FINAL PEDIATRICS

FINAL PEDIATRICS

 Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?
Selected
Answer:
Ye
s
 Question 2
0 out of 1 points
Lisa has Cushing’s syndrome. You would suspect her to have or to develop
Selected
Answer:
d.
Excitability and
nervousness
 Question 3
0 out of 1 points
A 4-year-old female with profuse vomiting, sweating, lacrimation, and diarrhea, who
seizes in the emergency room. Which of the following is the most likely etiology?
Selected
Answer:
e.
Esophageal foreign
body
 Question 4
1 out of 1 points
Antibiotic therapy is one of the mainstays of treatment for which of the following causes
of wheezing?
Selected
Answer:
d.
Epiglottitis
 Question 5
1 out of 1 points
An 18-month-old African American girl is brought to your office because she has
been crying and stopped walking today. She will crawl, however. Her mom denies
any injury to the child. On examination, she is crying but consolable in her mother’s
arms. She has bruising and swelling just proximal to the left ankle. An x-ray reveals a
spiral fracture of the tibia. At this time, you advise the mother that:
Selected
Answer:
a.
This is a common fracture resulting from twisting on a
planted foot.
 Question 6
1 out of 1 points
Tracy, the mother of a 2-year-old, is concerned because her daughter walks on her toes
all the time. What do you tell her?
Selected
Answer:
c.
Toe walking is considered normal until
age 3.
 Question 7
0 out of 1 points
Vomiting in infancy has a long list of differential diagnoses. Which of the following other
symptoms would mostly likely point to pyloric stenosis?
Selected
Answer:
a.
Hungry after
vomiting
 Question 8
1 out of 1 points
The following clinical description best matches which genetic disorder? An
institutionalized male juvenile delinquent upon close examination has severe
nodulocystic acne, mild pectus excavatum, large teeth, prominent glabella, and
relatively long face and fingers. His family says he has poor fine motor skills (such as
penmanship), an explosive temper, and a low-normal IQ.
Selected
Answer:
d.
XYY
male
 Question 9
1 out of 1 points
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your
diagnosis?
Selected
Answer:
a.
Port-wine stain (nervus
flammeus)
 Question 10
0 out of 1 points
A 6-year-old boy is left alone for 10 hours, now with hematemesis and
pneumomediastinum on chest x-ray. Which of the following is the most likely etiology?
Selected
Answer:
a.
Insecticide
ingestion
 Question 11
1 out of 1 points
In mild to moderate attacks of acute asthma, Albuterol should be given every 4-6 hours
prn and routine medication should be
Selected
Answer:
c.
Continued as
usual
 Question 12
1 out of 1 points
A 2-year-old presents to your office with the following symptoms: nasal congestion and
rhinorrhea for 48 hours, low-grade fever, and a harsh/barky cough that is significantly
worse at night. Inspiratory stridor is present and she has clear but slightly decreased
breath sounds. Which of the following treatments is best?
Selected
Answer:
c.
One dose of oral
dexamethasone
 Question 13
0 out of 1 points
A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping
forehead, cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly,
microphthalmia, and omphalocele. Which of these is the most likely diagnosis?
Selected
Answer:
e.
Edwards syndrome
(trisomy 18)
 Question 14
1 out of 1 points
Which of the following physical stigmata are common in newborns with Down syndrome?
Selected
Answer:
b.
Hypotonia, large-appearing tongue and small mouth, upward
slant to eyes
 Question 15
1 out of 1 points
You have a patient that you think may have intussusception. Which of the following
finding may you see?
Selected
Answer:
b.
Inconsolable
screaming

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 Question 16
0 out of 1 points
Which of the following is true regarding the diagnosis of epiglottitis?
Selected
Answer:
a.
Every effort should be made to visualize the epiglottitis in the office
and confirm the diagnosis
 Question 17
1 out of 1 points
An 8-month-old baby arrives to the office with his mother with a complaint of
decreased left arm movement. He is a product of a normal term pregnancy, has had
no medical problems, and was in good health when his mother dropped him off at
the daycare center. Upper arm radiographs show a left humerus spiral fracture.
Which of the following is the most appropriate next step in management?
Selected
Answer:
d.
Send the child to the hospital for admission and call child
protective services.
