Influenza Nasal spray Vaccine

Influenza Nasal spray Vaccine
Influenza Nasal spray Vaccine
Kaplan MN580 midterm exam october 2018 Graded – 00594105
10-12 minutes
Random Section 1
Question 1
When advising a patient about the influenza nasal spray vaccine, the NP considers the following:
Question options:
1) Its use is acceptable during pregnancy.
2) Its use is limited to children younger than 6 years.
3) It contains live, attenuated virus.
4) This is the preferred method of influenza protection in the presence of airway disease.
Question 2
Which of the following is true about the MMR vaccine?
Question options:
1) This vaccine contains live virus.
2) Its use is contraindicated in persons with a history of egg allergy.
3) Revaccination of an immune person is associated with risk of allergic reaction.
4) One dose is recommended for young adults who have not been previously immunized.
Question 3
Which of the following is the most prudent first-line treatment choice for an otherwise well toddler with acute otitis media (AOM) who requires antimicrobial therapy?
Question options:
1) Ceftibuten.
2) Amoxicillin.
3) Cefuroxime.
4) Azithromycin.
Question 4
The most common causative organism of bronchiolitis is:
Question options:
1) haemophilus influenzae.
2) parainfluenza virus.
3) respiratory syncytial virus.
4) coxsackievirus.
Question 5
At which of the following ages in an infant’s life is parental anticipatory guidance about teething most helpful?
Question options:
1) 1–2 months.
2) 2–4 months.
3) 4–6 months.
4) 8–10 months.
Question 6
A young child should use a rear-facing car seat until at least age:
Question options:
1) 12 months.
2) 18 months.
3) 24 months.
4) 30 months.
Question 7 1 / 2 points
Risk factors for dyslipidemia in children include which of the following? Select all that apply.
Question options:
1) Blood pressure at the 70th to 80th percentile for age.
2) Breastfeeding into the toddler years.
3) Family history of lipid abnormalities.
4) Family history of type 2 diabetes mellitus.
Question 8
Which of the following laboratory tests can identify the causative organism of bronchiolitis?
Question options:
1) Nasal washing antigen test.
2) Antibody test via blood sample.
3) Urine culture.
4) A laboratory test is not available.
Question 9
Physical examination findings in otitis externa include:
Question options:
1) tympanic membrane immobility.
2) increased ear pain with tragus palpation.
3) tympanic membrane erythema.
4) tympanic membrane bullae.
Question 10
Which of the following findings is most consistent with the diagnosis of acute bacterial rhinosinusitis (ABRS)?
Question options:
1) Upper respiratory tract infection symptoms persisting beyond 7 to 10 days.
2) Mild midfacial fullness and tenderness.
3) Preauricular lymphadenopathy.
4) Marked eyelid edema.
Question 11
Aortic stenosis in a 15-year-old male is most likely:
Question options:
1) a sequela of rheumatic fever.
2) a result of a congenital defect.
3) calcific in nature.
4) found with atrial septal defect.
Question 12
Which of the following do you expect to find in an examination of a 2-week-old infant?
Question options:
1) A visual preference for the human face.
2) A preference for low-pitched voices.
3) Indifference to the cry of other neonates.
4) Poorly developed sense of smell.
Question 13
An 18-year-old woman has a chief complaint of a “sore throat and swollen glands” for the past 3 days. Her physical examination includes a temperature of 101° F (38. 3° C), exudative pharyngitis, and tender anterior cervical lymphadenopathy. Right and left upper quadrant abdominal tenderness is absent. The most likely diagnosis is:
Question options:
1) streptococcus pyogenes pharyngitis.
2) infectious mononucleosis.
3) viral pharyngitis.
4) vincent angina.

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