MN 580: Final Exam
The most common reason for precocious puberty in girls is: - ANSEarly onset of normal
puberty
When billing Medicaid, NPs get the authority to bill their services from: - ANSState and
federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed
doxycycline. He returns in 3 weeks, complaining that his skin is no better. Your next action is
to: - ANSCounsel him that 6-8 weeks of treatment is often needed before significant
improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - ANS24 hours
Hemoglobin A1c best provides information on glucose control over the past: - ANS21-47
days
18 yom 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. To support the diagnosis of acute
appendicitis with suspected appendiceal rupture, you consider obtaining the following: -
ANSCT scan
2 yof 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 turgur and 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. Her diagnostic evaluation should include: - ANSChest x-ray
Aortic stenosis in a 15 yom is: - ANSA result of a congenital defect
Which of the following laboratory tests can identify the causative organism of bronchiolitis? -
ANSNasal washing antigen test
A Still murmur: - ANSHas a humming or vibratory quality
A physiological murmur has which of the following characteristics? - ANSBecomes softer
when the patient moves from supine to standing
Cyclic vomiting may: - ANSNot be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18,
dehydrated and drinks breast milk, jaundice. Interventions? - ANSInterventions: all of the
above (phototherapy, providing support, strict I/O)
, Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How
much fluid would you give? - ANS13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose
inhaler. What information is important to give? - ANSMake recommendations for disease
mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would
recommend: - ANSOffering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point
specific location. What type of pain is this? - ANSNeuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - ANSMMR may be
linked to febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the NP
recommend? - ANSIbuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What
should the NP do? - ANSRecommend next dose of MMR at 4-5 years
5 year old with a history of pertussis. What immunizations do they need prior to starting
kindergarten? - ANSDTaP
Trelarche stage in females? - ANSAll of the above (pubic hair, breast tissue, 1st period)
How often should thyroid studies be performed? - ANSYearly
Down Syndrome 18x greater in what population than that of the general population? -
ANSLeukemia
Down syndrome spinal cord changes? - ANSAll of the above
Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white lesion on
one tympanic membrane - ANSCholestatoma
2 week old presents with wide spitting, S2 expiration - ANSAtrial septal defect
New grade II vibratory, midsystolic murmur, louder when patient is supine - ANSStills
murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What should the NP do? - ANSRefer to
cardiology
What should the NP prescribe for a 12 month old who had a heart defect at 8 months? -
ANSAmoxicillin
The most common reason for precocious puberty in girls is: - ANSEarly onset of normal
puberty
When billing Medicaid, NPs get the authority to bill their services from: - ANSState and
federal law
You have initiated therapy for an 18 yom with acne vulgaris and have prescribed
doxycycline. He returns in 3 weeks, complaining that his skin is no better. Your next action is
to: - ANSCounsel him that 6-8 weeks of treatment is often needed before significant
improvement is achieved
For a Grade I ankle sprain, weight-bearing should be avoided for at least: - ANS24 hours
Hemoglobin A1c best provides information on glucose control over the past: - ANS21-47
days
18 yom 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. To support the diagnosis of acute
appendicitis with suspected appendiceal rupture, you consider obtaining the following: -
ANSCT scan
2 yof 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 turgur and 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. Her diagnostic evaluation should include: - ANSChest x-ray
Aortic stenosis in a 15 yom is: - ANSA result of a congenital defect
Which of the following laboratory tests can identify the causative organism of bronchiolitis? -
ANSNasal washing antigen test
A Still murmur: - ANSHas a humming or vibratory quality
A physiological murmur has which of the following characteristics? - ANSBecomes softer
when the patient moves from supine to standing
Cyclic vomiting may: - ANSNot be associated with a headache
5 day old infant, jaundice, sunken anterior fontanel, difficulty latching, bilirubin 18,
dehydrated and drinks breast milk, jaundice. Interventions? - ANSInterventions: all of the
above (phototherapy, providing support, strict I/O)
, Infant with dehydration. Weight 6kg, watching I/O, adequate hydration, urinary output. How
much fluid would you give? - ANS13 ml/kg/hour
PCP diagnosed 5 year old with asthma. Prescribes PO steroid and SABA via metered-dose
inhaler. What information is important to give? - ANSMake recommendations for disease
mamagement
18 month old presents with rectal temperature of 100.4, acting normal. NP would
recommend: - ANSOffering extra fluids and calling if symptoms change
10 year old child with shooting pain in both legs, aching, tingling, burning, unable to pin point
specific location. What type of pain is this? - ANSNeuropathic pain
Parent concerned about vaccine reaction. What should NP tell them? - ANSMMR may be
linked to febrile seizures in immunocompromised children
2 month old in the office to receive immunization, having fevers after. What would the NP
recommend? - ANSIbuprofen and Tylenol as needed
PCP has an 18 month old patient who received MMR 2 days prior to 1st birthday. What
should the NP do? - ANSRecommend next dose of MMR at 4-5 years
5 year old with a history of pertussis. What immunizations do they need prior to starting
kindergarten? - ANSDTaP
Trelarche stage in females? - ANSAll of the above (pubic hair, breast tissue, 1st period)
How often should thyroid studies be performed? - ANSYearly
Down Syndrome 18x greater in what population than that of the general population? -
ANSLeukemia
Down syndrome spinal cord changes? - ANSAll of the above
Patient presents with chronic otitis media, profuse purulent otorrhea, pearly white lesion on
one tympanic membrane - ANSCholestatoma
2 week old presents with wide spitting, S2 expiration - ANSAtrial septal defect
New grade II vibratory, midsystolic murmur, louder when patient is supine - ANSStills
murmur
Harsh, blowing, grade IV/VI murmur at 6 month old. What should the NP do? - ANSRefer to
cardiology
What should the NP prescribe for a 12 month old who had a heart defect at 8 months? -
ANSAmoxicillin
