Assignment: Patient With Cerebral Palsy

Assignment: Patient With Cerebral Palsy

Question 18. Question :

Your fifteen-year-old male patient with cerebral palsy has been experiencing an alteration in mood for the past two days and complains of an unusual odor and then begins to have forceful muscle contractions followed by flaccidity and then lethargy. You would describe this as a _______________.

prodrome

postictal state

tonic-clonic seizure

petit mal seizure

Question 19. Question :

Which statement regarding Duchenne muscular dystrophy is true?

Females are not affected

Because Duchenne muscular dystrophy is X-linked recessive, females are affected and males are carriers

Because Duchenne muscular dystrophy is X-linked recessive, males are affected and females are carriers

The sons of women who are older than forty years of age when pregnant are affected

Question 20. Question :

Which malignancy is associated with genitourinary anomalies?

Acute lymphocytic leukemia

Chronic myelogenous leukemia

Osteosarcoma

Wilms’ tumor

Week 10 final exam (limited questions)

8. Question :

The number one psychological disorder in the United States has been identified as _________.

depression

anxiety

schizophrenia

bipolar disorder

Question 10. Question :

The most common form of juvenile rheumatoid arthritis is ____________.

systemic

pauciarticular

osteoarticular

polyarticular

Question 13. Question :

An immunocompromised four-year-old patient presents for his vaccinations. Which vaccination would you hold on this patient?

MMR

Hib

Pneumococcal conjugate vaccine (PCV) 13

DtaP

Question 15. Question :

Attention deficit hyperactivity disorder may be ___________.

familial

learned

acquired

triggered by a virus

Question 21. Question :

Bipolar disease requires _____________ for successful treatment.

no medication only cognitive therapy

a limited amount of medication for a short period of time

no intervention

lifetime medication

Question 34. Question :

The National Youth Risk Behavior Survey (NYRBS) evaluates risk factors that contribute to violence or injuries. Which of the following has the highest percentage of noncompliance for safety?

Riding with someone who has been having alcohol

Driving while or after using alcohol

Not wearing a seatbelt

Not wearing a bicycle helmet

Question 35. Question :

A sixteen-year-old male presents to your office accompanied by his parents. They are concerned about his absenteeism from school. You suspect the patient has ________.

made a conscious decision to miss school (truancy)

suffers from attention deficit disorder

social anxiety disorder

panic attacks

Question 39. Question :

Which group of adolescents is more likely to develop Type 2 diabetes?

Non-Hispanic white adolescents

American-Indian adolescents

African-American adolescents

Pacific Islander adolescents

Question 42. Question :

The nurse practitioner sees a three-week-old infant in the clinic. Initial assessment findings show an infant with a 100.5 degree Fahrenheit rectal temperature, heart rate 120, respiratory rate 50. Upon physical exam no noted abnormalities are found. What would be the appropriate response of the primary care, clinic nurse practitioner?

Transport immediately to the ER

Obtain CBC with diff, urinalysis, urine culture, blood culture

Obtain CBC, urinalysis, urine culture and stool culture

Observe since this is not considered a

Question 47. Question :

Genu Varum is considered an abnormal condition when extreme knock knees continues

after seven years of age

extreme bowing continues after two years of age

parents are concerned about their child’s appearance

evident before two years of age

Question 67. Question :

Bipolar disease is often diagnosed in ____________________.

childhood years

the fifth or sixth decade

mid puberty

post puberty to early adulthood

Question 68. Question :

Of the following advice, which would be most helpful for the parents of a baby with GERD?

Most babies continue to vomit until they are walking.

Laying prone after eating will decrease the amount of vomiting.

Increase the intervals between feedings to minimum of four hours.

Medications are generally necessary to prevent further problems.

Question 69. Question :

A healthy eleven-year-old male had a Td booster two-year ago after stepping on a nail, but otherwise has had no immunizations since age six when his vaccinations were up to date. Which of the following vaccines would be indicated as a part of his well-child visit?

HPV2 (Cervarix)

Tdap (Adacel)

Meningococcal vaccine (MPSV) 4 (Menomune)

Pneumococcal polysaccharide vaccine (PPSV) 23 (Pneumovax)

Question 70. Question :

The adolescent should be screened for Type 1 diabetes _______________.

every year

every two years

once every five years

never

Question 74. Question :

Eating disorders are diagnosed during _________________.

fifth and six decades

childhood

adolescent period

any age frame

Question 77. Question :

Which of the following is a very important question to ask during the history taking for a sports evaluation?

Has the child ever had a head injury?

Has the child ever fainted or lost consciousness during exercise?

Does the child ever get short of breath with exercise?

Has the child ever had prior surgery

Question 79. Question :

An adolescent with which of the following would not be considered at an increased risk for dental erosion?

Gastroesophageal reflux disease (GERD)

Asthma

Anorexia Nervosa

Bulimia Nervosa