NR 602 MIDTERM EXAM
Course Title: Primary Care of the Childbearing and Childrearing Family
1. Role-play with equipment during the course of a physical examination would be most beneficial
with which of the following groups?
- Preschoolers/Toddlers
2. What is the Ortolani Sign?
-Assess for congenital hip dysplasia
3. When performing a physical examination of a toddler, which of the following body parts would
examine last?
- Ears and throat
4. What are three findings using Jones criteria for Rheumatic Fever?
-Streptococal infection, carditis, and erythema marginatum
5. While examining a 4-month-old boy, you are unable to palpate one of his testes. The next most
appropriate step is:
- Refer the child to a urologist
6. Concurrent Otitis media and Conjunctivitis is likely due to which?
- Haemophilus influenza
7. What is the appropriate management of a child with asthma who presents with acute wheezing
and/or coughing?
- Administer a short-acting beta agonist
, 8. Sandra, age 12 years, has several vesicles and honey-colored crusted lesions on her face above
the right nares. She has a history of having a bad scratch in the same area several days ago. What
condition do you suspect?
-Impetigo
9. The most appropriate management of a 5-year old with a firm nontender nodule in the mid-
upper eyelid for 3 weeks would be:
-Topical ophthalmic ointment
10. A 10-month-old child has been diagnosed with gastroenteritis. He attends a child care facility.
What is the most likely cause of illness?
-Rotavirus
11. If a child or any patient describes a “pop” in the knee. What is this indicative of?
- Anterior cruciate ligament tear
12. A 7-year-old African American female presents with several hyperkeratotic raised, periungual
lesions on the two middle fingers of her left hand. She has a history of nail biting. The most likely
diagnosis is:
- Verruca vulgaris
13. Management of scoliosis depends on the severity of curve as well as the age of the child. Which
of the following would require surgical intervention?
- Thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees.
14. Treatment of true central precocious puberty is best achieved with:
- Gonadotropin-releasing hormone agonist
15. Baby Sally was in your office last week for her 6-month checkup. Her weight was 7 kg. Today she
presents with diarrhea and vomiting for 4 days. Today her weight is 6.5 kg. What is her percentage of
dehydration?
-7%