Download Content Spec Question October 30th

Content Spec Question October 30th
1. A young mother brings her 6-month-old boy to your clinic for an initial visit. The infant is healthy and
thriving and has had no medical problems. The mother has just started giving the baby home-prepared
foods, and she asks your opinion about continuing this practice.
Of the following, the BEST advice you can give to the mother is that
a. commercially available canned vegetables are suitable for the infant as long as they are pureed
b. feeding the baby home-prepared foods is beneficial because it decreases the risk of developing food
allergy
c. home-prepared foods can be pureed and frozen until they are ready to be used
d. home-prepared foods should be discontinued because they are not as nutritious as commercially
available foods
e. the mother should add sugar to home-prepared pureed fruits to improve palatability
2. A 16-year-old boy who has asthma presents with a 4-day history of worsening headaches and nausea.
His medications include daily theophylline for his asthma, but he recalls being prescribed a second
medication 10 days ago, although he cannot remember the name.
For patients receiving daily theophylline, the MOST likely medication to cause an elevated theophylline
level is
a.
b.
c.
d.
e.
cimetidine
Phenobarbital
prednisone
ranitidine
rifampin
3. A 3-year-old child presents to your office with the acute onset of vomiting and abdominal pain, but no
diarrhea or dysuria. His mother found him in the backyard 2 hours earlier holding several blue flowers that
she believes came from a wisteria vine. She suspects that he ate some of the flowers. On physical
examination, the boy is alert, but he has repeated episodes of vomiting and retching in the office. He is
afebrile, his blood pressure is 90/60 mm Hg, heart rate is 110 beats/min, and capillary refill time is less
than 2 seconds. His abdomen is soft and mildly tender diffusely, but there is no rebound tenderness.
Of the following, the MOST appropriate next step in this patient’s management is to
a. administer syrup of ipecac
b. call the nearest poison center for advice
c. observe the patient in the office for 4 to 6 hours
d. perform gastric lavage
e. reassure the mother that he is well hydrated and can be managed at home
4. A 3-month-old girl comes to the emergency department with a fever. The parents report that she
has had a fever for 1 day and one episode of emesis. Her temperature is 102.7°F (39.3°C), heart rate
is 124 beats/min, and blood pressure is 84/57 mmHg. Physical examination reveals a mass protruding
from the urethra. Urinalysis documents leukocytes, leukocyte esterase, and many bacteria.
Of the following, the MOST likely cause of the urinary tract infection is
a. ureteral stenosis
b. ureterocele
c. ureteropelvic junction obstruction
d. urethral stenosis
e. urethral-vaginal fistula
5. A 975-g preterm infant develops a nosocomial infection with coagulase-negative staphylococci.
Of the following, the MOST likely predisposing risk factor for this infection is
a. endotracheal intubation
b. enteral feedings
c. nasogastric tube
d. previous antibiotic therapy
e. umbilical catheterization