2026 Questions and Correct Detailed Answers
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A 10-month old with a rash, runny nose, cough, and a cluster of tiny white
papules with an erythematous base on the buccal mucosa suggests this diagnosis.
- CORRECT ANSWER-Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden
under the table. - CORRECT ANSWER-Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with
fever, right pleuritic chest pain, and green sputum. - CORRECT ANSWER-Right
lower lobe crackles
The diagnostic test that should be performed immediately for a 15-year-old
female with burning urination after treatment for trichomonas vaginitis. -
CORRECT ANSWER-Microscopic exam of urine
,Essential education for a 15-year-old male with a history of cryptorchidism which
was surgically repaired. - CORRECT ANSWER-Testicular self-examination
The first action a school nurse should take when a child with type I diabetes
mellitus reports sweating and weakness after insulin injection. - CORRECT
ANSWER-Measure the blood sugar
The most likely working diagnosis for a 14 year old patient who fell on an
outstretched hand, complains of proximal forearm pain, and has a positive fat pad
sign on X-ray. - CORRECT ANSWER-Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. -
CORRECT ANSWER-Successful treatment indication for radial head subluxation
The appropriate response for a 16-year-old female experiencing midcycle spotting
while on Ortho-Novum 7/7/7. - CORRECT ANSWER-Providing reassurance
The most appropriate diagnostic tests to order for a 17-year-old female suspected
of having polycystic ovary syndrome, in addition to testosterone. - CORRECT
ANSWER-FSH, LH, TSH
,The most likely diagnosis for a 17-year-old female who has never had her menses
and is at Tanner stage III of sexual development. - CORRECT ANSWER-Primary
amenorrhea
Condition suspected for a 20-year-old male with a 1-month history of a bump on
his testicle and a history of unprotected intercourse. - CORRECT ANSWER-
Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious,
markedly purulent discharge from her left eye. - CORRECT ANSWER-
Gonococcal conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal
guarding, rigid abdominal musculature, rebound tenderness at McBurney's point,
and leukocytosis. - CORRECT ANSWER-Appendicitis
A question to consider when analyzing a 22-year-old college student's heart rate
of 48/minute and regular during a routine physical examination. - CORRECT
ANSWER-Is this student an athlete?
Advice for a 24-year-old female taking oral contraceptives who has missed her
last 2 pills to minimize her risk of pregnancy. - CORRECT ANSWER-Double
, today's dose and tomorrow's dose and use a barrier method for the rest of the
month
Contraceptive technique to prevent pregnancy. - CORRECT ANSWER-Barrier
method
Common cause of recurrent candidal infections. - CORRECT ANSWER-Diabetes
mellitus
Non-tender breast mass with nipple discharge. - CORRECT ANSWER-
Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - CORRECT ANSWER-
Chlamydia infection
Skin rash caused by irritants or allergens. - CORRECT ANSWER-Contact
dermatitis
Test to identify pathogens in respiratory secretions. - CORRECT ANSWER-
Sputum culture