A 28-month-old girl with a history of a cleft lip and cleft…

 A 28-month-old girl with a history of a cleft lip and cleft palate is noted on physical examination to have delayed eruption of the teeth and a single central maxillary incisor.  Which of the following disorders is most likely to be identified during additional evaluation?

A 5 month old infant recently adopted from Southeast Asia pr…

A 5 month old infant recently adopted from Southeast Asia presents to the Emergency Department with pallor, failure to thrive, frontal bossing, hepatomegaly, splenomegaly, and jaundice. In considering differential diagnoses, the most helpful diagnostic study results to indicate Beta Thalassemia would be:

  You are an Acute Care PNP on the general surgery service a…

  You are an Acute Care PNP on the general surgery service and are called to the special care nursery to evaluate a 6 hour old infant with trisomy 21 who has bilious emesis. The abdominal x-ray is notable for a double-bubble sign. What is the most likely diagnosis?     

You are the NP in the Recovery Room. You are caring for a 3…

You are the NP in the Recovery Room. You are caring for a 3 year old patient who recently underwent a PICC line. Anesthesia used Ketamine during this procedure. Your patient is experiencing fear and hallucinations. As the NP you suspect an emergence phenomenon. What medication can you order to treat this?  

A 5 day old infant presents with severe tachypnea and mild c…

A 5 day old infant presents with severe tachypnea and mild cyanosis. On examination, he has poor peripheral perfusion, hepatomegaly, and a 2/6 systolic ejection murmur at the LUSB. He became acidotic over the next few hours. His CXR shows a reticular pattern with a small heart size. The most likely diagnosis is: