Test Weekn6n-nMidterm nExam
Started
7/12/20 n6:29 nPM n
Submittedn n 7/12/20 n 7:24n PM n Du
enDate
7/13/20n1:59nAM n
Status Completed
Attempt nScoren n 96 noutno fn 100n points
TimenElapsedn n 54nminutes noutnofn3nhours nandn20
minutes
Results nDi Submittedn Answers
splayed
Whenn completing n thisn quiz,n didn youn complyn w ithn Wald enn University’snCoden ofn Cond uctn incl
uding n then ex pectationsnfornacadem icn integ rity?
Selected Ye
Answer: s
Whichn ofn then follow ing n statementsn regarding n adolescentn substanc en usen isn true?
Selected a.
nAnswer: Tobaccon isn then mostn c ommonlyn abusedn substancen during nadolesce
nce.
You nseenan4-year-oldnfornanwell-
childnvisit.nHenhasnreceivednfourndiphtheria,ntetanus,nandnacellularnpertussisnvaccinesn
(DTaP);nthreeninjectednpolionvaccinesn(IPV);nonenmeasles,nmumps,nandnrubellanvacci
nen(MMR);nonenvaricellanvaccine;nandntwonhepatitisnBn(HepnB)nvaccines.nWhatndonyou
norderntoday?
Selected d.
nAnswer: DTaP,nIPV,nM MR ,nand
Varivax
Thenpare nts nofnan7-ye ar-
oldnare nc onc ern ed ntheirnson nd oes nnotnw ant ntonatte nd nsc hool.n W hic hnofnthe nhistorical nfindi
ngsnare nnot nusually nassociatednw ithnth end iag n osisnofnsc hooln pho bia?
Selected c.
, Answer:
Chronicnmedi
calnillness
Chelsea,n ag en 8,n com plainsn thatn shen feelsn asn ifn something n isn stuck n inn hern ear.n Whatnac tionn is
ncontraindicated?
Selected b.
nAnswer: Flushing n then earn w ithn
water.
Youn seen an 7-year-
oldn w ith n complaints n ofn "having n acciden ts natn nig ht."n Physicaln exam nand n historyn aren unrema
rk able.n Urinalysis, n urine n culture,n andn specificn g ravity naren normal.n H isn parents n ask n aboutn t
henbestn treatmentnforn thisn problem.nT hen bestn responsen is
Selected c.
nAnswer: Fluidnrestrictionnand n voiding n priorn ton then nig htn mayn ben effective
.
Younaren doing n ank inderg artenn physicaln onn an5-year-
oldngirl.n Whichn ofn thenfollow ing n scenariosn w ouldn sug g estn then c hildn isn notn readyn ton startnk in
dergartenn inn then fall?
Selected d.
nAnswer: Countsnt on4nand nd raw snanp erso nnw ith n t
hreen p arts.
Uponn eyen ex aminationn ofn an new born, n youn noten innern canthaln foldsn andn Brushfieldn spots.n W
hatndon youn suspect?
Selected c.
nAnswer: Downnsy nd
rome
Inlikenton usenm yn pi ncerngraspn thatni nvolvesn then abliti lynton pick n upn ansmallnobjectn suchn
asnan raisi nnorn piecen of ncerealn withn then thum bnandn forefinger, n andnthatnisnm asteredn ar
oundnwhatnage?
Selected b.
nAnswer: 9
months
,Mark, nan10-ye ar-
old,nhasna nlo tnof nearnp ain. nH e ndoe snn ot nw ant nany on ento ntou ch nitnan d nisn c rying ninnpain. nT h ene
arncanalnis nsw ollen nand nex u datenisnpres w ent. nT he nT M nisnnorm al. nW hatn is n the n prop ern m an ag
ementn forn h isn p atie nt?
Selected b.
nAnswer: Topicaln Fluoroquiolon
e
Thendiag nostic n criterianfornautismn spectrumn disordern includenalln ofn thenfollow ing n except
Selected d.
nAnswer: Tolerancenofnflex ibilitynw ithnro
utines
Luke,nan17-month-old,nfailedntreatmentnwith namoxicillin nfornotitisnmedia.nAtnthentwo-
nweeknrecheck,nhisnTMnwasnstill nerythematousnandnyouncannotnseenthenlandmarks.nHen
hasnpersistentnnasal ncongestion,nhenisnnotnsleepingnatnnight,nandnhenhasnan101°Fnfever.
nWhatnisnthennextnbestnstepnfornLuke?
