NMS Q&A Family Medicine

chapter 45Care and Prevention,Ages 13 to 20 YearsExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 In growing children, there are unique issues attendantto trauma to the growth plates (physes) of thegrowth plates of long bones. Which of the followingis most likely to result in growth deformity, even withcorrect treatment?(A) Psalter(B) Psalter II(C) Psalter III(D) Psalter IV(E) Psalter V2 A 16-year-old male suffers a fracture of her right tibiaas she steps down off her deck that entailed an 18-in.drop. She admits that previously she had had pain inthe limb and that others had noticed a limping gaitfavoring the right leg. Without initial studies, whichof the following is the most likely diagnosis?(A) Fibrous dysplasia(B) Osteomyelitis(C) Ewing tumor(D) Osteosarcoma(E) Enchondroma3 A family physician is concerned that a thin 17-yearoldfemale may be anorectic (nervosa). Each of thefollowing is compatible with that diagnosis except forwhich one?(A) Elevated Follicle stimulating hormone (FSH)(B) Refusal to allow weight to go above barelyminimal for height(C) Unreasonable and intense fear of obesity(D) Distorted body image(E) Secondary amenorrhea4 Parents visit a family doctor with their 15-year-oldson who is unhappy because he feels he is not astall as his classmates. Which of following wouldconstitute an indication for proceeding with an endocrinologicalevaluation?(A) Growth 4 cm (2 in.) per year(B) Bone age delayed 1 year behind the meannormal for his age(C) Disproportionate lower segment length(D) Decreased sense of smell(E) Elevated alkaline phosphatase5 Members of which of the following groups are mostlikely to attempt suicide (without succeeding)?(A) Black men who are 20 to 30 years old(B) White boys or men who are 15 to 24 years old(C) White girls or women who are 15 to 24 years old(D) Black women who are 20 to 30 years old(E) White women who are 20 to 30 years old6 Members of which of the following groups are mostlikely to commit suicide?(A) Black men who are 20 to 30 years old(B) White boys or men who are 15 to 24 years old(C) White girls or women who are 15 to 24 years old(D) Black women who are 20 to 30 years old(E) White women who are 20 to 30 years old7 Parents of a 13-year-old boy believe their son, who isdemonstrating a growth spurt, is not drinkingenough milk and ask you about calcium-intakerequirements. What do you tell them are the currentdaily recommendations for calcium intake?(A) Between 300 and 500 mg/day(B) Between 600 and 1,000 mg/day(C) Between 1,200 and 1,500 mg/day(D) Between 1,500 and 2,000 mg/day(E) Between 2,000 and 2,500 mg/day8 You are deciding on preventive screening for a youngwoman who began menarche at age 13. Her cycles areevery 30 days, with 4 days of moderate flow. Her lastmenstrual period was 2 weeks ago. She denies ever267