graded A+)
1. A school-age pt presents to the clinic to establish care. The child has autism, facial
dysmorphia & growth retardation. The provider suspects the child has what
condition?
a. Down syndrome
b. Fetal alcohol syndrome
c. Prader-Willis syndrome
d. Turner syndrome
Explanation: Autism, facial dysmorphia & growth retardation are differentials of FAS.
2. An 8-year-old client was recently discharged from the hospital following an episode
of meningitis. The client presented to the clinic for a follow-up appointment post
discharge. The provider understands that the client is at increased risk for which
complications? SATA
a. Hearing impairment
b. Paralysis
c. Loss of speech
d. Infertility
3. A client with history of bilateral tympanostomy tube insertion presents to the clinic
c/o otorrhea. The provider confirms the complaint. What is the best treatment for
this condition?
a. Combination antibiotic & corticosteroid otic drops
b. Analgesics & watchful waiting
c. Oral antibiotics & antifungal cream
d. Corticosteroid otic drops
4. The gold standard in diagnosing Acute Otitis Media (AOM) is:
a. Immobile TM
b. Pearly gray TM
c. Flat TM
d. Perforated TM
Explanation: The dx of AOM is based on presence of 1 or several of the following:
bulging TM, decreased translucency of TM, absent or decreased mobility of the TM, air-
fluid level behind the TM & otorrhea
5. A provider is caring for a new client who has had recurrent episodes of & failed
treatment for AOM. What is the next best intervention?
a. Refer to audiologist
b. Refer to an otolaryngolgist
c. Prescribed a broad spectrum antibiotic for 30 days
d. Prescribe an anti-inflammatory