 Question 18
1 out of 1 points
A 6-week-old boy, born by vaginal delivery after an uncomplicated term gestation,
has experienced cough and “fast breathing” for 2 days. His mother relates that he
has a 1-week history of nasal congestion and watery eye discharge, but no fever or
change in appetite. He has a temperature of 99.4°F and a respiratory rate of 44
breaths/min. He has nasal congestion, clear rhinorrhea, erythematous conjunctivae
bilaterally, and watery, right eye discharge. His lungs demonstrate scattered crackles
without wheezes. Which of the following is the most likely pathogen?
Selected
Answer:
d.
Chlamydia
trachomatis
 Question 19
1 out of 1 points
The parents of an 8-year-old Down Syndrome boy arrive for his annual well-child visit. He
wants to participate in sports, including the Special Olympics. Until further examination
can be completed, which of the following sports would you suggest as being safe?
Selected
Answer:
d.
Tenni
s
 Question 20
1 out of 1 points
Of the following patients, which child should not receive a tuberculin skin test?
Selected
Answer:
d.
A 2-year-old who was infected with RSV 2 months ago and is
currently asymptomatic.
 Question 21
1 out of 1 points
A 3-week old presents to the office in January with a 1-week history of nasal congestion
and occastional cough. On the night prior to the visit in infant developed a fever 102ºF
rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored
breathing. On exam, you note an ill-appearing infant who is lethergic with wheezing,
tachypnea, and intercostal retractions. The infant is home with the mom at this time;
however, has a sibling who is 4-years-old and is in daycare and recently had cold
symptoms. If the patient has been diagnosed with RSV bronchiolitis, which of the
following would be the treatment of choice?
Selected
Answer:
b.
Fluids and nutritional support and close
monitoring
 Question 22
1 out of 1 points
The peak incidence for adolescent gynecomastia occurs at age
Selected
Answer:
b.
13 to 14 years of
age
 Question 23
1 out of 1 points
Which of the following statements is not true with slipped capital femoral epiphysis?
Selected
Answer:
a.
It is thought to be caused by repetitive stresses in young athletes
prior to growth spurts.
 Question 24
1 out of 1 points
Which of the following patients least warrents a sweat chloride test?
Selected
Answer:
d.
4-year-old female with noctural cough, which resolves after treatment
with bronchodilators and short-term steroids; growth parameters at 10%
for age.
 Question 25
1 out of 1 points
Which of the following objective data are associated with significantly better long-term
outcomes in children born with open spina bifida?
Selected
Answer:
b.
Perineal
sensation
 Question 26
0 out of 1 points
Unilateral wheezing is a finding suggestive of
Selected
Answer:
d.
Asthm
a
 Question 27
1 out of 1 points
Which malignancy is associated with genitourinary anomalies?
Selected
Answer:
c.
Wilms’
tumor
 Question 28
1 out of 1 points
All of the following is treatment for a child with phimosis except
Selected
Answer:
c.
Ice
packs
 Question 29
1 out of 1 points
A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What
additional symptom would cause the NP to suspect Crohn’s disease?
Selected
Answer:
a.
Blood, mucous
diarrhea
 Question 30
1 out of 1 points
Which of the following is not associated with congenital adrenal hyperplasia?
Selected
Answer:
d.
Hypernatre
mia
 Question 31
0 out of 1 points
Fifth disease is usually
Selected
Answer:
a.
Transmitted via deer
ticks
 Question 32
1 out of 1 points
Which of the following is not characteristic of an apparent life-threatening event (ALTE)?
Selected
Answer:
c.
Feve
r
 Question 33
1 out of 1 points
Which of the following conditions is most responsible for developmental delays in
children?
Selected
Answer:
a.
Fetal Alcohol
Syndrome
 Question 34
1 out of 1 points
Lyme disease is most closely associated with which of the following skin lesions?
Selected
Answer:
c.
Erythema
migrans
 Question 35
1 out of 1 points
Jason, age 14, appears with tender discoid breast tissue enlargement (2-3 cm in
diameter) beneath the areola. Your next action would be to
Selected
Answer:
d.
Perform watchful waiting for 1
year.
 Question 36
1 out of 1 points
Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a “Christmas tree”
distribution. It is predominantly on her trunk. One lesion is on her buttock that is larger
than the other, at about 4 cm in diameter. What is your diagnosis?
Selected
Answer:
d.
