ASCORERS STUVIA
NR 605 Final Exam Diagnosis & Management in
Psychiatric-Mental Health across the Lifespan
(Latest Update ): I Practicum |
Weeks 5 - 8 Covered | Questions and Verified
Answers | 100% Correct - Chamberlain
1. A baby is born to a mother with chronic hepatitis B. what is the best
treatment approach?
a. Administer interferon within 24hrs
b. Administer hepatitis B vaccine within 24hrs
c. Administer interferon & nucleotide in combination daily
d. Administer HBIG & Hepatitis B vaccine within 12 hours ANS: D
2. Clinical jaundice of the distal extremities would be noted at a
bilirubin level of:
a. <5mg/dl
b. 5mg/dl
c. 10mg/dl
d. >15mg/dl ANS: D
3. A 1-day-old infant in the general care nursery born at full term by
uncomplicated spontaneous vaginal delivery is noted to have cyanosis of
the oral mucosa. The baby otherwise appears comfortable. On exam,
respiratory rate is 40 and pulse ox is 80%. Patient has Tet spells
(hypoxia) when crying. A right ventricular lift is palpated, S1 is normal,
S2 is single, and a harsh 3/6 systolic ejection murmur is heard at the left
upper sternal border that radiates to the back. WHat is your diagnosis?
ANS: TOF
,ASCORERS STUVIA
4. A 1.5 month-old infant girl is brought in for for poor feeding. Since
she was last seen at 2 weeks she has had poor weight gain. She sweats
with feeds and seems to tire out easily. On PE she is noted to be
tachypneic and uninterested in her bottle after a few minutes of feeding.
On PE: she has a continuous "machine like" murmur that is heard in
the left pulmonic region. She also has an early diastolic rumble best
heard at the apex. Her pulses are bounding. Her CXR reveals an
enlarged heart with a prominent main pulmonary artery segment and
increased pulmonary markings. What is your diagnosis? ANS: PDA
5. "incident to" billing is specific to:
a. Medicare
b. Medicaid
c. Medicare & Medicaid
d. Private insurance companies
6. # of dx or tx options- doc the problem as: ANS: self limiting or minor
established, stable or improved
established, worsening
new, no additional workup
new, additional workup planned
7. The expected hemoglobin range for sickle cell anemia is:
a. 6.5-9.5g/dl
b. 13.5-16.5g/dl
c. 8.5-12.5g/dl
,ASCORERS STUVIA
d. 9.5-13.5g/d ANS: A
8. What type of hemorrhage would be expected with severe factor VIII
deficiency?
a. Severe hemorrhage following moderate to severe trauma
b. Gross bleeding following mild to moderate trauma
c. Gynecologic hemorrhage
d. Spontaneous hemarthosis ANS: D
9.
10. A 16-year-old adolescent comes to the school-based clinic with chest
pain. The most common cause of cardiac pain in children and
adolescents is:
A) Tachycardia
B) Mitral valve prolapse
C) Myocarditis
D) Preventricular contractions ANS: B
11. A 5-year-old child has sudden onset of nonblanching purpuric
lesions scattered over the body and petechiae scattered over the neck
and shoulders. The mother reports that the child has been healthy,
except for a cold a few weeks ago. The child is not taking any
medications. Physical examination reveals a healthy, afebrile child with
no other significant findings. The laboratory data show a hemoglobin
level of 12.5 g/dL, white blood cell count of 6500/mm3, and platelet
count of 20,000/mm3. Based on this information, what should the PNP
do next?
A) Reassure the parents that these findings are consistent with acute
idiopathic thrombocytopenia purpura (ITP), and advise a hematology
consultation for confirmation
, ASCORERS STUVIA
B) Refer the child immediately to the pediatric hematology/oncology
department of the nearest tertiary care center
C) Report the family to the local protective services department as soon as
possible because of the ANS: A
12. A 9yo boy presents with a fever of 102F and complaints of leg pains.
His mother reports that he had upper respiratory infection with a sore
throat approximately two weeks ago, which subsided without therapy.
On physical exam, he has tender, swollen knees bilaterally. His heart
rate is 120/min and blowing systolic murmur is heard at apex. No
murmur was noted on previous well-child visit. The most likely
diagnosis is:
a. Kawasaki disease
b. Rheumatic fever
c. Sickle cell anemia
d. Viral illness ANS: B
(High fever and new onset murmur)
13. A child with asthma symptoms which occur less than twice a week,
with night symptoms less than twice a month and normal peak flow
meter
a. daily use of a low dose inhaled corticosteroid
b. daily use of leukotriene receptor agonist
c. albuterol nebulizer or MDI for use with symptoms
d. medium dose inhaled corticosteroid, administered twice a day ANS: C
14. A long acting bronchodilator that improves airway function in
patients with mild persistent or exercise induced asthma ANS:
cromolyn/nedocromil
NR 605 Final Exam Diagnosis & Management in
Psychiatric-Mental Health across the Lifespan
(Latest Update ): I Practicum |
Weeks 5 - 8 Covered | Questions and Verified
Answers | 100% Correct - Chamberlain
1. A baby is born to a mother with chronic hepatitis B. what is the best
treatment approach?
