Published | Question | Keywords | Link |
---|---|---|---|
10/9/2024 | A 5-year-old child and their parent come to your office for a well checkup. You observe the child as the nursing staff and medical assistant are completing the intake. The intake includes the child’s temperature, weight, height, and blood pressure. Upon visual assessment, the child appears to be doing well. In your chart review, you note that the parent has verbalized concerns about their child related to their reading abilities and asthma. You decide to screen for food insecurity in addition to the vital signs already obtained by your office staff. The gold standard in screening for food insecurity is: A. The Hunger Vital Sign (2 item screen) B. GAD 7 C. Household Food Security Scale Short Form 6 item screen D. Household Food Security Scale (HFSS) 18 item screen | September 2024 | Question/Explanation |
09/4/2024 | You are seeing a 10-year-old in the office with one of their parents. When asking about recent changes or concerns the family has, the parent shares with you that the grandmother that was living with them recently died from cancer. The parent shares with you that their child has begun to experience nightmares, difficulty concentrating, and grade changes. You want to offer some ways the parent can help with their child’s grieving process. Based on the presentation, some recommended ways to help this 10-year-old include which of the following sets of activities: A. Include the child in family rituals around mourning, offer simple truthful and concrete information about the death using books as a resource, reassure the child that they are not the cause of grandma’s death, keep routines, assist the child in creating arts and crafts to memorialize grandma, let the child create storybooks, or give them a special stuffed animal that represents grandma. B. Offering to have them help plan a memorial, use books to help answer questions truthfully and in concrete terms, encourage the child to express their feelings, attend groups and/or individualized counseling, keep routines, participate in planting of a tree or a garden, ask them to write a story about the grandmother, and continuing to talk about their grandmother. C. Including the child in family rituals of mourning, provide safe outlets for aggression, support the child’s involvement in planning of activities for anniversaries and birthdays, welcome the child to create art work to memorialize the grandmother such as writing a goodbye letter, journaling, or creating a memory box of important items they want to save. D. Including the child in family rituals of mourning, making time for 1:1 opportunities with key adults/caregivers, allow the child to fully express their feelings which may at times be contradictory and inconsistent, look for peer support groups, create a playlist of music that the grandmother loved. | August 2024 | Question/Explanation |
08/6/2024 | On prenatal ultrasound, a fetus was noted to be small for gestational age. Cleft lip is present, as are overlapping digits with clinched fists on both hands. Rocker bottom feet are present, along with an atrial septal defect. Genetic analysis is returned showing complete trisomy of chromosome 18. Which of the following is true regarding Trisomy 18? A. This condition was first described in 1892 by Dr John Hilton Edwards. B. This is the most common autosomal trisomy syndrome. C. This condition has a 3:1 female to male ratio for live births. D. This syndrome occurs in 1:2500 live births. | July 2024 | Question/Explanation |
07/26/2024 | A 17-year-old female presents to your office during walk-in hours on Monday morning. Parental permission has previously been granted to allow her to seek out her own healthcare. She states that she had unprotected sex two nights before. She is concerned about getting pregnant. Vitals are normal. Height is 5’7”, weight is 197 lbs (BMI 31, obesity). In addition to STI screening, you suggest emergency contraception as follows: A) Etonogestrel implantable device and schedule insertion for 1 week from today B) Ulipristal Acetate 30 mg po once C) Levonorgestrel 1.5 mg po once D) Levonorgestrel 0.75 mg po every 12 hours for 48 hours E) Copper IUD and schedule insertion 4 days from today. | March 2024 | Question/Explanation |
07/26/2024 | You are concerned about a patient you are seeing who has recently completed a PHQ9 depression screen during a wellness checkup and scored 13. The adolescent has responded ‘No’ to all questions on the ASK Suicide Risk Screening Tool questions. In addition, the parent has concerns and has shared with you some recent changes in the household and school, including recent separation of parents and the child being bullied at school. Upon further discussion with the father, he shares that he does own a firearm which he reports keeping around for protection in case of an intruder. What would be the best recommendation to give to this father regarding storage of his firearm? A. The firearm should be stored unloaded and locked. Additionally, the ammunition should be locked and stored separately from the firearm. B. Keeping the firearm hidden and out of reach where his child would be unable to find it is appropriate. C. The father should keep it close by and ready to use should there be an intruder. D. You should refrain from discussing recommendations regarding the safe storage of firearms. | April 2024 | Question/Explanation |
07/26/2024 | You are talking with a family of a 30-month-old during a well child checkup. You have assessed the child’s growth and development and are discussing important anticipatory guidance with the family before completing the visit. They have a question about when they should transition their child from a rear facing to a forward-facing car seat. Some of their friends and family members have already transitioned their children and are unsure if they should also. Your best recommendation is to tell them: A. They could have transitioned the child from rear to forward facing in the backseat of the car once the child turned 1 year and 20 lbs. B. They should wait until the child has outgrown the highest weight or height limit for the seat to be used rear facing as allowed by the car seat manufacturer before transitioning to either a convertible car seat or forward-facing car seat. answer) C. They could have transitioned their child to forward facing in the backseat of the car once the child turned 2 years of age. D. They should wait until the child is 4 years of age before transitioning from rear to forward facing in the backseat of the car. | May 2024 | Question/Explanation |
07/26/2024 | A former 29-week GA infant is in the NICU where they have been receiving treatment for respiratory distress syndrome. A consult is placed for music therapy to offer specialized music therapy techniques. The potential positive effects on the infant include: A. Decreased heart rate B. Decreased respiratory rate C. Increased suck reflexes D. All of the above, A, B, and C | June 2024 | Question/Explanation |
Published | Question | Keywords | Link |