Pityriasisrosea
 Question 37
1 out of 1 points
Seborrhea dermatitis is common for both infants and adolescents. Which is not correct for
this condition?
Selected
Answer:
a.
The condition in adolescents is known as acne with comedones and
popular and pustular lesions.
 Question 38
1 out of 1 points
The following clinical description best matches which genetic disorder? A 15-year-old
girl with primary amenorrhea is noted to be well below the 5th percentile for height.
She has hypertension, a low posterior hairline, prominent and low-set ears, and
excessive nuchal skin.
Selected
Answer:
d.
Turner syndrome
(XO)
 Question 39
0 out of 1 points
When a neonate is initially protected against measles, mumps, and rubella because the
mother is immune, this is an example of which type of immunity?
Selected
Answer:
a.
Artificial
passive
 Question 40
0 out of 1 points
A 2-year-old presents with a history of wheezing and persistent cough. The father reports
the child had a coughing/choking episode about a week ago that was spontaneously
resolved. A few days later she began to cough and wheeze. This scenario is most
consistent with
Selected
Answer:
d.
Foreign body
aspiration
 Question 41
0 out of 1 points
While doing a 5-year-old well child exam, you notice two small patches of hair loss.
Broken hair is present, as is erythema and scaling. On the basis of this information, which
of these is the likely diagnosis?
Selected
Answer:
c.
Trichotillomania
 Question 42
1 out of 1 points
A 3-week-old male infant with 2 days of projectile, nonbilious vomiting and constant
feeding. Which of the following is the most likely etiology?
Selected
Answer:
b.
Pyloric
stenosis
 Question 43
0 out of 1 points
The most significant major contributor or contributors to asthma morbidity and mortality
is/are
Selected a.
Answer: Under diagnosis and inappropriate
treatment
 Question 44
1 out of 1 points
Individuals with chronic adrenal insufficiency often have
Selected
Answer:
a.
A craving for
salt
 Question 45
1 out of 1 points
A healthy 8-month-old infant presents with diarrhea but no dehydration. What is the best
advice to give to the parents?
Selected
Answer:
a.
Give bananas, cereal, vegetables, and full-strength formula
as tolerated.
 Question 46
1 out of 1 points
Anthony is a known asthmatic. He has symptoms three times a week but never more
than once a day. Exacerbations affect his normal activities occasionally. He awakens with
cough three to four times a month. You classify his asthma as
Selected
Answer:
c.
Mild
persistent
 Question 47
0 out of 1 points
A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood.
The most appropriate next step is
Selected
Answer:
d.
Trial of omeprazole
(Prilosec)
 Question 48
1 out of 1 points
Which of the following is not a sign or symptom of congenital hypothyroidism?
Selected
Answer:
b.
Frequent
stooling
 Question 49
1 out of 1 points
A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare facility.
What is the likely cause of the illness?
Selected
Answer:
a.
Rotavirus
 Question 50
1 out of 1 points
A 7-year-old presents with abrupt fever, stridor, drooling, and hyperextension of the
neck. You examine the nose and throat and notice one tonsil is enlarged and there is
marked erythema of the pharynx with uvular deviation. Which is most appropriate?
Selected
Answer:
b.
Refer to otolaryngology for management of a peritonsillar abscess and
possible hospital admission
 Question 51
1 out of 1 points
A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-ray reveals
bilateral pulmonary infiltrates. Her white blood cell count is normal and the neutrophil
count is normal. The most likely etiology is
Selected
Answer:
c.
Chlamydia
pneumonia
 Question 52
1 out of 1 points
You see a 7-year-old with a positive stool culture for Salmonella enteriditis. The
appropriate therapy for a non-dehydrated child is
Selected
Answer:
d.
Bland diet with focus on maintaining
hydration
 Question 53
0 out of 1 points
The most common cause of primary amenorrhea is
Selected
Answer:
a.
Constitutional or
familial
 Question 54
1 out of 1 points
A 3-year-old presents with macrocephaly, developmental delay, coarse facial
features, large tounge, kyphosis, hip dislocation, tonsillar and adenoidal hypertrophy,
and hepatomegaly. She is receiving early intervention services without improvement.
What is the best next step?
Selected
Answer:
a.
Refer to genetics for further
evaluations
 Question 55
1 out of 1 points
When Jason, age 12, slid into homeplate while playing baseball, he injured his ankle. You
are trying to differentiate between a strain and a sprain. You know that a sprain
Selected
Answer:
d.
