SOLUTIONS
** start of quiz 4 q's - make sure to adjust answers after you
meet with professor.
50 yo man reports having ED. What is an important response by
the provider when developing a plan of care for this patient?
Correct Answer eval the patient for cadiovascular disease
+ ortolani and barlow signs in 6th month old infant not
previously noted in medical record. what to do? Correct
Answer send for surgical intervention
12 month old bowlegged. exam shows internal tibial torsion
bilaterally. xray shows asymmetric bowing of legs with an angle
greater than 15 degrees. what is the right action? Correct
Answer refer to pediatric orthopedic for treatment
12 yo BMI greater that 95% with BP at 98%. afte lifestyle
changes BMI drops to 90% but BP remains the same. what is
next step? Correct Answer referral to neph or cardio
12 yo weight and BMI is 75th% has diastolic BP in 99% on 3
separate occasions - initial tests? Correct Answer renal
function and plasma renin tests
13 yo NA female with BMI at 90th% + hyperpigmented velvet-
like rash in skin folds. no poly... Correct Answer order a
fasting blood sample for a metabolic screen for DM2
,13 yo with abdominal pain x 2 days. RLQ. vomited and now has
pain relief and + fever. likely diagnisis Correct Answer
appendicitis with perforation
13 yo with CP receives all nutrition via G-tube. what to do for
dental health? Correct Answer daily chlorhexidine gluconate
14 days on amoxicillin for acute rhinosinusitis, child still has
discharge, induration, swelling, erythema of both eyelids. next
course? Correct Answer referal to ped otolaryngogist.
14 yo who is overweight develops unilateral limp with pain in
the hip and knee. exam reveals external rotation of the hip when
pt flexed and pain associated with attempts to internally rotate
hip. Correct Answer place on crutches or wheelchair to
prevent weight bearing
16yo female, BMI in 90th% with irregular periods. notes acne
face, back and facial hair. further eval based on what dx
Correct Answer PCOS
18 month with no previous hx of otitis media, right ear pain, +
fever, bulging TM, tympanogram peak of +15mm h20. what is
the treatment? Correct Answer analgesic medication and
watchful waiting.
1st line of drugs for prostatitis? Correct Answer
cephalosporins and keflex
1st line treatment options for bursitis include Correct Answer
NSAIDS
, 2 month old cries up to 4 hours per day and is inconsolable, legs
stiff and tense. BF. weight gain is normal Correct Answer
eliminating certain foods fro the mother's diet
2 tests you do for rotator cuff tear Correct Answer coke can
and drop arm
29 yo with painless 1cm sore on penis, ulcerated with raised
margin and no exudate. How to diagnose? Correct Answer
serology
2yo with horse barking cough and "trouble catching breath" 2
days fever, upper respiratory symptoms. RR 40, occasional
stridor, 101.3. what is next tx? Correct Answer Rx oral
dexamethasone for 2 days
2yo with hx of IUGR who's height remains less than 3%. what
to do? Correct Answer consult a ped endocrinologist
3 criteria for constipation Correct Answer feeling incomplete
lumpy stools x 3 months
no symptoms of IBS
3 month male infant has edema and painless swelling of
scrotom. + transilluminate. What is the recommendation?
Correct Answer observation and reassurance
3 month old arches and gags while feeding, spits up undigested
formular frequently. weight has dropped to 5th% from 12%