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Question I1 I

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An I11-year-old Ihas Ibeen Idiagnosed Iwith Imild Iintermittent Iasthma. IWhich Iof Ithe Ifollowing Iis Inot Ia Iroutine Ipart Iof Ithe Iclinical Imanagement?

Selected IAnswer: I c. I

School Iexcuse Ito Inot Iparticipate Iin Irecess Iand/or Iphysical Ieducation Iactivities

Question I2 I

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A I14-year-old Ihas Ia I3-week Ihistory Iof Ifever, Ianorexia, Iand Iabdominal Ipain. IWhat Iadditional Isymptom Iwould Icause Ithe INP Ito Isuspect ICrohn's Idisease?

Selected IAnswer: I b. I

Blood, Imucous Idiarrhea

Question I3 I

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A I9-year-old Iis Idiagnosed Iwith Idyspepsia Iwithout Ihematemesis, Imelena, Ior Ioccult Iblood. IThe Imost Iappropriate Inext Istep Iis

Selected IAnswer: I a. I

Trial Iof Iranitidine I(Zantac)

Question I4 I

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Jesse, Iage I5, Ihas Ia Idiagnosis Iof Iencopresis. IAfter Ithe Idiagnosis, Iwhat Iwould Ibe Iyour Inext Iaction?

Selected IAnswer: I a. I

Rule Iout Ia Ineurologic Idisorder.

Question I5 I

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A I15-year-old Igirl Ihas Iexperienced Iabdominal Ipain, Ivomiting, Iand Ilethargy Ifor I3 Idays. IHer Ichest Iand Ithroat Iexaminations Iare Iclear, Ibut Iher Iabdominal Iexamination Iis Isignificant Ifor Iright Ilower Iquadrant Ipain. IRectal Iexamination Iis Iequivocal Ifor Ipain, Iand Iher Ipelvic Iexamination Iis Iremarkable Ifor Ipain Iupon Imovement Iof Iher Icervix. ILaboratory Idata Iinclude Ielevated Iwhite Iblood Icell Icount, Iserum Iglucose Ilevel Iof I145 Img/dL, Iand Iserum Ibicarbonate Ilevel Iof I21mEq/dL. IHer Iurinalysis Iis Iremarkable Ifor I1+ Iwhite Iblood Icells, I1+ Iglucose, Iand I1+ Iketones. IWhich Iof Ithe Ifollowing Iis Ithe Imost Ilikely Idiagnosis? I

Selected IAnswer: I a. I

Appendicitis

Question I6 I

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A Ipreviously Ihealthy Imale Ihas Ia I3-month Ihistory Iof Iincreasing Iheadaches, Iblurred Ivision, Iand Ipersonality Ichanges. IPreviously Ihe Iadmitted Ito Imarijuana Iexperimentation Imore Ithan I1 Iyear Iago. IOn Iexamination Ihe Iis Ia Ihealthy, Iathletic-appearing I17-year-old Iwith Idecreased Iextraocular Irange Iof Imotion Iand Ileft Ieye Ivisual Iacuity. IWhich Iof Ithe Ifollowing Iis Ithe Ibest Inext Istep Iin Ihis Imanagement? I

Selected IAnswer: I e. I

Urine Idrug Iscreen

Question I7 I

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Kelly, Iyour I11-year-old Iwell Ivisit Ipatient, Ipresents Ito Ithe Ioffice Iwith Iweight Iloss, Ipolyuria, Iand Ipolydipsia. IWhich Iof Ithe Ifollowing Ido Iyou Ineed Ito Irule Iout?

Selected IAnswer: I c. I

Diabetes Imellitus

Question I8 I

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Lisa Ihas ICushing's Isyndrome. IYou Iwould Isuspect Iher Ito Ihave Ior Ito Idevelop

Selected IAnswer: I d. I 2 / 3

Generalized Iincreased Ipigmentations Iof Ithe Iskin

Question I9 I

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Tracy, Ithe Imother Iof Ia I2-year-old, Iis Iconcerned Ibecause Iher Idaughter Iwalks Ion Iher Itoes Iall Ithe Itime.IWhat Ido Iyou Itell Iher?

Selected IAnswer: I b. I

Toe Iwalking Iis Iconsidered Inormal Iuntil Iage I3.

Question I10 I

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The Ipeak Iincidence Ifor Iadolescent Igynecomastia Ioccurs Iat Iage

Selected IAnswer: I d. I

13 Ito I14 Iyears Iof Iage

Question I11 I

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A I12-year-old Igirl Iwas Ibrought Ito Ithe Iemergency Idepartment Ibecause Iof Isevere Isore Ithroat, Imuffled Ivoice, Idrooling, Iand Ifatigue. IShe Ihad Ibeen Isick Ifor Ithe Ipast I3 Idays Iand Iis Iunable Ito Ieat Ibecause Iof Ipainful Iswallowing. IThe Iparents Ideny Iany Ihistory Iof Irecurrent Ipharyngitis. IThe Ipatient Istill Imanaged Ito Iopen Iher Imouth Iand Iyou Iwere Iable Ito Isee Ian Iabscess Iat Ithe Iupper Ipole Iof Ithe Iright Itonsil Iwith Ideviation Iof Ithe Iuvula Itoward Ithe Imidline. IExamination Iof Ithe Ineck Ireveals Ienlarged Iand Itender Ilymph Inodes. IWhich Iof Ithe Ifollowing Iis Ithe Imost Iappropriate Imanagement? I

Selected IAnswer: I d. I

Nebulized Iracemic Iepinephrine

Question I12 I

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Newborn IR.T. Ihas Ia Ivascular Ilesion Ithat Iwill Inot Ifade Ias Ishe Igets Iolder. IWhat Iis Iyour Idiagnosis?

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