MN 580: Final Exam
The most common reason for precocious puberty in girls is:
When billing Medicaid, NPs get the authority to bill their services from:
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed doxycycline. He returns in 3 weeks, complaining that his skin is...
1). The most common reason for precocious puberty in girls is:
Ans: Early onset of normal puberty
2). When billing medicaid, nps get the authority to bill their services from:
Ans: State and federal law
3). You have initiated therapy for an 18 yom with acne vulgaris and have prescribed
doxycycline. he returns in 3 weeks, complaining that his skin is no better. your next action is
to:
Ans: Counsel him that 6-8 weeks of treatment is often needed before significant
improvement is achieved
4). For a grade i ankle sprain, weight-bearing should be avoided for at least:
Ans: 24 hours
5). Hemoglobin a1c best provides information on glucose control over the past:
Ans: 21-47 days
6). 18 yom presents with periumbilical pain, vomiting, and abdominal cramping over the past
48 hours. physical examination reveals rebound tenderness and laboratory analysis shows
the presence of bandemia and a total wbc of 28,000. to support the diagnosis of acute
appendicitis with suspected appendiceal rupture, you consider obtaining the following:
Ans: CT scan
7). 2 yof presents with a 3-day history of fever, crankiness, and congested cough. her
respiratory rate is more than 50% of the upper limits of normal for age. tubular breath
sounds are noted at the right lung base. skin turgur and normal, and she is wearing a wet
diaper. she is alert, resisting the examination as age appropriate, and engages in eye
contact. temperature is 38.3. her diagnostic evaluation should include:
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, Ans: Chest x-ray
8). Aortic stenosis in a 15 yom is:
Ans: A result of a congenital defect
9). Which of the following laboratory tests can identify the causative organism of bronchiolitis?
Ans: Nasal washing antigen test
10). A still murmur:
Ans: Has a humming or vibratory quality
11). A physiological murmur has which of the following characteristics?
Ans: Becomes softer when the patient moves from supine to standing
12). Cyclic vomiting may:
Ans: Not be associated with a headache
13). 5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18,
dehydrated and drinks breast milk, jaundice. interventions?
Ans: Interventions: all of the above (phototherapy, providing support, strict I/O)
14). Infant with dehydration. weight 6kg, watching i/o, adequate hydration, urinary output. how
much fluid would you give?
Ans: 13 ml/kg/hour
15). Pcp diagnosed 5 year old with asthma. prescribes po steroid and saba via metered-dose
inhaler. what information is important to give?
Ans: Make recommendations for disease mamagement
16). 18 month old presents with rectal temperature of 100.4, acting normal. np would
recommend:
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