NR 602 MIDTERM EXAM

NR 602 MIDTERM EXAM Course Title: Primary Care of the Childbearing and Childrearing Family 1. Role-play with equipment during the course of a physical examination would be most beneficial with which of the following groups? - Preschoolers/Toddlers 2. What is the Ortolani Sign? -Assess for congenital hip dysplasia 3. When performing a physical examination of a toddler, which of the following body parts would examine last? - Ears and throat 4. What are three findings using Jones criteria for Rheumatic Fever? -Streptococal infection, carditis, and erythema marginatum 5. While examining a 4-month-old boy, you are unable to palpate one of his testes. The next most appropriate step is: - Refer the child to a urologist 6. Concurrent Otitis media and Conjunctivitis is likely due to which? - Haemophilus influenza 7. What is the appropriate management of a child with asthma who presents with acute wheezing and/or coughing? - Administer a short-acting beta agonist 8. Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her face above the right nares. She has a history of having a bad scratch in the same area several days ago. What condition do you suspect? -Impetigo 9. The most appropriate management of a 5-year old with a firm nontender nodule in the midupper eyelid for 3 weeks would be: -Topical ophthalmic ointment 10. A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care facility. What is the most likely cause of illness? -Rotavirus 11. If a child or any patient describes a “pop” in the knee. What is this indicative of? - Anterior cruciate ligament tear 12. A 7-year-old African American female presents with several hyperkeratotic raised, periungual lesions on the two middle fingers of her left hand. She has a history of nail biting. The most likely diagnosis is: - Verruca vulgaris 13. Management of scoliosis depends on the severity of curve as well as the age of the child. Which of the following would require surgical intervention? - Thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees. 14. Treatment of true central precocious puberty is best achieved with: - Gonadotropin-releasing hormone agonist 15. Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg. Today she presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg. What is her percentage of dehydration? -7% 16. Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip? -Pavlik harness 17. When considering catch up vaccination in children for IPV vaccinations, it is important to understand one of the following considerations is NOT a consideration when administering the vaccine: - IPV is can be given routinely beyond the age of 18 years of age in the U.S. 18. An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is: - An echocardiogram 19. A 4-week-old presents to your office in mid=January with a 1-week history of nasal congestion and occasional cough. On the evening prior to this visit, the infant developed a temperature of 102, refused to breastfeed, and had proximal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethargic with tachypnea. - RSV bronchiolitis 20. What needs to be included when educating parents about a febrile seizure? - Children may experience repeated seizures 21. A 4-year-old boy is brought in by his mother, who is concerned about the sudden onset of a painful limp in his right leg 2 days ago? Today he has a low-grade fever. Which of the following diagnoses is most likely? - Transient synovitis of the hip 22. In addition to penicillin, all of the following antibiotics can be used to treat strep pharyngitis except: - Bactrim 23. Primary dysmenorrhea is due to: - Elevated prostaglandin level 24. Which behavior would NOT be expected in a two-year old? - Draws a circle NR 602 FINAL EXAM WEEK 8 REVISION QUESTION