Walden NRNP6541 2021 September Week 6 Quiz Latest

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

NRNP6541 Primary Care of Adolescents and Children

Week 6 Quiz  

QUESTION 1. All of the following may predispose a patient to thrush except:

a Poor oral.hygiene

b Age

c Steroid.therapy

d Antibiotics

QUESTION 2. Which of the following foreign body in the nose requires immediate removal?

astone.

bcrayo.n

c batter.y

d bead.

QUESTION 3. Mark, a 10-year-old, has a lot of ear pain. He does not want anyone to touch it and is crying in pain. The ear canal is swollen and exudate is present. The TM is normal.

What is the proper management for his patient?

a Topical Fluoroquiolone

b Oral Amoxicillin and topical.steroids

c Oral Amoxicillin and topical.anesthetic

d Oral steroids and topical.neomycin

QUESTION 4. A child’s head circumference is routinely measured on each well visit until what age?

 

a 1 year.

b 15.months

c 2 years

d 5years

 

QUESTION 5  Sarah, age 15, presents with pain and pressure over her cheeks and discolored nasal discharge. You cannot transilluminate the sinuses. You suspect which common sinus to be affected?

a Temporal.sinus

b Ethmoid.sinus

c Frontal sinus

d Maxillary.sinus

QUESTION 6 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?

a Continue home management with the use of inhaled beta agonists and inhaled corticosteroids, and add the use of oralantihistamine/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 7 A mother states that her 4-year-old son constantly grinds his teeth at night. You document this as:

 a Temporal mandibular joint.malocclusion

b Bruxism

c An oropharyngeal lesion

d A psychosis

QUESTION 8. Hannah, age 4, is brought into the office by her father. She complains of a sore throat, difficulty swallowing, copious oral secretions, stridor, and a temperature of

102F. She does not have pharyngeal erythema or cough. What do you suspect?

a Tonsillitis

bEpiglottitis

c Diphtheria

d Group A.Strep

QUESTION 9. A 7-year-old presents with abrupt fever, stridor, drooling, and hyperextension of the neck. You examine the nose and throat and notice one tonsil is enlarged and there is

marked erythema of the pharynx with uvular deviation. Which is most appropriate?

a Start amoxicillin at the appropriate dose for weight after obtaining a throat.culture.

bPlace on a 5-day course of oral steroids after obtaining a monospot, EBV titers,. and a CBC

c Refer to otolaryngology for management of a peritonsillar abscess and. possible hospital admission

d Start cephalexin (Keflex) at the appropriate dose for weight after obtaining a. throat culture

QUESTION 10. An eye that deviates in when covered but that returns to midline when uncovered is an

aesophoria

b exophoria

c esotropia

d exotropia

QUESTION 11. Epiglottitis has decreased due to which immunization?

a Varicella

b Prevnar

c Hib

d Meningococcal

QUESTION 12. Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a “Christmas tree”

distribution. It is predominantly on her trunk. One lesion is on her buttock that is larger than the other, at about 4 cm in diameter. What is your diagnosis?

aEczema

b Pityriasisrosea

cPsoriasis

dPityriasisalba

QUESTION 13  An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a fever of 102.9 (F). Which important eye assessment do you need to consider?

aOcular mobility

b Conjunctival inflammation

c Pupillary reaction

d Optic disk papilledema

QUESTION 14  You are performing an examination of a 3-year-old who is new to your office. Which finding requires immediate further evaluation?

a An equal A-P and transverse chest diameter.

b Heart rate increases during inspiration and decreases duringexpiration.

c Weight plots in the 50th percentile, while height plots at the 75th percentile.

d Can stand briefly on one fit but cannot skip and hop.

QUESTION 15 Seborrhea dermatitis is common for both infants and adolescents. Which is not correct for this condition?

a The 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 16. Chelsea, age 8, complains that she feels as if something is stuck in her ear. What action is contraindicated?

a Flushing the ear with water.

b Instilling several drops of mineral oil in the ear.

c Inspecting the ear canal with an otoscope.

d Using a small suction device to try and remove  the object.

QUESTION 17 Sarah, 7 years old, is in the office today. All of the following are acceptable management options for allergic rhinitis, except

a Nasal.neosynephrine

b Oral cetirizine

c Oralmontelukast

d Nasalfluticasone

QUESTION 18. Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing?

aAsthma

b Epiglottitis

c Croup

d Bronchiolitis

e Foreign-bodyaspiration

 

QUESTION 19. Which of the following eye findings would be considered an ophthalmic emergency?

a Cobblestone-like appearance along the inner aspect of the upper eyelid in a 15-year-old.

b Bilateral redness along eyelid margins with tiny ulcerated in a 16-year-old.

c Unilateral vesicular lesions on the upper eyelid in a 3-week old.

d Presence of chemosis in a 5-year-old with bilateral upper eyelid edema.

QUESTION 20 Grace, age 15, has been diagnosed with acne. Which of the following is not true with this condition?

a Females can have a “cyclic” component to their acne.

b Poor hygiene is the primary cause of acne.

c Acne is associated with increased androgenic hormone activity.

d Severe acne having a later onset in puberty is more common among males.

 

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