MN580 FINAL STUDY GUIDE EXAM QUESTIONS
WITH DETAILED SOLUTIONS TESTED AND
VERIFIED
Resolved retinopathy of prematurity follow up -- ANSWER--initial and
followup ophthalmologic examinations within 2 weeks after discharge. y a
specialist experienced with this
- monitor for late sequelae or ROP progresssion
- early interventions
- annual ophthalmologic F/U needing treatment
Phantom limb pain and when to refer -- ANSWER--Referral to pain clinic if
uncontrolled
Pros and cons of being a bilingual child -- ANSWER--Pro: greater mental
flexibility, enhanced employment, lifestyle opportunities
Cons: mild delay in speech, may mix languages,
Treatment for lichen simplex complex -- ANSWER--1) Occlusion
2) high-potency steroids for 3 weeks for thicker plaques
3) topical emollients
4) abx with infection
Page 1 of 45
,5) antihistamines adjunct
6) Phototherapy
7) psychotherapy
8) Botox
9) cryosurgery
10) surgery
Impetigo treatment -- ANSWER--localized - mupirocin widespread with
constitutional symptoms and deep skin involvement - cephalexin 40 7-10 days;
augmentin 50-90 "; clindamycin 10-25
Hydrating skin with bathing -- ANSWER--apply emollients/moisturizers
immediately after the bath.
Neurofibromatosis signs -- ANSWER--- macrocephaly
- short
- cafe-au-alit spots, plexiform neurofibromas on trunk/face/extremities,
axillary/inguinal freckling, dermal neurofibromas
- learning disabilities (poor spacial/fine motor)
- ophthalmology (glioma, lisch nodules)
- precocious puberty hypertension, stenosis, pheochromocytoma
- hypotonia, affected gait
- sunscreen after 6m (cafe-au-lait)
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,6 year old school readiness -- ANSWER--ability to perform self-care, interact
with new people, responsibility, and ability to emotionally separate from the
family and home adaptability, self-regulation be aware of early behavioral
concerns
how to evaluate pain in a 3 year old -- ANSWER--- may be able to quantify
pain or use visual representation - may confuse fear with pain
- may over/under estimate pain
-FLACC typical scale
- QUEST T(queston, use pain scale, secure parent's involvement, take
cause of pain, take action)
- PAINED
estimating menarche -- ANSWER--2.5 years after thelarche. dependent on
ethnic, socioeconomic, and nutritional factors.
relationship between early sexual maturation and sexual activity -- ANSWER-
Middle adolescence | testing ability to attract, orientation)
15-17
confidentiality during adolescent visits -- ANSWER--reassure; however limits
with safety
- RRAPS can be a good questionnaire
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, Signs of possible learning disorders -- ANSWER--difficulty reading,
understanding, spelling, written explanation, number concepts, mathematical
reasoning
environment play a part
Information about piercings -- ANSWER--Navel = 4w-12m healing
Ear cartilage = 6w-9m healing
Usually requires parental consent
NSSI - impulsive behavior with intent of self harm
Management
- oozing and swelling may occur for 48 hours
- protect from rough surfaces
- wash hands, cleanse area twice a day with abx soap
- Tongue: ice, rinse 10-12/day with half-strength listerine, BID carbadmide
peroxide. No kissing 48 hours. dental dams for dental work. no smoking
- Navel: most likely to reject jewelry, clease BID with ABX soap, avoid
handling. avoid clothing that rubs for 1 y
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WITH DETAILED SOLUTIONS TESTED AND
VERIFIED
Resolved retinopathy of prematurity follow up -- ANSWER--initial and
followup ophthalmologic examinations within 2 weeks after discharge. y a
specialist experienced with this
- monitor for late sequelae or ROP progresssion
- early interventions
- annual ophthalmologic F/U needing treatment
Phantom limb pain and when to refer -- ANSWER--Referral to pain clinic if
uncontrolled
Pros and cons of being a bilingual child -- ANSWER--Pro: greater mental
flexibility, enhanced employment, lifestyle opportunities
Cons: mild delay in speech, may mix languages,
Treatment for lichen simplex complex -- ANSWER--1) Occlusion
2) high-potency steroids for 3 weeks for thicker plaques
3) topical emollients
4) abx with infection
Page 1 of 45
,5) antihistamines adjunct
6) Phototherapy
7) psychotherapy
8) Botox
9) cryosurgery
10) surgery
Impetigo treatment -- ANSWER--localized - mupirocin widespread with
constitutional symptoms and deep skin involvement - cephalexin 40 7-10 days;
augmentin 50-90 "; clindamycin 10-25
Hydrating skin with bathing -- ANSWER--apply emollients/moisturizers
immediately after the bath.
Neurofibromatosis signs -- ANSWER--- macrocephaly
- short
- cafe-au-alit spots, plexiform neurofibromas on trunk/face/extremities,
axillary/inguinal freckling, dermal neurofibromas
- learning disabilities (poor spacial/fine motor)
- ophthalmology (glioma, lisch nodules)
- precocious puberty hypertension, stenosis, pheochromocytoma
- hypotonia, affected gait
- sunscreen after 6m (cafe-au-lait)
Page 2 of 45
,6 year old school readiness -- ANSWER--ability to perform self-care, interact
with new people, responsibility, and ability to emotionally separate from the
family and home adaptability, self-regulation be aware of early behavioral
concerns
how to evaluate pain in a 3 year old -- ANSWER--- may be able to quantify
pain or use visual representation - may confuse fear with pain
- may over/under estimate pain
-FLACC typical scale
- QUEST T(queston, use pain scale, secure parent's involvement, take
cause of pain, take action)
- PAINED
estimating menarche -- ANSWER--2.5 years after thelarche. dependent on
ethnic, socioeconomic, and nutritional factors.
relationship between early sexual maturation and sexual activity -- ANSWER-
Middle adolescence | testing ability to attract, orientation)
15-17
confidentiality during adolescent visits -- ANSWER--reassure; however limits
with safety
- RRAPS can be a good questionnaire
Page 3 of 45
, Signs of possible learning disorders -- ANSWER--difficulty reading,
understanding, spelling, written explanation, number concepts, mathematical
reasoning
environment play a part
Information about piercings -- ANSWER--Navel = 4w-12m healing
Ear cartilage = 6w-9m healing
Usually requires parental consent
NSSI - impulsive behavior with intent of self harm
Management
- oozing and swelling may occur for 48 hours
- protect from rough surfaces
- wash hands, cleanse area twice a day with abx soap
- Tongue: ice, rinse 10-12/day with half-strength listerine, BID carbadmide
peroxide. No kissing 48 hours. dental dams for dental work. no smoking
- Navel: most likely to reject jewelry, clease BID with ABX soap, avoid
handling. avoid clothing that rubs for 1 y
Page 4 of 45
