The chest circumference of a 12 month-old is:
a. routinely measured on well-child visits.
b. is 1-2cm smaller than head circumference
c. is smaller
... [Show More] than head circumference
d. is equal to head circumference - ANSWER b. is 1-2cm smaller than head circumference
The NP is examining a 3-month old infant what has normal development. She has identified an alopecic area at the occiput. What should be done?
a. Order a TSH
b. Order hydrocortisone cream
c. Suspect child abuse
d. Encourage the caregiver to change the infant's head position. - ANSWER d. Encourage the caregiver to change the infant's head position.
An infant is brought to the NP because his gaze is asymmetrical. Which finding indicates a need for referral to ophthalmology?
a. He is 2 months of age
b. He is 3 months of age
c. He has persistent strabismus
d. His red reflex is normal - ANSWER c. He has persistent strabismus
A tympanic membrane (TM) is erythematous. Which factor listed below is NOT the cause of an erythematous TM?
a. Acute inflammation
b. Coughing
c. High fever
d. Crying - ANSWER b. Coughing
How long should a 6-yo with AOM be treated with an antibiotic?
a. 5 days
b. 5-7 days
c. 10 days
d. Until the erythema has resolved - ANSWER b. 5-7 days
The most common cause of acute pharyngitis in children is:
a. S. pyogenes
b. H. influenzae
c. M. pneumoniae
d. respiratory viruses - ANSWER d. respiratory viruses
Epstein-Barr virus is responsible for:
a. Mononucleosis
b. The most common cause of pharyngitis
c. Most teenage cases of pharyngitis
d. Viral pharyngitis in young children. - ANSWER a. Mononucleosis
A 6yo patient with a sore throat has coryza, hoarseness, and diarrhea. What is the likely etiology?
a. Group A Streptococcus
b. H. parainfluenzae
c. Viral etiology
d. Mycoplasma - ANSWER c. Viral etiology
A 3 yo has been diagnosed with AOM. She is penicillin allergic (Type 1 hypersensitivity reaction). How should she be managed?
a. Amoxicillin
b. Amoxicillin-clavulanate
c. Cefuroxil
d. Clarithromycin - ANSWER d. Clarithromycin
Hand-foot-and-mouth disease and herpangina:
a. both produce pustules on oral mucous membranes
b. potentially can cause orchitis in infected males
c. are viral infections caused by Coxsackie viruses
d. will only occur in the spring and summer - ANSWER c. are viral infections caused by Coxsackie viruses
A young child has an audible murmur. The NP describes it as a grade 4 murmur. How should this be managed?
a. The child should be monitored for other abnormal findings
b. The child should be referred to cardiology
c. An EKG should be performed
d. The nP should palpate to see if a thrill is present - ANSWER b. The child should be referred to cardiology
The NP identifies satellite lesion in a 6 month-old infant. These are:
a. worrisome in an infant this age
b. indicative of candidal infection
c. found in the axilla bilaterally
d. completely benign lesions present at birth - ANSWER b. indicative of candidal infection
A 3 yo female had a fever of 102F for 3 days. Today she woke up from a nap and is afebrile. She has a maculopapular rash. Which statement is true>
a. This child probably has measles
b. The rash will blanch
c. This is a streptococcal rash [Show Less]