16-year-old Mayu presents for her well visit examination. She reports difficulty falling asleep at night. Some nights, she wakes after a couple of hours of sleep and has a hard time falling back to sleep. What are key recommendations for sleep hygiene for children and adolescents? Group of answer choices Recommend cognitive therapy management for […]

A 4-year-old child is brought to the emergency department for evaluation of wrist pain. The parent states the child is clumsy and becomes hostile when questioned further. Physical examination shows bruises over the buttocks. Which of the following is the appropriate action? A. Discuss the suspicion with the patient’s mother B. Call the patient’s grandparents […]

Paul is a 15-year-old obese male presenting with a PHQ9 of 18. Paul has been in and out of foster care homes for the past 5 years. His father died when Paul was 10 from a heart condition. His mother has been in and out of residential institutions for schizophrenia for the past 5 years. […]

A 16-year-old patient presents to the clinic with his caregivers for a preparticipation sports physical examination (PPE). Which of the following cardiac conditions should unequivocally disqualify an athlete from sports participation? A. Carditis B. Hypertension C. Congenital heart disease D. Heart murmur

Part of your well visit screening includes the Depression PHQ9 screening. Your 16 year old patient has a total score of 21. In discussing the questions, the teen is having significant problems in classes, not able to play sports due to a below C average, parents are ‘harping’ on him due to his lack of […]

A 5-year-old boy weighing 50lbs should be placed in which type of safety restraint when riding in a car? A. Rear-facing infant seat in the back seat B. Front-facing infant seat in the back seat C. Booster seat in the front seat D. Booster seat in the back seat

A 2-week-old infant presents for a newborn exam. They were born via spontaneous vaginal delivery at 38 weeks without any complications. The infant has an elevated phenylalanine level. The mother exclusively breastfeeds. No abnormalities are noted on physical examination. What is the next step in management? A. Order plasma amino acids B. Order assay for […]

A patient with acute exacerbation of COPD has a loss of appetite . She is started on enteral tube feedings . Which type of diet is recommended for the patient ? High fat , low carbohydrate High protein , high carbohydrate Low fat , high carbohydrate Low fat , high protein

A 16-year-old arrives for an annual physical examination. Which of the following is used by pediatricians to evaluate an adolescent’s major health risks? A. Mini-mental exam B. CAGE questionnaire C. SCAG questionnaire D. HEADSS assessment

A 16-year-old male patient is evaluated by the nurse practitioner for a new onset of sore throat and fatigue. On examination, he has palpable tender posterior cervical lymphadenopathy and an erythematous pharynx. His heterophilic antibody test is positive. Which of the following is a serious complication of his condition? A. Rheumatic fever B. Splenic rupture […]