FNP Pediatrics Exam ,Practice Exam And Study Guide Latest 2024, Exams of Nursing

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"boggy" nasal mucous membranes with serous drainage upon examination usually suggests: a. sinusitis b. polyps c. URI d. allergic rhinitis - ansd "incident to" billing is specific to: a. Medicare b. Medicaid c. Medicare & Medicaid d. Private insurance companies - ansa

1. A 10mo old child has been diagnosed with gastroenteritis. He attends a child care facility. What is the most likely cause of his illness? a. Clostridium difficile b. Rotavirus c. Salmonella d. Cryptosporidium - ansb
2. A typical febrile seizure is most likely to be the problem of which of the following children? a. A 1yo with otitis media & a fever of 104F b. A 3mo old with unequal pupils & bulging fontanels c. An 11yo with fever of 101F who is on valproic acid for seizure disorder d. A 5yo with bacterial meningitis - ansa
3. Baseline management of all neonates with ABO incompatibility includes: a. Phototherapy b. Serial monitoring of bilirubin & hemoglobin levels c. Exchange transfusion d. Simple transfusion of packed RBCs - ansb
4. Secondary hypothyroidism results from: a. Excess release of thyroid hormone beyond the newborn period b. Intrauterine exposure to thyrotoxic drugs c. Disease or disorder of the thyroid gland itself d. Disease or disorder of the hypothalamus or pituitary gland compromising thyroid function - ansd
5. Septicemia in the newborn period is likely caused by which organism? a. Listeria monocytogenes b. Haemophilus influenza c. Neisseria meningitides d. Streptococcus pneuomniae - ansa
6. Urinary tract infections (UTI) are the most common pediatric urinary tract problems seen in primary care. Which of the following statements is not true regarding UTIs? a. Symptoms are often nonspecific, especially in infancy b. Urine culture is required for definitive diagnosis c. Trimethoprim-sulfamethoxazole is a drug of choice for most children d. Radiologic studies are rarely indicated with first infection - ansd
7. Which of the following disorders is usually associated with adduction of the forefoot? a. Internal femoral torsion b. Talipes equinovarus congenital c. Genu valgum d. Internal tibial torsion - ansb
8. which of the following is a characteristic physical sign of fragile X syndrome in adolescent males?

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a. Small posteriorly rotated ears b. Macroorchidism c. Hypertonia d. Double hair whirl - ansb

1. Which of the following is true for idiopathic scoliosis, which occurs primarily in adolescents? a. Mild curves occur equally between the sexes b. Generally there is no family history c. Back pain is usually associated with curves of 35 degrees or greater d. Bracing is indicated for thoracic curves of 10-25 degrees - ansa
2. A 2yr girl presents with symptoms of painful urination, frequency, & occasional incontinence over the past week. When seen in your office, she has a temperature of 101.6F. Which of the following would be your approach in establishing a definitive diagnosis? a. Clean-catch midstream collection of specimen for urine analysis b. Clean-catch midstream collection of specimen for urine culture c. Straight catheterization collection of specimen for urine culture d. Voiding cystourethrogram (VCUG) - ansc
3. Congenital hypothyroidism has a higher incidence in which of the following populations? a. African-americans b. Hispanic & native Americans c. Asian-americans d. Euro-americans - ansb
4. In a healthy, 8mo old with diarrhea but not dehydration, what would be the most appropriate device to give parents? a. Encourage ½ strength formula for 12hrs b. Give oral hydration solution (ORT) for 12hrs c. Give only fluids until stool turns to normal d. Give bananas and cereal as tolerated - ansd
5. Signs & symptoms of bacterial sepsis in children beyond the neonatal period include? a. Cough, fever, abdominal pain b. Vesicular rash, pruritus, fever c. Irritability, fever, lethargy d. Abdominal pain, diarrhea, vomiting - ansc
6. The most common rheumatoid disease of childhood is: a. Systemic lupus erythemtosus b. Kawasaki disease c. JRA d. Legg-Calve-Perthes disease - ansc
7. Which of the following is not associated with Rh incompatibility? a. Mother Rh negative, baby Rh positive b. Mother Rh positive, baby Rh negative c. More severe in subsequent sensitized pregnancies d. Hemolysis may occur up to 6 weeks or more - ansb
8. Which of the following physical stigmata are common in newborns with Down syndrome? a. Microcephaly, large ears & mouth, flattened philtrum b. Hypotonia, large appearing tongue & small mouth, upward slant to eyes c. Fair mottled skin, large hands & feet, broad stocky neck d. Funnel or pigeon-breasted chest, Brushfield spots, extra digits - ansb

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2. Which of the following responses during a tonic-clonic seizure is most important to teach family members of a child who has these seizures? a. Restrain the child b. Insert an airway into the mouth to prevent tongue biting c. Note the time, duration, & activity of the seizure d. Protect child from injury - ansd 3 mo rachel cannot remain seated upright without support. At what age will she acquire the seated position with support? a. 7mo b. 9mo c. 12mo d. 14mo - ansa
3. a 2mo infant, with hx of sacral myelomeningocele repair, has an increase in head circumference from the 75th to the 95th percentile. What is the most appropriate first action? a. Order a stat head CT scan b. Refer to neurosurgery for management c. Recheck it at the next well-child visit d. Recheck & replot the child's head circumference - ansd
4. Clinical jaundice of the distal extremities would be noted at a bilirubin level of: a. <5mg/dl b. 5mg/dl c. 10mg/dl d. >15mg/dl - ansd
5. Radiographic findings of disease progression and sphericity of femoral head is helpful in the diagnosis and followup of: a. Transient synovitis of the hip b. Osgood-schlatter disease c. Legg-Calve-perthes disease d. Slipped Capital Femoral epiphysis - ansc
6. The most likely organism to cause UTI in the pediatric population is: a. Staphylococcus saprophyticus b. Klebsiella c. Chlamydia d. E. coli - ansd
7. When evaluating a child with abdominal pain, what symptom would lead to a likely organic etiology? a. Night waking b. Pallor c. Suprapubic pain d. Sweating - ansa
8. Which of the following is an appropriate strategy to instruct the parents of an 18mo old child who has just been diagnosed with a febrile seizure and who has a fever of 104F? a. Give asprin every 4hrs for temp over 101F b. Bathe with tapid water c. Dress warmly to avoid chills d. First aid management during a seizure - ansd
9. Which of the following is not a sign or symptom of congenital hypothyroidism? a. Hoarse cry b. Frequent stooling c. Coarse features

