II EXAM WITH QUESTIONS AND DETAILED
ANSWERS GRADED A+| 2024 UPDATE
LATEST!!!
Baby Sally as in your office last week for her 6-month checkup.
Her weight was 7kg. Today she presents with diarrhea and
vomiting for 4 days. Today her weight is 6.5 kg. What is her
percentage of dehydration? - correct answer > 7 %
% dehydration formula - correct answer > (Normal weight -
actual weight) / normal weight x 100
How much water is the body made up of? - correct answer >
75%
Problems of dehydration - correct answer > risk for blood clots
infectious diseases
kidney stones
severe constipation
,When evaluating a child with suspected IBD, which of the
following diagnostic tests would not be helpful?
§Amylase and lipase
§ESR
§Serum total protein and albumin
§CBC with differential - correct answer > Amylase and lipase
Irritable Bowel Syndrome may lead to - correct answer >
anemia, hypoalbuminemia, and elevation of the erythrocyte
sedimentation rate (ESR)
Your patient has inflammatory bowel disease. Which finding is
consistent with ulcerative colitis?
§Occult blood
§Perirectal abscess
§Aphthous ulcers
§Left-sided abdominal pain - correct answer > Left-sided
abdominal pain
A child has developed her second perirectal abscess in 6
months. She should be evaluated for which condition? - correct
answer > Crohn's Disease
, Your next patient is a six-year-old male here with his mother.
Mom brings the child in today because the child is the shortest
in his class and mom is concerned there is a problem. Mom
states that there are others in the family who are short. The
child had some issues in his first years of life growing, but since
3 years of age, has consistently been at the 5th percentile of
growth in height. What would be the PNP's next step in the
care of this child? - correct answer > Explain that there are
different reasons for the child being smaller than others and
order a bone age.
The father of a 7-year-old boy expresses concern that his son
has grown 2 inches in the past 6 months. Upon examination,
the PNP noted the presence of pubic hair. What would the
PNP's next steps be in the care of this child? - correct answer >
Refer the child to a pediatric endocrinologist for further workup
A 10-year-old male is being seen today with concerns of change
in school performance, some tremors and complaints of heart
palpitations for the past few weeks. Mom states there have
been no changes in social history and family history is positive
for thyroid disease. He had routine labs done 1 month ago and
his T3 was elevated, What are the next steps in the care of this