In what position do these patients prefer to sit?
Selected Answer:
a.
Sitting up and leaning forward
· Question 23
1 out of 1 points
You see a 30-month-old who speaks in mixed Spanish and English. The child’s vocabulary is normal but at the low end of the normal language spectrum. The parent is worried the child’s development will not be normal because she mixes up the two languages. You respond:
Selected Answer:
b.
“Your child’s speech is normal and bilingual children commonly intermix the words from both languages until about 3 years of age.”
· Question 24
1 out of 1 points
Which of the following characterizes middle adolescence (14 to 16 years old)?
Selected Answer:
b.
Intense peer group involvement, feelings of immortality, sexual experimentation
· Question 25
1 out of 1 points
You see a 4-year-old for a well-child visit. He has received four diphtheria, tetanus, and acellular pertussis vaccines (DTaP); three injected polio vaccines (IPV); one measles, mumps, and rubella vaccine (MMR); one varicella vaccine; and two hepatitis B (Hep B) vaccines. What do you order today?
Selected Answer:
c.
DTaP, IPV, MMR, and Varivax
· Question 26
1 out of 1 points
A 14-year old has ataxia. He is brought to the local emergency department, where he appears euphoric, emotionally labile, and a bit disoriented. He has nystagmus and hypersalivation. Many notice his abusive language. Which of the following agents is most likely responsible for his condition?
Selected Answer:
d.
Alcohol
· Question 27
1 out of 1 points
Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th percentile for height, weight and head circumference. He was born at 30 weeks’ gestation and weighed 1000g. He was a planned pregnancy, and his mother’s prenatal course was uneventful until an automobile accident initiated the labor. He was ventilated for 3 days in the intensive care unit but otherwise did well without ongoing problems. He was discharged at 8 weeks of life. Which of the following is the most likely explanation for his small size?
Selected Answer:
b.
Normal ex-preemie infant growth
· Question 28
1 out of 1 points
A fifteen-year-old female makes a statement to you during a well visit. Which of the following statements should not be kept confidential?
Selected Answer:
c.
“Sometimes I feel like ending my life.”
· Question 29
1 out of 1 points
Most children can independently get dressed by themselves by age:
Selected Answer:
b.
5 years
· Question 30
1 out of 1 points
A 13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. She was born at term. She was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. She currently takes phenobarbital for seizures.