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10-month-old child with runny nose, rash, cough, with tiny white papules with red areola in
mouth what does this suggest? - Correct Answer ✅💯Measles
12 weeks - Correct Answer ✅💯uterine fundus first rises above the symphysis pubis.
14 days or longer - Correct Answer ✅💯How long should a pt be treated with atb if he has
prostatits secondary to an STD?
16 weeks - Correct Answer ✅💯UF is between symphysis pubis and the umbilicus
16-24 hours sexually active screen for chlamydia is reportable There is also EPT= expedited
partner therapy - Correct Answer ✅💯additional testing= for STI risk reduction
GC/Chlamydia
HIV
syphilis
HAV
HBV
HCV
HSV-2
20 to 35 weeks - Correct Answer ✅💯Measure the distance between upper edge of pubic
symphysis and the top of the uterine fundus using a tape measure. + or - 2 cm. 32 30-34
weeks
20 weeks - Correct Answer ✅💯UF at level of umbilicus
28 week old pregnant patient has single episode of vaginal bleeding without other s/s: What
to do? - Correct Answer ✅💯Ultrasound
60 yo - Correct Answer ✅💯CDC recommends Zoster vaccine in what age of
immunocompetent pt?
A 2-month-old infant is presented for examination and immunizations. History includes an
uncomplicated full-term delivery and hepatitis B virus immunization shortly after birth.
Examination is unremarkable except for a diffusely erythematous (non-beet-red) macular rash
in the diaper area, sparing the inguinal folds. No satellite lesions are noted. The infant's diaper
rash is most likely caused by: - Correct Answer ✅💯contact dermatitis.
A 2-year-old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After
closed manipulation, the best indication of successful treatment is that: - Correct Answer
✅💯the child quickly begins to use the affected arm.
,A 2-year-old male presents for reevaluation. Two days ago, he had four episodes of vomiting
and six diarrheal stools. On physical examination today, his vital signs reveal P = 120 and
capillary refill of 3 seconds. The patient's eyes are sunken and his extremities are mottled and
cool to the touch. The treatment plan would include:
1.
start oral electrolyte mixture every hour.
2.
hospitalization for IV fluid replacement.
3.
giving the child loperamide for each diarrheal stool.
4.
catheterizing the child to obtain accurate urine output. - Correct Answer ✅💯hospitalization
for IV fluid replacement
A 2-year-old male presents for reevaluation. Two days ago, he had four episodes of vomiting
and six diarrheal stools. On physical examination today, his vital signs reveal P = 120 and
capillary refill of 3 seconds. The patient's eyes are sunken and his extremities are mottled and
cool to the touch. The treatment plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output. - Correct Answer
✅💯hospitalization for IV fluid replacement
A 3-year-old female has been diagnosed with bacterial meningitis. She attends preschool
daily at a local church day care program. The day before her diagnosis, she ate lunch with her
mother at a local restaurant. For which contact(s) would chemoprophylaxis with rifampin be
recommended?
1.
Preschool contacts in the past 7 days
2.
A friend of the patient's sister who visited after school yesterday
3.
,The checkout employee at the grocery store yesterday
4.
Diners at the restaurant during lunch the day the patient ate there - Correct Answer
✅💯preschool contacts in past 7 days
A 3-year-old female has been diagnosed with bacterial meningitis. She attends preschool
daily at a local church day care program. The day before her diagnosis, she ate lunch with her
mother at a local restaurant. For which contact(s) would chemoprophylaxis with rifampin be
recommended?
1. Preschool contacts in the past 7 days
2. A friend of the patient's sister who visited after school yesterday
3. The checkout employee at the grocery store yesterday
4. Diners at the restaurant during lunch the day the patient ate there - Correct Answer
✅💯preschool contacts in past 7 days
A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and loss of
appetite. The patient lives with several relatives, including a grandmother who also has a
cough. Which of the following diagnostic tests would be most appropriate for the patient? -
Correct Answer ✅💯Sputum culture
A 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 watery stools
without blood or mucus, and 2 episodes of vomiting in the past 48 hours. Assessment reveals
no current antibiotic therapy, dehydration <5%, soft abdomen with hyperactive bowel sounds,
no masses or organomegaly; other physical findings are normal. Which of the following is the
most appropriate management plan?
1.
Stool culture; Immodium AD liquid.
2.
No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear
liquids, advancing to bananas, rice cereal, Jell-O, and soup.
3.
Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup over next 72
hours; Imodium AD liquid, 1 mg/sml
4.
Stool for ova and parasites; advise parents of likely sources of Giardia; prescribe furazolidone
(Furoxone) - Correct Answer ✅💯No laboratory workup; instruct parents on signs and
, symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and
soup.
A 3-year-old presents with a 2-day history of acute diarrhea with a total of 8 watery stools
without blood or mucus, and 2 episodes of vomiting in the past 48 hours. Assessment reveals
no current antibiotic therapy, dehydration <5%, soft abdomen with hyperactive bowel sounds,
no masses or organomegaly; other physical findings are normal. Which of the following is the
most appropriate management plan?
1. Stool culture; Immodium AD liquid.
2. No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear
liquids, advancing to bananas, rice cereal, Jell-O, and soup.
3. Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup over next 72
hours; Imodium AD liquid, 1 mg/sml
4. Stool for ova and parasites; advise parents of likely sources of Giardia; prescribe
furazolidone (Furoxone) - Correct Answer ✅💯No laboratory workup; instruct parents on
signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal,
Jell-O, and soup.
A 4-year-old girl with a history of recurrent urinary tract infections returns for follow-up after
diagnosis of the most recent infection. During the physical examination, the 4-year-old tells
the nurse practitioner that her brother (age 9) lies on top of her and rubs his penis near her
pubic area. After completing the physical examination, the nurse practitioner must: - Correct
Answer ✅💯report suspicions to the appropriate child protective services agency.
A 7-year-old child presents with group A streptococcal infection confirmed by throat culture.
Past history includes treatment for positive streptococcal infection with erythromycin
(EryPed oral suspension) 3 weeks ago. What is the most appropriate next intervention?
1.
Treat with amoxicillin for 10 days.
2.
Obtain culture for all household members.
3.
Treat with azithromycin (Zithromax) for 10 days.
4.
Intramuscular Penicillin. - Correct Answer ✅💯treat with amoxicillin for 10 days
A 7-year-old child presents with group A streptococcal infection confirmed by throat culture.
Past history includes treatment for positive streptococcal infection with erythromycin
(EryPed oral suspension) 3 weeks ago. What is the most appropriate next intervention?