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d. Lethargy - ansb

3. Which of the following vaccines provides protection against a common type of sepsis/meningtitis? a. Smallpox vaccination b. Hep B vaccine c. Haemophilus influenzae vaccine d. Inactivated polio vaccine - ansc
4. a 2 week old presents with mucopurulent eye discharge with injection and edema of the conjunctiva. The 15yr old mother had no prenatal care. What is the most likely organism? a. Staphylococcus aureus b. Gonococcus c. C. pneumoniae d. C. trachomatis - ansd
5. A 4yo boy is brought in by his mother, concerned about the sudden onset of painful limp in his right leg 2 days ago. Today he has a low grade fever. Which of the following diagnosis is most likely? a. Osgood-schlatter b. JRA c. Osteomyelitis d. Transient synovitis of the hip - ansd
6. Although relatively rare in the U.S., diphtheria can occur among under-immunized children. Which of the following clusters of signs, symptoms, and physicals findings would suggest diphtheria in a child presenting with upper respiratory complaints? a. Low grade fever, sore throat, nasal discharge, grayish-white pseudo-membrane in his/her throat b. Abrupt onset of high fever, severe sore throat, nasal discharge, and grayish-white pseudo-membrane in his/her throat c. Low grade fever, abrupt onset of severe sore throat with difficulty swallowing and drooling d. Abrupt onset of high fever, severe sore throat, with difficulty swallowing & drooling - ansa
7. beta-chain synthesis is absent in: a. beta-thalassemia minor b. beta-thalassemia intermedia c. beta-thalassemia major d. alpha-thalassemia trait - ansc
8. One of the most commonly suggested reasons for primary enuresis is: a. Certain medications, such as theophilline b. Genitourinary abnormalities c. Family disruptions and stress d. Delayed maturation of voiding inhibitory reflex - ansd
9. The most common cause of hyperthyroidism in children & adolescents is: a. Graves (autoimmune disease) b. Thyroid cancer c. Thyroid nodules d. Pituitary tumor - ansa
10. Vomiting in infancy has a long list of differential diagnoses. Which accompanying symptom would most likely point to pyloric stenosis? a. Diarrhea b. Appropriate growth c. Acts hungry after vomiting d. Sausage shaped mass in abdomen - ansc

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4. What is the primary public health measure to decrease the incidence of bacterial meningitis in infants & children? a. Keeping infants & young children away from crowded places b. Set up screening measures in schools c. Routinely giving immunizations such as Hib & PCV d. Provide written information about meningitis to high school students - ansc
5. a newborn presents with a large VSD, rocker bottom feet, overlapping second & third fingers, & fourth & fifth fingers with hypotonia. What is the most likely diagnosis? a. Fragile X syndrome b. Down syndrome c. Edwards Syndrome d. Klinefelter's syndrome - ansc
6. Infants younger than 6mo of age with pertussis frequently require hospitalization to manage: a. Fever, cough, dehydration b. Coughing paroxysms, apnea, cyanosis, feeding difficulties c. Coughing paroxysms, dehydration, renal failure d. Seizure, fever, pneumonia - ansb
7. Suzanne, a 7yo comes to you for a physical exam prior to participation in soccer. Suzanne's mother is concerned that the child "still has accidents at night." You determine that Suzanne has primarily nocturnal enuresis and your first recommendation to her is to: a. Avoid use of criticism or punishment b. Use a sticker/star chart c. Treat with medication d. Purchase an enuresis alarm - ansa
8. The type of seizure that first presents during infancy in which the infant goes into a "jack knife" posture is: a. Febrile seizures b. Infantile spasm c. Absence seizure d. Atonic "drop" attacks - ansb
9. which of the following are most often associated with hemoglobin C? a. growth retardation b. hepatosplenomegaly c. usually asymptomatic d. frontal bossing - ansc
10. Which of the following is not found in an adolescent with untreated Grave's disease? a. Behavioral problems b. Sleep disturbances c. Tendency to gain weight easily d. Tachycardia - ansc
11. Which of the following is the appropriate regimen for pinworm medication? a. Daily x 7days, repeat as needed b. TID for 10 days, repeat as needed c. BID for 3 days, repeat in 2 weeks d. 1 dose/1 time, repeat in 2 weeks - ansd
12. Which of the following would be the most appropriate initial management of a newborn diagnosed with developmental dysplasia of the hip? a. Observe & reexamine at 2 week well child visit b. Triple diapering in nursery c. Pavlik harness

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d. Surgical reduction - ansc

6. A physical finding not usually associated with talipes equinovarus congenita is: a. Contracture of the illiotibial bands b. Deep crease on medial border of foot c. Atrophy of calf muscles d. Small foot with limited dorsiflexion - ansa
7. Diagnostic findings consistent with beta-thalassemia are: a. Hemoglobin-normal b. Reticulocytes-normal c. Hgb A2 <3. d. Hypochromia, microcytosis - ansd
8. In which of the following children would you most suspect hyperthyroidism? a. A 16yo male who complains about restlessness b. A 14yo adolescent female who is heat intolerant & has amenorrhea c. A male preteen with behavior problems d. A 6yo female who complains of tiredness - ansb
9. Mrs. Doyle is upset. 2mo old John's frequent vomiting has her convinced that "something is seriously wrong". Which of the following is most suggestive of GER? a. He's gained 5oz this month b. He has a slight wheeze today c. He eats hungrily after vomiting d. He drinks 7-8oz every 3-4hrs - ansd
10. One of the most appropriate agents used to treat influenza A is: a. Acyclovir b. Osteltamivirc c. Erythromycin d. Tetracycline - ansb
11. The incidence of cryptorchidism at one year of age is about 1%. The best explanation for this is: a. Examination of the scrotum begins at this age b. A child can usually stand, making palpation of the testes easier c. Spontaneous resolution often occurs in first year d. Surgical repair can now be done in neonatal period - ansc
12. Which of the following problems is common in a child with Hurler's syndrome? a. Developmental delay from birth b. Sleep obstructive apnea c. Ectopic lentis d. Congenital heart disease - ansb
13. Which of the following would not be associated with an uncomplicated concussion? a. Focal motor signs b. Brief loss of consciousness c. Headache d. Confusion or amnesia for the event - ansa
14. A characteristic feature of polyarticular JIA disease is: a. The involvement of 5 + inflamed joints b. Confinement to lower extremity joints, knees, and ankles c. Asymmetric involement d. High, daily intermittent spiking fevers - ansa

