Deck 42: Assisting in Pediatrics

Question 1

Duchenne's muscular dystrophy is an inherited disorder passed from father to son.

Answer 1

False

Question 2

Adolescents stop growing when the epiphyseal plates of the long bones are no longer active.

Answer 2

True

Question 3

Newborns typically are given the first dose of HBV vaccine before they are discharged home.

Answer 3

True

Question 4

Viral meningitis is much more serious than bacterial meningitis.

Question 5

The DTaP vaccine provides immunity against diphtheria, tetanus, and polio.

Question 6

Skeletal growth in girls is completed between 15 and 16 years of age and in boys between ages 17 and 18.

Question 7

Children with asthma typically have a productive cough with rales.

Question 8

In pediatric patients, the normal range for the pulse rate increases as age decreases.

Question 9

Gatorade and sweet tea are the best fluids to offer a child who has diarrhea.

Question 10

Colic can be a long-term GI disorder that persists through the toddler years.

Question 11

Rescue inhalers are used for long-term prevention of bronchospasms in children.

Question 12

Children have reached approximately one-half their adult height by 2 years of age.

Question 13

A child diagnosed with conjunctivitis can return to school after 24 hours of antibiotic treatment.

Question 14

Infants are expected to triple their birth weight within 6 months.

Question 15

The flu vaccine is recommended for any child age 3 months or older.

Question 16

Piaget's sensorimotor stage is the stage in which children use logical thinking to start considering people other than themselves.

Question 17

Current pediatric growth charts can be downloaded from the FDA's Web site.

Question 18

One of the most serious health problems associated with cystic fibrosis is the formation of thick mucus in the bronchioles, which may lead to pulmonary obstruction.

Question 19

The medical assistant is not responsible for reporting child abuse to appropriate authorities.

Question 20

A newborn's respiratory rate should be around 20 breaths per minute.

Question 21

Repeated episodes of otitis media may be due to childhood allergies.

Question 22

Overweight and obese children may have sleep apnea.

Question 23

The CDC recommends annual flu vaccinations for all healthy children age 6 months up to the 19th birthday and for their caregivers as well.

Question 24

A varicella infection in pregnant women may cause stillbirth or birth defects.

Question 25

Pregnant women infected with parvovirus B19 have an increased risk of miscarriage, and the fetus may suffer from severe anemia.

Question 26

If diarrhea continues for longer than 4 days, medical intervention is needed to prevent serious complications.

Question 27

The most common complication of infection with the coxsackie virus is dehydration caused by vomiting and diarrhea.

Question 28

One way to stop the harsh cough of croup is to take the toddler into an area with cool air.

Question 29

If a child has severe diarrhea, the parents should stop feeding the child to protect the GI tract from damage.

Question 30

Children with asthma have a productive cough accompanied by an inspiratory wheeze and shortness of breath.

Question 31

Fifth disease is caused by the coxsackie virus and results in ulcer formation in the mouth and throat.

Question 32

Meningitis is spread by means of contaminated food and water.

Question 33

Children with croup should be prescribed antibiotics to prevent the spread of the infection.

Question 34

Immunization with Varivax may prevent the development of shingles in the future.

Question 35

A rescue inhaler is used to treat the inflammation that occurs during an asthma episode.

Question 36

Children are considered overweight if the BMI for age is between the 85th and 94th percentiles; they are considered obese if the BMI is at or greater than the 95th percentile.

Question 37

The symptoms associated with an asthma attack are caused both by bronchospasms and by inflammation of the bronchioles.

Question 38

Children with hand-foot-and-mouth disease can be allowed back to day care if the sores are present only in the mouth.

Question 39

Strep throat may result in damage to the heart valves if not treated properly with antibiotics.

Question 40

Viral meningitis is treated with hospitalization and IV antiviral medications.

Question 41

A BRAT diet is used to treat:

A)colic
B)diarrhea
C)constipation
D)childhood obesity

Question 42

Which condition, if left untreated, can lead to heart and kidney disease?

A)Strep throat
B)Reye's syndrome
C)Hepatitis B
D)Chickenpox

Question 43

A middle ear infection is called:

A)otitis media
B)otitis externa
C)otalgia
D)meningitis

Question 44

A child's head circumference should be measured to the closest _______ inch.

A)1/8
B)1/4
C)1/2
D)3/4

Question 45

Which human characteristic is not measured by the Denver II Developmental Screening Test?

A)Socialization
B)Verbal ability
C)Intelligence
D)Muscular control

Question 46

Myringotomy may be required when a child suffers from chronic:

A)colic
B)otitis media
C)asthma
D)croup

Question 47

The goals of treatment for cystic fibrosis are to prevent bronchial obstruction and to treat malabsorption of nutrients.

Question 48

Colic in infants is most often characterized by:

A)diarrhea
B)mild abdominal distress and crying
C)disappearance of the condition by age 6 months
D)allergies to breast milk

Question 49

Gardasil is recommended for all male children by 11 to 12 years of age.

Question 50

In which illness or condition are dehydration and subsequent electrolyte imbalance a particular concern when the disorder occurs in children?

A)Colic
B)Influenza
C)Hepatitis B
D)Diarrhea

Question 51

During which period in a child's life is weight gain the fastest in proportion to the child's total weight?

A)First 6 months
B)Age 6 months to 1 year
C)Preschool
D)Adolescence

Question 52

Infants with diarrhea should be weighed with the diaper on to prevent transmission of potentially infectious material.

