Leik PEDS questions 2 Rated 100% Correct!!

At what age can a child copy a cross and ride a bicycle? A) 1 year B) 2 years C) 3 years D) 4 years - Answer-D) 4 years Developmental stages in children include the following: 1 year: walk; 2 years: walks up steps with the same foot; 3 years: pedals a tricycle and copies a circle; 4 years: rides a bicycle and copies a cross and draws a person with 2 parts. You would associate a positive iliopsoas muscle test result with: A) Left cerebral vascular accident B) Urinary tract infection C) Heel fractures D) Acute abdomen - Answer-D) Acute abodmen A positive iliopsoas muscle test is seen with an acute abdomen. This test is performed by asking the patient to actively flex the thigh at the hip. A "positive psoas sign" is noted when the patient exhibits pain in the right lower quadrant due to the inflamed tissue. The right iliopsoas muscle lies under the appendix, so pain may suggest appendicitis. Which of the following tests would you recommend to patients to confirm the diagnosis of beta thalassemia or sickle cell anemia? A) Hemoglobin electrophoresis B) Bone morrow biopsy C) Peripheral smear D) Reticulocyte count - Answer-A) Hemoglobin electrophoresis Patients with the diagnosis of beta thalassemia and/ or sickle cell anemia would be screened using hemoglobin electrophoresis to identify the blood disorder.At what time of the day would you recommend a scotch tape test be done to evaluate for a suspected case of enterobiasis? A) In the evening after dinner B) At night before bed C) Early in the morning D) It does not matter what time of the day the test is done - Answer-C) Early in the morning The scotch tape test is best done in the morning for several days in a row. The females do not lay eggs every day and therefore testing for several days will be more accurate. At what age can a child copy a circle and ride a tricycle? A) 1 year B) 2 years C) 3 years D) 4 years - Answer-C) 3 years Developmental stages in children include the following: 1 year: walk; 2 years: walks up steps with the same foot; 3 years: pedals a tricycle and copies a circle; 4 years: rides a bicycle and copies a cross and draws a person with 2 parts. While performing a sports physical on a 16-year-old girl, the nurse practitioner notes a split S2 during inspiration that disappears during expiration. The girl is active and her growth and development have been uneventful. What is the best recommendation for the child's mother? A) Her daughter needs to be referred to a pediatric cardiologist B) Her daughter needs to be referred for a stress EKG C) Advise the mother that this is a normal finding D) The child should avoid strenuous physical exertion until further evaluation - Answer-C) Advise the mother that this is a normal finding Explain to the mother that in healthy adolescents, a split S2 during inspiration that disappears during expiration is a normal variation. The following statements are true about Wilms's tumor except: A) The most frequent clinical sign is a palpable abdominal mass B) It is a congenital tumor of the kidneyC) Microscopic or gross hematuria is sometimes present D) The tumor commonly crosses the midline of the abdomen when it is discovered - Answer-D) The tumor commonly crosses the midline of the abdomen when it is discovered A Wilms's tumor is a congenital tumor of the kidney that should never be palpated, once diagnosed, to avoid spread of the tumor cells. Microscopic or gross hematuria may be present. A concerned new mother reports to you that her son, who is 3 years of age, is not toilet trained yet. Which of the following is an appropriate reply? A) Recommend a referral to a pediatric urologist B) Advise the mother that her child is developing normally C) Recommend a bed-wetting alarm D) Recommend a voiding cystogram - Answer-B) Advise the mother that her child is developing normally Toilet training begins at approximately 2 years of age and may take 1- 2 years to complete. Males who are not toilet trained by 3 years of age may still be developing normally. Which of the following clinical findings can mimic a case of testicular torsion but is not considered an emergent condition? A) The "blue dot" sign B) One swollen testicle with yellow-colored penile discharge C) An acute onset of dysuria and frequency D) A varicocele - Answer-A) The "blue dot" sign The "blue dot" sign is located underneath the skin of the testicle and appears as a round, blue to purple mass. It is not an emergent condition. Also known as the torsion of testicular appendage. All of the following describe normal behavior for a 3-year-old child except: A) Speaks in 3- to 4-word sentences that are understood by most strangers B) Can draw a cross C) Can draw a circle D) Can ride a tricycle - Answer-B) Can draw a cross Developmental stages in children include the following: 1 year: walk; 2 years: walks up steps with the same foot; 3 years: pedals a tricycle and copies a circle; 4 years: rides a bicycle and copies a cross and draws a person with 2 parts.All of the following are true about strawberry hemangiomas found in infants except: A) Most will involute spontaneously by the age of 18 to 24 months B) Watchful waiting is the most useful strategy C) Hemangiomas should be treated with laser therapy if they have not resolved by the age of 12 months D) Strawberry hemangiomas are benign - Answer-C) Hemangiomas should be treated with laser therapy if they have not resolved by the age of 12 months True strawberry hemangiomas will eventually resolve by the time the child goes to kindergarten. Most will reduce or disappear in the first 2 years. Laser treatment is rarely needed. You note, during a physical exam on a 6-year-old child, some pitting on the finger nails. This finding is correlated with: A) Iron-deficiency anemia B) Psoriasis C) Onychomycosis D) Vitamin C deficiency - Answer-B) Psoriasis Fingernail pitting is correlated with psoriasis. Psoriasis can cause pitting on all finger and toenails, along with thickening and irregular shape of the nail.