NRNP 6541 Week 9 Quiz-Knowledge Check

1. Question: Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has increased arms pan, laxityof joints, pectusexcavatum, and an abnormal echocardiogram. Which of the following diagnosis would you suspect Robert ashaving? 2. Question: John is 4 years old and in today for a well child visit. He is due for his 4-year-old immunizations.HewasrecentlydiagnosedwithALLandisbeingtreatedwithchemotherapy and radiation. Which statement is true about immunizations during treatmentsduring childhood cancer? 3. Question: Which of the following is not a sign or symptom of congenital hypothyroidism? 4. Question: Primary dysmenorrhea is dueto 5. Question: What does a low level of thyroid stimulating hormone (TSH)indicate? 6. Question: A common presenting symptom of inflamtery? 7. Question: The following clinical description best matches which genetic disorder? A 15-year-old girlwithprimaryamenorrheaisnotedtobewellbelowthe5thpercentileforheight.Shehas hypertension, a low posterior hairline, prominent and low-set ears, and excessive nuchal skin. 8. Question: A12-year-oldmalestateshenoticedanenlargementofhistestesandscrotum. When counseling him about the next step in pubertal development, youstate 9. Question: Which of the following is not found in an adolescent with untreated Graves'disease? 10. Question: An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to defecatebut has an urge to do so. CBC reveals a slightly elevated WBC of 14,000, but is otherwise normal. Serum electrolytes are normal. The next stepis 11. Question: A14-year-oldhasa3-weekhistoryoffever,anorexia,andabdominalpain.What additional symptom would cause the NP to suspect Crohn'sdisease? 12. Question: A 15-year-old girl has a 1-month history of urinary frequency without dysuria and recent onset of an itchy rash beneath both breasts. She has been gaining weight over the past year and regularly complains of fatigue. She is afebrile, with a weight greater than the 99thpercentileandhasanerythematous,macularrashbeneathbothbreastscharacterized by satellite lesions. Urinalysis is significant for 2+ glucosuria but no pyuria. Which of the following is the most likely diagnosis? 13. Question: TheresultsofthehemoglobinA1ctestare LESSreliableinchildrenwithwhichofthe following conditions? (Hint: selecttwo) 14. Question: Josh,age13,hassomeenlargementofthescrotumandtestes,areddenedscrotal sac, and some hair texture alteration. His penis is not enlarged. He is in Tannerstage 15. Question: A mother brings a 2-year-old to your office with the complaint that she passes 5 to 10 watery stools per day that often contain undigested food. The child appears healthy and has no other GI symptoms. She is acting, eating, and voiding normally. Weight gain is normal and the mother states she often drinks (her favorite drink is Kool-Aid) instead of eating. Thebestmanagement for this condition is: 16. Question: Prophylactic penicillin should be started in children with sickle cell anemiaby 17. Question: Kelly,your11-year-oldwellvisitpatient,presentstotheofficewithweightloss, polyuria, and polydipsia. Which of the following do you need to ruleout 18. Question: The appropriate lab tests in assessment of cervical adenitis include all ofthefollowing except: 19. Question: The most common presentation of Hirschprung disease is which of thefollowing? 20. Question: A teenage female who is overweight has moderate acne on the face and chest,and irregular menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian syndrome?