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7. Asplenic children are at increased risk for which of the following? a. Bacterial infections b. Fungal infections c. Viral infections d. Parasites - ansa
8. Communicating hydrocele is best differentiated from the noncommunicating type by the fact that: a. There is no association with hernia b. It usually resolves on its own c. The fluid is static in the scrotum d. Frequently develops into hernia - ansd
9. The most common thyroiditis is: a. Subacute thyroiditis caused by a viral infection of the gland b. Acute suppurative thryoiditis caused by bacterial infection c. Caused by exposure to radiation or trauma d. Hashimoto's or chronic autoimmune thyroiditis - ansd
10. Which of the following factors is not usually present in a 4yo with migraine headaches? a. Complaints of pain in one side of the head only b. Positive family hx in immediate relatives c. Pain relieved by brief sleep d. Recurrent abdominal pain - ansa
11. Which of the following symptoms are characteristic of rubella? a. Vesicular, crusted lesions & high fever b. Postauricular lymphadenopathy & low grade fever c. Intense pruritus, usually in finger webs, buttocks, thighs, & ankles d. Rough textured maculopapular rash that blanches with pressure - ansb
12. You see Jack, a 20mo old toddler with normal growth and development in your office for diarrhea. His mother tells you that he is passing up to three loose stools a day and that he drinks 20oz of apple juice/day. What is the most likely diagnosis? a. Crohns disease b. Giardia lamblia c. Celiac disease d. Nonspecific "toddler" diarrhea - ansd
13. Young infants with cerebral palsy often show: a. Voracious appetite & weight gain b. Increased muscle tone in the first weeks of life c. Hypotonia in the first weeks of life d. Unusually severe reactions to their first immunizations - ansc 7.5yo Jimmy presents to your clinic with inspiratory stridor, drooling, and a temp of 105F. He insists on sitting up during the exam. What is your diagnosis? a. foreign body aspiration b. reactive airway disease c. croup d. epiglottitis - ansd
14. A 5yo child is born at 28 weeks gestation has mild spastic diplegia. Which evaluation is important before the child is placed in regular kindergarten? a. Stanford-binet IQ test b. Carey scale of temperament c. CBC with diff d. Chromosome studies - ansa

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8. Although uncommon, a potential sequela of rubella may include: a. Pneumonia & chronic otitis media b. Arthritis, thrombocytopenia & encephalitis c. Oophoritis & infertility d. Arthritis, carditis, and neurological involvement - ansb
9. ANA seropositivity for antibodies is: a. A valuable diagnostic marker for JIA b. Is not + in any other childhood diseases c. More commonly found in older boys or in systemic disease d. Present in over 75% of cases - ansa
10. Baby Sally was in your office last week for her 6mo check up. Her weight was 7kg. Today she presents with diarrhea and vomiting for 4 days. Today her weight was 6.5kg. What is her percentage of dehydration? a. 5% b. 7% c. 10% d. <1% - ansb
11. In counseling parents when their child is diagnosed with mild hypospadias, suggest that the following may be part of the management: a. Circumcision b. Radiography c. Consult with pediatric urology d. Surgical correction at 2yrs of age - ansc
12. Nephrogenic, or vasopressin-resistant, diabetes insipidus: a. Is caused by anatomic defects in the brain causing hypofunction of the pituitary or hypothalamus b. Results from damage to the hypothalamus or pituitary from surgical trauma or infection c. Caused by reduced renal responsiveness to antidiuretic hormone (ADH) d. Has oliguria as a primary presenting symptom - ansc
13. The parents of a Sarah, a 13mo old, are very concerned after she experienced a 2nd simple febrile seizure. At today's visit, they ask you about the use of medications to prevent any further seizures. Which of the following statements is true regarding febrile seizure prophylaxis? a. Short-term anticonvulstant prophylaxis with valprior acid is indicated after 3 febrile seizures b. Prolonged anticonvulsant prophylaxis with phenobabital for preventing recurrent febrile convulsions is now recommended c. Diazepam may be indicated for children <12mo who have recurrent, complex febrile seizures d. Fever management with Tylenol to keep the fever below 102F will prevent another seizure. - ansc
14. Which of the following is not considered preventative management for iron deficiency anemia? a. Iron fortified cereal from 6-12mo of age b. Iron fortified formula until 6mo of age c. No cow's milk until 1yr of age d. If breastfeeding, supplemental iron drops or iron fortified cereal by 4-5mo of age - ansb
15. A mother with Marfan syndrome comes with her 5yo for a checkup. The child has myopia & a + wrist & thumb sign. She reports that she was told by her last health care provider not to worry about this child. What is the next best step? a. Raise the issue of a genetic referral b. Reassure her c. Follow the child for further signs of Marfan syndrome d. Refer to ophthalmology - ansa
16. An infant with polydipsia, polyuria, irritability, and failure to thrive, should be evaluated for:

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a. Diabetes insipidus b. Homocystinuria c. Growth hormone deficiency d. Hyperglycemia - ansa

9. Dislocation in the hip of a child 6mo or older may typically present with: a. Asymmetry of skin folds b. Atrophied hip muscles c. Positive Galeazzi sign d. Negative trendelenburg sign - ansc
10. On physical exam of a 2yo uncircumcised male, you note that the foreskin is retracted and discolored. There is swelling of the glans. The most likely diagnosis is a. Phimosis b. Balanitis c. UTI d. Paraphimosis - ansd
11. Problems associated with NF1 (neurofibromatosis) most likely require medical treatment to include the following? a. Learning disabilities b. Transient tics c. Obsessive-compulsive behavior d. Progressive mental retardation - ansa
12. Rubeola is: a. Preventable by active immunization b. Caused by human herpesvirus 6 c. Treated with intravenous acyclovir d. Not associated with severe complications (e.g., encephalitits, pneumonia - ansa
13. The expected clinical severity of hemoglobin sickle C disease (Hgb SC) is: a. Asymptomatic b. Marked to moderate c. Mild to moderate d. Severe - ansc
14. What clinical signs would you expect to see in Sally on your examination (with 7% dehydration)? a. Normal capillary refill b. Normal fontanel c. Cool mottled skin d. Dry mucous membranes - ansd 9yo Jon has recently been diagnosed with mild intermittent asthma. Which of the following is not a routine part of his management? a. spirometry eval b. metered dose inhaler technique demonstration c. environmental triggers & control methods review d. allergy skin testing - ansd 9yo Tom is in the clinic for a "cold" that lasted for 10 days. He has no complaints of breathing problems. A physical exam reveals temp of 100F, edematous cervical lymph nodes, mucopurulent drainage from the middle meatus, erythematous pharynx & malodorous breath. Tom's management should include: a. culture of nasal drainage b. radiograph of the sinuses c. measurement of erythrocyte sedimentation rate d. use of an antibiotic - ansd

