PEDS 6541 MIDTERM EXAM
QUESTIONS WITH CORRECT
ANSWERS
Appropriate |advice |for |a |mother |of |a |2-week-old |child |here |for |a |"well |child" |visit |includes |
which |of |the |following? |- |CORRECT |ANSWER✔✔-Answers:
Sleep |in |the |supine |position |is |recommended
Parents |bring |their |6-month-old |son |to |see |you. |He |is |symmetrically |less |than |the |5th |
percentile |for |height, |weight |and |head |circumference. |He |was |born |at |30 |weeks' |gestation |and
|weighed |1000g. |He |was |a |planned |pregnancy, |and |his |mother's |prenatal |course |was |
uneventful |until |an |automobile |accident |initiated |the |labor. |He |was |ventilated |for |3 |days |in |the
|intensive |care |unit |but |otherwise |did |well |without |ongoing |problems. |He |was |discharged |at |8 |
weeks |of |life. |Which |of |the |following |is |the |most |likely |explanation |for |his |small |size? |- |
CORRECT |ANSWER✔✔-Normal |ex-preemie |infant |growth
A |Mantoux |test |in |a |child |with |no |risk |factors |is |considered |positive |with |a |reaction |of |- |
CORRECT |ANSWER✔✔-at |least |15 |mm |induration
A |4-year-old |believes |there |is |more |juice |in |a |tall, |thin |glass |than |a |shorter, |wider |one. |The |
child |has |not |yet |achieved |which |of |the |principles |of |Piaget? |- |CORRECT |ANSWER✔✔-
Conservation
I |can |roll |over, |grasp |a |rattle, |and |reach |for |things |and |have |begun |feeding |myself |finger |foods,
|but |I |can't |wave |bye-bye |yet. |How |old |am |I? |- |CORRECT |ANSWER✔✔-6 |months
A |4-month-old |child |has |poor |weight |gain. |Her |current |weight |is |less |than |the |5th |percentile, |
height |about |the |10th |percentile, |and |head |circumference |at |the |50th |percentile. |The |planned
|pregnancy |resulted |in |a |normal, |spontaneous, |vaginal |delivery; |mother |and |child |were |
discharged |after |a |48-hour |hospitalization. |Feeding |is |via |breast |and |bottle; |the |quantity |
seems |sufficient. |The |child |has |had |no |illness. |The |examination |is |unremarkable |except |for |the
,child's |small |size. |Screening |laboratory |shows |the |hemoglobin |and |hematocrit |are |11 |mg/dL |
|
and |33% |respectively, |with |a |platelet |count |of |198,000/mm3. |Serum |electrolyte |levels |are |
sodium |140, |chloride |105, |potassium |3.5, |bicarbonate |17, |blood |urea |nitrogen |15, |and |
creatinine |0.3. |Liver |function |tests |are |normal. |Urinalysis |reveals |a |pH |of |8 |with |occasional |
epithelial |cells |but |no |white |blood |cells, |bacteria, |protein, |ketones, |or |reducing |substances. |
Which |of |the |follow |- |CORRECT |ANSWER✔✔-Oral |supplementation |with |bicarbonate
Which |of |the |following |vaccines |is |routinely |recommended |at |4 |months |of |age? |- |CORRECT |
ANSWER✔✔-Diphtheria, |tetanus, |acellular |pertussis |(DTaP)
I |can |walk |well |on |tiptoes, |my |speech |is |50% |understandable, |I |know |six |body |parts, |but |I |
cannot |balance |on |one |foot |for |1 |second. |I |am |- |CORRECT |ANSWER✔✔-2-1/2 |years |old |(30 |
months)
You |see |a |healthy |18-month-old |for |a |well-child |visit. |At |the |12-month |visit |he |received |the |
diphtheria, |tetanus, |and |acellular |pertussis |(DTaP) |third |dose; |hepatitis |B |second |dose; |
measles, |mumps, |and |rubella |(MMR) |first |dose; |injected |poliovirus |(IPV) |second |dose; |
pneumococcal |conjugate |(PCV13) |fourth |dose; |and |Haemophilus |influenzae |type |B |(Hib) |fourth
|dose. |Which |of |the |following |do |you |order |today? |- |CORRECT |ANSWER✔✔-DTaP, |varicella, |
hepatitis |A, |and |hepatitis |B
Which |is |the |correct |order |for |introduction |of |solid |foods |to |an |infant? |- |CORRECT |
ANSWER✔✔-Cereal, |vegetables, |fruits, |and |meats
I |like |to |use |my |pincer |grasp |that |involves |the |ability |to |pick |up |a |small |object |such |as |a |raisin |
or |piece |of |cereal |with |the |thumb |and |forefinger, |and |that |is |mastered |around |what |age? |- |
CORRECT |ANSWER✔✔-9 |months
The |first |sign |of |the |onset |of |female |puberty |is |usually |- |CORRECT |ANSWER✔✔-Breast |buds
A |mother |of |a |6-month-old |asks |you |about |normal |sleep |patterns |for |an |infant |this |age. |The |
best |response |is: |- |CORRECT |ANSWER✔✔-10 |hours |at |night |and |3-4 |hours |during |the |day
, Medicaid |provides |health |insurance |coverage |to |- |CORRECT |ANSWER✔✔-Certain |categories |of |
people |whose |personal |income |falls |below |a |certain |percentage |of |the |federal |poverty |level.
