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Caregivers of a typically developing 4 month old report that their infant
takes 4 oz (120 ml) of formula q3h. Physical exam is unremarkable
except for decline in weight to the 20th percentile from the 65th
percentile at 2 months old. Which of the following questions is the BEST
to ask initially?
A. "How are you mixing the formula?"
B. "Are you feeding your baby fruit juices?"
C. "What pureed foods have you introduced?"
D. "How long does your baby sleep without a feeding?"
A
,A preschooler presents with a low-grade fever, respirations 36, spO2
94% in room air. Physical exam reveals crackles and decreased breath
sounds in the left lower lobe. Which of the following is the MOST
appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR
A
A school aged child has a blood pressure of 166/88 mmHg, which has
also been elevated on two previous visits. Which of the following is
MOST appropriate next?
A. Order UA
B. Counsel on reducing sodium intake
C. Refer to cardiology
D. Start antihypertensive medication
A
, An otherwise healthy adolescent male presents with bilateral breast
enlargement for the past 6 months and small masses palpable below the
nipples. The BEST next step is to
A. Obtain thyroid, testosterone, and estradiol levels.
B. Discuss expected resolution within 2 years.
C. Order a bilateral breast ultrasound.
D. Refer to an endocrinologist.
B