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PEDIATRICS exam 3 questions 2024/2025
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PEDIATRICS exam 3 questions 2024/2025 PEDIATRICS exam 3 questions 2024/2025 PEDIATRICS exam 3 questions 2024/2025
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PEDIATRICS exam 3 questionsWhich of these muscles is not considered a rotator cuff muscle?
a. Supraspinatus
b. Teres major
c. Infraspinatus
d. Subscapularis - ANS b. Teres major
The rotator cuff muscles include the supraspinatus, infraspinatus, subscapularis, and teres minor.
The Lachman test is specifically testing for which knee ligament?
Anterior cruciate ligament
Posterior cruciate ligament
Medial collateral ligament
Lateral collateral ligament - ANS Anterior cruciate ligament
The Lachman test tests for anterior cruciate ligament (ACL) tears.
Which is not considered a sign, symptom, or history factor of rheumatoid arthritis?
Multiple joint involvement
Positive family history
30 to 60 minutes of stiffness in morning
More common in women than in men - ANS 30 to 60 minutes of stiffness in morning
Morning stiffness typically lasts more than 1 to 2 hours.
,The medical term for "knock-kneed" is
genu recurvatum
genu abductus
genu valgus
genu varus - ANS The medical term for knock-kneed is genu valgus.
The Ottawa rules say ankle X-rays are indicated for all but
a. point tenderness over medial malleolus
b. inability to walk after injury
c. swelling over lateral malleolus
d. point tenderness over lateral malleolus - ANS c. swelling over lateral malleolus
The Ottawa ankle rules do not include edema.
If a person can move a joint through the entire range motion against gravity, but not against resistance,
they are considered to have what grade of strength?
a. 2
b. 3
c. 4
d. 5 - ANS b. 3
A strength grade of 3 indicates a person can move a joint through the entire range motion against
gravity, but not against resistance.
A Popeye deformity is a sign of what injury?
,a. Rotator cuff tear
b. Biceps tendinitis
c. Proximal biceps rupture
d. Lateral epicondylitis - ANS c. Proximal biceps rupture
The dorsum of the foot is innervated by what nerve root?
a. L3
b. L4
c. L5
d. S1 - ANS c. L5
Gower's sign is typically associated with which disease?
Muscular dystrophy
Cerebral palsy
Rheumatoid arthritis
Osteoarthritis - ANS Muscular dystrophy
A positive Trendelenburg sign is indicative of weakness to what muscle?
a. Gluteus medius
b. Vastus lateralis
c. Gluteus maximus
d. Semimembranosus - ANS a. Gluteus medius
An athlete comes in for a preparticipation physical examination to a convenience care clinic. He has a
blood pressure of 134/74. He denies any cardiac symptoms including headache, chest pain, or shortness
of breath. What should the clinician do?
, a. Provide clearance for the athlete and tell him to follow-up with his primary care clinician for a blood
pressure recheck in 2 to 3 weeks.
b. Deny clearance for the athlete and ask him to return to his primary care clinician for a blood pressure
recheck in 2 to 3 weeks.
c. Deny clearance for the athlete and refer him to a pediatric cardiologist.
d. Provide clearance for the athlete without any further stipulations. - ANS a. Provide clearance for the
athlete and tell him to follow-up with his primary care clinician for a blood pressure recheck in 2 to 3
weeks.
Per the American Academy of Family Physicians, the American College of Sports Medicine, the
American Medical Society of Sports Medicine, and the American Academy of Pediatrics pre-
participation examination guidelines (2010), the athlete with stage I or stage II hypertension without
signs of target organ damage should have no restrictions on sports participation. If the athlete has stage
I or stage II hypertension with signs of target organ damage, sports participation should be restricted
until his or her blood pressure is controlled (as evidenced by two blood pressure readings under 130/80
at least 2 weeks apart) and any symptoms of target organ damage have resolved. If an elevated blood
pressure is found at the initial examination, the athlete is permitted to participate in his or her sport
until the follow-up visit. Elevated blood pressures need to be repeated in several days.
Which would be a cause to restrict sports participation?
a. Pectus excavatum
b. Sinus arrhythmia
c. Mononucleosis
d. Myopia - ANS c. Mononucleosis
Some of the physical characteristics of Marfan syndrome include
a. myopia, mitral valve prolapse, and increased limb length
b. joint hyperflexibility, hypertension, and shortness of breath
c. pectus carinatum, hindfoot deformity, and asthma
d. scoliosis, tinea corporis, and webbed fingers - ANS a. myopia, mitral valve prolapse, and increased
limb length
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