A 9-Year-Old Girl Has a History of Frequent Vomiting and Her

question 11

Multiple Choice

A 9-year-old girl has a history of frequent vomiting and her mother has frequent migraine headaches. The child has recently begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals abnormal eye movements and mild ataxia. What is the correct action?

• A) Begin using an anti-migraine medication to prevent headaches.
• B) Prescribe ondansetron and lorazepam to help manage symptoms.
• C) Reassure the parent that this is expected with cyclic vomiting syndrome.
• D) Refer to a pediatric gastroenterologist for further workup.

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Definitions:

Posterior Cruciate Ligament

A ligament in the knee that connects the femur to the tibia and helps stabilize the knee joint.

Anterior Cruciate Ligament

A key ligament in the knee that stabilizes the joint by preventing the tibia from sliding too far forward beneath the femur.

Posterior Fontanel

The junction where the two parietal bones and the occipital bone meet on the skull of a newborn, typically closing by 2 months of age.

Anterior Fontanel

The soft spot on the top of a baby's head where the skull bones have yet to fuse.