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A mantoux test in a child with no risk factors is considered postiive with a reaction of
A. at least 5 mm induration
B. at least 8 mm induration
C. At least 10 mm induration
D. at least 15 mm induration - ✔✔D. at least 15 mm induration
You have ordered routine blood screening for a 2 year old girl who because of dietary
habits is at risk for IDA. Which of the following findings is not associated with IDA.
A. Hypochromic RBC
B. Microcytic RBC
C. Low reticulocyte count
D. Low free erythrocyte protoporphin level - ✔✔D. Low free erythrocyte protoporphin
level
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,A tenderness is detected over the tibial tuberosity of a 10 year old boy during a routine
examination at a school-based clinic. The PNP know that this may be a sign of-
A. Osgood-Schlatter
B. Blount's disease
C. Plantar fascitis
D. Effusion in the joint space - ✔✔A. Osgood-Schlatter disease
Which one of the following conditions increases the risk of developing hydrocephalus?
A. Bilateral cephalohematomas
B. Craniosynostosis
C. Prematurity
D. Familial macrocephaly - ✔✔C. Prematurity
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done
by obtaining which one of the following?
A. Cervical swab of the mother
B. Urine PCR from the mother
C. culture of the eye discharge
D. culture of the conjunctival scrapings - ✔✔D. Culture of the conjunctival scrapings
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, A 3 year old has an edematous, mildly erythematous right upper eyelid for 1 day with a
fever of 103. An important eye assessment would be
A. ocular mobility
B. Conjunctival inflammation
C. Pupillary reaction
D. Optic disc papilledema - ✔✔A. ocular mobility
Concurrent otitis media and onjunctivitis is likely due to which organism?
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Moraxella catarrhalis
D. Staphyloccocus aureaus - ✔✔B. Haemophilus influenzae
A 16 year old was hit in the eye 1 day ago and now has ecchymoses on the upper and
lower lids with 5 out of 10 eye pain. All but which of the following would be
appropriate to obtain at this time?
A. visual acuity
B. Intraocular pressure
C. CT scan
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