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10. An 11yo girl is brought in by her mother complaining of severe headaches associated with nausea & vomiting. Which of the following s/s would lead you to consider a brain tumor as part of your differential diagnosis? a. Throbbing pain accompanied by severe light sensitivity b. Bilateral throbbing pain c. Preceded by a visual aura d. More severe in the morning followed by vomiting - ansd
11. For a newborn, the correct management of hip dislocation should include: a. Use of flexion-abduction device such as Pavlik harness to stabilize hip b. Follow and observe closely for 3-4 weeks then refer to ortho c. Surgical reduction d. Traction for 6 weeks - ansa
12. Meatal stenosis, narrowing of the distal urethra, is seen in the following: a. Orchiopexy b. Circumcision c. Epididymitis d. Hypospadias repair - ansb
13. Sally is vomiting and diarrhea has stopped. If she needs oral replacement therapy (ORT) today, what would be the appropriate amount to recommend? a. 325-350 cc over 4hrs b. 600-700cc over 4hrs c. 600-700cc over 12hrs d. 325-350cc over 8hrs - ansb
14. The expected hemoglobin range for sickle cell anemia is: a. 6.5-9.5g/dl b. 13.5-16.5g/dl c. 8.5-12.5g/dl d. 9.5-13.5g/dl - ansa
15. Which of the following is appropriate advice for the mother of a newborn? a. The child should sleep on her back b. The child should sleep on her back or side c. The child should be allowed to sleep in a carseat at night d. The child can sleep on her comforter - ansa
16. Which one of the following is not characteristic of constitutional growth delay? a. There is generally no hx of a similar growth pattern in other family members b. The child usually remains constitutionally small as an adult c. Final adult stature tends to be normal d. Weight & height at birth are generally in the lower percentiles - ansc
17. You are examining a child who has fever, coryza, cough, conjunctivitis, malaise, & anorexia. During the oral examination, you observe red eruptions with white centers on the buccal mucosa. What are these eruptions called? a. Pastia's spots b. Rubelola spots c. Koplik's spots d. Strawberry spots - ansc
18. A 5yo female presents for a school physical with a complaint of hyperactivity, a mild developmental delay, aversion of gaze, hand mannerism, long thing face with slightly dysmorphic ear. What is the likely diagnosis?

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a. Fragile X b. Turner's Syndrome c. Fetal alcohol syndrome d. Williams syndrome - ansa

11. A newborn or infant with birth length <50% and microphallus should be suspected of having: a. Growth hormone deficiency b. Congenital hypothyroidism c. Primordial short stature d. Down syndrome - ansa
12. Duchenne muscular dystrophy is characterized by which of the following s/s? a. A birth, affected infants are notably hypotonic, "floppy" babies b. Earliest symptom is often refusal to bear weight c. Abnormalities of gait and posture become evident during preschool years d. Unable to keep up with peers when running by school age - ansc
13. During a track meet, a 14yo male pole vaulter falls to the ground screaming in pain. He complains of intense, searing pain in his right scrotum. He vomits twice while waiting for the ambulance. He most likely has: a. Orchitis b. Hydrocele c. Acute epididymitis d. Testicular torsion - ansd
14. Pinworms can cause which of the following? a. Constipation b. Anal itching c. Abdominal pain d. Diarrhea - ansb
15. prophylactic penicillin should be initiated in children with sickle cell anemia by: a. 3yrs of age b. 12mo of age c. 2-3mo of age d. 9mo of age - ansc
16. The National Institutes of Health Consensus conference on NF (neurofibromatosis) describes guidelines for diagnosis of NF. Which of the following is not among the diagnostic criteria? a. Family hx of first degree relative with NF b. 6 or more "café au lait" spots >15 mm c. freckling in armpits or groin d. optic glioma - ansb
17. Which of the following best describes the treatment for roseola? a. Acetaminophen or ibuprofen for fever, parental reassurance b. Warm compresses for salivary gland swelling c. Oral acyclovir, 20mg/kg/dose, four times/day d. Bed rest, saline gargles for sore throat - ansa 11yo Mark is diagnosed with constitutional growth delay. Appropriate management includes: a. starting him on low dose testosterone therapy now b. counseling regarding delayed onset of puberty c. thyroxine replacement d. nutritional counseling - ansb

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12. Although meningitis related mortality decreased dramatically after the neonatal period, as many as 50% of survivors experience some sequelae. Which of the following is the most frequent post-meningitis sequela in older infants and children? a. Motor deficits b. Seizures c. Language delays/disorders d. Visual impairments - ansc
13. An adolescent male who fails to develop secondary sex characteristics at puberty and who has small, underdeveloped testes should be suspected of having: a. Adrenal hyperplasia b. Klinefelter's syndrome c. Marfan syndrome d. Cerebral gigantism (sotos syndrome) - ansb
14. Congenital HIV infection: a. Is diagnosed through finding maternal antibodies in infant serum b. Does not respond to antiretroviral therapy c. May be latent for years before clinical signs develop d. Does not include lymphadenopathy as a physical finding - ansc
15. Fifth disease is usually: a. Seen in age 5-14yo children b. Transmitted via the deer tick c. Treated with oral erythromycin d. Characterized by prolonged coughing episodes - ansa
16. Hemolysis does not contribute to which of the problems associated with sickle cell disease? a. Chronic anemia b. Splenic sequestration c. Aplastic crisis d. Delayed growth - ansb
17. In evaluating Billy, a child with bloody diarrhea, which of the following would not be appropriate first action? a. Check growth chart b. Stool culture c. Upper GI d. Hemoccult test stools - ansc
18. Most children with Duchenne muscular dystrophy become wheel-chair dependent by what age? a. 7-9 yo b. 10-12 yo c. 14-16yo d. highly variable depending on response to treatment - ansb
19. Treatment for testicular torsion is primarily: a. Scrotal evaluation b. Ice c. Immediate surgical referral d. Bedrest - ansc
20. A neonate is being worked up for meningitis after experiencing a seizure preceded by fever, irritability, and poor feeding for one day. On physical examination, which of the following findings would be most consistent with a diagnosis for meningitis? a. Bulging fontanel b. Positive Brudzinski's sign

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c. Nuchal rigidity d. Positive Kernig's sign - ansa

