Peds 6541 Study Guide 2024

A mantoux test in a child with no risk factors is considered postiive with a reaction of A. at least 5 mm induration B. at least 8 mm induration C. At least 10 mm induration D. at least 15 mm induration - ANSWERSD. at least 15 mm induration You have ordered routine blood screening for a 2 year old girl who because of dietary habits is at risk for IDA. Which of the following findings is not associated with IDA. A. Hypochromic RBC B. Microcytic RBC C. Low reticulocyte count D. Low free erythrocyte protoporphin level - ANSWERSD. Low free erythrocyte protoporphin level A tenderness is detected over the tibial tuberosity of a 10 year old boy during a routine examination at a school-based clinic. The PNP know that this may be a sign of- A. Osgood-Schlatter B. Blount's disease C. Plantar fascitis D. Effusion in the joint space - ANSWERSA. Osgood-Schlatter disease Which one of the following conditions increases the risk of developing hydrocephalus? A. Bilateral cephalohematomas B. Craniosynostosis C. Prematurity D. Familial macrocephaly - ANSWERSC. Prematurity Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by obtaining which one of the following? A. Cervical swab of the mother B. Urine PCR from the mother C. culture of the eye discharge D. culture of the conjunctival scrapings - ANSWERSD. Culture of the conjunctival scrapings A 3 year old has an edematous, mildly erythematous right upper eyelid for 1 day with a fever of 103. An important eye assessment would be A. ocular mobility B. Conjunctival inflammation C. Pupillary reaction D. Optic disc papilledema - ANSWERSA. ocular mobility Concurrent otitis media and onjunctivitis is likely due to which organism? A. Streptococcus pneumoniae B. Haemophilus influenzae C. Moraxella catarrhalis D. Staphyloccocus aureaus - ANSWERSB. Haemophilus influenzae A 16 year old was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids with 5 out of 10 eye pain. All but which of the following would be appropriate to obtain at this time? A. visual acuity B. Intraocular pressure C. CT scan D. Fluoroscein test - ANSWERSB. intraocular pressure a 7 year old has experience recurrent epistaxis in the past 2 months. Which finding on the physical exam would suggest an underlying medical cause for the epistaxis? A. Wheezing B. Grade ii murmur C. Petechiae D. tonsil hypertrophy - ANSWERSC. Petechiae What complication of sinusitis are adolescent males more prone to? A. Intracranial abscess B. Potts puffy tumor C. Orbital cellulitis D. Dental infection - ANSWERSA. Intracranial abscess A 9 month old is noted to have a bifid uvula. This would increase his risk of developing which disorder? A. Otitis media B. Retropharyngeal abscess C. Sinusitis D. Dental malocclusion - ANSWERSA. Otitis media Initial exposure to the herpes virus may produce all of the following except: A. Fever and dehydration B. Submandibular lymph nodes C. Vesicular lesions on tonsils D. Friable and edematous gingiva - ANSWERSC. Vesicular lesions on tonsils In addiction to penicillin, all of the following antibiotics can be used to treat strep phayrngitis except: A. clindamycin B. Erythromycin C. Bactrim D. Ceftriaxone - ANSWERSC. Bactrim Appropriate lab tests to obtain in assessment of cervical adentis would include all of the following except. A. Throat culture B. mono test C. PPD test D. Blood culture - ANSWERSD. Blood culture A common cause of congestive heart failure in the first year of life is A. pulmonary stenosis B. Ventricular septal defect C. Rheumatic fever D. Complete heart block - ANSWERSB. VSD Characteristics of a venous hum include: A. a systolic murmur B. Radiation over the precordium C. A marked decrease or disappearance of the murmur when the child is supine D. Heard best at the lower left sternal border - ANSWERSC. A marked decrease or disappearance of the murmur when the child is supine A 9 year old boy presents with a fever of 102 and complaints of leg pains. His mother reports that he had an upper respiratory infection with a sore throat approximately 2 weeks ago, which subsided without therapy. On physical examination, he has tender swollen knees bilaterally. His heart rate is 120 beats per minute and a blowing systolic murmur is heart at the apex. No murmur was noted at a previous well child visit. The most likely diagnosis is: A. Kawasaki disease B. Rheumatic fever C. Sickle cell anemia D. viral illness - ANSWERSB. Rheumatic fever The most common clinical presentation of pneumonia include: A. Cough, fever, tachypnea, and abdominal pain B. Hempotysis, putrid breath, and weight loss C. Sudden chest pain, cyanosis D. Retractions, stridor - ANSWERSA. Cough, fever, tachypnea, and abdominal pain A 4 year old stays with her great aunt during the day while her mother works. The child's mother has brought her to the clinic because the great aunt has been diagnosed with TB. The child's Mantoux skin test is positive, but there is no clinical or radiographic evidence of disease. Approrpiate management includes. A. Reassuring the mother that no treatment is needed B. Administer another skin test in 3 months C. oral penicillin therapy D. Oral preventive isoniazid therapy - ANSWERSD. Oral preventive isoniazid therapy Which condition is thought to be more apparent in darker skinned individuals or during the summer months? A. Tinea corporis B. Psoriasis C. Pityriasis alba D. pityriasis rosea - ANSWERSC. Pityriasis alba Which of the following management measure or treatments would you not recommend for a patient with atopic dermatitis? A. Topical steroids to affected areas B. wet compresses to affected skin areas C. Maintain a dry warm environment D. elimanate all substances that dry the skin - ANSWERSC. Maintain a dry, warm environment AF was diagnosed with pityriasis alba. Which of the following is proper managment of AF's condition? A. Bland moisturizers to prevent overdrying B. Topical steroids to the affected areas C. Exposure of affected areas to short periods of sunlight each day D. burrows wet compresses to affected areas - ANSWERSA. Bland moisturizers to prevent overdrying MN's condition of psoriasis is common in approximately 33% of children. Which of the following is not correct regarding the etiology or incidence of this condition. A. occurs more commonly in dark-skinned ethnic individuals B. Associated with constant rubbing or trauma to exposed affected areas such as elbows C. Associated with overproduction of