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The Tanner scale (5 stages) of sexual maturity rating allows for accurate classification of physical pubertal maturation. During the examination of your patient, you notice that the pubic hair is inc... reased in quantity, is darker, and is present in the typical female triangle but in a smaller quantity. Which of the following Tanner Stages does this description meet? a. Tanner stage 1 b. Tanner stage 11 c. Tanner stage 111 d. Tanner stage 1V - ✔✔c. Tanner stage 111 John, age 5, was diagnosed with ruptured tympanic membrane as a result of acute otitis media 2 weeks ago. He was treated with oral antibiotics at the time of diagnosis and has finished his course. He has no purulent drainage. His plan of care should include: a. Refer to an ENT for evaluation and treatment b. Educate the parents about the strategies to prevent water from entering the middle ear c. continue the oral antibiotics to prevent infetion until the tympanic membrane heals d. use topical antibiotic drops to prevent infection until the tympanic membrane heals - ✔✔b. Educate the parents about the strategies to prevent water from entering the middle ear You see a healthy 18 month old for a well child visit. At the 12 month visiti he received the diptheria, tetanus and accellular pertussis (DTaP) third dose, hepatitis B second dose, measelm, mumps and rubella (MMR), injected poliovirus (IPV) second dose, pneumococcao conjugate (PCV13) fourth dose and Haemophilus influenzae type B 9HIB) fourth dose. Which of the following do you a. Varicella adn DTaP b. DTap, varicella, hepatitis A and hepatitis B c. DTaP, IPV, varicella, PCV13 and hepatitis B d. Hib, PCV13 and hepatitis A - ✔✔b. DTap, varicella, hepatitis A and hepatitis B A 7 year old presents with a complaint of ear pain with purulent discharge. He states it hurts when he is lying on the affected side and when anyone touches his pinna. The most likely diagnosis is: a. Otitis media with effusion b. Otitis externa c. Acute Otitis media d. Otitis interna - ✔✔b. Otitis externa A 7 year old presents to your office with several linear, curved lines approximately 4 millimeters in length that end in a papule. The lines are near the umbilicus and waist area. He complains about severe itching that is worse at night. You suspect a. scabies b. hives c. fleas d. ticks - ✔✔a. scabies An expected milestone of a 4 year old is the ability to: a. imitate a square, copy a cross or circle and draw a person in three parts b. copy a triangle and balance on each foot for 5 seconds c. imitate a vertical line, build a tower of 6 cubes and name 4 pictures d. draw a person in six parts and balance on each foot for 6 seconds - ✔✔a. imitate a square, copy a cross or circle and draw a person in three parts Thalia is a fifteen year old who is referred to your woman's health practice by her school counselor. he has macromastia and has been teased and ridiculed by her classmates at school. Which of the following would be the first step in dealing with this problem? a. encourage Thalia to wear loose clothing and a bra with strong support b. refer Thalia to a therapist for counseling and support, including anti-bullying c. Assess Thalia's Tanner staging for breasts and date of menarche - ✔✔c. Assess Thalia's Tanner staging for breasts and date of menarche You see a 6 month old for a well child visit and the mother tells you the childs grandmother recommends that she gives the infant whole milk and eggs ehen he starts solids. What should you tell the mother? a. it is okay to begin weaning to whole milk between 9 and 12 months of age b. the most important thing to add at this time is table food c. the baby should remain on infant formula and introduce stage 2 baby foods for now d. it is a good idea to introduce whole eggs to the diet of a 5 to 6 month old - ✔✔c. the baby should remain on infant formula and introduce stage 2 baby foods for now You diagnose a 14 year old with tinea capitis. Which of the following treatment do you recommend? a. oral griseofluvin macrosize for 2 full weeks b. nizoral shampoo and do not return to school for 1 week c. oral griseofluvin microsize taken with whole milk or other fatty foods, and selenium sulfide/sporicidal shampoo d. oral nystatin, selenium sulfide/sporicidal shampoo and the child can return to school as long as - ✔✔c. oral griseofluvin microsize taken with whole milk or other fatty foods, and selenium sulfide/sporicidal shampoo Most children can independently dress themselves by age: a. 2 years b. 2 years c. 4 years d. 6 years - ✔✔c. 4 years Nancy is an eleven year old presenting for an annual well child visit. When reviewing the pathophysiology of puberty, you recall that the initiationn of puberty begins with the relaeae