, 4. **A pediatric patient has scaling areas on the scalp with round patches of hair
loss. What does this indicate?**
- a) Tinea capitis
- b) Seborrheic dermatitis
- c) Trichotillomania
- d) Alopecia areata
Answer: a) Tinea capitis
Explanation: Tinea capitis, a fungal infection, often presents with hair loss and
scaling.
5. **During a visual acuity test, the nurse practitioner notes 20/30 vision in the left
eye and 20/40 in the right eye. What should be done next?**
- a) Have the patient return in two weeks for a follow-up
- b) Dilate the eye and retest
- c) Refer the patient to an ophthalmologist
- d) Document this as a normal finding
Answer: c) Refer the patient to an ophthalmologist.
Explanation: Significant discrepancies in visual acuity warrant consultation with a
specialist.
6. **According to the DSM by the American Psychiatric Association, how is
Munchausen Syndrome by Proxy defined?**
- a) A self-inflicted injury to gain attention
- b) A caregiver fabricating or inducing illness in someone under their care
- c) An abusive behavior that doesn't involve the caregiver