USMLE Practice Exam Questions with
Answers
1. A 12-month-old girl has been spitting up her meals since 1
month of age. asymptomatic and without findings on physical
examination. correct answer: Diagnosis correct answer: GERD is a
common pediatric complaint, often seen in the first 1 to 2 months of life and resolving by 1 to 2
years of age. For children w/ NO respiratory symptoms attributed to reflux, small feeds, avoid high-
fat meals are enough.
-medication or surgery only seen in rare cases.
2. jaundice correct answer: skin and the the sclera of the eye turn yellow due to excess
bilirubin, a byproduct of old red blood cells.
3. A 14-year-old boy has sickle cell disease. He presents to the
emergency room with the complaints of Pain of the right upper
quadrant, nausea, vomiting, fever, and jaundice. correct answer: Diagnosis
correct answer: acute cholecystitis (unusual in kids w/ anemia)
-Confirmed with an ultrasound of the gallbladder
(upper right quadrant)
4. A 2-year-old presents to the emergency center with several days
of rectal bleeding. The mother first noticed reddish-colored stools 2
days prior to arrival and has since changed several diapers with just
blood. What diagnostic test will you use? correct answer: Diagnosis correct answer:
Meckel diverticulum correct answer:congenital abnormality of the small intestine.
-First type involves ectopic (out of place) mucosal tissue and most often leading to GI bleeding in
younger children.
-Diagnostic Technique correct answer: technetium scan (common medical radioisotope) which collects
data rapidly, but keeps total patient radiation exposure low.
symptoms correct answer: kids have painless rectal bleeding in the first 2 years of life, but they can
have symptoms throughout the first decade.
5. Two weeks ago, a 5-year-old boy developed diarrhea, which has
persisted to the present time despite dietary management. His
stools have been watery, pale, and frothy. He has been afebrile.
1/
3
Answers
1. A 12-month-old girl has been spitting up her meals since 1
month of age. asymptomatic and without findings on physical
examination. correct answer: Diagnosis correct answer: GERD is a
common pediatric complaint, often seen in the first 1 to 2 months of life and resolving by 1 to 2
years of age. For children w/ NO respiratory symptoms attributed to reflux, small feeds, avoid high-
fat meals are enough.
-medication or surgery only seen in rare cases.
2. jaundice correct answer: skin and the the sclera of the eye turn yellow due to excess
bilirubin, a byproduct of old red blood cells.
3. A 14-year-old boy has sickle cell disease. He presents to the
emergency room with the complaints of Pain of the right upper
quadrant, nausea, vomiting, fever, and jaundice. correct answer: Diagnosis
correct answer: acute cholecystitis (unusual in kids w/ anemia)
-Confirmed with an ultrasound of the gallbladder
(upper right quadrant)
4. A 2-year-old presents to the emergency center with several days
of rectal bleeding. The mother first noticed reddish-colored stools 2
days prior to arrival and has since changed several diapers with just
blood. What diagnostic test will you use? correct answer: Diagnosis correct answer:
Meckel diverticulum correct answer:congenital abnormality of the small intestine.
-First type involves ectopic (out of place) mucosal tissue and most often leading to GI bleeding in
younger children.
-Diagnostic Technique correct answer: technetium scan (common medical radioisotope) which collects
data rapidly, but keeps total patient radiation exposure low.
symptoms correct answer: kids have painless rectal bleeding in the first 2 years of life, but they can
have symptoms throughout the first decade.
5. Two weeks ago, a 5-year-old boy developed diarrhea, which has
persisted to the present time despite dietary management. His
stools have been watery, pale, and frothy. He has been afebrile.
1/
3