Is an injury to the ligaments that attach to the
bones in a joint.
 Question 56
1 out of 1 points
Hypercholesterolemia in children older than 2 is defined as a total cholesterol at or above
Selected
Answer:
d.
200
mg/dL
 Question 57
0 out of 1 points
The most accurate way to determine the degree of dehydration in a vomiting child is to
assess
Selected
Answer:
d.
Skin
turgor

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 Question 58
1 out of 1 points
Primary dysmenorrhea is due to
Selected
Answer:
b.
Elevated prostaglandin
level
 Question 59
1 out of 1 points
The most common presentation of Hirschprung disease is which of the following?
Selected
Answer:
a.
Infrequent bowel
movements
 Question 60
1 out of 1 points
A small-for-gestational-age infant is born to a 35-year-old woman. He has low-set and
malformed ears, microcephaly, rocker-bottom feet, inguinal hernias, cleft lip/palate, and
micrognathia. Chromosomal analysis is likely to reveal which of the following?
Selected
Answer:
c.
Edwards syndrome
(trisomy 18)
 Question 61
1 out of 1 points
A 3-week old presents to the office in January with a 1-week history of nasal
congestion and occasional cough. On the night prior to the visit in infant developed a
fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and
noisy, labored breathing. On exam, you note an ill-appearing infant who is lethargic
with wheezing, tachypnea, and intercostal retractions. The infant is home with the
mom at this time; however, has a sibling who is 4-years-old and is in daycare and
recently had cold symptoms. Based on the clinical presentations, what is the most
likely cause of the infant’s illness?
Selected
Answer:
b.
RSV
bronchiolitis
 Question 62
1 out of 1 points
What does shift to the left mean in a white blood count?
Selected
Answer:
d.
A rise in
neutrophils
 Question 63
1 out of 1 points
A 10-year-old male presents with a fever of 102ºF and complaints of leg pains. His
mother reports that he had an upper respiratory infecion with a sore throat about 2
weeks ago. No treatment was needed. On examination, he has tender and swollen
knees bilaterally. His heart rate is 125 bpm and a blowing systolic murmur is heard
at the apex. No murmur was noted at in the chart. The mostly diagnosis is:
Selected
Answer:
b.
Rheumatic
fever
 Question 64
0 out of 1 points
A 2-year-old girl has increased work of breathing. Her father notes she had cough
and subjective fever over the past 3 days. She has been complaining that her “belly
hurts” and has experienced one episode of post-tussive emesis but no diarrhea. Her
immunizations are current, and she is otherwise healthy. Her temperature is 102°F.
She is somnolent but easily aroused. Respirations are 28 breaths/min, and her
examination is remarkable for decreased breath sounds at the left base posteriorly
with prominent crackles. Which of the following acute interventions is the LEAST
likely to assist in the diagnosis?
Selected
Answer:
b.
Viral nasal
swab
 Question 65
0 out of 1 points
Dave, age 17, has gynecomastia. You should also assess him for
Selected
Answer:
d.
Obesity
 Question 66
0 out of 1 points
An adolescent female presents with a 2-day history of increasing lower abdominal pain.
She has mild vomiting and anorexia and fevers to 101F. She is unable to defecate but has
an urge to do so. CBC reveals a slightly elevated WBC of 14,000, but is otherwise normal.
Serum electrolytes are normal. The next step is
Selected
Answer:
b.
Refer to gynecology for a pelvic
exam.
 Question 67
1 out of 1 points
The classic radiographic finding of croup is
Selected
Answer:
c.
Steeple
sign
 Question 68
1 out of 1 points
An 8-month-old female infant with bilious vomiting, constant abdominal pain for 12 hours
and upper GI study showing beaklike appearance of contrast. Which of the following is
the most likely etiology?
Selected
Answer:
e.
Volvulus
 Question 69
1 out of 1 points
Jesse, age 5, has a diagnosis of encopresis. After the diagnosis, what would be your next
action?
Selected
Answer:
d.
Rule out a neurologic
disorder.
 Question 70
1 out of 1 points
The peak incidence of osteosarcoma is
Selected
Answer:
a.
15-19 years of
age
 Question 71
1 out of 1 points
Ben has been diagnosed with folliculitis, an inflammatory condition involving the
pilosebaceous follicle. What is the most common cause of this condition?