of GnRh by the: a. hypotalamus b. adrenal gland c. ovaries d. pituitary gland - ✔✔a. hypotalamus Adolescence sexuality is important to understand and to discuss with your patients. Sexual behavior begins with childhood curiosity. Based upon the following characteristics, you would define your patients in which level of adolescence: low physical and mental investment in sexuality, information gathering on the topic of sexuality, prepubertal appearance and masturbation a. preadolescence/school age children b. early adolescence c. middle adolescence d. late adolescence - ✔✔a. preadolescence/school age children Adolescence is a period of time where patients undergo significant biological, psychological and emotional growth. Which of the following characteristics describe the psychosocial development of middle adolescence? a. middle school years between ages ten and thirteen b. late elementary school from mages eight to nine c. high school years from ages fifteen to seventeen d. ages seventeen to thirty-one and post high school years - ✔✔c. high school years from ages fifteen to seventeen I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I can't balance on one foot for 2 seconds. I am: a. 1 1/2 years old b. 2 1/2 years old c. 3 1/2 years old d. 4 years old - ✔✔b. 2 1/2 years old Which of the following children has abnormal language development a. Repeats simple phrases at 32 months b. Stutters when excited or tired at 4 years of age c. Has a 10 work vocabulary at 12 months d. Speech is 50 % understandable at 36 months of age - ✔✔d. Speech is 50 % understandable at 36 months of age A typically developing 8 year old girl will have which of the following genital developments? a. No pubic hair at all b. small amount of long, downy pubic hair along the labia majora c. course curly pubic hair that extends laterally from the labia majora - ✔✔a. No pubic hair at all A new mother is concerned about a strawberry hemangioma that her infant daughter has on the back of her neck. What is the treatment of choice for the majority of infants with hemangiomas? a. Cryosurgery b. interlesional steroid injections c. oral steroids d. observation - ✔✔d. observation Natasha is an eleven-year-old girl brought to your office for an annual well-child visit. When discussing the onset of puberty with Natasha and her mother, you would emphasize which of the following? a. pubic hair develops before breast buds b. breast development delayed beyond eleven years of age may be considered pathological c. the average age of menarche is twelve years - ✔✔c. the average age of menarche is twelve years You see a 4 year old for a well-child visit. He has received four diptheria, tentanus and acellular pertussis vaccines (DTaP), three injected polio vaccines (IPV); one measles mumps and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today? a. Pneumococcal conjugate vaccine (PCV13), IPV, varicella and DTaP b. Tetanus and diphtheria tozoid with acellular pertussis (TdaP), MMR, hepatitis B and IPV c. DTaP, IPV, MMR and varivax - ✔✔c. DTaP, IPV, MMR and varivax Each of the following is a risk factor for developing acute otitis media except - ✔✔breast feeding for more than 6 months The most likely weight of a 1yo child whose weight at birth was 6 1/2lbs would be what? a. 19-20lbs b. 13-14lbs c. 25-26lbs d. impossible to estimate - ✔✔a. 19-20lbs I can roll over grasp a rattly and reach for things and have begun feeding myself finger foods, but i can't wave bye-bye yet. How old am I? - ✔✔6 months A mother presents to the clinic with her female child who she is concerned about because her breasts are developing "when she is so young" When performing the initial assessment, it is important to recall that precocious puberty presents if: - ✔✔puberty starts before 8 years of age in females You are counseling an 11 year old and mother about HPV. The child is in Tanner Stage IV. What do you tell them about the vaccinne? - ✔✔it can cause syncope in some children Bodily image is a concern and can be a problem for adolescence. What phase of adolescence represents a period of greatest concern over bodily image - ✔✔Early adolescence NR602 Final Questions with accurate answers, latest updates, rated A Which one best describes lesions associated with condyloma acuminatum? a. Verruciform b. Plaque-like c. Vesicular d. Bullous - ✔✔a 39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was normal. On exam, there's erythema of extern. genitalia w/small amount of white discharge. Micro wet prep reveals few clue cells, but many budding hyphae. No WBCs. Which one would be the most appropriate treatment? a. Metronidazole 500mg BID x7 days b. OTC hydrocortisone 1% cream TID c. Fluconazole tabs 150mg x1 dose d. Erythromycin 500mg TID x10 days - ✔✔c Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is the most likely cause? a. Bacterial vaginosis b. Trichomonas c. Lactobacillus overgrowth d. Candidiasis - ✔✔d 18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further eval? a. Elevated blood cholesterol levels b. Androgen deficiency c. Galactorrhea d. Hirsutism - ✔✔c 24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help control symptoms? a. Antianxiety meds b. Progesterone-only contraception c. Oral steroids d. NSAIDs - ✔✔d Primary amenorrhea is best described as: a. Cessation of menstruation x6mo b. Failure of menstruation to occur by 17ho c. Failure of menstruation to occur by 13yo d. Cessation of menstruation x6mo after menarche - ✔✔c 25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents: a. Trichomonas b. Mucopurulent cervicitis c. Bacterial vaginosis d. Gonorrhea - ✔✔a 16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not menstruated x4yrs. What is most frequent etiology of this problem? a. Eating disorder b. Pregnancy c. Anovulatory cycles d. Stress - ✔✔a Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm: a. Herpes simplex b. Gonorrhea c. Candidiasis d. Chlamydia - ✔✔c Treatment options for condyloma acuminatum include: a. Imiquimod (Aldera) b. Azithromycin c. Acyclovir d. Metronidazole - ✔✔a 25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course of action would be: a. Reassure pt that pain is often not presenting symptom of breast cancer. b. Teach pt breast self-exam. c. Order labs as most likely this is secondary to hormonal fluctuation d. Perform breast exam and order mammo - ✔✔d PID typically presents with all of the following except: a. Dysuria b. Leukopenia c. Cervical motion tenderness d. Abd pain - ✔✔b Which of the following are of a reproductive and pelvic origin? a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID b. Gynecologic malignancy c. Adhesions d. Myomata uteri - ✔✔a 25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex was first sign. Initially bump was very small, but now is ping-pong ball size. On exam, abscess is present on L medial side of labia minora and there's edema extending into perineum. What is dx? a. Lipoma b. Dermoid cyst c. Bartholin's cyst d. Skene's duct cyst - ✔✔c 49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be seen on physical exam in pt's with cervical cancer? a. Ulcerated firm cervix b. Vague lower abd pain The Tanner scale (5 stages) of sexual maturity rating allows for accurate classification of physical pubertal maturation. During the examination of your patient, you notice that the pubic hair is increased in quantity, is darker, and is present in the typical female triangle but in a smaller quantity. Which of the following Tanner Stages does this description meet? a. Tanner stage 1 b. Tanner stage 11 c. Tanner stage 111 d. Tanner stage 1V - ✔✔c. Tanner stage 111 John, age 5, was diagnosed with ruptured tympanic membrane as a result of acute otitis media 2 weeks ago. He was treated with oral antibiotics at the time of diagnosis and has finished his course. He has no purulent drainage. His plan of care should include: a. Refer to an ENT for evaluation and treatment b. Educate the parents about the strategies to prevent water from entering the middle ear c. continue the oral antibiotics to prevent infetion until the tympanic membrane heals d. use topical antibiotic drops to prevent infection until the tympanic membrane heals - ✔✔b. Educate the parents about the strategies to prevent water from entering the middle ear You see a healthy 18 month old for a well child visit. At the 12 month visiti he received the diptheria, tetanus and accellular pertussis (DTaP) third dose, hepatitis B second dose, measelm, mumps and rubella (MMR), injected poliovirus (IPV) second dose, pneumococcao conjugate (PCV13) fourth dose and Haemophilus influenzae type B 9HIB) fourth dose. Which of the following do you a. Varicella adn DTaP b. DTap, varicella, hepatitis A and hepatitis B c. DTaP, IPV, varicella, PCV13 and hepatitis B d. Hib, PCV13 and hepatitis A - ✔✔b. DTap, varicella, hepatitis A and hepatitis B A 7 year old presents with a complaint of ear pain with purulent discharge. He states it hurts when he is lying on the affected side and when anyone touches his pinna. The most likely diagnosis is: a. Otitis media with effusion b. Otitis externa c. Acute Otitis media d. Otitis interna - ✔✔b. Otitis externa A 7 year old presents to your office with several linear, curved lines approximately 4 millimeters in length that end in a papule. The lines are near the umbilicus and waist area. He complains about severe itching that is worse at night. You suspect a. scabies b. hives c. fleas d. ticks - ✔✔a. scabies An expected milestone of a 4 year old is the ability to: a. imitate a