You are seeing an adolescent who has tall stature, arachnodactyly, laxity of joints,
pectus excavatum and an abnormal echocardiogram. You suspect this adolescent has
this diagnosis.
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Marfan syndrome
A 10 month old has been diagnosed with gastroenteritis he attends a child care
facility, you should check to see if he has had this vaccination.
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Rotavirus
,A school-age child who has an abrupt onset of sore throat, nausea, headache, and a
temperature of 102.3 F. An examination reveals petechiae on the soft palate, beefy-
red tonsils with yellow exudate, and scarlatiniform rash. A rapid antigen detection test
(RADT) is negative, what is the next step in the management for this child?
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Perform a follow-up throat culture
Concurrent otitis media and conjunctivitis is likely due to which organism.
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Haemophilus Influenza
A school-aged child has had nasal discharge and a daytime cough but no fever for 12
days without improvement in symptoms. The child has not had antibiotics recently and
there is no significant antibiotic resistance in the local community. What is the
appropriate treatment for this child?
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Amoxicillin 45mg/kg/day (treatment of acute rhinosinusitis (ARS) based on
duration of symptoms without clinical improvement in symptoms)
School aged children should grow this many inches per year per year.
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, 2.5
puberty before this age in females is considered precocious
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Age 8
Your next patient is a 13-year-old male presenting with his mother for a well-child visit.
His mother expresses concern about the high-risk behaviors that she has read about
in adolescence and asks whether there is any way to reduce his chance of risky
behavior. How would the PNP respond?
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Providing your son with a close family and being active in his extra-
curricular activities are protective factors that are known to reduce risk-
taking behavior in the growing adolescent.
The PNP is examining a school-age child who complains of frequent stomach pain
and headache. The patient reports that the child misses several days of school each
month. The child has a normal exam. Before proceeding with further diagnostic tests,
what will the NP initially ask the parent?
Give this one a try later!
pectus excavatum and an abnormal echocardiogram. You suspect this adolescent has
this diagnosis.
Give this one a try later!
Marfan syndrome
A 10 month old has been diagnosed with gastroenteritis he attends a child care
facility, you should check to see if he has had this vaccination.
Give this one a try later!
Rotavirus
,A school-age child who has an abrupt onset of sore throat, nausea, headache, and a
temperature of 102.3 F. An examination reveals petechiae on the soft palate, beefy-
red tonsils with yellow exudate, and scarlatiniform rash. A rapid antigen detection test
(RADT) is negative, what is the next step in the management for this child?
Give this one a try later!
Perform a follow-up throat culture
Concurrent otitis media and conjunctivitis is likely due to which organism.
Give this one a try later!
Haemophilus Influenza
A school-aged child has had nasal discharge and a daytime cough but no fever for 12
days without improvement in symptoms. The child has not had antibiotics recently and
there is no significant antibiotic resistance in the local community. What is the
appropriate treatment for this child?
Give this one a try later!
Amoxicillin 45mg/kg/day (treatment of acute rhinosinusitis (ARS) based on
duration of symptoms without clinical improvement in symptoms)
School aged children should grow this many inches per year per year.
Give this one a try later!
, 2.5
puberty before this age in females is considered precocious
Give this one a try later!
Age 8
Your next patient is a 13-year-old male presenting with his mother for a well-child visit.
His mother expresses concern about the high-risk behaviors that she has read about
in adolescence and asks whether there is any way to reduce his chance of risky
behavior. How would the PNP respond?
Give this one a try later!
Providing your son with a close family and being active in his extra-
curricular activities are protective factors that are known to reduce risk-
taking behavior in the growing adolescent.
The PNP is examining a school-age child who complains of frequent stomach pain
and headache. The patient reports that the child misses several days of school each
month. The child has a normal exam. Before proceeding with further diagnostic tests,
what will the NP initially ask the parent?
Give this one a try later!
