal factors promoting reflux in infants are all except: (Hay 624) 
a. stomach capacity 
b. feeding frequency 
c. self-settling skills 
d. positioning after feeding correct answer: B—feeding volume but not frequency influences reflux 
 
Conditions associated with reflux in kids include: (Hay 62...
___________ ___________ is a clinical diagnosis defined by excessive secretion of bronchial mucus and is manifested by daily productive couch for 3 months or more in at least 2 consecutive years. correct answer: Chronic Bronchitis 
(Papa 259) 
 
____________ is a pathologic diagnosis that denotes a...
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Add to cart___________ ___________ is a clinical diagnosis defined by excessive secretion of bronchial mucus and is manifested by daily productive couch for 3 months or more in at least 2 consecutive years. correct answer: Chronic Bronchitis 
(Papa 259) 
 
____________ is a pathologic diagnosis that denotes a...
what is the therapeutic approach for tension type headaches? correct answer: similar to migrane tx except triptans are not indicated 
 
what are common HA syndromes? correct answer: Common primary headache syndromes include migraine, tension-type headache, and cluster headache 
 
what are some sec...
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Add to cartwhat is the therapeutic approach for tension type headaches? correct answer: similar to migrane tx except triptans are not indicated 
 
what are common HA syndromes? correct answer: Common primary headache syndromes include migraine, tension-type headache, and cluster headache 
 
what are some sec...
Asthma is usually worse at what time of the day? correct answer: at night or in the early morning 
pg247 
 
what will the NP see on physical examination with a pt with asthma? correct answer: prolonged expiration and diffuse wheezes on physical examination 
pg247 
 
what will a PFT show in a pt wi...
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Add to cartAsthma is usually worse at what time of the day? correct answer: at night or in the early morning 
pg247 
 
what will the NP see on physical examination with a pt with asthma? correct answer: prolonged expiration and diffuse wheezes on physical examination 
pg247 
 
what will a PFT show in a pt wi...
what is sleep-disordered breathing? correct answer: abnormal respiratory pattern during sleep that includes snoring, mouth breathing, and pauses in breathing. 
 
it can range from pauses in breathing to OSA 
 
all pediatricians should screen all children for snoring? True or false correct answer: ...
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Add to cartwhat is sleep-disordered breathing? correct answer: abnormal respiratory pattern during sleep that includes snoring, mouth breathing, and pauses in breathing. 
 
it can range from pauses in breathing to OSA 
 
all pediatricians should screen all children for snoring? True or false correct answer: ...
Is eye disease in children limited to the ocular system? correct answer: No, it may be systemic disease 
 
Injection definition correct answer: Red eye 
 
Red eye causes: correct answer: Foreign bodies 
Trauma 
Infection 
Allergy 
Irritating noxious agents 
Subconjunctival hemorrhage - traumatic,...
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Add to cartIs eye disease in children limited to the ocular system? correct answer: No, it may be systemic disease 
 
Injection definition correct answer: Red eye 
 
Red eye causes: correct answer: Foreign bodies 
Trauma 
Infection 
Allergy 
Irritating noxious agents 
Subconjunctival hemorrhage - traumatic,...
Wheezing means? 
Powerful indication of what? correct answer: bronchospasm 
edema 
excessive secretions 
 
obstructive lung dz 
 
What is the order for physical assessment with respiratory? correct answer: Inspect 
Palpate 
Percuss 
Auscultate 
 
What patients are contraindicated for PFTs (pulmona...
Preview 3 out of 28 pages
Add to cartWheezing means? 
Powerful indication of what? correct answer: bronchospasm 
edema 
excessive secretions 
 
obstructive lung dz 
 
What is the order for physical assessment with respiratory? correct answer: Inspect 
Palpate 
Percuss 
Auscultate 
 
What patients are contraindicated for PFTs (pulmona...
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