You |see |a |5-month-old |who |is |fussy, |has |interrupted |sleep, |and |is |drooling. |You |note |large |
lower |lateral |incisor |bulges. |You |recommend: |- |CORRECT |ANSWER✔✔-A |and |D
You |see |a |young |child |who |has |tripled |her |birth |weight |and |looks |for |hidden |objects. |When |
given |blocks, |she |places |one |in |each |hand. |She |has |a |fine |pincer |grasp. |On |the |floor, |she |walks
|around |holding |objects |and |is |trying |to |take |independent |steps. |This |child |is |most |likely |how |
old? |- |CORRECT |ANSWER✔✔-12 |months
Sally, |age |4, |presents |to |the |office |with |her |mother |for |a |well-child |visit. |To |assess |for |age-
appropriate |fine |motor |skills, |what |activity |would |you |ask |her |to |perform? |- |CORRECT |
ANSWER✔✔-Cut |on |a |line |with |scissors
Which |adolescent |would |be |at |greatest |risk |for |developing |anorexia |nervosa? |- |CORRECT |
ANSWER✔✔-14-year-old |female |gymnast
Which |of |the |following |injuries |is |most |likely |to |be |caused |by |abuse |of |a |toddler? |- |CORRECT |
ANSWER✔✔-A |displaced |posterior |rib |fracture.
You |see |a |3-year-old |for |a |well-child |visit. |His |mother |informs |you |that |potty |training |has |been
|very |easy |because |he |"has |an |amazing |internal |clock. |He |falls |asleep, |gets |hungry, |and |has |
bowel |movements |at |the |same |time |every |day." |This |describes |which |aspect |of |temperament?
|- |CORRECT |ANSWER✔✔-Rhythmicity
Which |of |the |following |statements |regarding |adolescent |substance |use |is |true? |- |CORRECT |
ANSWER✔✔-Tobacco |is |the |most |commonly |abused |substance |during |adolescence.
QUESTIONS WITH CORRECT
ANSWERS
Appropriate |advice |for |a |mother |of |a |2-week-old |child |here |for |a |"well |child" |visit |includes |
which |of |the |following? |- |CORRECT |ANSWER✔✔-Answers:
Sleep |in |the |supine |position |is |recommended
Parents |bring |their |6-month-old |son |to |see |you. |He |is |symmetrically |less |than |the |5th |
percentile |for |height, |weight |and |head |circumference. |He |was |born |at |30 |weeks' |gestation |and
|weighed |1000g. |He |was |a |planned |pregnancy, |and |his |mother's |prenatal |course |was |
uneventful |until |an |automobile |accident |initiated |the |labor. |He |was |ventilated |for |3 |days |in |the
|intensive |care |unit |but |otherwise |did |well |without |ongoing |problems. |He |was |discharged |at |8 |
weeks |of |life. |Which |of |the |following |is |the |most |likely |explanation |for |his |small |size? |- |
CORRECT |ANSWER✔✔-Normal |ex-preemie |infant |growth
A |Mantoux |test |in |a |child |with |no |risk |factors |is |considered |positive |with |a |reaction |of |- |
CORRECT |ANSWER✔✔-at |least |15 |mm |induration
A |4-year-old |believes |there |is |more |juice |in |a |tall, |thin |glass |than |a |shorter, |wider |one. |The |
child |has |not |yet |achieved |which |of |the |principles |of |Piaget? |- |CORRECT |ANSWER✔✔-
Conservation
I |can |roll |over, |grasp |a |rattle, |and |reach |for |things |and |have |begun |feeding |myself |finger |foods,
|but |I |can't |wave |bye-bye |yet. |How |old |am |I? |- |CORRECT |ANSWER✔✔-6 |months
A |4-month-old |child |has |poor |weight |gain. |Her |current |weight |is |less |than |the |5th |percentile, |
height |about |the |10th |percentile, |and |head |circumference |at |the |50th |percentile. |The |planned
|pregnancy |resulted |in |a |normal, |spontaneous, |vaginal |delivery; |mother |and |child |were |
discharged |after |a |48-hour |hospitalization. |Feeding |is |via |breast |and |bottle; |the |quantity |
seems |sufficient. |The |child |has |had |no |illness. |The |examination |is |unremarkable |except |for |the
,child's |small |size. |Screening |laboratory |shows |the |hemoglobin |and |hematocrit |are |11 |mg/dL |
|
and |33% |respectively, |with |a |platelet |count |of |198,000/mm3. |Serum |electrolyte |levels |are |
