MN552 /MN 552 Advanced Health __., __., __., __., __.,
Assessment Final Exam Questions __., __., __., __.,
with Verified Answers. __., __., __.,
Infants and toddlers have a protuberant abdomen due to:
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a. Increased pancreatic enzyme activity
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b. Weak abdominal musculature
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c. More abdominal subcutaneous tissue
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d. Decreased hepatic enzyme function
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musculature
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A 10-year-
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old child presents to the clinic with acute RLQ abdominal pain and fever.
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The examiner positions the child supine, then flexes each leg at the hip
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and rotates the hip internally and externally. The child complains of pain
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when this maneuver is conducted on the right leg. This is an elicitation
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of:
,
a. The iliopsoas sign
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b. The obturator sign
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c. Murphy's sign
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d. Rebound tenderness
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A young child's kidney is more susceptible to trauma because:
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a. Until age 5 years, kidneys rupture more easily
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b. More of the kidney is exposed because of the thin abdominal wall
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,c. There is a proportionately larger abdomen in young children
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d. The urinary bladder capacity varies
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exposed because of the thin abdominal wall
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Which of the following is an appropriate response by the provider to a
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30-month-old child who is resistant to the abdominal exam? __., __., __., __., __., __., __., __.,
a. Inspect only; auscultate and palpate only if necessary
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b. Ask the child to describe the symptoms in more detail
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c. Ask the child if he or she would like to listen to the stomach through
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the stethoscope and press on the stomach with his or her own hands
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d. Defer the exam
__., c. Ask the child if he or she would like to listen
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to the stomach through the stethoscope and press on the stomach with
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his or her own hands
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Select the correct sequence of techniques used during an examination of
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a child's abdomen:
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a. Percussion, inspection, palpation, auscultation
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b. Inspection, palpation, percussion, auscultation
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c. Inspection, auscultation, percussion, palpation
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d. Auscultation, inspection, palpation, percussion
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auscultation, percussion, palpation
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When percussing a child's abdomen, you note tympany. This is indicative
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of the presence of:
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a. Fluid
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b. Air __.,
c. Feces
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,d. Hepatomegaly
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When inspecting the child's abdomen, the examiner notes a midline
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muscular separation with bulging at the child cries. This finding is a(n):
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a. Umbilical hernia
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b. Inguinal hernia
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c. Omphalocele
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d. Diastasis recti
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A 10-month-
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old infant is brought to the clinic with complaints of cough and
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rhinorrhea. When auscultating the child's lungs, you note a large, bulging
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umbilical mass. The mass is easily reducible but increases when the child
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cries. This assessment finding is a(n):
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a. Inguinal hernia
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b. Umbilical hernia
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c. Gastroschisis
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d. Omphalocele
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The iliopsoas (psoas sign) test is used to identify:
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a. Splenic enlargement
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b. Costovertebral tenderness
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c. Intra-abdominal inflammation
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d. Decreased peristalsis or intestinal activity
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abdominal inflammation __.,
, When auscultating bowel sounds in an infant or a young child, it is
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essential to use a pediatric stethoscope because:
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a. A stethoscope diaphragm that is too large may also encompass lung
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sounds, confusing the clinical picture
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b. A stethoscope diaphragm that is too large may also encompass vascular
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sounds, confusing the clinical picture
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c. A stethoscope diaphragm that is too large may cause pain in a small
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infant if pressure is applied during auscultation
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d. A stethoscope diaphragm that is too large may decrease the child's
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cooperation
, a. A stethoscope diaphragm that is too large may also
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encompass lung sounds, confusing the clinical picture
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Decreased hepatic enzyme function in children from birth until age 3 to 4
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years causes:
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a. Short drug half-lives
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b. Long drug half-lives
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c. Physiologic jaundice
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d. Hypoglycemia
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The stomach capacity in a neonate is approximately:
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a. 30 mL__., __.,
b. 60 mL__., __.,
c. 90 mL
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d. 120 mL
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A dull percussion note at or beyond the anterior axillary line on the left
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indicates: __.,
