MN580 MIDTERM LATEST
EXAM
An adolescent female who is sexually active and who has not had the
HPV vaccine asks if she may have it. What will the primary care
pediatric NP tell her?
A. Getting the vaccine now will still protect her from HPV oncogenic
types even if already exposed
B. Receiving the HPV vaccine series will replace the need for regular
cervical cancer screening
C. She will need to have Pap and pregnancy screening prior to receiving
the vaccine
D. The vaccine will not protect her from any HPV oncogenic types
acquired previously - ANSWERS-D. The vaccine will not protect her
from any HPV oncogenic types acquired previously
An 18 month old child has bronchopulmonary dyaplasia. The help
prevent pneumococcal disease, which vaccine will be ordered?
A. PCV7
B. PCV13
C. PCV23
END OF
PAGE
1
, MN580 MIDTERM LATEST
EXAM
D. PCV33 - ANSWERS-B. PCV13
A 5 year old who received VariZIG after exposure to varicella while
immunocompromised during chemotherapy is in the clinic 5 months
after stopping chemotherapy for kindergarten vaccines. What will the
primary care pediatric NP order for this child?
A. MMR and Tdap
B. MMR, Varivax, Tdap
C. Tdap only
D. Varivax and Tdap - ANSWERS-B. MMR, Varivax, Tdap
A 3 year old child who attends daycare has had a fever, nausea, and
vomiting several weeks prior and now has darkened urine and
constipation along with hapatomegaly and RUQ tenderness. What
treatment is warranted for this child?
A. HAV vaccine
B. Immunoglobulin G
C. Interferonalfa
END OF
PAGE
2
, MN580 MIDTERM LATEST
EXAM
D. Supportive care - ANSWERS-D. Supportive care
A 10 month old infant who is new to the clinic has chronic hepatitis B
infection. What will the primary care pediatric NP due to manage this
infant's disease?
A. Consult a pediatric infectious disease specialist
B. Prescribe interferonalfa
C. provide supportive care
D. Consider use of lamivudine - ANSWERS-A. Consult a pediatric
infectious disease specialist
The primary care pediatric NP performs a well child examination on a 1
month old. The infant was recently discharged from the NICU after
treatment with parenteral acyclovir for aneonatal herpetic infection and
is currently taking oral acyclovir. What will the NP do to manage the
infant's care?
A. Obtain regular absolute neutrophil counts
B. Perform routine skin cultures for herpes simplex virus
END OF
PAGE
3
, MN580 MIDTERM LATEST
EXAM
C. Reinforce the need to give acyclovir indefinitely
D. Stop the oral acyclovir at 2 months of age - ANSWERS-A. Obtain
regular absolute neutrophil counts
A 9 month old infant has had a fever of 103 F for 2 days and now has a
diffuse maculopapular rash that blanches on pressure. The infant's
immunizations are up to date. What will the primary care pediatric NP
do?
A. Administer immunoglobulin G to prevent fulminant illness
B. Perform serologic testing for human herpes virus 6 and human herpes
virus 7
C. Reassure the parent that this is a mild, self-limiting disease
D. Recommend avoiding contact with pregnant women - ANSWERS-C.
Reassure the parent that this is a mild, self-limiting disease
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules. What will the primary care pediatric NP
do?
A. Adminiter varicella immune globulin (VariZIG)
END OF
PAGE
4
EXAM
An adolescent female who is sexually active and who has not had the
HPV vaccine asks if she may have it. What will the primary care
pediatric NP tell her?
A. Getting the vaccine now will still protect her from HPV oncogenic
types even if already exposed
B. Receiving the HPV vaccine series will replace the need for regular
cervical cancer screening
C. She will need to have Pap and pregnancy screening prior to receiving
the vaccine
D. The vaccine will not protect her from any HPV oncogenic types
acquired previously - ANSWERS-D. The vaccine will not protect her
from any HPV oncogenic types acquired previously
An 18 month old child has bronchopulmonary dyaplasia. The help
prevent pneumococcal disease, which vaccine will be ordered?
A. PCV7
B. PCV13
C. PCV23
END OF
PAGE
1
, MN580 MIDTERM LATEST
EXAM
D. PCV33 - ANSWERS-B. PCV13
A 5 year old who received VariZIG after exposure to varicella while
immunocompromised during chemotherapy is in the clinic 5 months
after stopping chemotherapy for kindergarten vaccines. What will the
primary care pediatric NP order for this child?
A. MMR and Tdap
B. MMR, Varivax, Tdap
C. Tdap only
D. Varivax and Tdap - ANSWERS-B. MMR, Varivax, Tdap
A 3 year old child who attends daycare has had a fever, nausea, and
vomiting several weeks prior and now has darkened urine and
constipation along with hapatomegaly and RUQ tenderness. What
treatment is warranted for this child?
A. HAV vaccine
B. Immunoglobulin G
C. Interferonalfa
END OF
PAGE
2
, MN580 MIDTERM LATEST
EXAM
D. Supportive care - ANSWERS-D. Supportive care
A 10 month old infant who is new to the clinic has chronic hepatitis B
infection. What will the primary care pediatric NP due to manage this
infant's disease?
A. Consult a pediatric infectious disease specialist
B. Prescribe interferonalfa
C. provide supportive care
D. Consider use of lamivudine - ANSWERS-A. Consult a pediatric
infectious disease specialist
The primary care pediatric NP performs a well child examination on a 1
month old. The infant was recently discharged from the NICU after
treatment with parenteral acyclovir for aneonatal herpetic infection and
is currently taking oral acyclovir. What will the NP do to manage the
infant's care?
A. Obtain regular absolute neutrophil counts
B. Perform routine skin cultures for herpes simplex virus
END OF
PAGE
3
, MN580 MIDTERM LATEST
EXAM
C. Reinforce the need to give acyclovir indefinitely
D. Stop the oral acyclovir at 2 months of age - ANSWERS-A. Obtain
regular absolute neutrophil counts
A 9 month old infant has had a fever of 103 F for 2 days and now has a
diffuse maculopapular rash that blanches on pressure. The infant's
immunizations are up to date. What will the primary care pediatric NP
do?
A. Administer immunoglobulin G to prevent fulminant illness
B. Perform serologic testing for human herpes virus 6 and human herpes
virus 7
C. Reassure the parent that this is a mild, self-limiting disease
D. Recommend avoiding contact with pregnant women - ANSWERS-C.
Reassure the parent that this is a mild, self-limiting disease
A child who is immunocompromised has a fever and a rash consisting of
macules, papules, and pustules. What will the primary care pediatric NP
do?
A. Adminiter varicella immune globulin (VariZIG)
END OF
PAGE
4
