Question 1
1 out of 1 points
An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a routine part of the
... [Show More] clinical management?
Selected Answer: c.
School excuse to not participate in recess and/or physical education activities
Question 2
1 out of 1 points
A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn's disease?
Selected Answer: b.
Blood, mucous diarrhea
Question 3
1 out of 1 points
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is
Selected Answer: a.
Trial of ranitidine (Zantac)
Question 4
1 out of 1 points
Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next action?
Selected Answer: a.
Rule out a neurologic disorder.
Question 5
0 out of 1 points
A 15-year-old girl has experienced abdominal pain, vomiting, and lethargy for 3 days. Her chest and throat examinations are clear, but her abdominal examination is significant for right lower quadrant pain. Rectal examination is equivocal for pain, and her pelvic examination is remarkable for pain upon movement of her cervix. Laboratory data include elevated white blood cell count, serum glucose level of 145 mg/dL, and serum bicarbonate level of 21mEq/dL. Her urinalysis is remarkable for 1+ white blood cells, 1+ glucose, and 1+ ketones. Which of the following is the most likely diagnosis?
Selected Answer: a.
Appendicitis
Question 6
0 out of 1 points
A previously healthy male has a 3-month history of increasing headaches, blurred vision, and personality changes. Previously he admitted to marijuana experimentation more than 1 year ago. On examination he is a healthy, athletic-appearing 17-year-old with decreased extraocular range of motion and left eye visual acuity. Which of the following is the best next step in his management?
Selected Answer: e.
Urine drug screen
Question 7
1 out of 1 points
Kelly, your 11-year-old well visit patient, presents to the office with weight loss, polyuria, and polydipsia. Which of the following do you need to rule out?
Selected Answer: c.
Diabetes mellitus
Question 8
0 out of 1 points
Lisa has Cushing's syndrome. You would suspect her to have or to develop
Selected Answer: d.
Generalized increased pigmentations of the skin
Question 9
1 out of 1 points
Tracy, the mother of a 2-year-old, is concerned because her daughter walks on her toes all the time. What do you tell her?
Selected Answer: b.
Toe walking is considered normal until [Show Less]