Th e concept of balanced government was so important to all the states recommending a Bill of Rights that the only Amendment they agreed upon was the:

During his annual visit 15-year-old Trevor shows the PNP a soft, painless mass in his right scrotum. He states that it “gets bigger as the day goes on”. During physical exam the PNP assesses a small mass that trans illuminates. This condition is most likely?

A 16-year-old male is seen with a chief complaint of an increase feeling of fullness in his scrotum. On physical examination there is a non-painful mass above his testes that looks like a bag of worms. This mass is most likely?

  A provider examines a week-old infant and notes an uncircumcised penis and the urethra displaced ventrally along the glans. The provider notes an un-diagnosed hypospadias. What would the next course of action include?

A 16-year old presents following a football game in which he collided with another player. Which complaints warrant emergency room referral?

A 14-year-old is a baseball player who presents with pain and swelling of the tibial tuberosity. You note point tenderness and increased pain with extension of the knee. You suspect: 

I have increased my knowledge of pediatric illnesses this semester. 

A 6-year-old boy presents with a 1-month history of patchy alopecia in the occipital region of the scalp. Examination reveals a well-circumscribed area of hair loss in which all the hairs appear to be broken off at the scalp surface. Occipital lymph nodes are prominent. Which of the following statement(s) regarding the likely diagnosis is correct (multiple answers)?  

An adolescent boy comes to the office after school for a sports physical. there is no significant past medical history. He is well appearing and growing normally. His blood pressure, pulse, respiratory rate, and temperature are all within the normal limits. His physical exam is normal. His freshly voided urine sample shows 2+ protein with a specific gravity of 1.030 with all else normal with a urine dipstick. What would you do next?  

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