Maryville University NURS 651 Exam 3 Questions from Actual Past Exam and 100% Correct Answers as per Marking Scheme
Although relatively rare in the US, Diptheria can occur in under immunized children, In a
child with respiratory complaints which s/s point to Diptheria:
- low grade fever, sore throat, nasal discharge, grayish white pseudomembrane in
- Abrupt onset high fever, severe sore throat, nasal discharge, grayish-white
throat,
pseudomembrane in throat --------- Correct Answer -------- A. low grade fever, think white pseudomembrane in throat.
infants younger than 6 months frequently require hospitalization with pertussis to
manage:
- fever, cough, dehydration
- coughing, paroxysms, apnea, cyanosis and feeding difficulties --------- Correct
Answer -------- B. coughing, paroxysms, apnea, cyanosis and feeding difficulties
Which of the following are characteristic symptoms of rubella?
- vesicular crusted lotions and high fever
- low grade fever, lymphadenopathy
- Rough textured maculopaular rash that does not blanch --------- Correct Answer -------
- Rash run rubella starts on face and spreads to trunk and extremities.
Potential sequale of rubella. can be: --------- Correct Answer -------- arthritis, encephalitis and thrombocytopenia
Rubeola --------- Correct Answer -------- 14 day measles "bad measles" Preventable by vaccination
what is the treatment for roseola --------- Correct Answer -------- rest, Tylenol and parental reassurance
Fifth's disease is usually seen in ages --------- Correct Answer -------- 5-14 years old
Is chickenpox only contagious when vesicles are present? --------- Correct Answer -------
- NO, contagious 2 days prior to outbreak and until all vesicles are crusted over.
which of the following is NOT a complication of mumps?meningitis, pneumonia, oophoritis, pancreatitis. --------- Correct Answer -------- pneumonia
When can a child with mumps return to daycare? --------- Correct Answer -------- Child can return when all symptoms have resolved or 9 days after onset of symptoms 1 / 2
Muscle spasms related to tetanus can be worsened by: --------- Correct Answer -------- external stimuli
Erythema migrans is tied closely with which:
Lyme disease or pustules --------- Correct Answer -------- Lyme disease
Erythema migrans is found where on the body in Lyme disease? --------- Correct Answer -------- Near the tick bite Other symptoms include fever malaise, headache, joint pain and bulls eye rash.
What congenital MS disorder is associated with adduction of the forefoot? --------- Correct Answer -------- Talipes Equinvarus ( club foot)
Most common rheumatic disease in children --------- Correct Answer -------- juvenile idiopathic arthritis
Xray findings for disease progression and sphericity of femoral head is most helpful in which disease? --------- Correct Answer -------- Legg-Calve-Perthes disease
- year old is brought to office with limp and x2 days and low grade fever, what is most
likely diagnosis? --------- Correct Answer -------- Transient hip synovitis
what is the most appropriate intervention for newborn with DDH? --------- Correct Answer -------- either observation or pavlik harness in more significant cases sometimes spontaneous resolution by 6 weeks
Characteristic feature of polyarticular JIA is? --------- Correct Answer -------- involvement of 5 or more joints
ANA (sero +) --------- Correct Answer -------- presence of an ANA + test is indicative of potential for uveitis in patients with JIA.
dislocation of hips in a child older than 6 months may present with --------- Correct Answer -------- +galezzi sign, knee heights different. Dislocatable hip is lower knee.
Duchenne muscular dystrophy --------- Correct Answer -------- a condition with symmetrical weakness and wasting of pelvic, shoulder, and proximal limb muscles x-linked recessive typically presents with delayed walking, slower movements, rolling gait, waddle, large calves.
Most children with DMD become wheelchair dependent by age: --------- Correct Answer -------- 7-12 years
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