13. an infant presents with cataracts, congetinal glaucoma, congenital heart disease, hepatosplenomegaly, thrombocytopenia, blueberry muffin rash, & growth retardation. What is the most likely diagnosis? a. Cytomegalovirus b. Taxoplasmosis c. Rubella syndrome d. Syphilis - ansc
14. Billy's family eats at fast food restaurants 4-5x/week. If you suspect the diarrhea is infectious in nature, what is likely causative organism? a. Adenovirus b. E. coli c. Giardia lamblia d. S. aureus - ansb
15. Individuals with chronic adrenal insufficiency often have: a. Frequent otitis media b. High energy levels c. Love for physical activity d. A craving for salt - ansd
16. Labial adhesions are relatively common finding among infants & young girls. Which of the following statements about this condition is true? a. Adhesions are usually present at birth but may be missed on exam b. Highest incidence is from birth to 3yrs c. Simple lysis of adhesions is often recommended d. Most cases resolve without intervention - ansd
17. School aged children and young adolescents involved in athletic activities may not be at increased risk for? a. Osgood-schlatter disease b. Chondromalacia c. Spondylolysis d. Slipped capital femoral epiphyis - ansd
18. the following blood level is not considered lead poisoning? a. <10ug/dl b. 10-14ug/dl c. >15ug/dl d. >25ug/dl - ansa
19. Which of the following statements is not true regarding the transmission of chickenpox? a. Susceptible individuals can contract chickenpox from patients with varicella zoster (shingles) b. Children with chickenpox are infectious only during the period of time when skin lesions are present c. Children with chickenpox are no longer infectious once crusting of skin lesions has occurred d. Varicella-zoster immune globulin (VZIG) should be administered to susceptible immunocompromised individuals who are exposed to a patient with varicella zoster infection - ansb
20. A child with chickenpox and temperature of 102F should receive which medication for fever? a. Aspirin b. Amoxicillin c. Acetaminophen d. Acyclovir - ansc

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14. A well-appearing, well dressed 11mo old has a long philtrum, midface hypoplasia, microcephaly, mild developmental delay, & myopia. The mother denies drinking alcohol during the pregnancy. What is the next best step? a. Refer the mother-child to child protective services b. Refer the child to early intervention c. Refer the child to cardiology d. Refer the mother to alcoholics anonymous - ansb
15. Diagnostic criteria for Tourette syndrome include which of the following? a. Must have both motor & vocal tics b. Steadily increasing pattern of motor tics c. Presence of any tic for 6 months d. Multiple tics with significant voluntary control - ansa
16. In the newborn period, infants of diabetic mothers (IDMs) are particularly at risk for: a. Small size for gestation age b. Intrauterine growth retardation (IUGR) c. Disorders in bone development d. Hypoglycemia - ansd
17. Management of scoliosis depends on the severity of curve as well as the age of the child. Which of the following would require surgical intervention? a. Curves of 15 degrees in a child who is still growing b. Thoracic and/or lumbar curve greater than 25 degrees, even if growth is complete c. Thoracic curve greater than 30 degrees or lumbar curve greater than 40 degrees that has not progressed while in brace d. Thoracic curve greater than 50 degrees or lumbar curve greater than 40 degrees - ansd
18. Which of the following conditions would be most likely to occur in a 4yo boy? a. Pyloric stenosis b. Recurrent abdominal pain c. Intussuseption d. Giardia infection - ansd
19. Which of the following is not a precipitating factor for hemolysis in G6PD deficiency? a. Drugs b. Exposure to extreme temps c. Ingestion of fava beans d. Infection - ansb
20. Which of the following statements is true regarding the use of topical application of conjugated estrogen cream with labial adhesions? a. It is highly successful in resolving most adhesions within 2 months b. It is no longer recommended because it may stimulate precocious puberty c. Topical applications of bland creams or petroleum jelly are equally effective d. Mechanical lysis is preferred treatment today - ansa
21. An 18mo old child exposed to HIV in utero had negative HIV DNA at 2 weeks and 8 weeks. What is indicated at the 18-month visit? a. No further testing is needed b. HIV DNA should be repeated c. Enzyme immunoassay for antibody to HIV- 1 d. CBC with diff & immunoglobulins - ansc
22. In performing a diagnostic workup and management plan for a child with osteomyelitis, which of the following is not accurate or recommended? a. Elevated ESR confirms diagnosis

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b. Aspiration is usually indicated c. Antibiotic treatment for 4-6 weeks is recommended d. Surgery is recommended if abscess is present - ansa

15. Sheryl, a 12yo complains of vaginal discharge for the past 8-9mo. She tells you her underpants are frequently wet. When she wipes after urinating, there is "white stuff" on the tissue. Sheryl denies urinary problems, genital itching, or odor. She also denies sexual activity. Her menses have not yet started, but she reports she "started to develop" in her breasts about the age of 10. Her vaginal discharge is most likely the result of: a. A fungal infection b. Poor hygiene c. Retained foreign body d. Physiologic leukorrhea - ansd
16. The most appropriate agent for use in treating varicella zoster infection in an immunocompromised host is: a. Ganciclovir b. Acyclovir c. Cetriaxone d. Chloramphenicol - ansb
17. What percent of factor VII/IX is associated with severe hemophilia A & B? a. > b. 1- 5 c. 5- 25 d. 30- 50 - ansa
18. Which of the following statements about Tourette syndrome is not true? a. It is the most severe type of tic disorder b. It is more common among males than females c. Mean age of onset is between 6 & 7 yrs d. Symptoms decrease after puberty - ansd
19. Which statement is true about true (complete) precocity or incomplete (pseudoprecocity) a. True precocity occurs because of hormonal stimulation from the pituitary or hypothalamus causing gonadal maturation & fertility b. Pseudoprecocity does not involve development of any secondary sex characteristics c. Incomplete precocity is caused by adrenal or gonadal tumor or dysfunction & results in increased lineal growth but no development of secondary sex charateristics d. Incomplete or pseudoprecocity leads to testicular enlargement and ovulation - ansa
20. A 6yo child presents with a limp and knee pain. The PNP finds limited passive internal rotation and abduction of the hip joint on physical exam. The most likely diagnosis is: a. Slipped capital femoral epiphysis b. Osgood-schlatter disease c. Transient synovitis of the hip d. Legg-calve-perthes disease - ansd
21. A prominent feature in simple partial seizure is: a. Very short postictal drowsiness b. Microcephaly c. Bilateral tremors d. No loss of consciousness - ansd
22. An adolescent who has tall stature, increased arm span, arachnodactyly, laxity of joints, pectus excavatum, and abnormal echocardiogram would be suspected of having: a. Turner's

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b. Beckwith-Wiedemann syndrome c. Marfan d. Klinefelter's syndrome - ansc