Selected
Answer:
a.
Staphylococcus
aureus
 Question 72
0 out of 1 points
Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes. She is
worried that she will not fit in with her friends anymore because she does not think she
can have all the same snacks they have. How do you respond?
Selected
Answer:
a.
As long as your snacks are low in fats and carbohydrates, you
will be fine.
 Question 73
1 out of 1 points
Which of the following is a characteristic physical sign of fragile X syndrome in
adolescent males?
Selected
Answer:
a.
Macro￾orchidism
 Question 74
0 out of 1 points
Which of the following is not true of insect stings from bees, wasps, and fire ants?
Selected
Answer:
d.
For mild reactions, applying cool compresses to the site is the usual
treatment plan.
 Question 75
0 out of 1 points
Tommy has bloody diarrhea. His family eats fast-food four to five times each week. Which
organism may have caused the diarrhea?
Selected
Answer:
d.
S.
aureus
 Question 76
1 out of 1 points
Prophylactic penicillin should be started in children with sickle cell anemia by
Selected
Answer:
b.
2 to 3 months of
age
 Question 77
1 out of 1 points
Which chromosomal abnormality is associated with short stature in girls?
Selected
Answer:
d.
Turner
syndrome
 Question 78
1 out of 1 points
A child has developed her second perirectal abscess in 6 months. She should be
evaluated for which of the following conditions?
Selected
Answer:
c.
Crohn’s
disease
 Question 79
1 out of 1 points
A 14-month-old child has lower extremity bowing, a waddling gait, genu varum, and
is at the 5th percentile for height. Laboratory data include low-normal serum calcium,
moderately low serum phosphate, and elevated serum alkaline phosphatase levels,
hyperphosphaturia, and normal parathyroid levels. Which of the following is the most
likely diagnosis?
Selected
Answer:
b.
Genetic primary
hypophosphatemia
 Question 80
1 out of 1 points
A previously healthy male has a 3-month history of increasing headaches, blurred
vision, and personality changes. Previously he admitted to marijuana
experimentation more than 1 year ago. On examination he is a healthy, athletic-
appearing 17-year-old with decreased extraocular range of motion and left eye visual
acuity. Which of the following is the best next step in his management?
Selected
Answer:
e.
Neuroimaging
 Question 81
1 out of 1 points
Which of the following is true regarding innocent murmurs?
Selected
Answer:
c.
The murmur is low intensity,
grade 1-3.
 Question 82
1 out of 1 points
Which fo the following foods would be most appropriate for a child with celiac disease?
Selected
Answer:
b.
Rice with
butter
 Question 83
1 out of 1 points
A common presenting symptom of inflammatory bowel disease is
Selected
Answer:
c.
Unexplained
fever
 Question 84
0 out of 1 points
You see a 7-year-old boy a day after he was bitten by his pet dog. According to the
mother, the dog bit the child after he snuck up on the dog and grabbed his tail. The
dog has had all its vaccinations, including rabies. The child has had no fever, has full
movement of the injured limb, and has no sign of neurologic or vascular injury. The
wound is on the child’s forearm, is not deep, and is not bleeding, but has developed
about 2 cm of erythema surrounding the site. Which of the following is the most
appropriate treatment?
Selected
Answer:
a.
Oral amoxicillin-clavulanate for 7-
14 days
 Question 85
1 out of 1 points
Whitney is a 2-year-old female with dysuria. She has a fever of 102.4 and is nontoxic. She
has no prior history of UTI. Urine dipstick reveals 1+ leukocyte esterase, 2+ nitrates, 1+
non-hemolyzed blood, pH of 6.0, and specific gravity 1.025. Her vulvovaginal area is
slightly red with no discharge. Which of the following treatments is recommended.
Selected
Answer:
c.
Start sulfamethoxazole/trimethoprim (Bactrim) for 10 days and send
culture and sensitivity
 Question 86
0 out of 1 points
A 2-year-old boy is brought in with fever and poor feeding. He started getting sick
yesterday and has worsened significantly today. He has had no recent illnesses or
injuries, and no known ill contacts. On examination, his temperature is 101°F, he is
tachycardic, and he appears ill. He is laying on his back with his left leg flexed and
abducted at the hip. The HEENT examination is normal, heart is tachycardic but
regular, and the lungs are clear. The abdomen is nontender and has normal bowel
sounds. He screams in pain when you move his left leg from its resting position.
