NRNP 6541 Week 9 Quiz-Knowledge Check

1. Question:Ana is a 14-year-old female and has not yet started her menstrual cycle. The history is noncontributory and the physical is normal. Mom started her menstrual cycle at 14-years of age. Ana's breast development and pubic hair began about a year ago. Mom is very concerned. The most appropriate initial step would be to 2. Question:Hypercholesterolemia in children older than 2 is defined as a total cholesterol at or above 3. Question:The most common presentation of Hirschprung disease is which of the following? 4. Question:Which of the following is not a sign or symptom of congenital hypothyroidism? 5. Question:Which of the following is not found in an adolescent with untreated Graves' disease? 6. Question:Dave, age 17, has gynecomastia. You should also assess him for 7. Question:The peak incidence of osteosarcoma is 8. Question:A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence ofpolycystic ovarian syndrome? 9. Question:Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram. Which of the following diagnosis would you suspect 10. Question:The most accurate way to determine the degree of dehydration in a vomiting child is to assess 11. Question:Which of the following is not associated with congenital adrenal hyperplasia? 12. Question:A common presenting symptom of inflammatory bowel disease is 13. Question:The following clinical description best matches which genetic disorder? A tall, thin 14- year-old boy has no signs of puberty. He was delayed in his speech development and always has done less well in school than his siblings. He is shy, and teachers report his activity is immature. Physical examination reveals breast development, and long limbs with a decreased upper segment/lower segment ration. He has smalltestes and phallus. 14. Question:What does a low level of thyroid stimulating hormone (TSH) indicate? 15. Question:The following clinical description best matches which genetic disorder? A 15-year-old girl with primary amenorrhea is noted to be well below the 5th percentile for height. She has hypertension, a low posterior hairline, prominent and low-set ears, andexcessive nuchal skin. 16. Question:A 16-year-old girl has enuresis, frequent urination, a white vaginal discharge, and a dark rash around her neck. Her serum glucose level is 250 mg/dL, and her urinalysis 17. Question:The appropriate lab tests in assessment of cervical adenitis include all of thefollowing except: 18. Question:Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans. 19. Question:Which malignancy is associated with genitourinary anomalies? 20. Question:Primary dysmenorrhea is due to