To open her mouth and you were able to see an abscess

to open her mouth and you were able to see an abscess at the upper pole of the right tonsil with
deviation of the uvula toward the midline. Examination of the neck reveals enlarged and tender
lymph nodes. Which of the following is the most appropriate management?
Selected Answer: d.
Nebulized racemic epinephrine

Question 12
1 out of 1 points
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis?
Selected Answer: a.
Port-wine stain (nervus flammeus)
Question 13
0 out of 1 points
A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-ray reveals bilateral
pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal. The
most likely etiology is
Selected Answer: a.
Streptococcus pneumonia
Question 14
1 out of 1 points
A common cause of in-toeing in childhood is
Selected Answer: c.
Internal tibial torsion
Question 15
1 out of 1 points
A 2-year-old presents to your office with the following symptoms: nasal congestion and rhinorrhea
for 48 hours, low-grade fever, and a harsh/barky cough that is significantly worse at night. Inspiratory
stridor is present and she has clear but slightly decreased breath sounds. Which of the following
treatments is best?
Selected Answer: b.

One dose of oral dexamethasone
Question 16
1 out of 1 points
All of the following is treatment for a child with phimosis except
Selected Answer: a.
Ice packs
Question 17
1 out of 1 points
Which of the following is not a feature of DiGeorge syndrome?
Selected Answer: b.
Frontal bossing
Question 18
1 out of 1 points
A small-for-gestational-age, dysmorphic newborn infant has microcephaly and sloping forehead,
cutis aplasia (missing portion of the skin and hair) of the scalp, polydactyly, microphthalmia, and
omphalocele. Which of these is the most likely diagnosis?
Selected Answer: e.
Patau syndrome (trisomy 13)
Question 19
1 out of 1 points
Which of the following physical stigmata are common in newborns with Down syndrome?

Selected Answer: b.
Hypotonia, large-appearing tongue and small mouth, upward slant to eyes
Question 20
1 out of 1 points
Which of the following is not associated with congenital adrenal hyperplasia?
Selected Answer: d.
Hypernatremia
Question 21
0 out of 1 points
Ana 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
Selected Answer: b.
Do a pregnancy test
Question 22
1 out of 1 points
An 8-month-old baby arrives to the office with his mother with a complaint of decreased left arm
movement. He is a product of a normal term pregnancy, has had no medical problems, and was in
good health when his mother dropped him off at the daycare center. Upper arm radiographs show a
left humerus spiral fracture. Which of the following is the most appropriate next step in
management?