Selected d.
nAnswer: An10nday nco urse nofn A u
gmentin
Whichn ofn thenfollow ing nw ouldn not nsugg estn ann eating n d isordern w ithn an p urg ing n component?
Selected d.nDiarr
nAnswer: hena
Role-
playn withn equipm entn during n then coursen ofn then physical n exam n wouldn ben thenm ostn
beneficialn withn whi chnagengroup?
Selected d.nPrescho
nAnswer: olenrs
Whilen assessing n then sk inn ofnann infant,n youn noten cafe-au-
laitnspots.n W hichn diseasen shouldn b enruledn out?
, Selected d.nNeurofibrom
nAnswer: atonsis
Annexpectedn milestonen ofn an4-y ear-oldn isn then ability n to
Selected c.nCop
nAnswer: ynancro
ss
You nreceivenanphonencall nfromnthenmothernof nan2-year-
old.nShenstatesnhernchildnhasnsleepnrefusal.nYou nsuggestnthenchildnshouldnbenablento:
Selected a.
nAnswer: Setnhisn ow nn bedtimen basedn onn hisn inte
rnalnclock.
Anneyen thatn d eviatesn innw henn c overed n butn thatn returnsn ton midlinen w henn unc overed n isnan
Selected a.nesotr
nAnswer: opina
An4-year-
oldnbelievesn th eren isn morenjuicen inn an tall,n thinnglassn thann anshorter,nw idern one.n T hen childn hasn
notnyetnac hievedn w hic hnofn then principlesn ofn Piag et?
Selected b.nConserv
nAnswer: atinon
Anhealthy,nwell-developedn6-year-
oldnchildnarrivesnasnannewnpatientntonyournclinic.nHisnimmunizationncardnrevealsnthatnhenr
eceivednan nimmunizationnatnbirthnandnsomenwhennhenwasn2nmonthsnold,nbutnnonensens
e.nWhich nof nthenfollowingnstatementsnaboutnhimnisncorrect?
Selected b.
nAnswer: Henisntoon oldn tonrec eiven thenH aemophilu sninfluenza
enTypen Bn vaccine.
• Question 21 n
Started
7/12/20 n6:29 nPM n
Submittedn n 7/12/20 n 7:24n PM n Du
enDate
7/13/20n1:59nAM n
Status Completed
Attempt nScoren n 96 noutno fn 100n points
TimenElapsedn n 54nminutes noutnofn3nhours nandn20
minutes
Results nDi Submittedn Answers
splayed
Whenn completing n thisn quiz,n didn youn complyn w ithn Wald enn University’snCoden ofn Cond uctn incl
uding n then ex pectationsnfornacadem icn integ rity?
Selected Ye
Answer: s
Whichn ofn then follow ing n statementsn regarding n adolescentn substanc en usen isn true?
Selected a.
nAnswer: Tobaccon isn then mostn c ommonlyn abusedn substancen during nadolesce
nce.
You nseenan4-year-oldnfornanwell-
childnvisit.nHenhasnreceivednfourndiphtheria,ntetanus,nandnacellularnpertussisnvaccinesn
(DTaP);nthreeninjectednpolionvaccinesn(IPV);nonenmeasles,nmumps,nandnrubellanvacci
nen(MMR);nonenvaricellanvaccine;nandntwonhepatitisnBn(HepnB)nvaccines.nWhatndonyou
norderntoday?
Selected d.
nAnswer: DTaP,nIPV,nM MR ,nand
Varivax
Thenpare nts nofnan7-ye ar-
oldnare nc onc ern ed ntheirnson nd oes nnotnw ant ntonatte nd nsc hool.n W hic hnofnthe nhistorical nfindi
ngsnare nnot nusually nassociatednw ithnth end iag n osisnofnsc hooln pho bia?
Selected c.
, Answer:
Chronicnmedi
calnillness
Chelsea,n ag en 8,n com plainsn thatn shen feelsn asn ifn something n isn stuck n inn hern ear.n Whatnac tionn is
ncontraindicated?
Selected b.
nAnswer: Flushing n then earn w ithn
water.
