Question: Unilateral wheezing is a finding suggestive of
2. Question: You are on call and receive a phone call from _the_ parents of a 13-year-old
known asthmatic. She has been having chest tightness and a worsening cough for 48 hours. She
has significant nasal discharge that began 14 days ago a...
NURS 6541N, Week 11 Final Exam (2020)
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1. Question: Unilateral wheezing is a finding suggestive of
2. Question: You are on call and receive a phone call from _the_ parents of a 13-year-old
known asthmatic. She has been having chest tightness and a worsening cough for 48 hours. She
has significant nasal discharge that began 14 days ago and intermittent complaint of headache.
She is now running a low-grade fever. Her peak flow _the_ last 48 hours is 70–80% of personal
best. Her temperature right now is 101.7°F. She is on salmeterol with corticosteroid (Advair) and
PRN albuterol. Which of _the_ following is most appropriate?
3. Question: You see a patient you believe has folliculitis. What medication would ... _the_
best to treat this patient? _the_ patient has no allergies.
4. Question: _the_ most common cause of primary amenorrhea is
5. Question: Kelly, your 11-year-old well visit patient, presents to _the_ office with weight
loss, polyuria, and polydipsia. Which of _the_ following do you need to rule out?
6. Question: Children in child care facilities are at greater risk of being ... to which of _the_
following infections?
7. Question: 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?
8. Question: A 14-month-old child has lower extremity bowing, a waddling gait, genu
varum, and is at _the_ 5th percentile for height. Laboratory data include low-normal serum
calcium, moderately low serum phosphate, and ... serum alkaline phosphatase levels,
hyperphosphaturia, and normal parathyroid levels. Which of _the_ following is _the_ most likely
diagnosis?
9. Question: _the_ most common trigger for an acute asthma episode in _the_ very young
child is
10. Question: What is _the_ primary treatment for testicular torsion?
11. Question: When Jason, age 12, slid into homeplate while playing baseball, he ... his
ankle. You are trying to differentiate between a strain and a sprain. You know that a sprain
12. Question: _the_ most common presentation of Hirschprung disease is which of _the_
following?
13. Question: Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes.
She is ... that she will not fit in with her friends anymore because she does not think she can have
all _the_ same snacks _the_y have. How do you respond?
14. Question: Which of _the_ following is not a sign or symptom of congenital
hypothyroidism?
15. Question: You see a 7-year-old boy a day after he was bitten by his pet dog. According to
_the_ mo_the_r, _the_ dog bit _the_ child after he snuck up on _the_ dog and ... his tail. _the_
dog has ... all its vaccinations, including rabies. _the_ child has had no fever, has full movement
of _the_ injured limb, and has no sign of neurologic or vascular injury. _the_ wound is on _the_
child’s forearm, is not deep, and is not bleeding, but has developed about 2 cm of ery_the_ma
surrounding _the_ site. Which of _the_ following is _the_ most appropriate treatment?
16. Question: Robert, your 15-year-old male patient, is here today for a well visit. He is tall
in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal
echocardiogram. Which of _the_ following diagnosis would you suspect Robert as having?
17. Question: An adolescent female presents with a 2-day history of increasing lower
abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to
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, defecate but has an urge to do so. CBC reveals a slightly ... WBC of 14,000, but is o_the_rwise
normal. Serum electrolytes are normal. _the_ next step is
18. Question: Vomiting in infancy has a long list of differential diagnoses. Which of _the_
following o_the_r symptoms would mostly likely point to pyloric stenosis?
19. Question: Which of _the_ following is a characteristic physical sign of fragile X
syndrome in adolescent males?
20. Question: A 3-week old presents to _the_ office in January with a 1-week history of
nasal congestion and occasional 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 le_the_rgic 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 ... cold symptoms. If
_the_ patient has been diagnosed with RSV bronchiolitis, which of _the_ following would be
_the_ treatment of choice?
21. Question: An adolescent who has tall stature, increased arm span, laxity of joints, pectus
excavatum, and abnormal echocardiogram would be expected to have
22. Question: An 18-month-old African American girl is brought to your office because she
has been crying and ... walking today. She will crawl, however. Her mom denies any injury to
_the_ child. On examination, she is crying but consolable in her mo_the_r’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_ mo_the_r that:
23. 23.Question: 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 _the_se is _the_ most likely diagnosis?
24. Question: A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-
ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and _the_
neutrophil count is normal. _the_ most likely etiology is
25. Question: A common cause of in-toeing in childhood is
26. Question: Individuals with chronic adrenal insufficiency often have
27. Question: Which of _the_ following ... be done annually after 1 year of age in a child
with Down syndrome?
28. Question: Sarah, age 13, is markedly obese and has a poor self-image. How do you
differentiate between compulsive eating and bulemia?
29. Question: _the_ peak incidence of osteosarcoma is
30. Question: A 10-year-old boy jumps off a 2-foot wall, twisting his foot and ankle upon
landing. His ankle x-ray reveals a fracture of _the_ distal tibia over _the_ articular surface into
_the_ epiphysis and physis. Based on _the_ Salter-Harris classification for growth plate injuries,
you know this as a
31. Question: One of _the_ most appropriate agents ... to treat influenza A is
32. Question: An essential test in _the_ evaluation of a 2-year-old being managed for
Kawasaki disease is
33. Question: You have a patient with pityriasis rosea. You will recommend all of _the_se
treatments, except
34. Question: A 14-year-old girl from ano_the_r state was followed for 7 years for a history
of insulin-dependent diabetes mellitus. Her hemoglobin A1C is 14.9%. This laboratory test
indicates which of _the_ following?
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