16. Varicella zoster infection is most commonly associated with which of the following skin lesions? a. Vesicle b. Comedone c. Nodule d. Macule - ansa
17. What type of hemorrhage would be expected with severe factor VIII deficiency? a. Severe hemorrhage following moderate to severe trauma b. Gross bleeding following mild to moderate trauma c. Gynecologic hemorrhage d. Spontaneous hemarthosis - ansd
18. Which of the following infant diseases is not associated with exposure in the first trimester of pregnancy? a. Cytomegalic inclusion disease (CMV) b. Chlamydia conjunctivitis c. Taxoplasmosis d. Rubella - ansb
19. Which of the following may occur with suspected appendicitis? a. Pain not relieved with ambulation b. Young children appear very ill in the early phase c. Fever is 102- 103 d. Leukopenia with left shift - ansa
20. Your recommendations to Sheryl (with physiologic leucorrhea) regarding management of the discharge includes which of these? a. Vinegar & water douche b. Placing sanitary "mini pad" in her underpants c. A 10 day course of penicillin or erythromycin d. Use of monilial cream for 1 week - ansb 16yo Sarah makes the following statements to you during a health visit. Which of the following pieces of information should not be kept confidential? a. "I have been sexually active with 3 of my boyfriends" b. I sometimes smoke marijuana c. I want to get pregnant d. Sometimes I feel like ending my life - ansd
21. A baby is born to a mother with chronic hepatitis B. what is the best treatment approach? a. Administer interferon within 24hrs b. Administer hepatitis B vaccine within 24hrs c. Administer interferon & nucleotide in combination daily d. Administer HBIG & Hepatitis B vaccine within 12 hours - ansd
22. Absence seizures: a. Often begin between 1 & 2 yrs of age b. Appear as altered awareness & blank stare for brief period c. More commonly occur in first-born children d. Usually progress to a more severe seizure disorder beyond childhood - ansb
23. In the U.S. parasitic gastroenteritis is most commonly caused by which organism? a. Enterobius vermicularis

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b. Entamoeba histolytica c. Cryptospordidium parvum d. Giardia lamblia - ansd

17. Which of the following is not a complication of mumps? a. Meningitis b. Pneumonia c. Oophoritis d. Pancreatitis - ansb
18. Which of the following is not true of dysmenorrhea? a. Onset is usually within the first 2-3 months following menarche b. A leading cause of school absenteesism in adolescent females c. Systemic symptoms include vomiting & dizziness d. Pain is from start of menses to about 24-48hrs later - ansa
19. Which of the following is the most common type of congenital bleeding disorder? a. Hemophilia A b. Hemophilia b c. Von Willebrand Disease d. Idiopathic thrombocytopenia purpura - ansc
20. Which of the following statements is true about acute osteomyelitis? a. Occurs more frequently in females than males b. Peak ages are infancy (<1yo) & preadolescence (9-11yo) c. Most common sites are radius & ulna d. Self limiting disorder - ansb
21. Which one of the following is not found in children with growth hormone excess? a. Tall stature b. Prominent mandible & supraorbital ridge c. High or normal plasma growth hormone d. Short stature - ansd
22. a 2yo female has lymphedema of the hands & foot, with low posterior hairline, cubitus valgus, & a hx of intrauterine growth retardation. Which of the following defects is the most common among the children with this defect? a. Aortic valve stenosis b. Mitral valve prolapse c. Dissecting aortic aneurysm d. Coarctation of the aorta - ansd
23. A pathognomonic skin finding in children with chronic adrenal insufficiency (Addison's) is: a. Purple striae b. Increased pigmentation in the axilla, groin, areola, hand creases, & in surgical scars c. Dry, thickened skin d. Increased perspiration - ansb
24. Amy, a 16yo has symptoms of premenstrual syndrome. She refuses to take NSAIDS, preferring instead more "natural" treatments. Her options include: a. Eating foods rich in sodium & fat b. Including more foods ore supplements with vitamin c c. Limited fluid intake to avoid "bloating" d. Adequate rest, a healthy diet, and exercise - ansd
25. The differential diagnosis for seizures includes which of the following? a. Poliomyelitis without paralysis

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b. Schizophrenia c. Complicated migraine headaches d. Multiple sclerosis - ansc

18. What recommendation would you make to a parent whose son has been diagnosed with mumps and wants to know when he can return to child-care? a. He can return once he becomes afebrile and can tolerate eating b. He can return 9 days after onset of symptoms c. He can return when he is well enough participate in activities d. He can return after a minimum of 5 days of antibiotic therapy - ansb
19. Which of the following medications should be avoided in a child with ITP? a. Decongestants b. Aspirin c. Acetaminophen d. Sulfa drugs - ansb
20. Which of the following serological findings indicates a carrier state for HBV? a. HBs Ag negative for 6mo b. IgM anti HBc negative and HBsAg positive c. Anti-HBc positive d. Anti-HBs positive - ansb
21. Which of the following statements is not true of slipped capital femoral epiphysis? a. Thought to be precipitated by hormone changes during puberty b. Unilateral involvement is more common than bilateral c. More common among males and African Americans d. Thought to be caused by repetitive stresses in young athletes prior to growth spurt - ansd
22. Children in child-care facilities are at greater risk of being exposed to which of the following infections? a. HAV b. HBV c. HCV d. HDV - ansa
23. Genu varum is considered an abnormal condition when: a. Extreme knock-knees continues after 7 yrs of age b. Extreme bowing continues after 2yrs of age c. Parents are concerned about their child's appearance d. Evident before 2yo - ansb
24. In cases of accidental genitourinary trauma, which of the following is not commonly seen? a. Extensive tears of the vaginal wall b. Hematuria c. Hematoma of the urethra, scrotum, lower abdomen d. Periurtehal lacerations - ansa
25. Joshua is the 9mo old infant son of parents of Lousinana-French descent. The child stopped rolling over. Mother reports he is increasingly irritable. Which of the following physical exam findings is most consistent with Tay-Sachs disease? a. Cardiomyopathy b. Retinal detachment c. "cherry red" spot on retina d. hepatomegaly - ansc
26. The following test is required to diagnose leukemia: a. Cbc with diff

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b. Bone marrow aspiration/biopsy c. Chest radiograph d. Biopsy of an enlarged lymph node - ansb

