CHAPTER 101-120

2. A newborn boy is noted on physical examination to have a unilateral cleft lip, bilateral postaxial polydactyly, microcephaly, intrauterine growth retardation, and micropenis. You are unable to make a specific overall diagnosis. What is the most appropriate initial diagnostic test for this patient?

A. Quantitative urinary organic acid measurement

B. Plasma amino acid determination

C. Array CGH (comparative genomic hybridization

D. 17-hydroxyprogesterone assay

E. Urinary mucopolysaccharide screen

7. Which statement regarding adolescent development is NOT true?

A. In girls, the first sign of puberty is breast bud development

B. Adolescents experience asymmetric growth beginning with enlargement of the hands and feet, followed by the arms and legs, and finally, the trunk and chest

C. Some degree of breast hypertrophy, typically bilateral, occurs in ~50% of boys during Tanner stages 2-3

D. It is abnormal for early adolescents to be preoccupied with their body changes and feel that everyone is staring at them

E. Adolescents are able to make more complex decisions, but these decisions are highly susceptible to emotion

9. The ACIP of the CDC currently recommends 3 routine vaccines for adolescents ages 11-12. They include:

A. Tdap

B. MCV4

C. HPV

D. A and B only

E. A, B, and C

14. The leading cause of death among drug users is:

A. Opiate overdose

B. Withdrawal syndrome

C. Myocardial infarction

D. Endocarditis

E. Hallucinations leading to traumatic injuries

19. A 15-year old non–sexually active girl complains of painful menstrual cramps causing her to miss school once per month. The most appropriate treatment option is:

A. Depo-Provera

B. Combination oral contraceptive pills

C. Danazol

D. Scheduled naproxen sodium just before menses begins for 24 hr

E. Ibuprofen for symptomatic relief of pain

25. Which statement regarding adolescent rape is NOT true?

A. The most common form of rape in adolescents is acquaintance rape

B. Date rape is often facilitated by drugs with amnestic properties

C. Victims of acquaintance or date rape are less likely to report the incident than victims of stranger rape

D. Laboratory detection of date rape drugs can occur up to 48 hours after the event

E. When adolescents do not report a rape, they may present at a future date with symptoms of post-traumatic stress disorder

28. A foul-smelling vaginal discharge that emits a fishy odor on contact with 10% potassium hydroxide and that demonstrates clue cells on the wet preparation is most likely to be due to:

A. Gonorrhea

B. Chlamydia infection

C. Chancroid

D. Gardnerella vaginalis infection

E. Candida infection

30. Evaluation of immune function should be initiated for otherwise healthy children with which of the following infections?

A. Adolescent with coccidioidomycosis

B. Toddler with 8 or more upper respiratory tract infections within 12 mo

C. 5 yr old with Nocardia adenitis

D. 8 mo old with 3 episodes of otitis media

E. All of the above

35. The X-linked lymphoproliferative (XLP) syndrome is classically associated with overwhelming infection by which of the following agents?

A. Epstein-Barr virus

B. Enteroviruses

C. Catalase-positive bacteria

D. Neisseria meningitidis

E. Pneumocystis jiroveci

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