Question 53

Children who are allergic to eggs cannot be vaccinated against chickenpox.

Question 54

Which organization should you contact to obtain a current schedule of recommended immunizations?

A)American Medical Association
B)Occupational Safety and Health Administration
C)American Academy of Pediatrics
D)Individual vaccine manufacturers

Question 55

The common cold is caused by:

A)bacteria
B)fungi
C)a virus

Question 56

The first dose of MMR vaccine should be administered at what age?

A)2 months
B)4 months
C)12 months
D)4 years

Question 57

Infants with a low-grade fever should not receive any immunizations until their temperature is normal.

Question 58

A VIS form should be given to the parents immediately after their child has been immunized to answer any questions they might have about the possible side effects of the vaccine.

Question 59

What method of evaluation is used to detect microcephaly?

A)Culture of infectious material
B)Developmental screening tests
C)Laryngoscopy
D)Measurement of the head circumference

Question 60

Which common medication is not recommended for children, because it has been linked to a sometimes fatal disease?

A)Acetaminophen
B)Aspirin
C)Ibuprofen
D)Penicillin

Question 61

Treatment recommendations for children with otitis media include:

A)the prescription of antibiotics should be delayed for 48 to 72 hours
B)children 6 to 24 months old who show no improvement in symptoms within 48 hours should be prescribed antibiotics
C)antibiotics should be ordered for 10 to15 days to make sure the infection has cleared
D)myringotomies should be performed routinely for children with allergy-related otitis media

Question 62

Another name for chickenpox is:

A)rubella
B)rubeola
C)varicella
D)herpes simplex

Question 63

Tetanus is part of which immunization?

A)HBV
B)Hib
C)DPT
D)MMR

Question 64

Adolescents at the postconventional level display what behaviors?

A)They use abstract thinking to make decisions.
B)They are egocentric and do not understand the relationship between cause and effect.
C)They follow the rules to avoid disappointing others.
D)They are learning to consider the greatest good for the greatest number when making decisions.

Question 65

A sore throat is commonly caused by:

A)Staphylococcus
B)Streptococcus
C)HBV
D)H.influenzae

Question 66

Which statement is true about use of the BMI in a pediatric practice?

A)The BMI is not used, because no growth charts are available to plot changes in the BMI.
B)The BMI is an inaccurate measurement of health in children.
C)A child's weight must be recorded in kilograms for calculation of the BMI.
D)Traditional height and weight charts reflect the health risks of obesity.

Question 67

The developmental theories of Sigmund Freud include which of the following principles?

A)Trust versus mistrust and identity versus role confusion
B)The id, ego, and superego
C)Preconventional versus conventional morality
D)Operational stages

Question 68

Medications that may be prescribed for children who have asthma symptoms two or more times a week include:

A)Proventil
B)Advair Diskus
C)Ventolin
D)Relenza

Question 69

The varicella vaccine usually is administered to children in which age group?

A)6 months
B)12 to 18 months
C)Newborns (first dose)
D)Preschool age

Question 70

Cystic fibrosis is caused by:

A)pancreatic disease
B)a mother who carries the gene and passes it to her son
C)an infection of the pulmonary system
D)an altered gene carried by both parents

Question 71

Failure to thrive may be diagnosed if:

A)the child has cystic fibrosis
B)a problem exists with the parent-child relationship
C)the child is below the 3rd percentile for weight
D)all of the above

Question 72

Which of the following is a helpful approach to adolescent patients?

A)The medical assistant should recognize the importance of personal appearance to adolescents.
B)The parents should be present for discussions about health problems.
C)The medical assistant should use distraction if painful procedures are performed.
D)The medical assistant should give the adolescent advice on handling personal problems.

Question 73

Which statement is true about croup?

A)It can be cured with antibiotics.
B)It is caused by edema and spasm of the vocal cords.
C)Symptoms are relieved with OTC cough syrup.
D)Hospitalization is required for treatment.

Question 74

Which statement is/are true about bacterial meningitis?

A)It can be treated with antibiotics, so it is not a serious infection.
B)One type can be prevented by the Hib vaccine.
C)Symptoms include a rash across the trunk of the body.
D)All of the above are true.

Question 75

Children with cystic fibrosis develop steatorrhea because:

A)lipase is absent from the pancreas
B)they eat too much protein
C)they have an inherited defect that prevents carbohydrate metabolism
D)the infection damages the villi of the small intestine

Question 76

Routine head circumference measurement is recommended for children until age:

A)6 months
B)12 months
C)3 years
D)10 years

Question 77

Which statement is/are true about children with bronchiolitis?

A)Parental cigarette smoking may contribute to the problem.
B)Antibiotics should be prescribed immediately to prevent the development of pneumonia.
C)The symptoms are similar to asthma.
D)It is associated with frequent episodes of otitis media.
E)Both A and C are true.

Question 78

What is the best method of preventing Reye's syndrome?

A)Fluid intake should be monitored during a viral disease.
B)Reye's syndrome is an inherited disorder; it cannot be prevented.
C)Children with viral infections should not be given aspirin products.
D)Parents should immediately report a sore throat accompanied by a rash.

Question 79

Indicators of dehydration in children do not include which of the following?

A)Lack of tears
B)Fewer wet diapers
C)Severe abdominal cramps
D)Weight loss

Question 80

Cystic fibrosis is diagnosed with a sweat test, which reveals:

A)a genetic defect in the skin structure
B)a lack of sodium chloride in the sweat
C)an elevated chlorine level
D)deposits of potassium in the lungs