A preschooler presents with a low-grade fever, respirations 36, spO2 94% in
room air. Physical exam reveals crackles and decreased breath sounds in the
left lower lobe. Which of the following is the MOST appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR Right Ans - A
A school-aged child's father, who had been terminally ill, has died. The mother
is seeking guidance related to the funeral service and supporting the child
initially through this loss. Which of the following advice is the MOST
appropriate?
A. Work to maintain neutral emotions around the child.
B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific questions.
Right Ans - C
The parent of a 2 month old who is formula fed is concerned that the infant
spits up after every feeding. Weight gain in the past month has averaged 60
grams (2 oz) per day. What is the MOST appropriate next step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine Right Ans - C
For a 6 year old with asthma, a LABA is FIRST considered when
A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
D. Symptoms are allergy-induced Right Ans - A
, A mother expresses concern that her 6 month old is awakening q2h during the
night to breastfeed. The BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. Right Ans - A
A child who received an incorrect vaccine experienced no adverse
consequences. No additional care was required and an incident report was
completed. Which of the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event Right Ans - B
An afebrile 6 year old presents with unilateral knee and anterior thigh pain
without a hx of trauma. On exam, there is an antalgic gait, leg-length
discrepancy, limited abduction, and internal rotation of the hip on the affected
side. Which dx is the MOST likely?
A. Legg-Calve-Perthes disease
B. Juvenile idiopathic arthritis
C. Septic arthritis
D. Slipped capital femoral epiphysis Right Ans - A
A school aged child has a blood pressure of 166/88 mmHg, which has also
been elevated on two previous visits. Which of the following is MOST
appropriate next?
A. Order UA
B. Counsel on reducing sodium intake
C. Refer to cardiology
D. Start antihypertensive medication Right Ans - A
An otherwise healthy adolescent male presents with bilateral breast
enlargement for the past 6 months and small masses palpable below the
nipples. The BEST next step is to
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