Multiple Choice

1. A 6-month-old is brought to your clinic by his mother for a routine checkup. She is concerned, because he has large bluish marks on his buttocks and back. She is worried that people will think that she is harming him somehow. Based on your physical examination, he is completely healthy and his development is on track for his age. What is your most likely diagnosis of this skin rash?

(B) Salmon patch/stork bite

(C) Mongolian spots

(D) Neurofibromatosis

2. A 14-day-old infant presents to the clinic for a follow-up visit from the newborn nursery. On examination, she has yellow-white pustules surrounded by a red base, which are scattered diffusely over the face and trunk. What is the most likely diagnosis for this rash?

Neonatal acne Erythema toxicum Seborrhea

(D) Jaundice

3. A newborn infant has a 1-minute Apgar score of 6. Which of the following statements is correct?

(A) This infant is normal

(B) This infant has some nervous system depression

(C) This infant has severe depression and requires immediate resuscitation

(D) This infant is at high risk for subsequent central nervous system and other organ system dysfunction

4. A 6-month-old infant presents with her parents for a routine checkup. You obtain a history and ask questions to obtain information on developmental stage. The answers given by the parents indicate that the infant is significantly behind in her development. The infant is in the 50th percentile for weight, height, and head circumference. Which of the following conditions is a potential cause of developmental delay?

(A)

Otitis media

(B)

Overfeeding

(C)

Gastroesophageal reflux

(D)

Neonatal meningitis

5. A 2-year-old child presents for his annual checkup. You obtain a history and perform a physical examination. All of the findings are normal. When you do a visual acuity test, what is your most likely finding?

(A) Eyes converge

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