Eric Peds questions

thalia is 15 and is referred to your womens health practice by her school couselor. she has macromastia and has been teased at school which would be the first step in dealing with this problem?

• encourage her to wear loose clothes with a bra with strong support

• refer thalia to a therapist for counseling and support including antibullying

• meet with thalia and her parents to dicuss options including reduction surgery

• assess thalias tanner staging for breasts and date of menarche

the first set of the onset of female puberty is usually

• sparsely distributed fine pale pubic hairs

• breast buds

• menarche

• peak height growth velocity

a mother presents to the clinic with her female child she is concerned about because her breasts are developing "when she is so young" when performing the initial assessment it is important to recall that precocious puberty is present if

• delay in any of the tanner stages takes longer than two years between the stages

• the adolescent has had sexual relations before menarche

• puberty starts before 8 years of age in a female

• the growth spurt in a female occurs after puberty is complete

a 7 year old presents with a complaint of ear pain with purulent discharge. he states it hurts when he is lying on the affected side and when anyone touches his pinna. the most likley diagnosis is

• otitis media with effusion

• otitis exterma

• acute oititis media

• otitis interna

an expected milestone of a 4 year old is the ability to

• imitate a square copy a cross or circle and draw a person in 3 parts

• copy a triangle and balance each foot for 5 secs

• imitate a verticle line build tower of 6 cubes and name 4 pics

• draw a person in six parts and balance on each foot for 6 secs

i can walk well on my tiptoes my speech is 50% i know six body parts but i cant balance on one foot for 2 seconds i am...

• 1.5 years

• 2.5 years

• 3.5 years

• 4 years

adolescence is a period of time where patients undergo significant biological psychological and emotional growth. which of the following characteristics describe the psycho social development of the middle adolescence

• middle school years between 10-13

• late elementary 8-9

• high school 15-17

• post high school 17-21

a 7 year old presents to your office with several linear curved lines appox 4 milimeters in length that end in a papule. the lines are near the umbilicus waist area. he complains about severe itching that is worse at night. you suspect...

• scabies

• hives

• fleas

• ticks

the most likely weight of a 1 year old whose birth weights was 6.5 lbs

• 13-14 lbs

• 19-20 lbs

• 25-30 lbs

• impossible to estimate

john age 5 was diagnosed with a ruptures tympanic membrane as a result of acute otitis media 2 weeks ago. he was treated with oral antibiotics at the time of diagnosis and has finished his course he has no purulent damage. his plan of care should include

• refer child to ent for evaluation and treatment

• educate his parents about strategies to prevent water from entering the middle ear

• continue oral antibiotic drops to prevent infection until the tympanic membrane heals

• use topical antibiotic drops to prevent infection until the tympanic membrane heals