NMS Q&A Family Medicine

260 NMS Q&A Family Medicine(B) Arrange a conference with the child’s teacher(C) Order a magnetic resonance image of the child’sbrain(D) Reassure the parents that the child is developingwithin normal limits(E) Review the milestones of growth anddevelopment in this child7 Which of the following measures is the most effectiveto prevent drowning among children who are between1 and 5 years of age?(A) Providing consistent discipline in teachingchildren safety policies(B) Teaching children to swim at the earliestpossible age before allowing them to swim inprivate pools(C) Requiring children to play in pairs (i.e., the“buddy system”)(D) Using high (4 ft or 1.8 m) fences with selflatchinggates around swimming pools(E) Outlawing private swimming pools8 A 4-year-old girl is brought to a family doctor for herpreschool checkup. She has had unremarkable growthand development. The family members are Italian-American (father) and Anglo-American (mother)and were born in the United States; the father is aworker in a factory that manufactures batteries, andthe family lives in a house built in 1945. Which of thefollowing has the highest priority as to routine testingat this point?(A) Blood lead level(B) Thyroid-stimulating hormone(C) Tuberculosis skin testing(D) Complete blood cell count(E) Urinalysis for protein and sugar9 Which of the following accounts for the largest numberof deaths in children?(A) Motor vehicle accidents(B) Infectious diseases(C) Acute abdominal emergencies(D) Violence (gunshots, knife wounds,strangulation)(E) Drowning10 You are evaluating a 1-year-old child who is short(less than fifth percentile on growth curves), evenwhen you correct for midparental height. There aremultiple potential causes for short stature. Which ofthe following is not among them?(A) Parental deprivation(B) Intrauterine growth retardation(C) Human immunodeficiency virus (HIV)infection(D) Klinefelter syndrome(E) Familial short stature