Primary Care I Test #1
+PPD result - ANSWER->5 mm
-contact w/ TB
-household w/ TB
-suspected of having disease: +CXR
-immunosuppressive therapy or condition
>10 mm
-<4 y/o
-chronic illness or other medial risk factors
-increased environmental exposure
-travel to high prevalence regions
->15 mm
>4/o w/o any risk factors
12-18 yrs - ANSWER-30-60 kcal/kg/day
1st line treatment for constipation in infants - ANSWER--may add water no > 4 oz/day
-mom increase hydration
-mom can drink prune juice
-exercise legs and massaging abdomen
-prune juice in formula (caution amount)
-constipation is considered if no BM x2 weeks
2nd level of treatment for constipation in infants - ANSWER--anal stimulation with thermometer
-glycerin suppositories
-DO NOT CHANGE FORMULA
9 month old male presents office with the parents stating they cannot fully retract foreskin. The fnp
should: - ANSWER-· Reassure the parents that this is normal and they should not force the skin back
-make sure urine is coming out straight
A 2 y/o presents with short generalized seizure. Hx unremarkable. PE demonstrated temp 101, nasal
congestion and mild pharyngeal erythema. 2 hours after the episode reveals a child who is
neurologically normal, management of this child include:
A. CT of head
B. Amoxicillin 90 mg/kg/day
, Primary Care I Test #1
C. Vigorous fever control
D. Cbc, blood culture - ANSWER-C. Vigorous fever control
A 6 week old brought in c/o vomiting. Since 3 weeks old infant vomits several times a day, often right
after feeding. The vomiting is effortless, and white. What should you teach the parent? - ANSWER--This
patient has reflux. Teach about positioning after feeding.
Anemia screening - ANSWER--Premature or low birth weight: 6 months
-Infants on WIC: 4-6 months
-All others: 12 months
-Adolescent females: once after menses starts
Avoid until 1 y/o - ANSWER--Honey
-Cow's milk
-Egg whites
-Wheat
-Citrus fruit
-Peanut butter
By what age should children achieve 20/20 vision by? - ANSWER-6-7 years old
-Refer any child with >20 line differences b/w each eye
ex. OD 20/30, OS 20/50
Caloric needs: 1-7 yrs - ANSWER-75-90 kcal/kg/day
Caloric needs: 7-12 yrs - ANSWER-60-75 kcal/kg/day
Caloric needs: birth to 1 yr - ANSWER-90-120 kcal/kg/day
Can you breast feed if you have TB? - ANSWER--you cannot breast feed until on medications for 2 weeks
-INH is secreted in milk
-Women receiving INH and are breastfeeding should receive pyridoxine
Chlamydial conjunctivitis treatment - ANSWER--chlamydial culture
-Erythromycin PO 50 mg/kg/day QID x 14 days
Colic criteria - ANSWER-Rome III criteria:
lasts at least:
-3 hours
+PPD result - ANSWER->5 mm
-contact w/ TB
-household w/ TB
-suspected of having disease: +CXR
-immunosuppressive therapy or condition
>10 mm
-<4 y/o
-chronic illness or other medial risk factors
-increased environmental exposure
-travel to high prevalence regions
->15 mm
>4/o w/o any risk factors
12-18 yrs - ANSWER-30-60 kcal/kg/day
1st line treatment for constipation in infants - ANSWER--may add water no > 4 oz/day
-mom increase hydration
-mom can drink prune juice
-exercise legs and massaging abdomen
-prune juice in formula (caution amount)
-constipation is considered if no BM x2 weeks
2nd level of treatment for constipation in infants - ANSWER--anal stimulation with thermometer
-glycerin suppositories
-DO NOT CHANGE FORMULA
9 month old male presents office with the parents stating they cannot fully retract foreskin. The fnp
should: - ANSWER-· Reassure the parents that this is normal and they should not force the skin back
-make sure urine is coming out straight
A 2 y/o presents with short generalized seizure. Hx unremarkable. PE demonstrated temp 101, nasal
congestion and mild pharyngeal erythema. 2 hours after the episode reveals a child who is
neurologically normal, management of this child include:
A. CT of head
B. Amoxicillin 90 mg/kg/day
, Primary Care I Test #1
C. Vigorous fever control
D. Cbc, blood culture - ANSWER-C. Vigorous fever control
A 6 week old brought in c/o vomiting. Since 3 weeks old infant vomits several times a day, often right
after feeding. The vomiting is effortless, and white. What should you teach the parent? - ANSWER--This
patient has reflux. Teach about positioning after feeding.
Anemia screening - ANSWER--Premature or low birth weight: 6 months
-Infants on WIC: 4-6 months
-All others: 12 months
-Adolescent females: once after menses starts
Avoid until 1 y/o - ANSWER--Honey
-Cow's milk
-Egg whites
-Wheat
-Citrus fruit
-Peanut butter
By what age should children achieve 20/20 vision by? - ANSWER-6-7 years old
-Refer any child with >20 line differences b/w each eye
ex. OD 20/30, OS 20/50
Caloric needs: 1-7 yrs - ANSWER-75-90 kcal/kg/day
Caloric needs: 7-12 yrs - ANSWER-60-75 kcal/kg/day
Caloric needs: birth to 1 yr - ANSWER-90-120 kcal/kg/day
Can you breast feed if you have TB? - ANSWER--you cannot breast feed until on medications for 2 weeks
-INH is secreted in milk
-Women receiving INH and are breastfeeding should receive pyridoxine
Chlamydial conjunctivitis treatment - ANSWER--chlamydial culture
-Erythromycin PO 50 mg/kg/day QID x 14 days
Colic criteria - ANSWER-Rome III criteria:
lasts at least:
-3 hours
