1-120 of 120
BACKGROUND:
- Low intrauterine AFP levels
- PE = almond shaped eyes w/upslant & flat nasal bridge w/midface hypoplasia; short/broad
hands w/transverse palmar crease.
QUESTION: Which heart defect does this child likely have?
A) Truncus arteriosis
B) Pulm stenosis
C) Common AV valve
,D) Tetralogy of Fallot
CORRECT ANSWER(S):
C) This is Trisomy 21 (Down's)
WRONG ANSWERS:
A)
B)
D)
QUESTION: Which of the following statements is true regarding the oversight of the functions
of the APN?
A) National laws regulate scope of practice for NPs
B) Nursing profession articulates the scope of professional nursing practice and defines its
boundaries
C) NPs licensed in one state are bound by that state's scope of practice when practicing
throughout the country
D) Employers are responsible for ensuring that NPs practice w/in boundaries defined by
state practice acts
CORRECT ANSWER(S):
B)
WRONG ANSWERS:
A) Each state develops own laws
C) Must practice in licensed state
D) Individual NPs are responsible
,BACKGROUND:
- 1 wk old infant
- "Clunk" with adducting legs while applying downward and lateral pressure on knees
QUESTION: What sign is this?
A) Barlow
B) Psoas
C) Ortolani
D) Galeazzi
CORRECT ANSWER(S):
A) Barlow --> DDH
WRONG ANSWERS:
B) Pain elicited by passively extending thigh of pt lying on side --> appendicitis
C) Hip relocation and "clunk" w/abduction of legs and lifting up on trochanters --
>DDH
D) Discrepancy in height of flexed thighs (affected limb is shortened) -->DDH
BACKGROUND:
- 2 wk old infant
- spontaneous vag deliv at 38 wks
- Exclusively breastfeeds
- Elevated phenylalanine levels
- No PE abnormalities
QUESTION: What is the next step in mgmt?
A) Order plasma amino acids
B) Order assay for dihydropteridine reductase
C) Switch to low-phenylalanine formula
, D) Switch to soy formula
CORRECT ANSWER(S):
A) Do this to confirm PKU (def of phenylalanine hydroxylase)
WRONG ANSWERS:
B)
C) Don't do this until confirmed DX
D) This is required for those with galactosemia, no PKU
BACKGROUND:
- 12 yo F
- Low grade fevers on/off x5 wks
- Butterfly rash on cheeks, jt pain, ankle edema, HA, fatigue
QUESTION: What condition do you suspect?
A) Thrombocytosis
B) Elevated ANA
C) + Blood Cultures
D) Skin scrapings + for scabies
CORRECT ANSWER(S):
B) This is SLE
WRONG ANSWERS:
A) Should have thrombocytopenia
C) No an infection
D) Not scabies
BACKGROUND:
- Low intrauterine AFP levels
- PE = almond shaped eyes w/upslant & flat nasal bridge w/midface hypoplasia; short/broad
hands w/transverse palmar crease.
QUESTION: Which heart defect does this child likely have?
A) Truncus arteriosis
B) Pulm stenosis
C) Common AV valve
,D) Tetralogy of Fallot
CORRECT ANSWER(S):
C) This is Trisomy 21 (Down's)
WRONG ANSWERS:
A)
B)
D)
QUESTION: Which of the following statements is true regarding the oversight of the functions
of the APN?
A) National laws regulate scope of practice for NPs
B) Nursing profession articulates the scope of professional nursing practice and defines its
boundaries
C) NPs licensed in one state are bound by that state's scope of practice when practicing
throughout the country
D) Employers are responsible for ensuring that NPs practice w/in boundaries defined by
state practice acts
CORRECT ANSWER(S):
B)
WRONG ANSWERS:
A) Each state develops own laws
C) Must practice in licensed state
D) Individual NPs are responsible
,BACKGROUND:
- 1 wk old infant
- "Clunk" with adducting legs while applying downward and lateral pressure on knees
QUESTION: What sign is this?
A) Barlow
B) Psoas
C) Ortolani
D) Galeazzi
CORRECT ANSWER(S):
A) Barlow --> DDH
WRONG ANSWERS:
B) Pain elicited by passively extending thigh of pt lying on side --> appendicitis
C) Hip relocation and "clunk" w/abduction of legs and lifting up on trochanters --
>DDH
D) Discrepancy in height of flexed thighs (affected limb is shortened) -->DDH
BACKGROUND:
- 2 wk old infant
- spontaneous vag deliv at 38 wks
- Exclusively breastfeeds
- Elevated phenylalanine levels
- No PE abnormalities
QUESTION: What is the next step in mgmt?
A) Order plasma amino acids
B) Order assay for dihydropteridine reductase
C) Switch to low-phenylalanine formula
, D) Switch to soy formula
CORRECT ANSWER(S):
A) Do this to confirm PKU (def of phenylalanine hydroxylase)
WRONG ANSWERS:
B)
C) Don't do this until confirmed DX
D) This is required for those with galactosemia, no PKU
BACKGROUND:
- 12 yo F
- Low grade fevers on/off x5 wks
- Butterfly rash on cheeks, jt pain, ankle edema, HA, fatigue
QUESTION: What condition do you suspect?
A) Thrombocytosis
B) Elevated ANA
C) + Blood Cultures
D) Skin scrapings + for scabies
CORRECT ANSWER(S):
B) This is SLE
WRONG ANSWERS:
A) Should have thrombocytopenia
C) No an infection
D) Not scabies
