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Mild persistentQuestion 470 out of 1 pointsA 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step isSelected Answer:d.Trial of omeprazole (Prilosec)Question 481 out of 1 pointsWhich of the following is not a sign or symptom of congenital hypothyroidism?Selected Answer:b.Frequent stoolingQuestion 491 out of 1 pointsA 9-month-old has been diagnosed with gastroenteritis. He attends a daycare facility.
What is the likely cause of the illness?Selected Answer:a.RotavirusQuestion 501 out of 1 pointsA 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 ismarked erythema of the pharynx with uvular deviation. Which is most appropriate?Selected Answer:b.Refer to otolaryngology for management of a peritonsillar abscess andpossible hospital admissionQuestion 511 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:c.Chlamydia pneumoniaQuestion 521 out of 1 pointsYou see a 7-year-old with a positive stool culture for Salmonella enteriditis. The appropriate therapy for a non-dehydrated child isSelected Answer:d.Bland diet with focus on maintaining hydrationQuestion 530 out of 1 pointsThe most common cause of primary amenorrhea isSelected Answer:a.Constitutional or familialQuestion 541 out of 1 pointsA 3-year-old presents with macrocephaly, developmental delay, coarse facial features, large tounge, kyphosis, hip dislocation, tonsillar and adenoidal hypertrophy,and hepatomegaly. She is receiving early intervention services without improvement.What is the best next step?
Selected Answer:a.Refer to genetics for further evaluationsQuestion 551 out of 1 pointsWhen Jason, age 12, slid into homeplate while playing baseball, he injured his ankle. You are trying to differentiate between a strain and a sprain. You know that a sprainSelected Answer:d.Is an injury to the ligaments that attach to the bones in a joint.Question 561 out of 1 pointsHypercholesterolemia in children older than 2 is defined as a total cholesterol at or aboveSelected Answer:d.200 mg/dLQuestion 570 out of 1 pointsThe most accurate way to determine the degree of dehydration in a vomiting child is to assessSelected Answer:d.Skin turgorQuestion 581 out of 1 pointsPrimary dysmenorrhea is due toSelected Answer:b.Elevated prostaglandin levelQuestion 591 out of 1 pointsThe most common presentation of Hirschprung disease is which of the following?Selected Answer:a.Infrequent bowel movementsQuestion 601 out of 1 pointsA small-for-gestational-age infant is born to a 35-year-old woman. He has low-set and
malformed ears, microcephaly, rocker-bottom feet, inguinal hernias, cleft lip/palate, and micrognathia. Chromosomal analysis is likely to reveal which of the following?