bonus 5

Question 1

You see a 13-year-old boy with no immunizations documented. In updating this child’s immunizations, which of the following should be omitted?

Hepatitis B
Haemophilus influenzae type B (Hib)
Tetanus, diphtheria, acellular pertussis (Tdap)
Measles, mumps, rubella (MMR

Answer 1

Omitted….
which one has a low risk of acquiring
Haemophilus influenzae type B is almost zero risk after age 4

Question 2

As part of a well-child visit, you advise the parents of a well 6-month-old that a mild fever of 1–2 days in duration is most likely to occur after the baby receives:

Inactivated polio virus (IPV) vaccine.
Haemophilus influenzae type B (Hib) vaccine.
Pneumococcal conjugate 13-valent vaccine (PCV13).
Injectable influenza vaccin

Answer 2

Prevnar PCV 13

Question 3

First-line therapy for the treatment of community-acquired pneumonia who has tested negative for influenza, in a 5-year-old child with a presumed atypical pathogen is:

Amoxicillin (Amoxil®).
Azithromycin (Zithromax®).
Oseltamivir (Tamiflu®).
Cefpodoxime (Vantin®)

Answer 3

Azithromycin (Zithromax®). kids 5 and under are viral are atypical pathogens
like M. And C. pnuemoniae

Question 4

A father brings in his 7-year-old daughter for evaluation. She has experienced moderate pain in both ears for the past 2 days and has a fever (103.1ºF [39.5ºC]). Examination reveals bilateral moderate bulging tympanic membranes. She has a history of penicillin allergy. You prescribe therapy with:

Analgesics only and follow-up in 2 days.
Amoxicillin-clavulanate (Augmentin®).
Cefuroxime axetil (Ceftin®).
Ciprofloxacin (Cipro®).

Answer 4

Cefuroxime axetil (Ceftin®).

Question 5

A woman brings in her 23-month-old grandson who has been fussy for the past two days with frequent holding of both ears and crying for the past 2 days. Evaluation reveals bulging and erythema of both tympanic membranes and a temperature of 100.4°F (38.0°C). The boy has no reported allergy to penicillin and is otherwise healthy.
The most appropriate course of action is:

Analgesics and watchful waiting.
Amoxicillin.
Cefpodoxime.
Azithromycin

Answer 5

amoxicillin

due to bilateral disease

Question 6

full term pregnancy is?

Answer 6

39 weeks and 40 weeks plus 6 days

Question 7

When a patient is seen by a nurse practitioner, the visit can be charged to Medicare using “incident-to” billing. If the criteria for this type of visit are fulfilled, then anticipated reimbursement is at what percentage of the physician rate?

75
80
90
100

Answer 7

100

Question 8

When evaluating a patient with low back pain without radiculopathy, the nurse practitioner will most likely identify:

Discomfort to direct palpation of paraspinal muscles.
A positive straight leg raise.
Abnormal lower extremity DTR.
Pain relief with lumbar flexion

Answer 8

Discomfort to direct palpation of paraspinal muscles

Question 9

Which of the following is a potential adverse effect of chronic use of higher-potency topical corticosteroids?

Skin atrophy in intertriginous areas
Epidermal sloughing
Cutaneous fungal infection
Acne rosacea

Answer 9

Skin atrophy in intertriginous areas

Question 10

An appropriate treatment option for community-acquired pneumonia in a 45-year-old woman with no significant comorbidities, no recent history of systemic antimicrobial use (>3 months), no known drug allergies, and a history of hysterectomy 3 years ago is:

Ampicillin.
Doxycycline (Doryx®).
Cefuroxime (Ceftin®).
Moxifloxacin (Avelox®)

Answer 10

Doxycycline (Doryx®).