NRNP-6541 week 6 knowledge check

NRNP-6541 week 6 knowledge check

Question 1

1 
/ 1
 pts

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

stone

 

battery

 

bead

 

crayon

 

Question 2

1 
/ 1
 pts

While doing a 5-year-old well child exam, you notice two small patches of hair loss. Broken hair is present, as is erythema and scaling. On the basis of this information, which of these is the likely diagnosis?

Tinea corporis

 

Trichotillomania

 

Traction alopecia

 

Alopecia areata

 

Question 3

1 
/ 1
 pts

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?

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

 

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

 

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

 

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

 

Question 4

1 
/ 1
 pts

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. Mark should be instructed to do which of the following?

Use alcohol drops before swimming each day.

 

Limit swimming for the remainder of the summer.

 

Keep ear dry until symptoms improve.

 

Wear earplugs at all times when swimming.

 

NRNP-6541 week 6 knowledge check Question 5

1 
/ 1
 pts

An 8-year-old female is brought into the office by her mother. She has complaints of fever and sore throat for the past 2 days. She denies difficulty swallowing but has loss of appetite and mild diarrhea. A few classmates have similar symptoms. A review of systems reveals clear nasal drainage, dry cough, and hoarseness. On exam she has a 101.5 temperature, 3+ erythematous tonsils, and anterior cervical lymphadenopathy. What is the likely diagnosis?

Strep pharyngitis

 

Mononucleosis

 

Viral pharyngitis

 

Sinusitis

 

Question 6

1 
/ 1
 pts

A 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. He is noted to have a diffuse petechial rash. What is the most likely diagnosis?

Rocky Mountain spotted feve

 

Scarlet Fever

 

Lyme disease

 

Meningococcemia

 

Question 7

1 
/ 1
 pts

While assessing the skin of an infant, you note cafe-au-lait spots. Which disease should be ruled out?

Sturge-Weber syndrome

 

Fetal alcohol syndrome

 

Tuberous sclerosis

 

Neurofibromatosis

 

Question 8

1 
/ 1
 pts

A 7-month-old female was brought by her mother to an outpatient clinical because of a 2-day history of fever, copious nasal secretions, and wheezing. The mother volunteered that the baby has been healthy and has not had these symptoms in the past. The infant’s temperature is noted to be 100.7°F, her respiratory rate is 50 breaths/min, and her pulse oximetry is 95% on room air. Physical examination reveals no signs of dehydration, but wheezing is hear on lung auscultation. The infant shows no improvement after three treatments with nebulized albuterol. Which of the following is recommended treatment?

Continued nebulized albuterol every 4 hours

 

Antihistamines and decongestants

 

Initiate synagis

 

Antibiotics for 7 days

 

Supportive care with hydration and humidified oxygen

 

NRNP-6541 week 6 knowledge check Question 9

1 
/ 1
 pts

The most common congenital heart defect in children as

Tricuspid atresia

 

Pulmonary atresia

 

Ventricular septal defect

 

Aortic stenosis

 

Question 10

1 
/ 1
 pts

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

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

 

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

Can cause irritating pigment changes to include hyperpigmentation and hypopigmentation

 

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

 

Question 11

1 
/ 1
 pts

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

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

 

Flushing the ear with water.

 

Instilling several drops of mineral oil in the ear.

 

Inspecting the ear canal with an otoscope.

 

Question 12

1 
/ 1
 pts

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

Age

 

Antibiotics

 

Steroid therapy

 

Poor oral hygiene

 

Question 13

1 
/ 1
 pts

You diagnose a 16-year-old with acute otitis media and need to prescribe an antibiotic with beta-lactamase coverage. What do you choose?

prednisone (Deltasone)

 

amoxicillin and potassium clavulanate (Augmentin)

 

azithromycin (Zithromax)

 

amoxicillin (Amoxil)

 

Question 14

1 
/ 1
 pts

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?

Continue home management and add inhaled cromolyn sulfate.

 

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

 

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.

 

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

 

Question 15

1 
/ 1
 pts

Luke, a 17-month-old, failed treatment with amoxicillin for otitis media. At the two-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 10 day course of Augmentin

 

A 3-week course of cephalosporin

 

Ceftriaxone and an antihistamine

 

A higher dose of amoxicillin and topical antibiotics

 

NRNP-6541 week 6 knowledge check Question 16

1 
/ 1
 pts

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?

Pityriasis rosea

 

Eczema

 

Pityriasis alba

 

Psoriasis

 

Question 17

1 
/ 1
 pts

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

Epiglottitis

 

Asthma

 

Foreign-body aspiration

 

Bronchiolitis

 

Croup

 

Incorrect
Question 18

0 
/ 1
 pts

You have a patient with pityriasis rosea. You will recommend 
all
 of these treatments, 
except

Topical steroids to area.

 

Monitored and controlled daily sunlight exposure.

 

Cool bath or cool compresses.

 

Oral antibiotics.

 

Question 19

1 
/ 1
 pts

John is diagnosed with allergic conjunctivitis. What type of discharge do you expect to see upon exam?

Stringy and white

 

Mucoid and mucupurulent

 

Serous and clear

 

Purulent

 

Question 20

1 
/ 1
 pts

Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis?

Cafe au lait spot

 

Capillary hemangioma

 

Salmon patch

 

Port-wine stain (nervus flammeus)

NRNP-6541 week 6 knowledge check