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LATEST 2026-2027/ NR 602 WEEK 8 FINAL EXAM (CORRECT
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NR 602 Week 8 Final Exam
● A 16-year-old female presents with secondary amenorrhea, weight loss, and excessive
exercise. Which diagnosis is most likely?
A. Polycystic ovary syndrome
B. Pregnancy
C. Anorexia nervosa
D. Thyroid disease
● Which laboratory finding is consistent with polycystic ovary syndrome (PCOS)?
A. Low testosterone
B. Elevated LH/FSH ratio
C. Low DHEA-S
D. Elevated progesterone
● A 14-year-old male has a unilateral, painless testicular mass. What is the most
appropriate next step?
A. Observation for 6 months
B. Referral for scrotal ultrasound
C. Prescription of antibiotics
D. Testicular biopsy in clinic
● Which vaccine is recommended for all adolescents aged 11–12 years to prevent cervical
cancer?
A. MMR vaccine
B. HPV vaccine
, C. Hepatitis B vaccine
D. Tdap vaccine
● A sexually active 17-year-old female complains of dysuria, frequency, and hematuria.
Urinalysis shows nitrites and leukocyte esterase. What is first-line treatment?
A. Ciprofloxacin for 3 days
B. Nitrofurantoin for 5 days
C. Trimethoprim-sulfamethoxazole for 14 days
D. Amoxicillin for 7 days
● What is the most common cause of primary amenorrhea with normal breast
development?
A. Turner syndrome
B. Androgen insensitivity syndrome
C. Müllerian agenesis
D. Polycystic ovary syndrome
● A 15-year-old male has a painless, non-tender, firm breast nodule. What is the most
likely diagnosis?
A. Breast abscess
B. Gynecomastia
C. Fibroadenoma
D. Lipoma
● Which medication is first-line for moderate to severe acne vulgaris in an adolescent
female?
A. Topical clindamycin
B. Isotretinoin
C. Combined oral contraceptive pill
D. Oral fluconazole
● A 13-year-old female has heavy menstrual bleeding every 21 days. Hemoglobin is 9
g/dL. What is the initial management?
A. Intravenous conjugated estrogens
B. Combined oral contraceptives
C. Medroxyprogesterone acetate injection
D. Tranexamic acid only
, ● Which finding on a newborn exam requires immediate further evaluation?
A. Mongolian spot
B. Imperforate anus
C. Erythema toxicum
D. Single palmar crease
● A 2-month-old infant has a palpable mass in the right inguinal region that is irreducible
and tender. What is the most appropriate action?
A. Attempt manual reduction
B. Emergency surgical referral
C. Schedule outpatient ultrasound
D. Prescribe analgesics and observe
● What is the most common pathogen causing urinary tract infection in a 6-year-old
female?
A. Klebsiella pneumoniae
B. Proteus mirabilis
C. Escherichia coli
D. Enterococcus faecalis
● A 4-year-old presents with wheezing, cough, and prolonged expiration. Symptoms
improve with albuterol. What is the most likely diagnosis?
A. Bronchiolitis
B. Asthma
C. Pneumonia
D. Foreign body aspiration
● Which developmental milestone is expected in a 12-month-old infant?
A. Walking up stairs
B. Pincer grasp
C. Building a tower of two cubes
D. Scribbling spontaneously
● A 5-year-old has a fever for 5 days, conjunctival injection, cervical lymphadenopathy,
and a strawberry tongue. What is the most likely diagnosis?
A. Scarlet fever
B. Kawasaki disease