square, copy a cross or circle and draw a person in three parts b. copy a triangle and balance on each foot for 5 seconds c. imitate a vertical line, build a tower of 6 cubes and name 4 pictures d. draw a person in six parts and balance on each foot for 6 seconds - ✔✔a. imitate a square, copy a cross or circle and draw a person in three parts Thalia is a fifteen year old who is referred to your woman's health practice by her school counselor. he has macromastia and has been teased and ridiculed by her classmates at school. Which of the following would be the first step in dealing with this problem? a. encourage Thalia to wear loose clothing and a bra with strong support b. refer Thalia to a therapist for counseling and support, including anti-bullying c. Assess Thalia's Tanner staging for breasts and date of menarche - ✔✔c. Assess Thalia's Tanner staging for breasts and date of menarche You see a 6 month old for a well child visit and the mother tells you the childs grandmother recommends that she gives the infant whole milk and eggs ehen he starts solids. What should you tell the mother? a. it is okay to begin weaning to whole milk between 9 and 12 months of age b. the most important thing to add at this time is table food c. the baby should remain on infant formula and introduce stage 2 baby foods for now d. it is a good idea to introduce whole eggs to the diet of a 5 to 6 month old - ✔✔c. the baby should remain on infant formula and introduce stage 2 baby foods for now You diagnose a 14 year old with tinea capitis. Which of the following treatment do you recommend? a. oral griseofluvin macrosize for 2 full weeks b. nizoral shampoo and do not return to school for 1 week c. oral griseofluvin microsize taken with whole milk or other fatty foods, and selenium sulfide/sporicidal shampoo d. oral nystatin, selenium sulfide/sporicidal shampoo and the child can return to school as long as - ✔✔c. oral griseofluvin microsize taken with whole milk or other fatty foods, and selenium sulfide/sporicidal shampoo Most children can independently dress themselves by age: a. 2 years b. 2 years c. 4 years d. 6 years - ✔✔c. 4 years Nancy is an eleven year old presenting for an annual well child visit. When reviewing the pathophysiology of puberty, you recall that the initiationn of puberty begins with the relaeae of GnRh by the: a. hypotalamus b. adrenal gland c. ovaries d. pituitary gland - ✔✔a. hypotalamus Adolescence sexuality is important to understand and to discuss with your patients. Sexual behavior begins with childhood curiosity. Based upon the following characteristics, you would define your patients in which level of adolescence: low physical and mental investment in sexuality, information gathering on the topic of sexuality, prepubertal appearance and masturbation a. preadolescence/school age children b. early adolescence c. middle adolescence d. late adolescence - ✔✔a. preadolescence/school age children Adolescence is a period of time where patients undergo significant biological, psychological and emotional growth. Which of the following characteristics describe the psychosocial development of middle adolescence? a. middle school years between ages ten and thirteen b. late elementary school from mages eight to nine c. high school years from ages fifteen to seventeen d. ages seventeen to thirty-one and post high school years - ✔✔c. high school years from ages fifteen to seventeen I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I can't balance on one foot for 2 seconds. I am: a. 1 1/2 years old b. 2 1/2 years old c. 3 1/2 years old d. 4 years old - ✔✔b. 2 1/2 years old Which of the following children has abnormal language development a. Repeats simple phrases at 32 months b. Stutters when excited or tired at 4 years of age c. Has a 10 work vocabulary at 12 months d. Speech is 50 % understandable at 36 months of age - ✔✔d. Speech is 50 % understandable at 36 months of age A typically developing 8 year old girl will have which of the following genital developments? a. No pubic hair at all b. small amount of long, downy pubic hair along the labia majora c. course curly pubic hair that extends laterally from the labia majora - ✔✔a. No pubic hair at all A new mother is concerned about a strawberry hemangioma that her infant daughter has on the back of her neck. What is the treatment of choice for the majority of infants with hemangiomas? a. Cryosurgery b. interlesional steroid injections c. oral steroids d. observation - ✔✔d. observation Natasha is an eleven-year-old girl brought to your office for an annual well-child visit. When discussing the onset of puberty with Natasha and her mother, you would emphasize which of the following? a. pubic hair develops before breast buds b. breast development delayed