Which tests should be ordered to diagnose thalassemia?
Which of the following symptoms after a concussion would war…
Which of the following symptoms after a concussion would warrant further evaluation with neuroimaging in a high school athlete?
An 11-year-old child has a blood pressure reading of 138/88…
An 11-year-old child has a blood pressure reading of 138/88 during his well child visit. This reading is above the 95th percentile for age, sex, and height. The body mass index is in the 75th percentile. He is asymptomatic. What is the best action for the provider to take in the care of this patient?
The nurse practitioner is performing a well examination on a…
The nurse practitioner is performing a well examination on a 4-month-old boy and observes that the right testicle is not in the scrotal sac but is palpable in the inguinal canal. The mother questions the nurse about the significance of this finding. How should the nurse practitioner respond?
An 11-year-old male presents to pediatric urgent care with a…
An 11-year-old male presents to pediatric urgent care with a chief complaint of right hip pain upon ambulation. On exam, he has pain on passive range of motion of the right hip, external rotation during hip flexion, and a limp when ambulating. Which of the following is the next best step in this child’s management?
Of the following advice, which would be most helpful for the…
Of the following advice, which would be most helpful for the parents of a 4-month-old baby with gastroesophageal reflux?
A 16-year-old client presents to clinic for evaluation of re…
A 16-year-old client presents to clinic for evaluation of recurrent headaches, which are described as a tight band around the client’s head. The client is an ambitious, high-achieving student who voices anxiety about upcoming final examinations. The client denies nausea, vomiting, visual disturbances, muscle weakness, or aura with the headache episodes. The vital signs are all within normal limits for age and gender. What is the most likely diagnosis?
A 2 ½ -year-old boy is seen in the clinic with a 1-day histo…
A 2 ½ -year-old boy is seen in the clinic with a 1-day history of refusing to use his left arm. The mother states the child ran after a ball that was rolling into the street and the mother grabbed the child’s left forearm and pulled him away from the street. The child is holding his left arm close to his body with the elbow in a flexed position. On physical examination, the child has no bony tenderness, erythema, or swelling of the joints but on passive motion, the child resists and cries in pain. What is the diagnosis for this child?
The caregiver of a 4-year-old child calls the clinic and rep…
The caregiver of a 4-year-old child calls the clinic and reports the child had a second febrile seizure. The seizure was identical to the one the child had 3 months ago: The child developed an elevated temperature and had a generalized convulsion which lasted 90 seconds. At present, the child is happy and playing with the family pet. How should the nurse practitioner advise the caregiver?
A thirteen-year-old boy presents to the clinic with a histor…
A thirteen-year-old boy presents to the clinic with a history of multiple episodes of “passing out” at church. He states after standing quietly for about 10 minutes, he feels warm and then his vision darkens from the periphery. He feels sweaty, his heart races, he feels dizzy, and then he passes out. When he “comes round”, he returns to normal. His EKG is normal. What is the most likely diagnosis?