Barkley PNP DRT 2
1. The parents of a 2 month old male bring him to the emergency department. His
parens info you the he has a history of iiirtibility. He has developed recurrent
vomitng and choking while feeding. You ask the parens about the child's stools, to
which they respond by saying that he has been going less frequently, but there are
no noticeable changes in the stool itself. Of the following choices, which is the most
likely cause?
A. Pyloric stenosis
B. Meningitis
C. Hirschprungs disease
D. Gastroesophageal reflex disease - D
2. A mother bring her 4 year old boy to the clinic. The mother is an avid believer in
natural child birth and did not undergo testing or prenatal care. She is concerned,
though, because he has been having difficulty interacting with others. The nurse
practitioner notes that the boy has a relatively small head, a flattened nose, and eyes
that are wide set with an upward slant. The NP suspects a genetic disorder most
likely due to
A. a change in the long arm of the X chromosome
B. a deficiency of factor VIII
C. an extra X chromosome
D. a third chromosome 21 - D
3. HIV concerts into AIDS when the patient's immune system is seriously damaged.
The risk of AIDS can be diagnosed by costing the T-cells (CD4) present in a patient's
body. Which of the following reporestns the approximate CD4 level that marks a
patient's conversion to AIDS?
A. <200 CD4 cells
B. > 300 CD4 cells
C. < 3000 CD4 cells
D. > 800 CD4 cells - A
4. A 2 years old girl present with ulceration and inflammation of the soft palate. You
also notice some papulovesicular lesions on her hands and feet. Which of the
following is the patient's most likely dermatologic condition?
A. Erythme infectiosum
B. Allergic contact dermattitis
C. Coxsackie Virus
D. Herpes zoster. - C
5. You are examining 12 year old maggie, who has been unable to sleep. She tosses and
turns at night, and she says that she gets very hot. Moreover, Maggie states that she
cannot cows on anything for a long time, which was not the case before. Her mother
adds that her academic performance has decreased because of her recent inability
to maintain focus. The mother also states that Maggie has been ore irritable and
excitable than usual. You notice
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