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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 pointsNewborn 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 pointsA 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 isSelected Answer:a. Streptococcus pneumoniaQuestion 14 1 out of 1 pointsA common cause of in-toeing in childhood isSelected Answer:c. Internal tibial torsionQuestion 15 1 out of 1 pointsA 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. Inspiratorystridor 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 dexamethasoneQuestion 16 1 out of 1 pointsAll of the following is treatment for a child with phimosis exceptSelected Answer:a. Ice packsQuestion 17 1 out of 1 pointsWhich of the following is not a feature of DiGeorge syndrome?Selected Answer:b. Frontal bossingQuestion 18 1 out of 1 pointsA 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 pointsWhich 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 eyesQuestion 20 1 out of 1 pointsWhich of the following is not associated with congenital adrenal hyperplasia?Selected Answer:d. HypernatremiaQuestion 21 0 out of 1 pointsAna 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 toSelected Answer:b. Do a pregnancy testQuestion 22 1 out of 1 pointsAn 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?