SOLUTIONS GUARANTEE A+
✔✔A 5-year-old presents with lethargy, on exam you note a1-kg weight loss since her
WCC 8 months ago. Your differential diagnosis includes diabetes. Which of the
following is THE MOST common presenting complaint of Type 1 diabetes in children?
A. Polyphagia and BMI >85%
B. Ketoacidosis
C. Arrested growth
D. Polyuria, polydipsia or nighttime enuresis - ✔✔D. Polyuria, polydipsia or nighttime
enuresis
✔✔A 12-year-old female has a recent history of recurrent vaginal yeast infection
effectively treated with miconazole vaginal cream. The child's weight has been in the
95th percentile for several years, but height has only been in the 50th percentile. A
dipstick UA is positive for glucose, and random plasma glucose is 250 mg/dL.
Considering the likely diagnosis, what will be the most appropriate plan of care?
A. Metformin prescription, urine dipsticks for urine glucose monitoring, healthy diet and
exercise regimen
B. Insulin prescription, home glucometer for blood glucose monitoring, healthy diet and
exercise regimen
C. Metformin prescription, home glucometer for blood glucose monitoring, healthy diet
and exercise
D. Insulin prescription, urine dipsticks for urine glucose monitoring, healthy diet and
exercise - ✔✔C. Metformin prescription, home glucometer for blood glucose monitoring,
healthy diet and exercise
✔✔A newborn JT in your care tests positive for PKU. His parents ask if switching his
formula will improve his musty odor. They understand this disorder may impact his brain
development and are requesting an MRI of his brain. As the FNP, you offer the following
explanation of JT's PKU is due to:
A. missing a hormone needed to synthesize important brain chemicals like
norepinephrine, his new formula and supplements will help his brain development. This
is monitored with PKU blood levels and not measurable with the MRI
B. missing a hormone needed to synthesize important brain chemicals like melanin, his
new formula and supplements will help his brain development.
C. This is monitored with PKU blood levels and not measurable with the MRIRI
missing a hormone needed to synthesize important brain chemicals, his new formula
and supplements will help his brain development. This is monitored with an MRI.
D. missing a hormone ne - ✔✔A. missing a hormone needed to synthesize important
brain chemicals like norepinephrine, his new formula and supplements will help his
brain development. This is monitored with PKU blood levels and not measurable with
the MRI
, ✔✔A 7-year-old male has a recent history of viral infection and now presents with
polyuria, polydipsia and a 1.5- kg weight loss. A dipstick UA is positive for glucose, and
random plasma glucose is 350 mg/dL. Considering the likely diagnosis, what will
included in the most appropriate plan of care?
A. Metformin prescription, home glucometer for blood glucose monitoring, healthy diet
and exercise regimen
B. Insulin prescription (sq. infusion via pump or injection), home glucometer for blood
glucose monitoring, healthy diet and exercise regimen
C. Metformin prescription, urine dipsticks for urine glucose monitoring, healthy diet and
exercise regimen
D. Insulin prescription (sq. infusion via pump or injection), urine dipsticks for urine
glucose monitoring, healthy diet and exercise regimen - ✔✔B. Insulin prescription (sq.
infusion via pump or injection), home glucometer for blood glucose monitoring, healthy
diet and exercise regimen
✔✔Reviewing the lab work for a 24-month-old with normal growth here for his Well
Child Check, you note his CBC results: Hgb 11, Hct 33, MCV 78 with decreased serum
Fe, increased Total Iron Binding Capacity and decreased Ferritin. Considering his most
likely diagnosis are the most common presenting signs of in this age group?
A. Splenic enlargement
B. Pallor and fatigue
C. Tachycardia and tachypnea
D. Bruises, petechiae, and mucosal bleeding - ✔✔B. Pallor and fatigue
✔✔Understanding iron deficiency anemia often has a slow insidious onset, you develop
screening protocols. This most common form of anemia is associated with different
risks. Iron deficiency is associated with toddlers who continue to bottle feed milk (which
unlike formula contains no iron) and which additional life periods?
A. The first month of life
B. The period when the child is most sedentary
C. The preschool years
D. Periods of rapid growth - ✔✔D. Periods of rapid growth
✔✔Reviewing the lab work for a 6-year-old vegetarian with normal growth here for his
Well Child Check. You note his CBC results: Hgb 10, Hct 32, MCV 120 and a blood
smear which reveals megaloblastic cells. Considering his most likely diagnosis what is
the most appropriate next lab work to order?
A. Serum Iron levels
B. CBC
C. Peripheral blood smear
D. Serum Folate and B12 levels - ✔✔D. Serum Folate and B12 levels
✔✔You are consulting with a school nurse asking about 5-year-old African-American
child with a sudden onset of a warm painful L knee. She notes his record reveals he