Practice 2

Question 1

Treatment for pregnant women with HPV anytime during pregnancy

Answer 1

Suppressive therapy with Acyclovir beginning 36 WOG until delivery

Question 2

Treatment for acute Rheumatic Fever

Answer 2

PCN - to premature future ARF and heart complications

Question 3

how often BP checks in pediatrics

Answer 3

annually beginning 3 yo or every visit if risk factor is present

Question 4

erythematous, nonpruritic, maculopapular rash in a lacy pattern on his trunk and arms. His cheeks are also noticeably red

Answer 4

erythema infectiosum, the fifth disease, is a viral illness caused by human parvovirus B19 among older children

Question 5

vesicular eruption of the mouth that may also involve the palms of the hands, soles of the feet, buttocks, and genitalia. Lesions may be painful, and patients may also present with a fever.

Answer 5

hand and foot syndrome or coxsackie virus

Question 6

presents characteristically with an acute high fever and a morbilliform rash that appears on the trunk after several days. It typically presents in patients younger than 24 months.

Answer 6

roseola 6th disease common among 6 months - 12 months

Question 7

present with a low-grade fever, followed by a maculopapular rash that initially starts on the face and neck and spreads to the trunk and extremities. Patients will also have enlargement of the posterior auricular and suboccipital lymph nodes.

Answer 7

rubella or measles

Question 8

enlargement of the testes and scrotum, reddening of the scrotum and changes in its texture, and sparse pubic hair growth with slightly pigmented hair at the base of the penis.

Answer 8

Tanner stage 2

Question 9

enlargement of the penis, further growth of the testes, and dark, coarse pubic hair.

Answer 9

Tanner stage 3

Question 10

what type of hearing loss if the Weber test laterilizes to a bad ear

Answer 10

Conductive

Question 11

what type of hearing loss if the Weber test laterilizes to a good ear

Answer 11

Sensorineural HL

Question 12

when there is no lateralization on Weber test what does it indicate

Answer 12

normal

Question 13

give at least 3 dx criteria of ADHD

Answer 13

must include at least six symptoms of impulsivity or at least six symptoms of hyperactivity and impulsivity. The symptoms must impair function in academic or social activities (B), occur often, persist for at least 6 months, manifest before 12 years of age, be present in more than one setting,

Question 14

Tx for for community-acquired pneumonia (CAP) is Mycoplasma pneumoniae. This patient’s presentation is consistent with M. pneumonia

Answer 14

Macrolides

Question 15

what to suspect with high LDH to FSH ratio

Answer 15

PCOS

Question 16

dorsocervical fat pad and elevated cortisol thinning of bone

Answer 16

Cushing syndrome

Question 17

which group of patients are at risk of megaloblastic anemia

Answer 17

macrocytic anemias of B12 or folate Classic symptoms of megaloblastic anemia include numbness and tingling. Additional important symptoms to be aware of include diarrhea, anorexia, and atrophic glossitis.

Question 18

pt presents with a painless testicular lump, the next step

Answer 18

US bx

Question 19

what bile acid sequestrant is typically used as a lipid-lowering therapy in patients who do not tolerate statins

Answer 19

Colestipol (Colestid)

Question 20

what option to lower LDL and triglyceride levels and increase HDL levels. It is not used often because of its high side-effect profile. It can lower triglyceride levels by approximately 15–25%.

Answer 20

Niacin (Niaspan)

Question 21

screening test for celiac disease

Answer 21

auto-immune: IgA antibody against tissue transglutaminase,

Question 22

confirmatory test for celiac disease

Answer 22

duodenal bx