beyond eleven years of age may be considered pathological c. the average age of menarche is twelve years - ✔✔c. the average age of menarche is twelve years You see a 4 year old for a well-child visit. He has received four diptheria, tentanus and acellular pertussis vaccines (DTaP), three injected polio vaccines (IPV); one measles mumps and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today? a. Pneumococcal conjugate vaccine (PCV13), IPV, varicella and DTaP b. Tetanus and diphtheria tozoid with acellular pertussis (TdaP), MMR, hepatitis B and IPV c. DTaP, IPV, MMR and varivax - ✔✔c. DTaP, IPV, MMR and varivax Each of the following is a risk factor for developing acute otitis media except - ✔✔breast feeding for more than 6 months The most likely weight of a 1yo child whose weight at birth was 6 1/2lbs would be what? a. 19-20lbs b. 13-14lbs c. 25-26lbs d. impossible to estimate - ✔✔a. 19-20lbs I can roll over grasp a rattly and reach for things and have begun feeding myself finger foods, but i can't wave bye-bye yet. How old am I? - ✔✔6 months A mother presents to the clinic with her female child who she is concerned about because her breasts are developing "when she is so young" When performing the initial assessment, it is important to recall that precocious puberty presents if: - ✔✔puberty starts before 8 years of age in females You are counseling an 11 year old and mother about HPV. The child is in Tanner Stage IV. What do you tell them about the vaccinne? - ✔✔it can cause syncope in some children Bodily image is a concern and can be a problem for adolescence. What phase of adolescence represents a period of greatest concern over bodily image - ✔✔Early adolescence NR602 Final Questions with accurate answers, latest updates, rated A Which one best describes lesions associated with condyloma acuminatum? a. Verruciform b. Plaque-like c. Vesicular d. Bullous - ✔✔a 39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was normal. On exam, there's erythema of extern. genitalia w/small amount of white discharge. Micro wet prep reveals few clue cells, but many budding hyphae. No WBCs. Which one would be the most appropriate treatment? a. Metronidazole 500mg BID x7 days b. OTC hydrocortisone 1% cream TID c. Fluconazole tabs 150mg x1 dose d. Erythromycin 500mg TID x10 days - ✔✔c Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is the most likely cause? a. Bacterial vaginosis b. Trichomonas c. Lactobacillus overgrowth d. Candidiasis - ✔✔d 18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further eval? a. Elevated blood cholesterol levels b. Androgen deficiency c. Galactorrhea d. Hirsutism - ✔✔c 24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help control symptoms? a. Antianxiety meds b. Progesterone-only contraception c. Oral steroids d. NSAIDs - ✔✔d Primary amenorrhea is best described as: a. Cessation of menstruation x6mo b. Failure of menstruation to occur by 17ho c. Failure of menstruation to occur by 13yo d. Cessation of menstruation x6mo after menarche - ✔✔c 25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents: a. Trichomonas b. Mucopurulent cervicitis c. Bacterial vaginosis d. Gonorrhea - ✔✔a 16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not menstruated x4yrs. What is most frequent etiology of this problem? a. Eating disorder b. Pregnancy c. Anovulatory cycles d. Stress - ✔✔a Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm: a. Herpes simplex b. Gonorrhea c. Candidiasis d. Chlamydia - ✔✔c Treatment options for condyloma acuminatum include: a. Imiquimod (Aldera) b. Azithromycin c. Acyclovir d. Metronidazole - ✔✔a 25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course of action would be: a. Reassure pt that pain is often not presenting symptom of breast cancer. b. Teach pt breast self-exam. c. Order labs as most likely this is secondary to hormonal fluctuation d. Perform breast exam and order mammo - ✔✔d PID typically presents with all of the following except: a. Dysuria b. Leukopenia c. Cervical motion tenderness d. Abd pain - ✔✔b Which of the following are of a reproductive and pelvic origin? a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID b. Gynecologic malignancy c. Adhesions d. Myomata uteri - ✔✔a 25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex was first sign. Initially bump was very small, but now is ping-pong ball size. On exam, abscess is present on L medial side of labia minora and there's edema extending into perineum. What is dx? a. Lipoma b. Dermoid cyst c. Bartholin's cyst d. Skene's duct cyst - ✔✔c 49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be seen on physical exam in pt's with cervical cancer? a. Ulcerated firm cervix b. Vague lower abd pain [Show More]

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