sodium |140, |chloride |105, |potassium |3.5, |bicarbonate |17, |blood |urea |nitrogen |15, |and |
creatinine |0.3. |Liver |function |tests |are |normal. |Urinalysis |reveals |a |pH |of |8 |with |occasional |
epithelial |cells |but |no |white |blood |cells, |bacteria, |protein, |ketones, |or |reducing |substances. |
Which |of |the |follow |- |CORRECT |ANSWER✔✔-Oral |supplementation |with |bicarbonate
Which |of |the |following |vaccines |is |routinely |recommended |at |4 |months |of |age? |- |CORRECT |
ANSWER✔✔-Diphtheria, |tetanus, |acellular |pertussis |(DTaP)
I |can |walk |well |on |tiptoes, |my |speech |is |50% |understandable, |I |know |six |body |parts, |but |I |
cannot |balance |on |one |foot |for |1 |second. |I |am |- |CORRECT |ANSWER✔✔-2-1/2 |years |old |(30 |
months)
You |see |a |healthy |18-month-old |for |a |well-child |visit. |At |the |12-month |visit |he |received |the |
diphtheria, |tetanus, |and |acellular |pertussis |(DTaP) |third |dose; |hepatitis |B |second |dose; |
measles, |mumps, |and |rubella |(MMR) |first |dose; |injected |poliovirus |(IPV) |second |dose; |
pneumococcal |conjugate |(PCV13) |fourth |dose; |and |Haemophilus |influenzae |type |B |(Hib) |fourth
|dose. |Which |of |the |following |do |you |order |today? |- |CORRECT |ANSWER✔✔-DTaP, |varicella, |
hepatitis |A, |and |hepatitis |B
Which |is |the |correct |order |for |introduction |of |solid |foods |to |an |infant? |- |CORRECT |
ANSWER✔✔-Cereal, |vegetables, |fruits, |and |meats
I |like |to |use |my |pincer |grasp |that |involves |the |ability |to |pick |up |a |small |object |such |as |a |raisin |
or |piece |of |cereal |with |the |thumb |and |forefinger, |and |that |is |mastered |around |what |age? |- |
CORRECT |ANSWER✔✔-9 |months
The |first |sign |of |the |onset |of |female |puberty |is |usually |- |CORRECT |ANSWER✔✔-Breast |buds
A |mother |of |a |6-month-old |asks |you |about |normal |sleep |patterns |for |an |infant |this |age. |The |
best |response |is: |- |CORRECT |ANSWER✔✔-10 |hours |at |night |and |3-4 |hours |during |the |day
, Medicaid |provides |health |insurance |coverage |to |- |CORRECT |ANSWER✔✔-Certain |categories |of |
people |whose |personal |income |falls |below |a |certain |percentage |of |the |federal |poverty |level.
You |see |a |5-month-old |who |is |fussy, |has |interrupted |sleep, |and |is |drooling. |You |note |large |
lower |lateral |incisor |bulges. |You |recommend: |- |CORRECT |ANSWER✔✔-A |and |D
You |see |a |young |child |who |has |tripled |her |birth |weight |and |looks |for |hidden |objects. |When |
given |blocks, |she |places |one |in |each |hand. |She |has |a |fine |pincer |grasp. |On |the |floor, |she |walks
|around |holding |objects |and |is |trying |to |take |independent |steps. |This |child |is |most |likely |how |
old? |- |CORRECT |ANSWER✔✔-12 |months
Sally, |age |4, |presents |to |the |office |with |her |mother |for |a |well-child |visit. |To |assess |for |age-
appropriate |fine |motor |skills, |what |activity |would |you |ask |her |to |perform? |- |CORRECT |
ANSWER✔✔-Cut |on |a |line |with |scissors
Which |adolescent |would |be |at |greatest |risk |for |developing |anorexia |nervosa? |- |CORRECT |
ANSWER✔✔-14-year-old |female |gymnast
Which |of |the |following |injuries |is |most |likely |to |be |caused |by |abuse |of |a |toddler? |- |CORRECT |
ANSWER✔✔-A |displaced |posterior |rib |fracture.
You |see |a |3-year-old |for |a |well-child |visit. |His |mother |informs |you |that |potty |training |has |been
|very |easy |because |he |"has |an |amazing |internal |clock. |He |falls |asleep, |gets |hungry, |and |has |
bowel |movements |at |the |same |time |every |day." |This |describes |which |aspect |of |temperament?
|- |CORRECT |ANSWER✔✔-Rhythmicity
Which |of |the |following |statements |regarding |adolescent |substance |use |is |true? |- |CORRECT |
ANSWER✔✔-Tobacco |is |the |most |commonly |abused |substance |during |adolescence.
