Question 1 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes • Question 2 0 out of 1 points A 15-year-old girl has a 1-month history of urinary frequency without dysuria and recent onset of an itchy rash beneath both breasts. She has been gaining weight over the past year and regularly complains of fatigue. She is afebrile, with a weight greater than the 99th percentile and has an erythematous, macular rash beneath both breasts characterized by satellite lesions. Urinalysis is significant for 2+ glucosuria but no pyuria. Which of the following is the most likely diagnosis? Selected Answer: b. Diabetes mellitus • Question 3 1 out of 1 points A 16-year-old is brought in as a walk-in by his parents. His parents state that he acutely developed a fever, chills and rash. He has been confused and not answering their questions. On examination he is toxically ill appearing, and is febrile, tachycardic and hypotensive. He is noted to have a diffuse petechial rash. What is the most likely diagnosis? Selected Answer: c. Meningococcemia • Question 4 1 out of 1 points Lyme disease is most closely associated with which of the following skin lesions? Selected Answer: b. Erythema migrans • Question 5 1 out of 1 points Unilateral wheezing is a finding suggestive of Selected Answer: d. Foreign body aspiration • Question 6 0 out of 1 points When examining a child with abdominal pain, what symptom would lead to a likely organic etiology? Selected Answer: d. Suprapubic pain • Question 7 0 out of 1 points Kawasaki disease is most common in Selected Answer: a. Females • Question 8 0 out of 1 points What does shift to the left mean in a white blood count? Selected Answer: c. A rise in lymphocytes • Question 9 1 out of 1 points A 3-week old presents to the office in January with a 1-week history of nasal congestion and occastional cough. On the night prior to the visit in infant developed a fever 102ºF rectally, was difficult to breastfeed, and had paroxysmal coughing and noisy, labored breathing. On exam, you note an ill-appearing infant who is lethergic with wheezing, tachypnea, and intercostal retractions. The infant is home with the mom at this time; however, has a sibling who is 4-years-old and is in daycare and recently had cold symptoms. If the patient has been diagnosed with RSV bronchiolitis, which of the following would be the treatment of choice? Selected Answer: d. Fluids and nutritional support and close monitoring • Question 10 1 out of 1 points Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing? Selected Answer: e. Epiglottitis • Question 11 0 out of 1 points The most useful test for evaluation of suspected acute rheumatic fever is Selected Answer: a. C-reactive protein (CRP) • Question 12 0 out of 1 points The most common trigger for an acute asthma episode in the very young child is Selected Answer: b. Outdoor allergens • Question 13 1 out of 1 points Individuals with chronic adrenal insufficiency often have Selected Answer: c. A craving for salt • Question 14 0 out of 1 points A 10-year-old boy jumps off a 2-foot wall, twisting his foot and ankle upon landing. His ankle x-ray reveals a fracture of the distal tibia over the articular surface into the epiphysis and physis. Based on the Salter-Harris classification for growth plate injuries, you know this as a Selected Answer: d. Salter-Harris V • Question 15 1 out of 1 points Which of the following is a measure of childhood intelligence? Selected Answer: a. Wechsler scales • Question 16 1 out of 1 points Mrs. Bay is upset. She is convinced something is seriously wrong with her son. He is a 2- month-old and frequently vomits after feeding. Which of the following is most suggestive of GERD (gastroesophageal reflux disease)? Selected Answer: c. He drinks 7 to 8 ounces every 3 hours