A 4-year-old has a 3-day history of sore throat, fever (101ºF to 103ºF), headache, and one episode of vomiting. The physical examination reveals +2 to
... [Show More] +3 tonsils, palatal petechial, erythema, and a clear nasal discharge. The PNP's best course of action is to:
A) Discuss medications for seasonal allergies
B) Prescribe an antibiotic because the child has classic symptoms of a strep throat
C) Perform a throat culture before prescribing an antibiotic
D) Suggest only symptomatic treatment, because the causative virus needs to run its course
A well-child examination has been completed on a 1-year-old child who appeared slightly pale. The results of the routine CBC are as follows: hemoglobin, 7.8 mcg/dL; mean corpuscular volume, decreased; and red cell distribution width, elevated. The remainder of the CBC is normal. What would be the most likely cause of this child's anemia?
A) Thalassemia
B) Megaloblastic anemia
C) Iron deficiency
D) Lead poisoning
The most appropriate treatment for axillary adenitis in a 3-year-old on the day after sustaining two small puncture wounds from the family dog would be:
A) Amoxicillin/clavulanate potassium
B) Dicloxacillin
C) Cephalexin
D) Rabies immune globulin
What causes physiologic jaundice (unconjugated hyperbilirubinemia)?
A) Decreased reabsorption of bilirubin from the intestine
B) Decreased survival of fetal red blood cells
C) Increased caloric intake
D) Decreased red blood cell volume
A father brings his 15-month-old to the clinic reporting that the child is constantly ill and presently has nasal congestion and a runny nose. The child has a history of four episodes of otitis media and associated cough that is loose and sporadic in nature. The father and the extended family are convinced that the child has allergies. What should the PNP do next to manage this child?
A) Refer the child for intradermal allergy testing
B) Investigate the child's exposure to illness (including day care)
C) Determine whether the child is teething
D) Prescribe an antihistamine
A 9-year-old presents with irritability and a history of multiple seasonal allergies. The physical examination results are normal. The PNP suspects the cause of the irritability to be:
A) Vitamin C
B) Monosodium glucometer (MSG)
C) Antihistamines
D) Ibuprofen
An 8-year-old is brought to the clinic with "hard bumps" in the neck area and axillae for the past week. The child has been living with grandparents for the past 6 months and visits a nursing home frequently. The history is negative for other symptoms such as weight loss. Upon exam the nodes are enlarged but painless. The PNP is suspicious of:
A) Epstein-Barr virus (EBV)
B) Cytomegalic virus (CMV) infection
C) Histoplasmosis
D) Tuberculosis (TB)
While examining a 2-month-old, the PNP notices leukocoria. This is the most common physical finding associated with:
A) Neuroblastoma
B) Retinoblastoma
C) Retrolental fibroplasia
D) Congenital cataracts
Which of the following patients should be referred for further developmental evaluation?
A. Term 12-month-old child not walking independently whose older sibling walked at 10 months
B. Premature 7-month-old child born at 28 weeks gestation not sitting independently
C. Term 12-month-old infant not using single words
D. Term 6-month-old infant with poor head control [Show Less]