Take Test: Quiz - Week 9 Knowledge Check
QUESTION 1
Ana is a 14-year-old female and has not yet started her menstrual cycle. The history is non
contributory and the physical is normal. Mom started her menstrual cycle at 14-years of age.
Ana's breast development and pubic hair began about a year ago. Mom is very concerned.
The most appropriate initial step would be to
A. Draw LH and FSH levels
B. Do a pregnancy test
C. Obtain a buccal smear for chromosal analysis
D. Reassure, educate the family, and follow up if her cycle has not started in 12 months.
Answer: D. Reassure, educate the family, and follow up if her cycle has not started in 12
months.
QUESTION 2
Hypercholesterolemia in children older than 2 is defined as a total cholesterol at or above
A. 100 mg/dL
B. 130 mg/dL
C. 160 mg/Dl
D. 200 mg/dL
Answer: D. 200 mg/dL
QUESTION 3
The most common presentation of Hirschsprung disease is which of the following?
A. An abdominal mass
B. Diarrhea
C. Infrequent bowel movements
D. Sepsis
Answer: C. Infrequent bowel movements
QUESTION 4
Which of the following is not a sign or symptom of congenital hypothyroidism?
A. Lethargy
B. Hoarse cry
C. Frequent stooling
D. Coarse features
Answer: C. Frequent stooling
QUESTION 5
Which of the following is not found in an adolescent with untreated Graves' disease?
A. Tachycardia
B. Tendency to gain weight easil
C. Behavioral problems
D. Sleep disturbances
Answer: B. Tendency to gain weight easil
QUESTION 6
Dave, age 17, has gynecomastia. You should also assess him for
A. Obesity
B. Testicular cancer
C. Endocrine abnormalities
D. Tuberculosis
Answer: C. Endocrine abnormalities
QUESTION 7
The peak incidence of osteosarcoma is
A. 4-7 years of age
B. 8-11 years of age
C. 12-14 years of age
D. 15-19 years of age
Answer: D. 15-19 years of age
QUESTION 8
A teenage female who is overweight has moderate acne on the face and chest, and irregular
menses. Elevation of which laboratory test provides the test evidence of polycystic ovarian
syndrome?
A. androstenedione
B. dehydroepiandrosterone sulfate
C. free testosterone
D. prolactin
Answer: C. free testosterone
QUESTION 9
Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and
has increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram.
Which of the following diagnosis would you suspect Robert as having?
A. Marfan syndrome
B. Turner syndrome
C. Beckwith Wiedemann syndrome
D. Klinefelter syndrome
Answer: A. Marfan syndrome
QUESTION 10
The most accurate way to determine the degree of dehydration in a vomiting child is to assess
A. Level of consciousness
B. Urine output
C. Skin turgor
D. Presence of tears
Answer: A. Level of consciousness
QUESTION 11
Which of the following is not associated with congenital adrenal hyperplasia?
A. Hypernatremia
B. Dehydration
C. Hyperkalemia
D. Progressive weight loss
Answer: A. Hypernatremia
QUESTION 12
A common presenting symptom of inflammatory bowel disease is
A. Unexplained fever
B. Joint infection
C. Accelerated growth
D. Kidney stones
Answer: A. Unexplained fever
QUESTION 13
The following clinical description best matches which genetic disorder? A tall, thin 14- yearold boy has no signs of puberty. He was delayed in his speech development and always has
done less well in school than his siblings. He is shy, and teachers report his activity is
immature. Physical examination reveals breast development, and long limbs with a decreased
upper segment/lower segment ration. He has small testes and phallus.
A. Fragile X syndrome
B. Klinefelter syndrome (XXY)
C. Turner syndrome (XO)
D. XXX Syndrome
E. XYY male
Answer: B. Klinefelter syndrome (XXY)
QUESTION 14
What does a low level of thyroid stimulating hormone (TSH) indicate?
A. Hypothyroidism
B. Myxedema
C. Hyperthyroidism
D. Tyroid nodule
Answer: C. Hyperthyroidism
QUESTION 15
The following clinical description best matches which genetic disorder? A 15-year-old girl
with primary amenorrhea is noted to be well below the 5th percentile for height. She has
hypertension, a low posterior hairline, prominent and low-set ears, and excessive nuchal skin.
A. Fragile X syndrome
B. Klinefelter syndrome (XXY)
C. Turner syndrome (XO)
D. XXX Syndrome
E. XYY male
Answer: C. Turner syndrome (XO)
QUESTION 16
1.A 16-year-old girl has enuresis, frequent urination, a white vaginal discharge, and a dark
rash around her neck. Her serum glucose level is 250 mg/dL, and her urinalysis is positive for
2+ glucose but is otherwise negative. Which of the following is the most likely diagnosis?
A. Chemical vaginitis
B. Chlamydia cervicitis
C. Psoriasis
D. Type II diabetes
E. Urinary tract infection (UTI)
Answer: D. Type II diabetes
QUESTION 17
The appropriate lab tests in assessment of cervical adenitis include all of the following
except:
A. Mono test
B. Blood culture
C. PPD
D. Throat culture
Answer: B. Blood culture
QUESTION 18
1.Please interpret the following labs for an adolescent. The adolescent has a history of
obesity and acanthosis nigricans.
A. Impaired fasting glucose, postprandial glucose within normal limits
B. Impaired fasting glucose, impaired glucose tolerance
C. Normal fasting glucose, postprandial glucose within normal limits
D. Normal fasting glucose, impaired glucose tolerance
Answer: A. Impaired fasting glucose, postprandial glucose within normal limits
QUESTION 19
Which malignancy is associated with genitourinary anomalies?
A. Osteosarcoma
B. Wilms' tumor
C. Acute lymphocytic leukemia
D. Chronic myelogenous leukemia
Answer: B. Wilms' tumor
QUESTION 20
Primary dysmenorrhea is due to
A. Elevated prostaglandin level
B. Pelvic inflammatory disease (PID)
C. Endometriosis
D. Fibroids
Answer: A. Elevated prostaglandin level
