Blog

When do infants typically gain more weight?

You are seeing a 12-year-old girl for her annual exam. She has no significant medical history and no complaints. Vital signs are normal and she is 57 inches in height (25th percentile)  and 151 pounds (98th percentile). BMI is above the 97thpercentile for her age. Her BMI at her last exam 2 years ago was at the 83rd percentile and her lipid screen was normal.  What are the current recommendations for lipid screening for this patient?

Chronic lung disease and/or bronchopulmonary dysplasia (BPD) in premature infants is caused by:

18-year-old man who has sex with men presents with dysuria and copious penile discharge for several days. Urine dipstick shows positive leukocyte esterase and negative nitrites. Which one of the following is considered first-line empiric therapy?

An Pediatric NP in primary care clinic has decided to implement evidence-based practice for screening adolescents for depression. Which of the following should be avoided in evidence-based practice?

What are the most likely comorbid disorders that can accompany eating disorders?

What imaging study would be recommended for a 4 week-old who is noticed to have limited hip abduction and asymmetry of the thigh folds?

A 6-month old falls out of her high chair onto the kitchen floor and is brought to the ED by her parents. Parents report no loss of consciousness, vomiting, seizure activity, or excessive sleepiness. Her parents note that she should be hungry at this time but she has been fussy and refusing feeds. Her physical exam is normal. Which of the following is the next best step in management?

You are seeing a 14-day-old baby. The mother is concerned because the baby “looks yellow”. She is solely breastfeeding about 6-8 times a day for 10 minutes on each side. Perinatal history is unremarkable. The baby’s bilirubin levels are elevated (all indirect bilirubin). Vital signs and weight gain are normal. On physical exam, baby is jaundiced to the umbilicus. Which of the following is the most likely diagnosis?

A 10-month-old boy present for complaints of “screaming episodes” for the past 24 hours. He appears well except for episodes of screaming with flexion of the hips and knees about every 25-30 minutes. The episodes last < 1 minute and he appears well again right after. He has has 2 episodes of non-bilious vomiting. Parents deny fever, blood in stool or vomit. Vital signs and hydration are normal. On exam, he has hyperactive bowel sounds in the right upper quadrant. His abdomen is not notable tender. Rectal and stool exams are negative for blood. What is the BEST next step in management?