Youn seen an 7-year-
oldn w ith n complaints n ofn "having n acciden ts natn nig ht."n Physicaln exam nand n historyn aren unrema
rk able.n Urinalysis, n urine n culture,n andn specificn g ravity naren normal.n H isn parents n ask n aboutn t
henbestn treatmentnforn thisn problem.nT hen bestn responsen is
Selected c.
nAnswer: Fluidnrestrictionnand n voiding n priorn ton then nig htn mayn ben effective
.
Younaren doing n ank inderg artenn physicaln onn an5-year-
oldngirl.n Whichn ofn thenfollow ing n scenariosn w ouldn sug g estn then c hildn isn notn readyn ton startnk in
dergartenn inn then fall?
Selected d.
nAnswer: Countsnt on4nand nd raw snanp erso nnw ith n t
hreen p arts.
Uponn eyen ex aminationn ofn an new born, n youn noten innern canthaln foldsn andn Brushfieldn spots.n W
hatndon youn suspect?
Selected c.
nAnswer: Downnsy nd
rome
Inlikenton usenm yn pi ncerngraspn thatni nvolvesn then abliti lynton pick n upn ansmallnobjectn suchn
asnan raisi nnorn piecen of ncerealn withn then thum bnandn forefinger, n andnthatnisnm asteredn ar
oundnwhatnage?
Selected b.
nAnswer: 9
months
,Mark, nan10-ye ar-
old,nhasna nlo tnof nearnp ain. nH e ndoe snn ot nw ant nany on ento ntou ch nitnan d nisn c rying ninnpain. nT h ene
arncanalnis nsw ollen nand nex u datenisnpres w ent. nT he nT M nisnnorm al. nW hatn is n the n prop ern m an ag
ementn forn h isn p atie nt?
Selected b.
nAnswer: Topicaln Fluoroquiolon
e
Thendiag nostic n criterianfornautismn spectrumn disordern includenalln ofn thenfollow ing n except
Selected d.
nAnswer: Tolerancenofnflex ibilitynw ithnro
utines
Luke,nan17-month-old,nfailedntreatmentnwith namoxicillin nfornotitisnmedia.nAtnthentwo-
nweeknrecheck,nhisnTMnwasnstill nerythematousnandnyouncannotnseenthenlandmarks.nHen
hasnpersistentnnasal ncongestion,nhenisnnotnsleepingnatnnight,nandnhenhasnan101°Fnfever.
nWhatnisnthennextnbestnstepnfornLuke?
Selected d.
nAnswer: An10nday nco urse nofn A u
gmentin
Whichn ofn thenfollow ing nw ouldn not nsugg estn ann eating n d isordern w ithn an p urg ing n component?
Selected d.nDiarr
nAnswer: hena
Role-
playn withn equipm entn during n then coursen ofn then physical n exam n wouldn ben thenm ostn
beneficialn withn whi chnagengroup?
Selected d.nPrescho
nAnswer: olenrs
Whilen assessing n then sk inn ofnann infant,n youn noten cafe-au-
laitnspots.n W hichn diseasen shouldn b enruledn out?
, Selected d.nNeurofibrom
nAnswer: atonsis
Annexpectedn milestonen ofn an4-y ear-oldn isn then ability n to
Selected c.nCop
nAnswer: ynancro
ss
You nreceivenanphonencall nfromnthenmothernof nan2-year-
old.nShenstatesnhernchildnhasnsleepnrefusal.nYou nsuggestnthenchildnshouldnbenablento:
Selected a.
nAnswer: Setnhisn ow nn bedtimen basedn onn hisn inte
rnalnclock.
Anneyen thatn d eviatesn innw henn c overed n butn thatn returnsn ton midlinen w henn unc overed n isnan
Selected a.nesotr
nAnswer: opina
An4-year-
oldnbelievesn th eren isn morenjuicen inn an tall,n thinnglassn thann anshorter,nw idern one.n T hen childn hasn
notnyetnac hievedn w hic hnofn then principlesn ofn Piag et?
Selected b.nConserv
nAnswer: atinon
Anhealthy,nwell-developedn6-year-
oldnchildnarrivesnasnannewnpatientntonyournclinic.nHisnimmunizationncardnrevealsnthatnhenr
eceivednan nimmunizationnatnbirthnandnsomenwhennhenwasn2nmonthsnold,nbutnnonensens
e.nWhich nof nthenfollowingnstatementsnaboutnhimnisncorrect?
Selected b.
nAnswer: Henisntoon oldn tonrec eiven thenH aemophilu sninfluenza
enTypen Bn vaccine.
• Question 21 n
