MED SURG FORTIS COLLEGE Graded A+ , LATEST 224
MED SURG FORTIS COLLEGE Graded A+ , LATEST 2024
28. Newborn W.R. has a vascular lesion that will not fade as she gets older. What is your
diagnosis?
- Port-wine stain (nevus flammeus)
29. Vomiting in infancy has a long list of differential diagnosis. Which accompanying symptom would
most likely point to pyloric stenosis?
- Acts hungry after vomiting
30. Which malignancy is associated with genitourinary anomalies?
- Wilm’s tumor
31. A child has mild persistent asthma. Appropriate daily medication should include:
- An inhaled low-dose corticosteroid
32. 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:
- Ocular mobility
33. What diagnosis should be considered if the infant has not passed meconium in the first 24 hours of
life?
- Congenital ganglionic megacolon
34. A child with juvenile idiopathic arthritis (JIA) can present with which asymptomatic
condition that warrants close to follow up?
- Uveitus and needs to have routine ophthalmologic screening with slit-lamp every 3 months if the ANA
is positive.
, MED SURG FORTIS COLLEGE Graded A+ , LATEST 224
35. A 15-month-old failed treatment with amoxicillin for otitis media. At his 2-week recheck, his TM
remained red with distorted landmarks, and he persisted with nasal congestion and poor nighttime
sleeping, and he has had 101 fever for the past 2 days. The next best step would be to treat with:
- A 10-day course of Augmentin
36. Which of the following is an absolute contraindication for use of combined hormonal
contraceptives in adolescent women?
- History of thromboembolism
37. The most common trigger for an acute asthma episode in the very young child is:
- Viral respiratory infections
38. Which of the following findings could be expected to occur in a baby with intussusception?
- Inconsolable screening
39. The appropriate management of Osgood-Schlatter disease includes:
- Decreasing activity, applying ice, and taking prescribing NSAIDS
40. In a healthy, 8-month-old with diarrhea but no dehydration, what would be most appropriate advice to
give parents?
- Give bananas and cereal as tolerated
41. The most common rheumatoid disease of childhood is:
- Juvenile idiopathic arthritis
42. When assessing for croup, what is a common finding on xray?
- Subglottic narrowing (steeple sign)
43. Which chromosomal abnormality is associated with short statue in girls?
- Turner syndrome
44. Which activities are common in a 4-5 year-old child?
- Independent toileting (may need help to wipe)
45. A 14-year-old female presents to the clinic and is demonstrating some hesitancy in discussing
an important issue regarding her self-identity. What is the appropriate actions on behalf of the
clinician?
-The provider should use gender neutral terms to allow the adolescent to feel more comfortable with
discussing this issue
46. The most definitive feature or features for a diagnosing of “growing pains” includes:
-Exclusion of other causes of lower extremity pain
MED SURG FORTIS COLLEGE Graded A+ , LATEST 2024
28. Newborn W.R. has a vascular lesion that will not fade as she gets older. What is your
diagnosis?
- Port-wine stain (nevus flammeus)
29. Vomiting in infancy has a long list of differential diagnosis. Which accompanying symptom would
most likely point to pyloric stenosis?
- Acts hungry after vomiting
30. Which malignancy is associated with genitourinary anomalies?
- Wilm’s tumor
31. A child has mild persistent asthma. Appropriate daily medication should include:
- An inhaled low-dose corticosteroid
32. 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:
- Ocular mobility
33. What diagnosis should be considered if the infant has not passed meconium in the first 24 hours of
life?
- Congenital ganglionic megacolon
34. A child with juvenile idiopathic arthritis (JIA) can present with which asymptomatic
condition that warrants close to follow up?
- Uveitus and needs to have routine ophthalmologic screening with slit-lamp every 3 months if the ANA
is positive.
, MED SURG FORTIS COLLEGE Graded A+ , LATEST 224
35. A 15-month-old failed treatment with amoxicillin for otitis media. At his 2-week recheck, his TM
remained red with distorted landmarks, and he persisted with nasal congestion and poor nighttime
sleeping, and he has had 101 fever for the past 2 days. The next best step would be to treat with:
- A 10-day course of Augmentin
36. Which of the following is an absolute contraindication for use of combined hormonal
contraceptives in adolescent women?
- History of thromboembolism
37. The most common trigger for an acute asthma episode in the very young child is:
- Viral respiratory infections
38. Which of the following findings could be expected to occur in a baby with intussusception?
- Inconsolable screening
39. The appropriate management of Osgood-Schlatter disease includes:
- Decreasing activity, applying ice, and taking prescribing NSAIDS
40. In a healthy, 8-month-old with diarrhea but no dehydration, what would be most appropriate advice to
give parents?
- Give bananas and cereal as tolerated
41. The most common rheumatoid disease of childhood is:
- Juvenile idiopathic arthritis
42. When assessing for croup, what is a common finding on xray?
- Subglottic narrowing (steeple sign)
43. Which chromosomal abnormality is associated with short statue in girls?
- Turner syndrome
44. Which activities are common in a 4-5 year-old child?
- Independent toileting (may need help to wipe)
45. A 14-year-old female presents to the clinic and is demonstrating some hesitancy in discussing
an important issue regarding her self-identity. What is the appropriate actions on behalf of the
clinician?
-The provider should use gender neutral terms to allow the adolescent to feel more comfortable with
discussing this issue
46. The most definitive feature or features for a diagnosing of “growing pains” includes:
-Exclusion of other causes of lower extremity pain
