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The primary care pediatric nurse practitioner (PNP) is performing a well child examination on a school-age child who had complete repair of a tetralogy of Fallot (TOF) defect in infancy. What is important in this child’s health maintenance regime? Cardiology clearance for sports participation Correct Restriction of physical activity to avoid pulmonary complications Sub-acute bacterial endocarditis prophylaxis precautions Teaching about management of hypercyanotic episodes

A school age child is in the clinic because of symptoms of purulent, foul-smelling nasal discharge from the right nostril. Nasal visualization reveals something shiny in a mass of mucous in the nasal cavity. What will the primary care pediatric nurse practitioner (PNP) do? Attempt to remove the mass gently using alligator forceps. Correct Perform a saline nasal rinse using a water jet device. Refer the child to a pediatric otolaryngologist. Suction the mucoid mass using a bulb syringe.

A term neonate with birth weight above the 90th percentile is jittery and has hypoglycemia. What endocrine disorder could explain these findings?

Extra Credit: Up to 2 points.List up to two organs that only receive innervation from one branch of the autonomic nervous system.

The primary care pediatric nurse practitioner (PNP) is examining a 2-year-old infant and auscultates a wide fixed split S. What condition may this finding represent? Atrial septal defect (ASD) Correct Coarctation of the aorta (COA) Patent ductus arteriosus (PDA) Ventricular septal defect (VSD)

There is a sample linear regression as follows: 

Advanced bonus question (5 points) There is a sample linear regression with interaction term as follows:  

Atrophic gastritis is a chronic condition in which ________.

This study, which was planned to be a 50 year longitudinal study, was the world’s first large prospective study of the effects of smoking to establish a convincing linkage between tobacco smoking and lung cancer.

There is a sample linear regression with the quadratic term as follows: