Walden NRNP6541 2021 September Week 9 Quiz Latest

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

NRNP6541 Primary Care of Adolescents and Children

Week 9 Quiz  

QUESTION 1Ana is a 14-year-old female and has not yet started her menstrual cycle. The history is noncontributory and the physical is normal. Mom started her menstrual cycle at 14-years of age. Ana's breast development and pubic hair began about a year ago. Mom is very concerned. The most appropriate initial step would be to

a Draw LH and FSH levels

b Do a pregnancy test

c Obtain a buccal smear for chromosal analysis

d Reassure, educate the family, and follow up if her cycle has not started  in 12 months.

QUESTION 2 Hypercholesterolemia in children older than 2 is defined as a total cholesterol at or above

a 100.mg/dL

b 130.mg/dL

c 160.mg/Dl

d 200.mg/dL

QUESTION 3  The most common presentation of Hirschprung disease is which of the following?

a An abdominal mass

b Diarrhea

c Infrequent bowel movements

d Sepsis

QUESTION 4  Which of the following is not a sign or symptom of congenital hypothyroidism?

a Lethargy

b Hoarse cry

c Frequent stooling

d Coarse features

QUESTION 5  Which of the following is not found in an adolescent with untreated Graves' disease?

a Tachycardia

b Tendency to gain weight easily

c Behavioral problems

d Sleep disturbances

QUESTION 6 Dave, age 17, has gynecomastia. You should also assess him for

aObesity

b Testicular cancer

c Endocrine abnormalities

d Tuberculosis

QUESTION 7 The peak incidence of osteosarcoma is

a 4-7 years of.age

b 8-11 years of.age

c 12-14 years of.age

d 15-19 years of.age

QUESTION 8  A teenage female who is overweight has moderate acne on the face and chest, and irregular menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian syndrome?

A androstenedione

b dehydroepiandrosterone sulfate

c free testosterone

d prolactin

QUESTION 9 Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram. Which of the following diagnosis would you suspectRobert as having?

a Marfan syndrome

b Turner syndrome

c Beckwith Wiedemann syndrome

d Klinefelter syndrome

QUESTION 10  The most accurate way to determine the degree of dehydration in a vomiting child is to assess

 a Level of.consciousness

b Urine output

c Skin turgor

d Presence of tears

QUESTION 11.Which of the following is not associated with congenital adrenal hyperplasia?

a Hypernatremia

b Dehydration

c Hyperkalemia

d Progressive weight.loss

QUESTION 12 A common presenting symptom of inflammatory bowel disease is

aUnexplained fever

b Joint infection

c Accelerated growth

d Kidney stones

QUESTION 13 Thefollowingclinicaldescriptionbestmatcheswhichgeneticdisorder?Atall,thin14- year-old boy has no signs of puberty. He was delayed in his speech development and always has done less well in school than his siblings. He is shy, and teachers report his activity is immature. Physical examination reveals breast development, and long limbs with a decreased upper segment/lower segment ration. He hassmall testes and phallus.

a Fragile X syndrome

b Klinefelter syndrome.(XXY)

c Turner syndrome (XO)

d XXX Syndrome

e XYY male

QUESTION 14. What does a low level of thyroid stimulating hormone (TSH) indicate?

a Hypothyroidism

b Myxedema

c Hyperthyroidism

d Thyroid nodule

QUESTION 15 The following clinical description best matches which genetic disorder? A 15-year-old girl with primary amenorrhea is noted to be well below the 5th percentile for height. She has hypertension, a low posterior hairline, prominent and low-set ears, andexcessive nuchal skin.

a Fragile X syndrome

b Klinefelter syndrome(XXY)

c Turner syndrome (XO)

d XXX Syndrome

e XYY male

QUESTION 16  A 16-year-old girl has enuresis, frequent urination, a white vaginal discharge, and a dark rash around her neck. Her serum glucose level is 250 mg/dL, and her urinalysis

a Chemical vaginitis

b Chlamydia cervicitis

c Psoriasis

d Type II diabetes

e Urinary tract infection (UTI)

QUESTION 17. The appropriate lab tests in assessment of cervical adenitis include all of the

following except:

a Mono test

b Blood culture

c PPD

d Throat culture

QUESTION 18. Please interpret the following labs for an adolescent. The adolescent has a history of obesity and acanthosis nigricans.

2T.est    Results

                Fasting blood glucose     112 mg/dL

                2 hour postprandial glucose        138 mg/dL

a.            Impaired fasting glucose, postprandial glucosewithin normallimits

 b.           Impaired fasting glucose, impaired glucosetolerance

c.             Normal fasting glucose, postprandial glucosewithin normallimits

 d.           Normal fasting glucose, impaired glucosetolerance

 

QUESTION 19 Which malignancy is associated with genitourinary anomalies?

aOsteosarcoma

b Wilms' tumor

c Acute lymphocytic leukemia

d Chronic myelogenous leukemia

QUESTION 20. Primary dysmenorrhea is due to

aElevated prostaglandin level

b Pelvic inflammatory disease(PID)

c Endometriosis

d Fibroids