Deck 32: Assisting in Pediatrics

Question 1

Which of the following immunizations is administered IM?

A) Varicella
B) Hep B
C) Rotavirus
D) Pneumococcal
E) Both B and D

Answer 1

Both B and D

Question 2

A middle ear infection is called

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

Answer 2

otitis media.

Question 3

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

Answer 3

12 to 18 months

Question 4

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 5

Which child should be seen in the office today?

A) The child who has had more than six stools in the past 36 hours
B) The child with a fever of 100.2 $\degree$ F (37.9 $\degree$ C)
C) The child who has not slept well for 2 nights
D) The child whose parent reports that she has a rash, which is not itchy

Question 6

Routine head circumference measurement is recommended for children until age

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

Question 7

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 8

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 9

Myringotomy may be required when a child suffers from chronic

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

Question 10

Treatment recommendations for children with nonsevere symptoms of otitis media include which of the following?

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 to 15 days to make sure the infection has cleared.
D) Myringotomies should be performed routinely for children with allergy-related otitis media.

Question 11

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 12

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

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

Question 13

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 14

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 15

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 16

Tetanus is part of which immunization?

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

Question 17

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 18

Another name for chickenpox is

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

Question 19

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 20

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 21

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

Question 22

During which phase of growth does a child gain almost half of his or her adult weight, and the skeleton and organs double in size?

A) Toddler phase
B) Preschool phase (3 to 6 years)
C) School-age period (6 to 12 years)
D) Adolescent period (12 to 18 years)

Question 23

Which of the following is commonly recommended for children with pediatric diarrhea and/or dehydration?

A) Pedialyte or Infalyte™ in small amounts
B) Soft drinks, juices, or sports drinks
C) BRAT diet
D) OTC antidiarrheal medications
E) All of the above

Question 24

Updated clinical guidelines for the diagnosis and management of otitis include all of the following except

A) antibiotics for children 6 months or older who have severe signs and symptoms.
B) antibiotics for patients under 24 months experiencing nonsevere bilateral infections.
C) observation and follow-up within 48 to 72 hours in nonsevere symptoms in children over 6 months.
D) antibiotics should provide immediate relief from symptoms.
E) All of the above

Question 25

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

Question 26

What is the leading cause of death and injury in adolescents?

A) Accidents
B) Suicide
C) Eating disorders
D) Obesity

Question 27

Which of the following infectious diseases is caused by parvovirus B19 with outbreaks most common in the winter and spring?

A) Conjunctivitis
B) Tonsillitis
C) Fifths disease
D) Hand-foot-and-mouth disease

Question 28

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

Question 29

Growth and development in children is determined by which of the following factors?

A) Nutritional status
B) Parental and/or caregiver factors
C) Presence of disease
D) Environmental factors
E) All of the above

Question 30

When is skeletal growth in girls complete?

A) Between ages 15 and 16
B) Between ages 17 and 18
C) When the growth plates of the long bones of the extremities have fused completely
D) Both A and C
E) All of the above

Question 31

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

Question 32

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

Question 33

By age 3, the child's vocabulary consists of

A) up to 900 words.
B) between 900 and 2,000 words.
C) more than 2,000 words.
D) mainly cooing, crying, and speaking first words.

Question 34

Possible signs that an adolescent may be considering suicide include

A) sexual promiscuity.
B) a very active social life.
C) giving away prized objects.
D) Both A and C

Question 35

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

Question 36

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

Question 37

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

Question 38

Which of the following vaccine responses should be reported to the physician immediately?

A) High fever
B) Swelling at the site of injection
C) Urticaria and breathing difficulties
D) Severe headache or convulsions
E) All of the above

Question 39

Studies have shown that a child who is obese between the ages of ___________ has an 80% chance of becoming an obese adult.

A) 2 and 4
B) 4 and 8
C) 8 and 12
D) 10 and 13

Question 40

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

Question 41

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

Question 42

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

Question 43

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

Question 44

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

Question 45

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

Question 46

Overweight and obese children may have sleep apnea.

Question 47

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

Question 48

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

Question 49

Fifths disease is caused by coxsackievirus and results in ulcer formation in the mouth and throat.

Question 50

Adolescents stop growing when the epiphyseal plates of the long bones have fused.

Question 51

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

Question 52

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 53

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

Question 54

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