19. The most useful diagnostic tool for diagnosing epilepsy is: a. MRI b. EMG c. EEG d. CT scan - ansc
20. Which of the following are symptoms of cat scratch disease? a. Joint pain, conjunctivitis, mild neck stiffness b. Irritability, fever, hypotension c. Fever, malaise, lymphadenopathy d. Sever cough, vomiting, anorexia - ansc
21. Which of the following findings is not characteristic of children and infants with hyperadrenocortism? a. Advanced skeletal maturation b. "moon" facies c. delayed onset of secondary sex characteristics d. "buffalo type" adiposity of face, neck, & trunk - ansa
22. Infant immunizations for hepatitis B often raises many parental questions about the disease. Which of the following is not true about Hep B virus? a. It can survive for more than 1 week on fomites b. It is most common form of hepatitis in the world c. Contaminated water & shellfish are the major source d. Perinatally infected infants are likely to become carriers - ansc
23. Prader-Willi syndrome is a congenital genetic disorder characterized by: a. Failure to thrive b. 100% detection rate with chromosome analysis for a 15q deletion c. emergence of spasticity during toddler years d. voracious appetite & development of obesity - ansd
24. The most common form of glomerulonephritis in children is? a. Mesangial proliferative b. Poststreptococcal c. Memranoproliferative d. Mesangiostreptococcal - ansb
25. Tibial torsion is commonly associated with: a. Pain b. Restricted ROM c. Internal rotation of lower extremities d. Occurrence in adolescents 13-16 of age - ansc
26. transient neonatal hypoglycemia is: a. most common in AGA infants b. low in premature SGA infants c. most common in LGA infants d. least common in LGA infants - ansc
27. Which of the following describes a characteristic rash associated with which disease? Initially erythematous and macular, becoming maculopapular and petechial. The rash first appears on the wrists & ankles, spreading proximally to the trunk. The palms and soles are often involved. a. Lyme disease

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b. Roseola c. Rubeola (measles) d. Rocky mountain spotted fever - ansd

20. Which of the following is a primary drug used for treatment of generalized tonic-clonic seizures? a. Ethosuximide b. Valproic acid c. Clonazapam d. Corticosteroids - ansb
21. Which of the following is not included as part of the initial therapy for ALL? a. Chemotherapy b. Radiation therapy c. Bone marrow transplant d. Intrathecal chemotherapy - ansc
22. A 10yo child manifests symptoms of fever, sore throat, and swollen lymph nodes. Spleen tip is palpable. Throat culture and monospot test results are negative. The next logical diagnostic test would involve: a. Repeat throat culture b. Chest radiograph c. Bone marrow examination d. Epstein-barr virus titer - ansd
23. A 15 day old infant with respiratory distress arrives in the ED. The exam reveals mild cyanosis, hepatosplenomegaly, & features consistent with Down syndrome. Which of the following is the most likely diagnosis? a. Complete AV canal (endocardial cushion defect) b. Patent ductus arteriosus c. Atrial septal defect d. Ventricular septal defect - ansa
24. regular insulin a. has a quicker onset of effect and longer duration than NPH b. has slower onset of effect & shorter duration than NPH c. has quicker onset of effect & shorter duration than NPH d. has the longest duration of the insulins available - ansc
25. Two day old baby Jamie is in the hospital nursery and still has not passed meconium. This is a red flag for what condition? a. Intussuseption b. Hemolytic uremic syndrome c. Pyloric stenosis d. Hirschsprungs Disease - ansd
26. Which malignancy is associated with genitourinary anomalies? a. Acute lymphocytic leukemia b. Chronic myelogenous leukemia c. Osteosarcoma d. Wilm's tumor - ansd
27. Which of the following diagnoses is associated with contracture of one of the sternocleidomastoid muscles? a. Lordosis b. Torticollis c. Scoliosis d. Kyphosis - ansb

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21. Which of the following is included in the diagnostic criteria for migraine headache in postpubertal children? a. Recurrent abdominal pain, throbbing head pain not relieved by sleep b. Nausea & vomiting, positive family history, aura c. Positive family history, vomiting without nausea, pain not relieved by sleep d. Aura, positive family history, pain in both hemispheres of the brain relieved by sleep - ansb
22. Which of the following s/s is not associated with acute forms of glomerulonephritis? a. Edema b. Hematuria c. Increased urine output d. Dark urine - ansc
23. A newborn presents with lymphadenopathy, a decrease in the ability to move the left leg, Coombs- negative hemolytic anemia, hepatomegaly, & snuffles. What is the most likely diagnosis? a. Congenital herpes infection b. Congenital cytomegalovirus infection c. Congenital syphilis d. Congenital gonococcal infection - ansc
24. Consistent with Hirschsprungs Disease, Jamie's findings on rectal exam would be which of the following? a. Tight anal canal with no stool in vault b. Impacted stool with fissure c. Large dilated rectum d. Soft stool, normal tone - ansa
25. One of your male patients presents with weight loss, abdominal pain, and decreased urine output. On exam, you palpate a right sided mass, noting tenderness in the abdomen & flank. Urinalysis reveals significant leukocytosis. An intravenous pyelogram is ordered which shows marked delay of emptying from renal pelvis. The most likely diagnosis is? a. Glomerulonephritis b. Pyelonephritis c. Hydronephrosis d. UTI - ansc
26. Sports injuries are commonly associated with: a. Improper training b. Higher frequency in females c. Scoliosis d. Low socioeconomic status - ansa
27. the preferred name now for insulin dependent diabetes mellitus (IDDM) is: a. maturity-onset diabetes b. type 1 diabetes c. type 2 diabetes d. insulin resistance syndrome - ansb
28. The type of head injury that is easily treatable but potentially the most lethal is: a. Concussion b. Epidural hematoma c. Acute subdural hematoma d. Linear skull fracture - ansb
29. Which of the following factors is not associated with increased risk for infantile botulism? a. Rural environments b. Use of honey

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c. Use of corn syrup d. Farm families - ansc

22. Which of the following statements are true about immunizations during treatment of childhood cancer? a. Children continue to receive immunizations as usual b. Immunizations are not given during active chemotherapy c. Only live vaccines are held during active chemotherapy d. No family member should be immunized while the child is receiving chemotherapy - ansb
23. blood glucose levels of children 5-11yo with diabetes should be maintained between: a. 70-180mg/dl b. 100-200mg/dl c. 60-80 mg/dl d. slightly over 200mg/dl - ansa
24. Individuals who have spina bifida are at high risk for allergy to: a. Eggs b. Pollens c. Latex d. Dust mite feces - ansc
25. Initial treatment of a sprain includes which of the following? a. Rest, ice, compression, elevation, & NSAIDs b. Heat, ROM exercise, compression, elevation, & NSAIDs c. Rest, heat, compression, elevation, & NSAIDs d. Rest, ice, ibuprofen, compression, & NSAIDs - ansa
26. The peak incidence of osteosarcoma is a. 4-7 years of age b. 8-11 yrs of age c. 12-14yrs of age d. 15-19yrs of age - ansd
27. Tuberous sclerosis is a progressive, neurocutaneous syndrome in which there is a combination of: a. Skin abnormalities, blindness, & cognitive deficits b. Skin abnormalities, seizures, cognitive deficits c. Cerebral palsy, cognitive deficits, & skin problems d. Skin abnormalities, blindness, & cognitive deficit - ansb
28. What treatment would be appropriate for Jamie's Hirschsprungs Disease? a. Emulsified mineral oil, ½ tablespoons per day b. Referral to gastroenterologist/surgeon c. Malt soup extract, 2 tsp for 3 days d. Rectal dilation with thermometer - ansb
29. Which of the following interventions would not be appropriate for a 6mo old infant with a suspected diagnosis of infantile botulism? a. Stool & blood cultures b. Immediate administration of equine antitoxin c. Stool softeners d. Supportive cares - ansb
30. Which of the following is true of renal tubular acidosis type 1? a. Genetically transmitted as autosomal recessive disorder b. Distal tube defect affecting secretion of hydrogen ions c. Distal tube defect affecting bicarb reabsoption d. Most children remain short in stature in spite of early treatment - ansb

