Question 1

A female neonate has been in respiratory distress since delivery and is unresponsive to oxygen therapy. Endoscopy has confirmed a diagnosis of esophageal atresia and tracheoesophageal fistula (EA/TEF). Which of the following explanations should the care team provide to the infant’s parents?

Question options:

“We will have to perform surgery to correct the hole in her throat to make sure that she is able to swallow and breathe normally.”

“This problem will require respiratory therapy and supplementary feeding, but it will likely resolve itself over time.”

“The biggest risk that will face your daughter until this is fixed is the danger of malnutrition and dehydration.”

“The priority in our immediate treatment prior to her surgery will be pain management, as the contents of her stomach can burn her lungs.”

Question 2

The father of an 18-month-old girl noticed a small vesicle on her face several days ago. The lesion ruptured and left a straw-colored crust that remained on the girl’s face. The eruption of new vesicles has prompted him to bring the child to the emergency department. Which of the following treatments for the child’s skin problem is most likely?

Question options:

A topical antifungal ointment

An oral corticosteroid

An antiviral ointment

A topical antibiotic

Question 3

Following a long history of fatigue, weakness, and poor appetite, a 39-year-old male has been diagnosed with hypopituitarism. Which of the following clinical findings would most likely cause his care team to suspect that the man has an additional endocrine disorder from a different source?

Question options:

The man has a low sperm count and has been unable to have children.

The man has a chronic platelet deficiency and is occasionally anemic.

The patient is 5 feet 2 inches tall and was consistently short for his age as a child.

The man displays the signs and symptoms of hypothyroidism.