NR602 Week 1 Quiz
The Tanner scale (5 stages) of sexual maturity rating allows for accurate classification of physical pubertal
maturation. During the examination of your patient, you notice that the pubic hair is increased in
quantity, is darker, and is present in the typical female triangle but in a smaller quantity. Which of the
following Tanner Stages does this description meet?
a. Tanner stage 1
b. Tanner stage 11
c. Tanner stage 111
d. Tanner stage 1V
c. Tanner stage 111
John, age 5, was diagnosed with ruptured tympanic membrane as a result of acute otitis media 2
weeks ago. He was treated with oral antibiotics at the time of diagnosis and has finished his course. He
has no purulent drainage. His plan of care should include:
a. Refer to an ENT for evaluation and treatment
b. Educate the parents about the strategies to prevent water from entering the middle ear
c. continue the oral antibiotics to prevent infetion until the tympanic membrane heals
d. use topical antibiotic drops to prevent infection until the tympanic membrane heals
b. Educate the parents about the strategies to prevent water from entering the middle ear
You see a healthy 18 month old for a well child visit. At the 12 month visiti he received the diptheria,
tetanus and accellular pertussis (DTaP) third dose, hepatitis B second dose, measelm, mumps and rubella
(MMR), injected poliovirus (IPV) second dose, pneumococcao conjugate (PCV13) fourth dose and
Haemophilus influenzae type B 9HIB) fourth dose. Which of the following do you
a. Varicella adn DTaP
b. DTap, varicella, hepatitis A and hepatitis B
c. DTaP, IPV, varicella, PCV13 and hepatitis B
d. Hib, PCV13 and hepatitis A
b. DTap, varicella, hepatitis A and hepatitis B
A 7 year old presents with a complaint of ear pain with purulent discharge. He states it hurts when he
is lying on the affected side and when anyone touches his pinna. The most likely diagnosis is:
, a. Otitis media with effusion
b. Otitis externa
c. Acute Otitis media
d. Otitis interna
b. Otitis externa
A 7 year old presents to your office with several linear, curved lines approximately 4 millimeters in length
that end in a papule. The lines are near the umbilicus and waist area. He complains about severe itching
that is worse at night. You suspect
a. scabies
b. hives
c. fleas
d. ticks
a. scabies
An expected milestone of a 4 year old is the ability to:
a. imitate a square, copy a cross or circle and draw a person in three parts
b. copy a triangle and balance on each foot for 5 seconds
c. imitate a vertical line, build a tower of 6 cubes and name 4 pictures
d. draw a person in six parts and balance on each foot for 6 seconds
a. imitate a square, copy a cross or circle and draw a person in three parts
Thalia is a fifteen year old who is referred to your woman's health practice by her school counselor. he
has macromastia and has been teased and ridiculed by her classmates at school. Which of the following
would be the first step in dealing with this problem?
a. encourage Thalia to wear loose clothing and a bra with strong support
b. refer Thalia to a therapist for counseling and support, including anti-bullying
c. Assess Thalia's Tanner staging for breasts and date of menarche
c. Assess Thalia's Tanner staging for breasts and date of menarche
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