Kelly presents for her 6-month well visit. Her mother is worried because you found a positive Babinski reflex. You explain that a positive Babinski usually disappears by:
Question 1Kelly presents for her 6-month well visit. Her mother is worried because you found a positive Babinski reflex. You explain that a positive Babinski usually disappears by:
1 year
2 months
2 years
5 years
Question 2A 1-month-old male infant presents with mother for a well visit. When asked about birth history, mom reports that this is her first baby and he was breech presentation at birth, born by cesarean section. All of the following should be included in your exam and screening EXCEPT:
Order a hip ultrasound to complete at 6 weeks of age
Order a hip radiograph at 6 weeks of age
Check for a positive Galeazzi sign
Perform Barlow and Ortolani maneuvers
Question 3All of the following describe the Period of PURPLE crying EXCEPT:
Babies may resist soothing and have bouts of inconsolable crying.
The infant may turn blue or purple when crying.
It explains crying as a normal part of an infant’s development.
Begins at 2 weeks and continues until 3-4 months of age.
Question 4The following is considered to be a normal lead level and is managed by routine testing and patient education and risk assessment:
< 10 ug/dl
10-14 ug/dl
< 5 ug/dl
< 25 ug/dl
Question 5Which test will help you to detect strabismus in a preschooler?
Red reflex
Snellen
Fluorescein strip with woods lamp
Cover-uncover
Question 6A mother of a 2-week-old newborn comes to you for the first well-child exam. The infant takes only breast milk, urinates every 1-2 hours and has several soft yellow bowel movements per day. Your anticipatory guidance for this patient will include all EXCEPT:
Breast milk is the best milk for your baby, continue to breast feed for at least the entire first year if possible.
Mother should continue to take a prenatal or multivitamin daily.
Give baby Tylenol if he has a rectal temperature of 100.0 F or greater.
Baby should sleep face up in a crib or bassinette only, avoid sharing the adult bed with baby.
Question 7You are performing a physical exam on a 6-month-old girl. Mom is concerned about her baby’s growth. How will you determine if her concern is valid?
Look at the BMI growth chart.
Compare the weight since the last visit.
Evaluate the weight and height on the growth chart.
Evaluate the weight, length, and head circumference on the 0-36 month-old female growth chart.
Question 8Which is the best prescription of amoxicillin for a 6-month-old with otitis media who weighs 16 pounds, dosed at 80 mg/kg?
Amox 250mg/5ml; 4.5ml po BID x 10 days
Amox 400mg/5ml; 9ml po BID x w10 days
Amox 250mg/5ml; 9.5ml po TID x 10 days
Amox 400mg/5ml; 4ml po BID x 10 days
Question 9A 12-month-old child should be able to do all of the following EXCEPT:
Walk up steps.
Say Mama or Dada specifically.
Clap hands.
Indicate wants without crying.
Question 10A white instead of a red reflex upon eye exam of a 1-year-old child would suggest:
An accommodative error
Retinoblastoma
Papilledema
Retinal detachment
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