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A 6-year-old complains of general feeling of lethargy and nausea as well as fever and
back pain for a few days. The mother thinks the child is dehydrated since he has not
been urinating at his usual frequency. You notice a history of streptococcal infection.
What is the most likely diagnosis?
a. Enuresis
b. UTI
c. Hypospadias
d. Glomerulonephritis - CORRECT ANSWER d. Glomerulonephritis
What is a birth defect of the male urethra, a condition in which the opening of the penis
is on the underside rather than the tip.
a. Enuresis
b. UTI
c. Hypospadias
d. Glomerulonephritis - CORRECT ANSWER c. Hypospadias
What is nighttime loss of bladder control, or bed-wetting, usually in children.
a. Enuresis
b. UTI
c. Hypospadias
d. Glomerulonephritis - CORRECT ANSWER a. Enuresis
What condition is the absence of one or both testes from the scrotum?
a. Cryptorchidism
b. UTI
c. Hypospadias
d. Glomerulonephritis - CORRECT ANSWER a. Cryptorchidism
Concerning sexual awareness, during which Tanner Stage do boys typically begin
masturbating?
a. Stage I
b. Stage II
c. Stage IV
d. Stage III - CORRECT ANSWER d. Stage III
, A patient was recently diagnosed with Alzheimer's disease. He is complaining of
difficulty remembering simple things, such as his wife's birthday. Based on his
symptoms, which of the following medication would you NOT recommend?
a. Galantamine
b. Rivastigmine
c. Fluvoxamine
d. Donepezil - CORRECT ANSWER c. Fluvoxamine
The other medications are cholinesterase inhibitors and used for the treatment of
Alzheimer's
A 5-year-old girl has sickle cell anemia, but otherwise her growth and development are
normal. Which vaccination is the highest priority?
a. DTaP vaccine
b. Rotavirus vaccine
c. PPSV23
d. IPV (inactivated poliovirus vaccine) - CORRECT ANSWER c. PPSV23
Which vaccine should NOT be administered after 32 weeks of age?
a. DTaP vaccine
b. Rotavirus vaccine
c. PPSV23
d. IPV (inactivated poliovirus vaccine) - CORRECT ANSWER b. Rotavirus vaccine
A mother feeds her baby goat's milk to reduce gas. Labs indicate that the child has a
low hematocrit, which causes the mother to be worried the child may have sickle cell
anemia. Although she is not a carrier, the father has not been tested. Which of the
following counts would best help to determine the child's mostly likely condition?
a. WBC
b. Reticulocytes
c. Platelets
d. Howell-Jolly bodies - CORRECT ANSWER b. Reticulocytes
Although a reticulocyte count can help diagnose sickle cell anemia, it is also appropriate
for diagnosing IDA, which can result from feeding an infant animal milk (goat's milk)
Which is a distinctive finding of sickle cell anemia; however, if one parent lacks the
sickle cell gene, there is NO chance the child will have it.
a. WBC
b. Reticulocytes
c. Platelets
d. Howell-Jolly bodies - CORRECT ANSWER d. Howell-Jolly bodies
A patient is seeking an IUD, what would you advise her regarding the average first-year
failure and expulsion rates of IUDs?
a. Failure rate up to 15%; expulsion rate up to 30%