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PEDIATRIC MID TERM Q&A

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2 / 2 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). 3) Ultrasound. 4) Flat plate. Question 2 2 / 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: 2) urine culture and sensitivity measurement. 3) lumbar puncture. 4) sputum culture. Question 3 2 / 2 points Aortic stenosis in a 15-year-old male is most likely: Question options: 1) a sequela of rheumatic fever. 3) calcific in nature. 4) found with atrial septal defect. Question 4 2 / 2 points Which of the following laboratory tests can identify the causative organism of bronchiolitis? Question options: 2) Antibody test via blood sample. 3) Urine culture. 4) A laboratory test is not available. Question 5 2 / 2 points A Still murmur: Question options: 1) is heard in the presence of cardiac pathology. 3) is a reason for denying sports participation clearance. 4) can become louder when the patient is standing.

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PEDIATRIC MID TERM Q&A

, 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:

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