Peds 6541

Peds 6541 Questions And Detailed Answers A 14 year old has pain in the knee. The pain increases with activity and is relieved with rest. the PNP diagnoses Osgood-Schlatter disease and orders. A. An x-ray examination, application of hot pack to the knee, and rest B. application of hot packs to the knee, aspiring, and rest C. a reduction in activity, application of ice to the knee, and ibuprofen D. Application of ice to the knee nad continued participation in sports - C. A reduction in activity, application of ice to the knee, and ibuprofen 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 - B. intraocular pressure A 17 year old sexually active girl with chancres in the genital area is noted to have a positive Venereal Disease Research Laboratories (VDRL) test. The next step would be to. A. Treat with ceftriaxone B. Perform a specific treponemal antibody test C. Culture for C. trachomatis D. Discuss safer sex practices - B. Perform a specific treponemal antibody test A 2 year old female has lymphedema of the hands and feet, with low posterior hairline, cubitus valgus, and a history of IUGR. Which of the following dfects is the most common among the children with these signs? A. Supravalvular aortic valve stenosis B. Mitral valve prolapse C. Dissecting aortic arch D. Coarctation of the aorta - D. Coarctation of the aorta 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 - A. ocular mobility A 4 year old boy is brought in by his mother who is concerned about the sudden onset of a pianful limp in his right leg 2 days ago. Today he has a low grade fever. Which of the following diagnoses is most likely? A. Osgood-Schlatter B. Juvenile iodiopathic arthritis C. Osteomyelitis D. Transient synovitis of the hip - D. Transient synovitis of the hip 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 - D. Oral preventive isoniazid therapy A 7 year old African American female presents with several hyperkeratotic raised periungual lesions on the two middle fingers of her left hand. She has a history of nail biting. The most likely diagnosis is: A. impetigo B. Molloscum contagiousum C. Verruca vulgaris D. Herpetic whitlow - C. Verruca vulgaris