IHuman Paediatrics Practice Exam With Answers (40 Solved Questions)

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HPI (history of present illness)Chief complaint: Well-child evaluationH PI: Brandon is a 3 year old male here for a well child evaluation. He has been doing well since his last visit withno problems.Allergies:at 2 months oldat2 years6 months oldagoDtaP given on these dates:at 2 months oldat 4 months oldat 6 months oldat15monthsoldHaemophilus Influenza Type B (Hid) given on these dates:at 2 months oldat 4 months oldat 6 months oldat15monthsoldPneumococcal given on these dates:at 2 months oldat 4 months oldat 6 months oldat15monthsoldPolio (IPV) given on thesedates: at 2 months old at 4months old at 6 months oldMeasles Mumps Rubella (MMR) given on thesedates: at 12 months oldNoknownallergiesCurrentOther active problems:NoneVisitMedical, surgical, obstetric,Same as previousPreventive Health:HashadregularwellchildevaluationsPt. InfoImmunizations:Immunizations are as follows:FormsHepatitis B given on these dates:at birth

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Varicella (VZV) given on these dates:at 12 months oldHepatitisAgivenonthesedates: at 12 months old at 17months oldccHow can I help youtoday? (patient)To meet my new doctor!Are you my doctor?ccHow can I help himtoday? (witness)Brandonandhisothermom Layla and I recentlymoved to the area for myworkandwe'dliketoestablishcareinyourpractice. We've heard a lotgoodthingsaboutyoufolks. And, Brandon here,is starting kindergarten inSeptember, so we want tomake sure that he's up todateforanyadditionalimmunizations.Assoc sxHow are his grades inschool? (witness)Boy,how'sthatforstartingthepressureearly?But,toansweryourquestion:Hewashappilyengagedinactivities and friendshipsathisMontessoripreschool and seems tobelookingforwardtokindergarten.Assoc sxIs he having anydifficulty sleeping?(witness)No, he goes out easily aswereadtohimandsleeps through the night.Assoc sxHowmanybowelmovementsdoeshehave a day? (witness)Once daily, which is soft.EtiologyHow is his appetite? Anyrecent change? (witness)He'sgotareallygoodappetite. Plays hard, eatswell.OLD-CARTS for the HPI

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RelivingTming/TreatmentsHas there been a change in hisurination frequency? (witness)No. He urinates normally, a fewtimes a day.SeverityPMH, FH, SH as NeededAsked @ Not askedGraded ApproachQuestionResponseInformationObtained ClinicNotesPMHIs he taking any prescriptionmedications? (witness)Not a one.PMHHas he ever been hospitalized?(witness)Nope.PMHWhen was his last physical?(witness)About two years ago.PMHCanyoutellmeaboutanycurrentorpastmedicalproblemshehashad?(witness)wastwo.Otherthanthat,he's never had more than theusualseasonalcoldsandstomachbugs.Nobrokenbones or significant injuries.PMHAny previous medical, surgicalor dental procedures? (witness)Not a one. Well, normally hehas his regular dental cleaningtwiceayearandfluoridetreatments. We did miss his lastdental cleaning when we wereinthemiddleofourmove.Brandon's a very good brusherand has never had any cavities.PMI-iIshetakinganyover-thecounterorherbalmedications? (witness)Nothingcurrently,otherthangummy multivitamins.

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