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NURS 6541 / NURS6541 WEEK 11 final exams

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  • Question 41
  • Question 1

0 out of 1 points

Unilateral wheezing is a finding suggestive of

  • Question 2

1 out of 1 points

You are on call and receive a phone call from the parents of a 13-year-old known asthmatic. She has been having chest tightness and a worsening cough for 48 hours. She has significant nasal discharge that began 14 days ago and intermittent complaint of headache. She is now running a low-grade fever. Her peak flow the last 48 hours is 70–80% of personal best. Her temperature right now is 101.7°F. She is on salmeterol with corticosteroid (Advair) and PRN albuterol. Which of the following is most appropriate?

  • Question 3

1 out of 1 points

You see a patient you believe has folliculitis. What medication would be the best to treat this patient? The patient has no allergies.

  • Question 4

1 out of 1 points

The most common cause of primary amenorrhea is

  • Question 5

1 out of 1 points

Kelly, your 11-year-old well visit patient, presents to the office with weight loss, polyuria, and polydipsia. Which of the following do you need to rule out?

  • Question 6

1 out of 1 points

Children in child care facilities are at greater risk of being exposed to which of the following infections?

  • Question 7

1 out of 1 points

A 6-year-old boy is left alone for 10 hours, now with hematemesis and pneumomediastinum on chest x-ray. Which of the following is the most likely etiology?

  • Question 8

1 out of 1 points

A 14-month-old child has lower extremity bowing, a waddling gait, genu varum, and is at the 5th percentile for height. Laboratory data include low-normal serum calcium, moderately low serum phosphate, and elevated serum alkaline phosphatase levels, hyperphosphaturia, and normal parathyroid levels. Which of the following is the most likely diagnosis?

  • Question 9

1 out of 1 points

The most common trigger for an acute asthma episode in the very young child is

  • Question 10

1 out of 1 points

What is the primary treatment for testicular torsion?

  • Question 11

1 out of 1 points

 

When Jason, age 12, slid into homeplate while playing baseball, he injured his ankle. You are trying to differentiate between a strain and a sprain. You know that a sprain

 

 

 

  • Question 12

1 out of 1 points

 

The most common presentation of Hirschprung disease is which of the following?

 

 

 

  • Question 13

0 out of 1 points

 

Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes. She is worried that she will not fit in with her friends anymore because she does not think she can have all the same snacks they have. How do you respond?

 

 

 

  • Question 14

1 out of 1 points

 

Which of the following is not a sign or symptom of congenital hypothyroidism?

 

 

 

  • Question 15

0 out of 1 points

 

You see a 7-year-old boy a day after he was bitten by his pet dog. According to the mother, the dog bit the child after he snuck up on the dog and grabbed his tail. The dog has had all its vaccinations, including rabies. The child has had no fever, has full movement of the injured limb, and has no sign of neurologic or vascular injury. The wound is on the child’s forearm, is not deep, and is not bleeding, but has developed about 2 cm of erythema surrounding the site. Which of the following is the most appropriate treatment?

 

 

 

  • Question 16

1 out of 1 points

 

Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram. Which of the following diagnosis would you suspect Robert as having?

 

 

 

  • Question 17

1 out of 1 points

 

An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000, but is otherwise normal. Serum electrolytes are normal. The next step is

 

 

 

  • Question 18

1 out of 1 points

 

Vomiting in infancy has a long list of differential diagnoses. Which of the following other symptoms would mostly likely point to pyloric stenosis?

 

 

 

  • Question 19

1 out of 1 points

 

Which of the following is a characteristic physical sign of fragile X syndrome in adolescent males?

 

 

 

  • Question 20

1 out of 1 points

 

A 3-week old presents to the office in January with a 1-week history of nasal congestion and occastional cough. On the night prior to the visit in infant developed a fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethergic with wheezing, tachypnea, and intercostal retractions. The infant is home with the mom at this time; however, has a sibling who is 4-years-old and is in daycare and recently had cold symptoms. If the patient has been diagnosed with RSV bronchiolitis, which of the following would be the treatment of choice?

 

 

 

  • Question 21

1 out of 1 points

 

An adolescent who has tall stature, increased arm span, laxity of joints, pectus excavatum, and abnormal echocardiogram woudl be expected to have

 

 

 

  • Question 22

1 out of 1 points

 

An 18-month-old African American girl is brought to your office because she has been crying and stopped walking today. She will crawl, however. Her mom denies any injury to the child. On examination, she is crying but consolable in her mother’s arms. She has bruising and swelling just proximal to the left ankle. An x-ray reveals a spiral fracture of the tibia. At this time, you advise the mother that:

 

 

 

  • Question 23

1 out of 1 points

 

A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping forehead, cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly, microphthalmia, and omphalocele. Which of these is the most likely diagnosis?

