A 16-year-old African American male presents to your office with a BMI of 40 and BP of 134/82. He also reports a history of snoring, decreased energy and dyspnea on exertion. Which of the following labs should the PNP order?

A 16-year-old male presents to your office for his yearly well-child examination. Four weeks ago he had been diagnosed with ulcerative colitis and is currently being induced into remission with oral prednisone. The patient’s mother is concerned about the consequences of him taking this medication. What side effects of corticosteroids will you discuss with the patients mothers?

When admitting a child with history of adrenal insufficiency for a surgical procedure, which one of the following medications needs to be ordered?

It’s possible for an argument with really true premises to still be invalid.

An 11-month-old boy is brought to your office by his mother. She is concerned because her son coughs and wheezes day and night for two weeks after every cold, and he seems to have a cold every month. He uses no medication for these symptoms. He is otherwise well with normal growth and development. The patient’s father smokes cigarettes, but always away from his son. Which of the following statements about this patient’s condition is correct?

The chronic stage of gout, characterized by small white nodules in cartilage, synovial membranes, and soft tissue, is called:

In an older child, a sign of aortic stenosis is:

Fifteen-year-old Karis was adopted from Romania as a 2-year-old and comes to the office today complaining of weight loss, irritability, hunger and heat intolerance. If this patient has hyperthyroidism the laboratory findings should reveal:

A 12-month-old female infant with failure to thrive is brought to the office. Her parents note that she is very fussy and often spits up after feedings. She also has two loose foul-smelling stools each day. Serologic testing reveals elevated serum tissue transglutaminase antibody. You suspect Celiac disease. Which of the following foods can she eat safely without aggravating or inducing her symptoms?

An ill-appearing 9-week-old baby girl is brought to the emergency room. She is pale and dyspneic with a respiratory rate of 80 breaths per minute. Heart rate is 195 beats per minute, heart sounds are distant, a gallop is heard, and she has cardiomegaly on x-ray. An echocardiogram demonstrates poor ventricular function, dilated ventricles, and dilation of the left atrium. An ECG shows ventricular depolarization complexes that have low voltage. Which of the following is the most likely diagnosis based on this clinical picture?