Blood work reveals an elevated WBC count of 15,000 mm3 and an ERS or 45 mm/h.
An x-ray of his left hip shows a widened joint space but no fractures. What is your
next step at this point?
Selected
Answer:
a.
Oral antibiotic and follow up in
1 day
 Question 87
1 out of 1 points
A 14-year-old girl from another state was followed for 7 years for a history of insulin￾dependent diabetes mellitus. Her hemoglobin A1C is 14.9%. This laboratory test indicates
which of the following?
Selected
Answer:
a.
Her glucose control is
poor.
 Question 88
1 out of 1 points
Which of the following is the primary diagnostic tool used in the evaluation of seizure
disorders?
Selected
Answer:
d.
EE
G
 Question 89
1 out of 1 points
Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature
and has increased arm span, laxity of joints, pectus excavatum, and an abnormal
echocardiogram. Which of the following diagnosis would you suspect Robert as having?
Selected d.
Answer: Marfan
syndrome
 Question 90
0 out of 1 points
In children who have not received antibiotics in the past month, which antibiotic is
recommended by the Centers for Disease Control and Prevention for the
management of acute bacterial respiratory infection?
Selected
Answer:
b.
Amoxicillin plus clavulanic acid
(Augmentin)
 Question 91
1 out of 1 points
Which of the following is a measure of childhood intelligence?
Selected
Answer:
c.
Wechsler
scales
 Question 92
1 out of 1 points
John, age 12, injured his spinal cord by diving into a shallow lake. He is in a wheelchair
but can self-transfer. He can use his shoulder and extend his wrist, but has no finger
control. At what level of the spinal cord was the damage?
Selected
Answer:
a.
C
6
 Question 93
1 out of 1 points
You are examining Beth, age 9 months, and note a palpable right supraclavicular node.
You know that this finding is suspicious for
Selected
Answer:
b.
Lymphoma of the
mediastinum
 Question 94
1 out of 1 points
Maddie, age 2, had a complete blood count (CBC) drawn at her last visit. It indicates that
she has a microcytic hypochromic anemia. What should you do now at this visit?
Selected
Answer:
b.
Obtain a lead
level.
 Question 95
1 out of 1 points
The most common central nervous system side effect of mumps in children is
Selected
Answer:
c.
Ataxia
 Question 96
1 out of 1 points
Michael, age 16, sprained his ankle while playing ice hockey. He is confused as to
whether to apply heat or cold. What do you tell him?
Selected
Answer:
a.
Apply cold for 20 minutes and then take it off for 45 minutes. Repeat
for the first 24-48 hours while awake.
 Question 97
1 out of 1 points
The organism that causes hand, foot, mouth syndrome is what virus?
Selected
Answer:
a.
Coxsackie
 Question 98
1 out of 1 points
A 7-month-old female was brought by her mother to an outpatient clinical because of
a 2-day history of fever, copious nasal secretions, and wheezing. The mother
volunteered that the baby has been healthy and has not had these symptoms in the
past. The infant’s temperature is noted to be 100.7°F, her respiratory rate is 50
breaths/min, and her pulse oximetry is 95% on room air. Physical examination
reveals no signs of dehydration, but wheezing is hear on lung auscultation. The
infant shows no improvement after three treatments with nebulized albuterol. Which
of the following is recommended treatment?
Selected
Answer:
d.
Supportive care with hydration and humidified
oxygen
 Question 99
1 out of 1 points
A healthy, thriving 4-year-old male has had sudden episodes of drawing his knees to his
chest and crying like he is in acute pain for the last 5 hours. These episodes are
separated by quiet times when he appears normal and comfortable. He is not vomiting
and has not had a bowel movement today. What is the most likely diagnosis.
Selected
Answer:
a.
Intussusception
 Question 100
1 out of 1 points
An 11-month-old male with intermittent bouts of crying and nonbilious vomiting, has a
history of Meckel diverticulum. A small elongated mass is felt on the right side of his
abdomen. Which of the following is the most likely etiology?
Selected
Answer:
d.
Intussusception
 Question 101
1 out of 1 points
The diet of a 3-year-old with cystic fibrosis should be supplemented with which of the
following?
Selected
Answer:
a.
Vitamin
D

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