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24. blood glucose levels of younger children with diabetes are maintained at slightly higher levels than blood glucose levels of older children because: a. children have a greater need for available glucose in the blood system b. younger children tend to be more active c. younger children become more irritable than do older children d. lowering the risk of hypoglycemia in younger children is particularly important in order to avoid the potential for hypoglycemia with consequent neurological system damage - ansd
25. Inheritance of tuberous sclerosis is by: a. Autosomal dominant mutant gene b. Fragile x chromosome c. Autosomal recessive mutant gene d. Trisomy 23 - ansa
26. the following type of infection is not associated with hypogammaglobulinemia: a. sinusitis b. pneumonia c. urinary tract infection d. cellulitis - ansc
27. The most definitive features for a diagnosis of "growing pains" includes: a. Exclusion of other causes of lower extremity pain b. Pain, swelling, erythema c. Loss of ambulation d. Decreased ROM - ansa
28. Vulvovaginitis may be caused by all of the following except: a. Poor hygiene b. Herpes simplex virus c. Pinworms d. Condylomata acuminata - ansd
29. What is the preferred treatment of choice for syphilis? a. Erythromycin b. Penicillin c. Cefotaxime d. Zithromax - ansb
30. When evaluating a child with suspected IBD, which of the following diagnostic tests would not be helpful? a. Amylase & lipase b. ESR c. Serum total protein & albumin d. CBC with diff - ansa
31. Which of the following are associated with paralytic poliomyelitis? a. Lacy, erythematous, pruritic rash b. Respiratory compromise, speech disturbances, urinary incontinence c. Abdominal swelling, lympthadenopathy, and jaundice d. Nonspecific abdominal pain, nausea, and vomiting - ansb
32. glucagon should be used to treat: a. children with mild hypoglycemia b. children with moderate hypoglycemia c. children with severe hyperglycemia d. children with severe hypoglycemia - ansd

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25. Meatal stenosis can be identified by all of these with the exception of? a. Crying with urination b. Inflammation of glans penis c. Slit-like meatus d. Wide urinary stream - ansd
26. Muscle spasms associated with tetanus are aggravated by which of the following? a. Fever b. Tetanus immunoglobulin c. External stimuli d. NSAID - ansc
27. Systemic-onset JIA is most commonly associated with: a. High, daily intermittent spiking fevers & rash b. Single joint involvement c. Positive RF factor d. Painless joint involvement - ansa
28. the following diagnostic finding is consistent with X-linked agammaglobulinemia a. IgG-normal b. B-cells-decreased c. T-cells-decreased d. IgA-normal - ansb
29. The most important diagnostic measure for identifying tuberous sclerosis is: a. EEG b. Through neurological physical exam c. MRI d. Skin biopsy - ansc
30. Which of the following is consistent with neonatal disseminated herpes disease? a. Hyperactive newborn with apparent spasticity b. Multiple papules scattered over the body c. Fever, grouped vesicles on the skin d. Purpuric rash in the acral distribution - ansc
31. Your patient has inflammatory bowel disease. Which finding is most consistent with ulcerative colitis? a. Occult blood b. Perirectal abcess c. Aphthous ulcers d. Left sided abdominal pain - ansd
32. Antimicrobials will improve the condition of a 4yo child with diarrhea caused by which of the following organisms? a. Salmonella b. Rotavirus c. Shigella d. E. coli (0157:H7) - ansc
33. Classic symptoms associated with malaria include: a. Low grade fever, upper respiratory congestion, cough b. Annular rash, conjunctivitis, headache, arthralgia c. High fever, chills, rigors, sweats, headache d. High fever, jaundice, lethargy, vomiting - ansc
34. For children 1-4 yrs of age, the most common cause of head injury is:

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a. Motor vehicle accidents b. Falls c. Child abuse d. Tricycle accidents - ansb

26. S/S associated with Duchenne muscular dystrophy are: a. History of delayed developmental milestones b. Visual motor disturbance, calf hypertrophy c. Delayed motor development, positive ortolani maneuver d. History of "clumsiness" visual-motor disturbance - ansa
27. The following is not a characteristic feature of DiGeorge syndrome: a. Hypertelorism b. Cleft palate c. Cardiac defect d. Frontal bossing - ansd
28. Trina, age 14, comes in with complains of headache & nausea. She admits to having a boyfriend, whom she has sex with "once in a while", and sometimes he uses a condom. She had a period last month, but it lasted 2 days instead of the usual seven. Which of the following is not usually perceived as risk factors for adolescent pregnancy? a. Early onset of sexual activity b. Familiarity with fertility knowledge c. Sporatic, if any, contraceptive use d. Low self-image - ansb
29. which finding is not a sign of symptom of diabetes onset in children? a. Alopecia b. Glycosuria c. Polydipsia d. Polyuria - ansa
30. Abdominal pain & vomiting are particularly critical to monitor in children with diabetes because these findings may represent the onset of: a. Ketoacidosis b. Gastrointestinal infection c. Hyperglycemia d. Autoimmune response to the pancreas - ansa
31. Complications of SLE commonly include with of the following? a. Pericarditis, arthritis, nephritis b. Encephalitis, nephritis, pericarditis c. Nephritis, arthritis, rheumatic fever d. Nepthritis, hemolytic anemia, contact dermatitis - ansa
32. Dwayne, a senior in high school, suffers a concussion playing football. Immediately following the event, a typical clinical picture would include: a. Brief loss of consciousness and/or amnesia b. Confusion and lethargy lasting about 2hrs c. Slowed & sometime unequal pupils response d. Associated Battle sign - ansa
33. Katie has functional abdominal pain. When counseling her family on management of painful episodes you would recommend which of the following? a. Take ibuprofen 200mg for pain b. Stay home from school during episode c. Decrease milk products