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Megan, a healthy 16-year-old female, come to the clinic for her well child exam.  When determining sexual maturation, you note the following: pubic hair of adult color and texture but covering pubis area with no spread to the medial thighs.  What Tanner stage of development is Megan?

Which of the following would best exemplify using patient- and family-centered care when creating a care plan for an adolescent patient?

Which of the following are the initial signs of caloric insufficiency in Failure to Thrive?

Which of the following infants does NOT require a full workup for pathological causes of hyperbilirubinemia?

The definition of a left shift is:

A subtle measure for iron deficiency anemia includes which of the following tests?

In children, physiologic splitting of the second heart sound (S2) during inspiration____.

Newborns at greatest risk for acquiring a systemic infection include those:

Michael has a history of Marfan syndrome.  He presents to the emergency department with acute severe chest pain and back pain.  This is an emergency because Marfan’s syndrome causes:

A 13-year old boy presents for his annual physical. His is in the 98th percentile for weight and 50th percentile for height. On physical exam you note dark, velvety skin changes on his neck. You order a work up. His non-fasting glucose is 210 mg/dL and his hemoglobin A1c is 7%. What is the next best step?