quiz 5-6 Flashcards
You are making rounds in the nursery and examine the neonate of a mother who is HbsAg-positive. Your most appropriate action is to:
Select one:
a. Administer hepatitis B immune globulin (HGIB) to the neonate
b. Isolate the infant
c. Administer hepatitis B immunization to the mother
d. Give hepatitis B immunization to the neonate
d. Give hepatitis B immunization to the neonate
A 4-year-old boy is brought in by his mother for a wellness visit. His mother tells the FNP that he had a bad case of chickenpox 1 year ago. Which of the following immunizations are indicated? Select one: a. IPV, Hib, hepatitis B b. IPV, Hib, MMR c. DTaP, IPV, MMR, hepatitis B d. DTaP, IPV
d. DTaP, IPV
A 2-year-old brought to your clinic presenting with red, irritated eyes. The mother says the symptoms manifested after they had visited a public swimming pool the prior day. Upon exam, you see no discharge. The child does not indicate any pain, only an itching sensation. You tell the mother that the condition is self-limiting, and you proceed with a normal saline flush on the patient's eyes. Which is the most likely diagnosis? Select one: a. Bacterial conjunctivitis b. Hordeolum c. Chemical conjunctivitis d. Viral conjunctivitis
c. Chemical conjunctivitis
The Monospot test used to diagnose mononucleosis tests for the presence of: Select one: a. Viral antigen b. Heterophile antibody c. Viral RNA d. Immunoglobulin G.
b. Heterophile antibody
Which of the following is most likely to be found in the laboratory data of a child who has infectious mononucleosis? Select one: a. Neutrophilia b. Lymphocytosis c. Positive antinuclear antibody d. Macrocytic anemia
b. Lymphocytosis
A 6-month-old appears to have a shorter left leg, which turns outward slightly further than her right leg. Given this finding, which of the following signs would you least expect to present during the diagnostic assessment? Select one: a. Galeazzi sign b. Barlow sign c. Gower's sign d. Allis sign
c. Gower’s sign
A 4-year old child presents with fever, exudative pharyngitis, anterior cervical lymphadenopathy, and a fine, raised, pink rash. The most likely diagnosis is: Select one: a. Scarlet fever b. Roseola c. Rubella d. Rubeola
a. Scarlet fever
A 17-year-old female who is obese undergoes a diabetes screening every 2 years. Which set of risk factors related to the patient’s heritage and medical would best justify this screening?
Select one:
a. Pacific Islander with polycystic kidney disease
b. Caucasian with hypertension
c. Hispanic with dysmenorrhea
d. Native American with hypotension
a. Pacific Islander with polycystic kidney disease
Which of the following statements is correct about the varicella vaccine?
Select one:
a. This vaccine contains killed varicella-zoster virus (VZV)
b. A short febrile illness is common during the first days after vaccination
c. Children should have a varicella titer drawn before receiving the vaccine
d. Rarely, mild cases of chickenpox (varicella) have been reported in immunized patients
d. Rarely, mild cases of chickenpox (varicella) have been reported in immunized patients
John, a 10-year-old boy, has type I diabetes. His late afternoon blood sugars over the past tw weeks have ranged between 210 mg/dL and 230 mg/dL. He is currently on 10 units of regular insulin and 25 units of NPH in the morning and 15 units of regular insulin and 10 units of NPH in the evening. Which of the following is the best treatment plan for this patient?
Select one:
a. Increase both types of the morning dose
b. Increase only the NPH insulin in the morning
c. Decrease the afternoon dose of NPH insulin
d. Decrease botht he NPH and regular insulin doses in the morning
b. Increase only the NPH insulin in the morning
A patient reports to your clinic with intense fatigue and a fever. Suspecting infectious mono, you begin a physical exam. Which of the following signs is not consistent with the common presentation of this condition? Select one: a. White exudate on the tonsils b. Generalized lymphadeopathy c. Discolored nasal discharge d. Petechial rash
c. Discolored nasal discharge
It is considered a developmental “red flag” if a child does not respond to his or her name by nine months.
Select one:
a. True
b. False
b. False
Which of the following best distinguishes epiglottis from croup?
Select one:
a. Epiglottis presents with fever, whereas croup does not
b. Epiglottitis targets children between 3 months and 6 years of age, whereas croup usually presents in children 6-10 years of age.
c. An x-ray for epiglottitis will show a thumb sign, whereas an x-ray for croup will show a steeple sign
d. Epiglottitis is entirely bacterial in nature, whereas croup is entirely viral
c. An x-ray for epiglottitis will show a thumb sign, whereas an x-ray for croup will show a steeple sign
A 6-year-old female who is new to this country presents with a racing heart, rapid breathing and pale-colored skin. During the physical exam, you notice splenomegaly and a very bony facial structure. Based on the patient’s findings, which of the following would be most likely to present?
Select one:
a. MCV 82 fl; MCHC 32% Reticulocyte count 2%
b. MCV 72 fl;MCHC 30%; reticulocyte count 3 %
c. MCV 70 fl; MCHC 34%; reticulocyte count 1%
d. MCV 88fl; MCHC 36%; reticulocyte count 1%
b. MCV 72 fl;MCHC 30%; reticulocyte count 3 %
By the age of 3, a child should have received the third dose of all of the following immunizations except:
Select one:
a. Hepatitis B
b. Diptheria, tetanus, and acellular pertussis
c. Haemophilus influenzae
d. Varicella
d. Varicella
