Walden NRNP6541 Week 2 Quiz Latest 2021 September

NRNP-6541F/NRNP-6541/NRNP6541/NRNP6541F

NRNP6541 Primary Care of Adolescents and Children

Week 2 Quiz  

Question 1.         A mother brings her 4-week-old infant into the office because she noticed small yellow-white glistening bumps on her infant's gums. She says they look like teeth but is concerned that they may be cancer. You diagnose these bumpsas

a Epstein's.pearls

b Buccal tumors

c Bednar's.aphthae

d Exostosis

QUESTION 2       The most common congenital heart defect in childrenas

a Pulmonary atresia

.b Aortic stenosis

c Ventricular septal.defect

d Tricuspid atresia

QUESTION 3       Seborrhea dermatitis is common for both infants and adolescents.Which is not correct for this condition?

aThe condition in infants is known as "cradle cap" in which lesions have erythematous. base with crusted areas and greasy scales.

b The condition in adolescents is known as acne with comedones and popular and. pustular lesions.

c Can cause irritating pigment changes to include hyperpigmentation and.hypopigmentation

d Is associated with an overproduction of sebum in area abundant with sebaceous.glands.

QUESTION 4       Mark,a10-year-old,hasalotofearpain.Hedoesnotwantanyonetotouchitandis crying in pain. The ear canal is swollen and exudate is present. The TM is normal.Mark should be instructed to do which of the following?

 a Keep ear dry until symptoms improve.

b Limit swimming for the remainder of the.summer.

c Wear earplugs at all times when.swimming.

d Use alcohol drops before swimming each.day.

QUESTION 5A 16-year-old is brought in as a walk-in by his parents. His parents state that he acutely developed a fever, chills and rash. He has been confused and not answering their questions. On examination he is toxically ill appearing, and is febrile, tachycardic and hypotensive.Heisnotedtohaveadiffusepetechialrash.Whatisthemostlikelydiagnosis?

a Meningococcemia

.

b Rocky Mountain spotted.feve

c Scarlet Fever

d Lyme disease

QUESTION 6All of the following are consistent with peritonsillar abscessexcept:

a Muffled voice

b Trismus

c Unilateral enlargement of.tonsil

d Exudate on tonsils

Question 7 You see a patient you believe has folliculitis. What medication would be the best to treat this patient? The patient has noallergies.

aOral.Penicillin

b Zithromax

c Septra

dDicloxacillin

QUESTION8        Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a "Christmas tree" distribution.Itispredominantlyonhertrunk.Onelesionisonherbuttockthatislargerthan the other, at about 4 cm in diameter. What is yourdiagnosis?

aEczema

b Pityriasis.rosea

cPsoriasis

dPityriasis.alba

Question 9 You assess a 15-year-old's visual acuity and note her vision to be 20/50 in theright eye. She asks you what that means and yourespond

a "You can see at 20 feet with your right eye what most people can. see at 50 feet."

b "You can see at 20 feet with your left eye what most people can. see at 50 feet."

c "You can see at 50 feet with your right eye what most people can. see at 20 feet."

d "You can see at 50 feet with your left eye what most people can. see at 20 feet."

QUESTION 10     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 thechild’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 appropriatetreatment?

a Hospitalization and IV antibiotic

b Oral amoxicillin-clavulanate for 3-5.days

c Oral amoxicillin-clavulanate for 7-. 14 days

d Local care without any antibiotic.

QUESTION 11     Conductive hearing loss can be causedby

a Brain tumor

b Ototoxic drug.exposure

c Loud noises

d Serous otitis

QUESTION 12     Flourescein staining of the eye is used to detecta

a Hyphema

b Keratitis

c Foreign body

d Corneal.abrasion

QUESTION 13 While assessing should be ruled out?        

The skin of an infant, you note cafe-au-lait spots. Which disease

a Tuberous sclerosis

b Sturge-Weber.syndrome

c Neurofibromatosis

d Fetal alcohol.syndrome

QUESTION 14     A 12-year-old girl was brought to the emergency department because of severe sore throat, muffled voice, drooling, and fatigue. She had been sick for the past 3 days and is unable to eat because of painful swallowing. The parents deny any history of recurrent pharyngitis. The patient still managed to open her mouth and you were able to see an abscess at the upper pole of the right tonsil with deviation of the uvula toward the midline. Examinationoftheneckrevealsenlargedandtenderlymphnodes.Whichofthefollowingis the most appropriatemanagement?

aAnalgesics for pain and follow up in 24 hours

b A prescription for oral antibiotics and follow up. in 1 week

c Nebulized racemic epinephrine

d Incision and drainage of the abscess

e Tonsillectomy and adenoidectomy

QUESTION15      Aneyethatdeviatesinwhencoveredbutthatreturnstomidlinewhenuncoveredis an

a esophoria

b exophoria

c esotropia

d exotropia

QUESTION 16     Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At thetwo- week recheck, his TM was still erythematous and you cannot see the landmarks. He has persistent nasal congestion, he is not sleeping at night, and he has a 101°F fever. What is the next best step for Luke?

a A 3-week course of cephalosporin

b A higher dose of amoxicillin and topical. antibiotics

c Ceftriaxone and an antihistamine

d A 10 day course of Augmentin.

QUESTION 17     Ben has been diagnosed with folliculitis, an inflammatory condition involvingthe pilosebaceous follicle. What is the most common cause of thiscondition?

a Poxvirus

b Staphylococcusaureus

c Microsporumcanistinea

d Streptococcus group

QUESTION 18     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 is70–80% 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 mostappropriate?

aContinue home management with the use of inhaled beta agonists and inhaled  corticosteroids, and add the use of oral antihistamine/decongestant combinations.

b See her in the office in the morning and prescribe a 14-day course of amoxicillin plus  the addition of a short course of oral steroids.

c See her in the office in the morning and prescribe a short course of oral steroids.

d Continue home management and add inhaled cromolyn sulfate.

QUESTION 19     Miguel, age 14, washit in the eye with a baseball and developed eye pain, decreased visual acuity, and injection of the globe. Upon exam you note blood in the anterior chamber and confirm diagnosis of hyphema. What treatment do you recommend while Miguel is waiting to see theophthalmologist

aApply bilateral eye patches.

 b Have Miguel lie flat.

.c Wake him every 30 minutes to assess mental status.

d Administer aspirin every 6 hours for pain.

QUESTION 20     Mark,a10-year-old,hasalotofearpain.Hedoesnotwantanyonetotouchitandis crying in pain. The ear canal is swollen and exudate is present. The TM is normal. What is the proper management for hispatient?

a Topical Fluoroquiolone

b Oral Amoxicillin and topical steroids-

c Oral Amoxicillin and topical anesthetic

d Oral steroids and topical neomycin