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A 9-month-old infant has a grade III/VI, harsh, rumbling, continuous murmur in the left infraclavicular fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The primary care pediatric nurse practitioner will refer the infant to a pediatric cardiologist and prepare the parents for which intervention to repair this defect? Cardiopulmonary bypass surgery Coil insertion in the catheterization laboratory Correct Indomethacin administration Observation for spontaneous closure

A school-age child who uses a short-acting beta2-agonist (SABA) and an inhaled corticosteroid medication is seen in the clinic for an acute asthma exacerbation. After 4 puffs of an inhaled short-acting B2-agonist (SABA) every 20 minutes for three treatments, spirometry testing shows an FEV1 of 60% of the child’s personal best. What will the primary care pediatric nurse practitioner do next? Administer an oral corticosteroid and repeat the three treatments of the inhaled SABA. Admit the child to the hospital for every 2 hour inhaled SABA and intravenous steroids. Give the child 2 mg/kg of an oral corticosteroid and have the child taken to the emergency department. Order an oral corticosteroid, continue the SABA every 3 to 4 hours, and follow closely. Correct

VI. Proof A DON’T FORGET TO SHOW completely ripped up scrap paper to camera BEFORE submitting exam, OR LOSE minimum 10 points! NO excuses. A. 1. X + Z)  >  (P + ~O)   2. (W > T)  >  (~Z v X)3. ~(P v ~T)          / ~(T > Z)

A 2 yo who has a sudden onset of cough and stridor, has no h/o viral illness, no  fever or vomiting. The mother states the child was well this morning and was playing at home when symptoms suddenly started. What is the highest on your list  differential diagnoses?

A previously healthy school-age child develops a cough and a low-grade fever. The primary care pediatric nurse practitioner auscultates wheezes in all lung fields. Which diagnosis will the nurse practitioner suspect? Atypical pneumonia Correct Bacterial pneumonia Bronchiolitis Epiglottitis

A school-age child has had nasal discharge and daytime cough but no fever for 12 days without improvement in symptoms. The child has not had antibiotics recently and there is no significant antibiotic resistance in the local community. What is the appropriate treatment for this child? Amoxicillin 45 mg/kg/day Correct Amoxicillin 80-90 mg/kg/day Amoxicillin-clavulanate 80-90 mg/kg/day Saline irrigation for symptomatic relief

A child is diagnosed with community-acquired pneumonia and will be treated as an outpatient. Which antibiotic will the primary care pediatric nurse practitioner prescribe? Amoxicillin Correct Azithromycin Ceftriaxone Oseltamivir

Let’s assume that we want to measure the effect of education, job training, and job types on wage as follows: Wage variable: a wage. Education variable: the number of years for education. Train variable: a binary job training variable (1: training experience 0: no training experience). Job variable: contains six possible answers (worker, technical, service, office, sales, management). We assumed that the base group for the job variable is worker (i.e., 0) and convert the job variable as multiple binary dummy variables as follows: Technical variable (1: job type is technical, otherwise 0) Service variable (1: job type is service, otherwise 0) Office variable (1: job type is office, otherwise 0) Sale variable (1: job type is sale, otherwise 0) Management variable (1: job type is management, otherwise 0)

A 55-year-old man presents with a history of obesity, ongoing weight gain, and type II diabetes presents to the office with an elevated hemoglobin A1C. The NP would consider prescribing a treatment which would do which of the following? 

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