Quiz 1 Flashcards
When considering a person’s risk for measles, mumps, and rubella, the NP considers the following:
Select one:
a. Children should have two doses of the measles, mumps and rubella (MMR) vaccine before their sixth birthday
b. Considerable mortality and morbidity occur with all three diseases
c. Most cases of the three diseases in the United States occur in infants
d. The use of the vaccine is often associated with protracted arthralgia
a. Children should have two doses of the measles, mumps and rubella (MMR) vaccine before their sixth birthday
Which of the following conditions does not have a bacterial etiology? Select one: a. Epiglottis b. Infectious Mononucleosis c. Acute otitis media d. Conjunctivitis
b. Infectious Mononucleosis
A 6-year-old patient arrives at your clinic with a painful limp that seemed to develop out of nowhere. While examining the patient, you discover that the internal rotation of the hip causes spasms. Suspecting toxic synovitis, you order a series of lab panels and imaging studies for confirmation. Which of these procedures would NOT typically be ordered? Select one: a. Ultrasonography b. Creatine kinase test c. Magnetic resonance imaging d. Erythrocyte sedimentation rate test
b. Creatine kinase test
Rates of sepsis in children have lowered in recent years mainly because of:
Select one:
a. more stringent screening and diagnosis of febrile illness
b. increased use of antipyretics
c. longer observation period in children with febrile illness
d. higher rates of select immunization
d. higher rates of select immunization
Which of the following best defines a simple partial seizure?
Select one:
a. Staring for 25 seconds prior to onset of minor autonomic symptoms
b. Minor motor symptoms with no loss of consciousness
c. Staring for 10 seconds with brief onset and termination
d. Partial loss of consciousness with increased muscle tone
a. Staring for 25 seconds prior to onset of minor autonomic symptoms
You are treating Cynthia, age 9, who has recently been diagnosed with hyperthyroidism. What two drugs should you recognize as typical first line treatment? Select one: a. Methimazole and levothyroxine b. Propranolol and methimazole c. Levothyroxine and propranolol d. Insulin and propylthiouracil
a. Methimazole and levothyroxine
Pertussis is primarily spread via: Select one: a. Contact with a contaminated surface b. Respiratory droplet c. Blood contact d. Skin-to-skin contact
b. Respiratory droplet
Which of the following statements is true about inactivated poliovirus vaccine (IPV)?
Select one:
a. It contains live virus
b. It is the preferred method of immunization in North American
c. Two doses should be administered by a child’s fourth birthday
d. After administration of IPV, live poliovirus is usually shed from the stool
b. It is the preferred method of immunization in North American
Which of the following statements is most true regarding sinusitis in young children?
Select one:
a. Sinusitis occurs in children beginning at 6 years of age or older
b. Sinusitis is distinguished from acute otitis media by its typical pathogens
c. Radiological studies are the most common method of confirming a diagnosis
d. The parasinuses are the most commonly affected sinuses
d. The parasinuses are the most commonly affected sinuses
When giving IIV3 or IIV4 to a 7-year-old who has not received any influenza immunization in the past, the NP considers:
Select one:
a. Two-doses 4 weeks apart or more apart should be given
b. A single dose is adequate
c. Children in this age group have the highest rate of influenza-related hospitalizations
d. The vaccine should not be given to a child with a shellfish allergy
a. Two-doses 4 weeks apart or more apart should be given
Which of the following is one of the more common sources of hepatitis A infection in the United States?
Select one:
a. Receiving blood products
b. Ingestion of raw shellfish
c. Drinking municipally sourced tap drinking water
d. Ingestion of fecally contaminated food
d. Ingestion of fecally contaminated food
A 13-year-old adolescent female is brought in by her mother for a sports physical. The mother reports that the teen's last vaccines were given at the age of 6 years. Which of the following vaccines is recommended by the CDC for this patient? Select one: a. Td and HPV b. Tdap, MCV4, and the HPV vaccines c. DTap and the flu vaccine d. DT and the MCV4 vaccines
b. Tdap, MCV4, and the HPV vaccines
A treatment option for persistent OME is: Select one: a. Amoxicillin plus clavulanate b. Oral antihistamine c. Oral decongestant d. Tympanostomy
d. Tympanostomy
Recommended total daily screen time (i.e. television, computer, tablet, games, other) for a young child is: Select one: a. 0-30 minutes b. 1-2 hours c. 2-3 hours d. > 4 hours
b. 1-2 hours
Which of these signs would indicate meningitis in a patient?
Select one:
a. Pain upon external rotation of the knee
b. Pain upon extension of the leg when the hip is flexed 90 degree
c. Sciatic pain when both legs are elevated off the exam table
d. Pain with internal rotation of the flexed right thigh
b. Pain upon extension of the leg when the hip is flexed 90 degree
A newborn’s mother is discovered to be HBsAg (hepatitis B antigen) positive. Which of the following would you recommend for this infant?
Select one:
a. Give the baby hepatitis B immunoglobulin
b. Give the baby both hepatitis B vaccine and hepatitis B immunoglobulin
c. Give the baby hepatitis B vaccine only
d. Send the baby home because he is not infected
b. Give the baby both hepatitis B vaccine and hepatitis B immunoglobulin
You are treating a 24-month-old infant who has completed her PCV13 series. All of the following are possible preexisting conditions that would require administration of one dose of the 23PS formulation except; Select one: a. Chronic cardiac disease b. Hepatitis B c. Renal failure d. Asplenia
b. Hepatitis B?
Potential adverse events with acetaminophen use in a child with fever and mild dehydration include: Select one: a. seizure b. hepatotoxicity c. petechial rash d. gastric ulcer
b. hepatotoxicity
A mother brings in her 6-year-old daughter to see the NP. She complains that the school nurse found a few nits on her daughter’s hair. The mother states the school has a ‘no nits’ policy regarding head lice and the child cannot go back to school until all the nits have been removed. The child was treated with permethrin shampoo (Nix) twice about 3 months ago. During the physical exam, the NP sees a few nits that are about 2 inches away from the scalp. The child denies itchiness on her scalp. Which of the following is the best action for the NP to follow?
Select one:
a. Prescribe Lindane (Kwell) for the child because she may have head lice that are resistant to permethrin.
b. Advise the mother to use a nit comb after spraying the child’s hair with white distilled vinegar, waiting for 15 minutes, and the rinsing the child’s hair.
c. Advise the mother to re-treat the girl with permethrin cream instead of shampoo
d. Reassure the mother that the nits will probably drop off after a few weeks.
b. Advise the mother to use a nit comb after spraying the child’s hair with white distilled vinegar, waiting for 15 minutes, and the rinsing the child’s hair.
A neighbor's 14-year-old son, who is active in basketball, complains of pain and swelling on both knees. On physical exam, there is tenderness over the tibial tuberosity of both knees. Which of the following is most likely? Select one: a. Chondromalacia patella b. Left knee sprain c. Osgood-Schlatter disease d. Tear of the medial ligament
c. Osgood-Schlatter disease
An 18-year-old woman has a chief complaint of “a sore throat and swollen glands” for the past 3 days. Her physical examination reveals exudative pharyngitis, minimally tender anterior and posterior rash. Abdominal examination reveals right and left upper quadrant abdominal tenderness. The most likely diagnosis is:
Select one:
a. Group A beta-hemolytic streptococcal pharyngitis
b. Infectious mononucleosis
c. Rubella
d. Scarlet fever
b. Infectious mononucleosis
