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PNCB 3: Questions & Correct Solutions (Verified)
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PNCB 3: Questions & Correct Solutions (Verified)
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PNCB 3: Questions & Correct Solutions (Verified)Which of the following is least likely to pose a risk of genetic problems?
Right Ans - A history of premature pregnancies.
You have just diagnosed an 18-month-old girl with iron deficiency anemia.
The patient's lab tests indicate that her hemoglobin is 10.9 and her hematocrit
is 32% with a serum ferritin of 25. The patient retains much of her color and
has normal breathing functions. Which of the following is most appropriate
treatment this patient? Right Ans - 3 to 6 mg/kg/day of elemental iron.
You have been treating a 16 year old asthmatic patient with a short term beta
agonist (SABA). He has had fewer than two attacks per week, usually following
exercise, and never needs to take his Saba at night. After two years of living
with the condition, he now inquires about using a steroid inhaler for acute
attacks. You advised him that steroid intake healers are not appropriate
treatment for acute attacks. You and the patient are satisfied with his asthma
control period, however, when would you consider adding a low dose inhaled
steroid to his management? Right Ans - Only if symptoms increased
An inhaled steroid is Right Ans - not used for acute attack management, to
have better tolerance in sports, or in place of a SABA (short term beta agonist)
A mother comes to the emergency room with her very ill nine-month-old son.
The baby is pale and he has a three day history of Jelly like stools, vomiting,
and inconsolable crying. On exam the nurse practitioner notes abdominal
distention, a sausage shaped. Mass in the right upper quadrant, and blood in
the baby's rectum. Which of the following tests would you order to confirm
the diagnosis? Right Ans - Radiograph
Intussusception Right Ans - jelly like stools, vomiting, sausage like mass.
Diagnose with radiograph and barium enema.
Girls in Tanner Stage 3 Right Ans - begin to develop noticeable breasts with
no separate contour to their nipples as well as pubic hair that grows darker
and curlier but is not fully developed
Veracity: Right Ans - honesty in healthcare
, Fidelity Right Ans - Faithful
Beneficence Right Ans - prevent harm and do good
Justice Right Ans - fairness and equal distribution of healthcare in all
groups
A mother who follows a vegan diet is concerned about irritability in her infant
who is exclusively breastfed. She reports that the infant feeds well and has 6-8
wet diapers daily with large, soft stools every other day. Which of the
following INITIAL laboratory studies is MOST appropriate? Right Ans -
complete blood count (CBC) due to b12 deficency
A mildly ill preschooler, with a recent positive rapid strep test, returns with
abdominal pain and erythematous nonblanching lesions on the legs. What is
the MOST likely diagnosis? Right Ans - HSP
Common trigger for HSP Right Ans - Group A Streptococcus
HSP triad Right Ans - non-thrombocytopenic palpable purpura, colicky
abdominal pain, and arthritis
A 9 year old with juvenile idiopathic arthritis was exposed to varicella two
days ago. The child is currently receiving 20 mg of prednisone daily and is
unvaccinated for varicella. What is the BEST course of action? Right Ans -
administer varicella-zoster immunoglobulin because Varicella zoster
immunoglobulin (VZIG) can limit severity or prevent infection
When providing education to caregivers about the delivery of inhaled
medication, which statement is MOST appropriately included? Right Ans -
delivery of metered-dose inhaler medication to lower airways is facilitated by
use of spacer and mask
A female adolescent is considering becoming sexually active. The MOST
appropriate guidance for preventing sexually transmitted infections (STIs)
includes Right Ans - recommending abstinence and correct usage of
condoms.
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