MN 580 Midterm test prep
Question 1 points
An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past
48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence
of bandemia and a total WBC of 28,000 mm3. To support the diagnosis of acute appendicitis with
suspected appendiceal rupture, you consider obtaining the following abdominal imaging study:
Question options:
1) Magnetic resonance image (MRI).
2) Computed tomography (CT) scan.
3) Ultrasound.
4) Flat plate.
Question
2 points
Gina is 2 years old and presents with a 3-day history of fever, crankiness, and congested cough. Her
respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted
at the right lung base. Skin turgor is normal, and she is wearing a wet diaper. She is alert, resisting the
examination as age appropriate, and engages in eye contact. Temperature is 38.3° C (101° F). Gina's
diagnostic evaluation should include:
Question options:
1) chest x-ray.
2) urine culture and sensitivity measurement.
3) lumbar puncture.
4) sputum culture.
Question
3 points
Aortic stenosis in a 15-year-old male is most likely:
Question options:
1) a sequela of rheumatic fever.
2) a result of a congenital defect.
,MN 580 Midterm test prep
3) calcific in nature.
4) found with atrial septal defect.
Question
4 points
Which of the following laboratory tests can identify the causative organism of bronchiolitis?
Question options:
1) Nasal washing antigen test.
2) Antibody test via blood sample.
3) Urine culture.
4) A laboratory test is not available.
Question
5 points
A Still murmur:
Question options:
1) is heard in the presence of cardiac pathology.
2) has a humming or vibratory quality.
3) is a reason for denying sports participation clearance.
4) can become louder when the patient is standing.
Question
6 points
A physiological murmur has which of the following characteristics?
Question options:
1) Occurs late in systole.
2) Is noted in a localized area of auscultation.
3) Becomes softer when the patient moves from supine to standing.
, MN 580 Midterm test prep
4) Frequently obliterates S2.
Question
7 points
You anticipate that adult car seat belts fit correctly when a child is approximately tall and is
old.
Question options:
1) 51 inches (129.5 cm), 6 to 8 years
2) 53 inches (134.6 cm), 5 to 7 years
3) 57 inches (144.8 cm), 8 to 12 years
4) 59 inches (150 cm), 12 to 14 years
Question
8 points
Physical examination findings in otitis externa include:
Question options:
1) tympanic membrane immobility.
2) increased ear pain with tragus palpation.
3) tympanic membrane erythema.
4) tympanic membrane bullae.
Question
9 points
In infants, solid foods are best introduced no earlier than:
Question options:
1) 1–3 months.
2) 3–5 months.
3) 4–6 months.
4) 6–8 months.
Question 1 points
An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past
48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence
of bandemia and a total WBC of 28,000 mm3. To support the diagnosis of acute appendicitis with
suspected appendiceal rupture, you consider obtaining the following abdominal imaging study:
Question options:
1) Magnetic resonance image (MRI).
2) Computed tomography (CT) scan.
3) Ultrasound.
4) Flat plate.
Question
2 points
Gina is 2 years old and presents with a 3-day history of fever, crankiness, and congested cough. Her
respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted
at the right lung base. Skin turgor is normal, and she is wearing a wet diaper. She is alert, resisting the
examination as age appropriate, and engages in eye contact. Temperature is 38.3° C (101° F). Gina's
diagnostic evaluation should include:
Question options:
1) chest x-ray.
2) urine culture and sensitivity measurement.
3) lumbar puncture.
4) sputum culture.
Question
3 points
Aortic stenosis in a 15-year-old male is most likely:
Question options:
1) a sequela of rheumatic fever.
2) a result of a congenital defect.
,MN 580 Midterm test prep
3) calcific in nature.
4) found with atrial septal defect.
Question
4 points
Which of the following laboratory tests can identify the causative organism of bronchiolitis?
Question options:
1) Nasal washing antigen test.
2) Antibody test via blood sample.
3) Urine culture.
4) A laboratory test is not available.
Question
5 points
A Still murmur:
Question options:
1) is heard in the presence of cardiac pathology.
2) has a humming or vibratory quality.
3) is a reason for denying sports participation clearance.
4) can become louder when the patient is standing.
Question
6 points
A physiological murmur has which of the following characteristics?
Question options:
1) Occurs late in systole.
2) Is noted in a localized area of auscultation.
3) Becomes softer when the patient moves from supine to standing.
, MN 580 Midterm test prep
4) Frequently obliterates S2.
Question
7 points
You anticipate that adult car seat belts fit correctly when a child is approximately tall and is
old.
Question options:
1) 51 inches (129.5 cm), 6 to 8 years
2) 53 inches (134.6 cm), 5 to 7 years
3) 57 inches (144.8 cm), 8 to 12 years
4) 59 inches (150 cm), 12 to 14 years
Question
8 points
Physical examination findings in otitis externa include:
Question options:
1) tympanic membrane immobility.
2) increased ear pain with tragus palpation.
3) tympanic membrane erythema.
4) tympanic membrane bullae.
Question
9 points
In infants, solid foods are best introduced no earlier than:
Question options:
1) 1–3 months.
2) 3–5 months.
3) 4–6 months.
4) 6–8 months.