 

 

 

  • Question 24

1 out of 1 points

 

A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal. The most likely etiology is

 

 

 

  • Question 25

1 out of 1 points

 

A common cause of in-toeing in childhood is

 

 

 

  • Question 26

1 out of 1 points

 

Individuals with chronic adrenal insufficiency often have

 

 

 

  • Question 27

1 out of 1 points

 

Which of the following should be done annually after 1 year of age in a child with Down syndrome?

 

 

 

  • Question 28

1 out of 1 points

 

Sarah, age 13, is markedly obese and has a poor self-image. How do you differentiate between compulsive eating and bulemia?

 

 

 

  • Question 29

1 out of 1 points

 

The peak incidence of osteosarcoma is

 

 

 

  • Question 30

1 out of 1 points

 

A 10-year-old boy jumps off a 2-foot wall, twisting his foot and ankle upon landing. His ankle x-ray reveals a fracture of the distal tibia over the articular surface into the epiphysis and physis. Based on the Salter-Harris classification for growth plate injuries, you know this as a

 

 

 

  • Question 31

1 out of 1 points

 

One of the most appropriate agents used to treat influenza A is

 

 

 

  • Question 32

1 out of 1 points

 

An essential test in the evaluation of a 2-year-old being managed for Kawasaki disease is

 

 

 

  • Question 33

1 out of 1 points

 

You have a patient with pityriasis rosea. You will recommend all of these treatments, except

 

 

 

  • Question 34

1 out of 1 points

 

A 14-year-old girl from another state was followed for 7 years for a history of insulin-dependent diabetes mellitus. Her hemoglobin A1C is 14.9%. This laboratory test indicates which of the following?

 

 

 

  • Question 35

 

A 7-month-old female was brought by her mother to an outpatient clinical because of a 2-day history of fever, copious nasal secretions, and wheezing. The mother volunteered that the baby has been healthy and has not had these symptoms in the past. The infant’s temperature is noted to be 100.7°F, her respiratory rate is 50 breaths/min, and her pulse oximetry is 95% on room air. Physical examination reveals no signs of dehydration, but wheezing is hear on lung auscultation. The infant shows no improvement after three treatments with nebulized albuterol. Which of the following is recommended treatment?

 

 

 

  • Question 36

1 out of 1 points

 

A child has developed her second perirectal abscess in 6 months. She should be evaluated for which of the following conditions?

 

 

 

  • Question 37

1 out of 1 points

 

A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare facility. What is the likely cause of the illness?

 

 

 

 

Hypercholesterolemia in children older than 2 is defined as a total cholesterol at or above

 

 

 

1 out of 1 points

  • Question 38
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[Solved] NURS 6541 / NURS6541 WEEK 11 final exams

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  • Submitted On 15 Nov, 2020 06:39:46
Answer posted by
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• Question 41 • Question 1 0 out of 1 points Unilateral wheezing is a finding suggestive of • Question 2 1 out of 1 points You are on call and receive a phone call from the parents of a 13-year-old known asthmatic. She has been having chest tightness and a worsening cough for 48 hours. She has significant nasal discharge that began 14 days ago and intermittent complaint of headache. She is now running a low-grade fever. Her peak flow the last 48 hours is 70–80% of personal best. Her temperature right now is 101.7°F. She is on salmeterol with corticosteroid (Advair) and PRN albuterol. Which of the following is most appropriate? • Question 3 1 out of 1 points You see a patient you believe has folliculitis. What medication would be the best to treat this patient? The patient has no allergies. • Question 4 1 out of 1 points The most common cause of primary amenorrhea is • Question 5 1 out of 1 points Kelly, your 11-year-old well visit patient, presents to the office with weight loss, polyuria, and polydipsia. Which of the following do you need to rule out? • Question 6 1 out of 1 points Children in child care facilities are at greater risk of being exposed to which of the following infections? • Question 7 1 out of 1 points A 6-year-old boy is left alone for 10 hours, now with hematemesis and pneumomediastinum on chest x-ray. Which of the following is the most likely etiology? • Question 8 1 out of 1 points A 14-month-old child has lower extremity bowing, a waddling gait, genu varum, and is at the 5th percentile for height. Laboratory data include low-normal serum calcium, moderately low serum phosphate, and elevated serum alkaline phosphatase levels, hyperphosphaturia, and normal parathyroid levels. Which of the following is the most likely diagnosis? • Question 9 1 out of 1 points The most common trigger for an acute asthma episode in the very young child is • Question 10 1 out of 1 points What is the primary treatment for testicular torsion? • Question 11 1 out of 1 points When Jason, age 12, slid into homeplate while playing baseball, he injured his ankle. You are trying to di...
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