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A 38 year old woman is pregnant with her third child. Her first two children ages 11 and 18 are alive and well. You are offering patient education at this prenatal visit and she asks about risks during pregnancy. What is the most significant risk factor this woman has for having a child with a trisomy disorder?    

The clinician understands that motivational interviewing (MI) is an effective technique to use when counseling adolescents because:

A 44-year-old gravida 2 para 0 presents to your office to discuss contraception options. Her medical history is positive for chronic migraines, well controlled hypertension, hyperlipidemia, and type 1 diabetes diagnosed when she was 20 years old. She has no plans for a future pregnancy. Her weight is 160 pounds and height is 63 inches. What is the best recommendation for this patient?      

The clinician is performing a routine examination on a 19-month-old male delivered at full-term. Which of the following would indicate the need for further evaluation or specialty referral?

The clinician is seeing a 38-year-old nulligravid female for contraception counseling. She admits to having more than one sexual partner, is a 20-pack-year smoker, and consumes 2-3 alcoholic beverages daily. Which contraceptive choice is most appropriate for this patient?  

A school-age child presents with recurring abdominal distention and cramping, mild iron deficiency anemia, and his weight has consistently been in the lower 5th percentile. Given these symptoms, what is the next step in diagnosing this condition?

Which of the following screening recommendations is true?      

What is the etiologic agent of erythema infectiosum (aka Fifth disease)?  

The ability of a child to follow a one-step command should be acquired by what age?    

Approximately what percentage of individuals in the population must be immunized for herd immunity to be effective in the community?