NMS Q&A Family Medicine

chapter 44Care and Prevention,Ages 6 to 12 YearsExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 A 6-year-old boy is diagnosed with attention deficit/hyperactivity disorder and the family doctor decidesto prescribe methylphenidate (Ritalin). In explainingthe treatment to the parents the doctor points outthat each of the following may be a side effect exceptfor which one?(A) Growth retardation(B) Aggravation of certain psychotic symptoms ifthey pre-exist(C) Precipitate seizures(D) Addiction(E) Precipitate motor tics2 A 7-year-old girl has complained of sore throat, headache,and productive cough. A chest x-ray showspatchy bilateral lower lobe infiltrates. The family doctorsuspects mycoplasma pneumonia. Which of thefollowing treatment would be appropriate?(A) Penicillin V-K(B) Cephalexin(C) Cefadroxil(D) Clarithromycin(E) Cipro3 A conscientious couple, a 25-year-old mother and26-year-old father of three children, wish to discusspreventive health care for their eldest, a 6-year-oldboy. Which of the following, against the backgroundof current preventive measures already in place, is thearea that presents the greatest opportunity of savinghim from an earlier than average death?(A) Practice safety in automobile travel(B) Take measures to prevent fires(C) Screen for lipids(D) Teach proper care of firearms(E) Enforce pneumonia vaccination4 A 30-year-old mother brings her 12-year-old son fora routine well child visit. He has had four doses ofdiphtheria, tetanus, and pertussis (DTaP), four ofHemophilus influenzae type B (Hib), four of inactivatedpolio vaccine (IPV), and two of varicella vaccine.Which of the following immunizations isspecially indicated at this time?(A) Varicella(B) DTaP(C) IPV(D) Booster of tetanus toxoid and a smaller dose ofdiphtheria toxoid (Td)(E) Hib5 Children who have had significant social contact withpeople with acquired immunodeficiency syndrome(AIDS), who are human immunodeficiency virus(HIV) positive, or are prisoners, migrant farm workers,or illicit drug users are considered at risk forwhich of the following diseases?(A) HIV disease(B) Hepatitis B(C) Infectious mononucleosis(D) Syphilis(E) Tuberculosis6 Which of the following forms of hypertension isfound in children in a lesser proportion of hypertensivecases than in adults?(A) Essential hypertension(B) Pheochromocytoma(C) Coarctation of the aorta(D) Renal artery stenosis(E) Chronic renal failure7 Which of the following is the accepted mode forscreening for tuberculosis in a child?(A) Tuberculosis tine test(B) Chest x-ray(C) Mantoux test263