a. Administer interferon within 24hrs
b. Administer hepatitis B vaccine within 24hrs
c. Administer interferon & nucleotide in combination daily
d. Administer HBIG & Hepatitis B vaccine within 12 hours ANS: D
2. Clinical jaundice of the distal extremities would be noted at a
bilirubin level of:
a. <5mg/dl
b. 5mg/dl
c. 10mg/dl
d. >15mg/dl ANS: D
3. A 1-day-old infant in the general care nursery born at full term by
uncomplicated spontaneous vaginal delivery is noted to have cyanosis of
the oral mucosa. The baby otherwise appears comfortable. On exam,
respiratory rate is 40 and pulse ox is 80%. Patient has Tet spells
(hypoxia) when crying. A right ventricular lift is palpated, S1 is normal,
S2 is single, and a harsh 3/6 systolic ejection murmur is heard at the left
upper sternal border that radiates to the back. WHat is your diagnosis?
ANS: TOF
,ASCORERS STUVIA
4. A 1.5 month-old infant girl is brought in for for poor feeding. Since
she was last seen at 2 weeks she has had poor weight gain. She sweats
with feeds and seems to tire out easily. On PE she is noted to be
tachypneic and uninterested in her bottle after a few minutes of feeding.
On PE: she has a continuous "machine like" murmur that is heard in
the left pulmonic region. She also has an early diastolic rumble best
heard at the apex. Her pulses are bounding. Her CXR reveals an
enlarged heart with a prominent main pulmonary artery segment and
increased pulmonary markings. What is your diagnosis? ANS: PDA
5. "incident to" billing is specific to:
a. Medicare
b. Medicaid
c. Medicare & Medicaid
d. Private insurance companies
6. # of dx or tx options- doc the problem as: ANS: self limiting or minor
established, stable or improved
established, worsening
new, no additional workup
new, additional workup planned
7. The expected hemoglobin range for sickle cell anemia is:
a. 6.5-9.5g/dl
b. 13.5-16.5g/dl
c. 8.5-12.5g/dl
,ASCORERS STUVIA
d. 9.5-13.5g/d ANS: A
8. What type of hemorrhage would be expected with severe factor VIII
deficiency?
a. Severe hemorrhage following moderate to severe trauma
b. Gross bleeding following mild to moderate trauma
c. Gynecologic hemorrhage
d. Spontaneous hemarthosis ANS: D
9.
10. A 16-year-old adolescent comes to the school-based clinic with chest
pain. The most common cause of cardiac pain in children and
adolescents is:
A) Tachycardia
B) Mitral valve prolapse
C) Myocarditis
D) Preventricular contractions ANS: B
11. A 5-year-old child has sudden onset of nonblanching purpuric
lesions scattered over the body and petechiae scattered over the neck
and shoulders. The mother reports that the child has been healthy,
except for a cold a few weeks ago. The child is not taking any
medications. Physical examination reveals a healthy, afebrile child with
no other significant findings. The laboratory data show a hemoglobin
level of 12.5 g/dL, white blood cell count of 6500/mm3, and platelet
count of 20,000/mm3. Based on this information, what should the PNP
do next?
A) Reassure the parents that these findings are consistent with acute
idiopathic thrombocytopenia purpura (ITP), and advise a hematology
consultation for confirmation
, ASCORERS STUVIA
B) Refer the child immediately to the pediatric hematology/oncology
department of the nearest tertiary care center
C) Report the family to the local protective services department as soon as
possible because of the ANS: A
12. A 9yo boy presents with a fever of 102F and complaints of leg pains.
His mother reports that he had upper respiratory infection with a sore
throat approximately two weeks ago, which subsided without therapy.
On physical exam, he has tender, swollen knees bilaterally. His heart
rate is 120/min and blowing systolic murmur is heard at apex. No
murmur was noted on previous well-child visit. The most likely
diagnosis is:
a. Kawasaki disease
b. Rheumatic fever
c. Sickle cell anemia
d. Viral illness ANS: B
(High fever and new onset murmur)
13. A child with asthma symptoms which occur less than twice a week,
with night symptoms less than twice a month and normal peak flow
meter
a. daily use of a low dose inhaled corticosteroid
b. daily use of leukotriene receptor agonist
c. albuterol nebulizer or MDI for use with symptoms
d. medium dose inhaled corticosteroid, administered twice a day ANS: C
14. A long acting bronchodilator that improves airway function in
patients with mild persistent or exercise induced asthma ANS:
cromolyn/nedocromil
