FINAL EXAM:NU665A Primary Care of Child II
FINAL EXAM 2024.2025 ACCURATE FALL
SPRING EXAM (RECOMMENDED)
In the United States, the most common cause of myocarditis in children is:
Viruses
The characteristic that is most concerning in the school-aged child with a cardiac
murmur.
Progressive exercise intolerance
A parent of a child with a history of a benign cardiac murmur states she read that
children with heart disease need to have an antibiotic before dental procedures.
How would you answer the mother as the PNP?
Certain children do need an antibiotic to prevent something called bacterial
endocarditis, but these are children who have had a surgical repair done.
Your next patient is a 12-year-old male here for his well-child exam. When
reviewing his height, weight, and BMI, it is noted that his BMI is in the 90th
percentile. The mother states that her child is "big-boned" and is not concerned
of any cardiovascular disease risk. What would you discuss with the mother?
,Although a risk of cardiovascular disease exists, with a healthy diet and regular
exercise, your son likely will be able to reduce his BMI and reduce his risk.
Your next patient is a 5-year-old child with a history of moderate persistent
asthma. He has been wheezing and coughing for the past two days, and his
mother brings him in today for evaluation. He has been using albuterol every four
hours. His respiratory rate is 13 breaths per minute; his lungs are clear to
auscultation; and no retractions are noted. What may be your assessment and
intervention based on this information?
Your child is breathing slower than normal for his age. We need to send him to
the ER for further intervention.
Your next patient is a 6-year-old male here for his annual influenza vaccine. He
has a history of mild persistent asthma. What would you discuss for medications
when reviewing his asthma action plan?
Your child should continue his low-dose inhaled corticosteroid daily and add
albuterol as needed for an exacerbation.
Which of the following is a common cause of acquired coronary artery disease in
children?
Kawasaki disease
, Your next patient is a 14-year-old female who presents to your office with a
complaint of syncope at school. She had just stood up from her chair at the end of
the day, felt dizzy and nauseous, and then woke up on the floor. She did not hit
her head and woke up within 30 seconds. What is your impression, and what
would you do next?
At this age, children may have these episodes called neurally mediated syncope.
We will schedule an EKG.
A child is brought to the clinic immediately after being stung by a wasp while
playing in the yard. The PE reveals localized redness and edema at the site along
with abdominal tenderness, watery eyes and generalized hives. What is the initial
treatment?
Administer IM epinephrine
A child is brought to the clinic with a generalized annular rash characterized by
raised wheals with pale centers. On PE, the child's lungs are clear and there is no
peripheral edema. A history reveals ingestion of strawberries earlier in the day.
What is the initial treatment?
Diphenhydramine .05-1 mg/kg/dose every 4-6 hours
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