Download Prep Question - Wayne State University

Weekly PREP questions October 22-29
Prep 2006: Q3
A mother is trying to decide between breastfeeding and formula feeding and asks you for information on the
composition of human milk compared with cow milk infant formula.
Of the following, the MOST accurate statement is that human milk has a
A. casein-predominant protein source, and most infant formulas have whey-predominant protein
B.
C.
D.
E.
higher bioavailability of iron than does cow milk formula
higher concentration of protein than does cow milk formula
higher concentration of vitamin D than does cow milk infant formula
lower concentration of docosahexanoic acid than does cow milk formula
Prep 2006: Q11
A 15-year-old female cross-country runner presents to the school health center for a preparticipation
examination. She and her family are lifelong strict vegetarians. The result of a screening hemoglobin is 10 g/dL
(100 g/L). You suspect she has iron deficiency anemia.
Of the following, the finding MOST likely to be present in this patient is
A. alopecia
B.
C.
D.
E.
hepatomegaly
koilonychias
normal findings
tachycardia
Prep 2006:Q100
A 30-week gestation 1,250-g infant is admitted to the neonatal intensive care unit. She exhibits no respiratory
distress and has normal findings on physical examination.
Of the following, the BEST type of intravenous fluid to administer to this infant is
A. 0.45% sodium chloride
B. 0.9% sodium chloride
C. dextrose 5% in water
D. dextrose 10% in water
E. Ringer lactate solution
Prep 2005:Q82
You are examining a 2-month-old infant who does not yet roll over. Results of physical examination and
developmental assessment are normal. The parents are concerned about home safety issues.
Of the following, the MOST appropriate time to discuss the storage of poisonous substances with this infant’s
parents is
A. today
B. at 4 month visit
C. at 6 month visit
D. at the 9 month visit
E. at the 12 month visit
Prep 2005:186
Question 186
You are evaluating a 2-year-old boy who was brought to the emergency department by his grandmother after
she found him to be confused and clumsy. When asked about any medications in the home, the grandmother
states that she has been treated for depression, but she cannot recall the name of her medication. On physical
examination, the boy appears lethargic and flushed. He has a heart rate of 150 beats/min, a respiratory rate of
28 breaths/min, and dilated pupils. He is breathing easily and has strong pulses.
Of the following, the diagnostic study MOST likely to predict the clinical outcome for this patient is
A.
B.
C.
D.
E.
electroecardiography
electroencephalography
serum drug levels for digoxin
serum drug levels for tricyclics
serum electrolytes