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Peter is a 4-year-old child who is in the office for a well-child exam. While you are taking the history, Peter's mother says he has been urinating much more often lately. You also discover that Peter's older sister is diabetic. Which of the following questions would you ask next?


A) "Is Peter having trouble with toilet training?"
B) "Does Peter seem to be excessively thirsty?"
C) "Does Peter have trouble urinating?"
D) "Does Peter have pain when he urinates?"
E) "Has Peter been wetting the bed lately?"

F) B) and C)
G) B) and E)

Correct Answer

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Which of the following is not a possible clue that a child may be abused?


A) Tooth discoloration and unhealthy gums
B) Dulled neurologic responses
C) Unexplained bruises or burns
D) Crying during vaccine injection
E) Dirty or neglected appearance

F) A) and D)
G) A) and C)

Correct Answer

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Viral gastroenteritis can be serious in young children because ____.


A) it can cause extreme fluid loss, resulting in dehydration
B) the high fever that accompanies it may cause brain damage
C) it permanently weakens the child's immune system
D) antibiotics are not effective against it
E) it lasts for more than two weeks

F) B) and D)
G) A) and B)

Correct Answer

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At what age are infants able to sit and creep on their hands and knees?


A) 2 months
B) 3 months
C) 5 months
D) 6 months
E) 9 months

F) None of the above
G) C) and D)

Correct Answer

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Ginny is an 8-year-old whose mother brought her to the office because "there must be something wrong with her; she is always complaining that she hurts somewhere." You notice bruises on Ginny's legs, and what appears to be a burn mark on the back of her left hand. Ginny sits quietly on the exam table while you take the history and her vital signs. You suspect that Ginny may be abused. What should you do?


A) Explain to Ginny's mother that children should not be struck
B) Ask Ginny if anyone has been hitting her
C) Ask Ginny's mother if anyone has been abusing her daughter
D) Inform your supervising licensed practitioner
E) Tell Ginny's mother to take her to a school counselor

F) C) and E)
G) C) and D)

Correct Answer

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When is the first dose of the vaccine for hepatitis B given?


A) The day after birth
B) Age 2 years
C) Age 5 years
D) Age 8 years
E) Age 16 years

F) All of the above
G) C) and E)

Correct Answer

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Viral _______ is an inflammation of the stomach and intestines that can result in dehydration and electrolyte imbalances.

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Which of the following statements about suicide is true?


A) Suicide is the leading cause of death for people aged 10 to 18.
B) Males are more likely to attempt suicide than females.
C) Females are more likely to be successful in their first suicide attempt.
D) Changes in habit, including carelessness or sloppiness, are suicide warning signs.
E) Exposure to violence in movies and video games may convince a person to commit suicide.

F) B) and E)
G) A) and B)

Correct Answer

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A birth-related disorder of the nerves and muscles caused by brain damage that occurs before, during, or shortly after birth or in early childhood is ________.

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Which of the following is considered a warning sign for suicide?


A) Frequent physical fighting
B) Increase in risk-taking behavior
C) Anger directed at oneself
D) Gang membership
E) Trouble controlling anger

F) B) and C)
G) A) and B)

Correct Answer

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Parasites called _______ are transmitted by swallowing worm eggs, by touching something the infected person has touched, or by putting infested sand or dirt into the mouth.

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Which of the following actions is part of a hearing test for a toddler?


A) Clap your hands loudly directly in front of the ear
B) Instruct the parent to whisper in the toddler's ear and evaluate the response
C) Use a quiet location and have the toddler sit, lie down, or be held by the parent
D) Ask the parent to go into the next room and say the toddler's name; evaluate the result
E) Position yourself directly in front of the toddler to perform the test

F) B) and C)
G) B) and D)

Correct Answer

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Which of the following should be included in the emotional preparation of toddlers for a physical examination?


A) Approach the children slowly
B) Perform procedures slowly
C) Avoid giving any explanations of what is going to take place
D) Avoid letting the parent stay with the toddler
E) Give them candy to keep them happy

F) C) and E)
G) A) and C)

Correct Answer

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Most childhood cases of HIV infection are ____.


A) transmitted from a mother to her infant
B) caused by blood transfusions during delivery
C) curable using antiviral agents
D) the result of sending the child to a day-care center
E) caused by formula that has not been sterilized

F) B) and D)
G) C) and D)

Correct Answer

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At what age do children tend to develop a sense of what is right and wrong and a sense of honesty and fairness?


A) 1 to 3 years
B) 3 to 5 years
C) 6 to 10 years
D) 11 to 13 years
E) 14 to 19 years

F) A) and B)
G) A) and E)

Correct Answer

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