The parent of a 4-year-old child is concerned that the child may ...

[littleanan]

The parent of a 4-year-old child is concerned that the child may have AD/HD and wants to know if medications can be given. The primary care NP should tell the parent that:
 
  a. children cannot be diagnosed with AD/HD at this age.
  b. alternative therapies to treat AD/HD are used at this age.
  c. symptoms at this age are more likely due to environmental factors.
  d. most drugs for AD/HD are not approved for children younger than 6 years.

Question 2

A male patient tells the primary care NP he is experiencing decreased libido, lack of energy, and poor concentration. The NP performs an examination and notes increased body fat and gynecomastia. A serum testosterone level is 225 ng/dL.
 
  The NP's next action should be to: a. order LH and FSH levels.
  b. order a serum prolactin level.
  c. prescribe testosterone replacement.
  d. obtain a morning serum testosterone level.

[ilianabrrr]

Answer to Question 1

D
Most AD/HD medications are not approved for use in children younger than 6 years. Children can be diagnosed with AD/HD at age 4 . Alternative therapies are not necessarily used.

Answer to Question 2

D
To diagnose hypogonadism, two serum testosterone levels must be drawn, with serum collected in the morning. LH, FSH, and prolactin levels may be drawn as well. Testosterone replacement should not be prescribed until the diagnosis is definitive.

[littleanan]

Thanks

[ilianabrrr]

Welcome