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1. 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
2. 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
PR
level
3. 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-
O
A. Osgood-Schlatter
B. Blount's disease
C. Plantar fascitis
FD
D. Effusion in the joint space: A. Osgood-Schlatter disease
4. Which one of the following conditions increases the risk of developing
hydrocephalus?
A. Bilateral cephalohematomas
O
B. Craniosynostosis
C. Prematurity
C
D. Familial macrocephaly: C. Prematurity
5. 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
6. 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
, Peds 6541
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7. 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
8. 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
D. Fluoroscein test: B. intraocular pressure
9. a 7 year old has experience recurrent epistaxis in the past 2 months. Which
PR
finding on the physical exam would suggest an underlying medical cause for
the epistaxis?
A. Wheezing
B. Grade ii murmur
O
C. Petechiae
D. tonsil hypertrophy: C. Petechiae
10. What complication of sinusitis are adolescent males more prone to?
FD
A. Intracranial abscess
B. Potts puffy tumor
C. Orbital cellulitis
D. Dental infection: A. Intracranial abscess
O
11. A 9 month old is noted to have a bifid uvula. This would increase his risk
of developing which disorder?
C
A. Otitis media
B. Retropharyngeal abscess
C. Sinusitis
D. Dental malocclusion: A. Otitis media
12. Initial exposure to the herpes virus may produce all of the following except:
A. Fever and dehydration
B. Submandibular lymph nodes
C. Vesicular lesions on tonsils
D. Friable and edematous gingiva: C. Vesicular lesions on tonsils
13. In addiction to penicillin, all of the following antibiotics can be used to treat
strep phayrngitis except:
A. clindamycin
B. Erythromycin