PNCB CPN LATEST 2026 TEST PAPER 1 QUESTIONS AND
SOLUTIONS RATED A+
✔✔A quad screen expected result for a child with down syndrome would read? -
✔✔Low levels of AFP
✔✔What AFP level would you expect in a child with esophageal atresia? - ✔✔High
✔✔An 8 month old infant presents with significant head lag, what are you suspicious of?
- ✔✔Cerebral Palsy
✔✔When is an infant expected to double it's birth weight by? - ✔✔5 months?
✔✔When is an infant expected to triple it's birth weight by? - ✔✔1 year
✔✔Pregnant Greeks and pregnant woman living in higher elevations should have their
newborns followed for? - ✔✔higher risk of hyperbilirubinemia
✔✔An indirect bili measures conjugated or unconjugated bili? - ✔✔unconjugated
✔✔An infant presents with elevated total bili, what should you suspect? - ✔✔biliary
atresia
✔✔An infant assessment finds a cephalohematoma on exam, what should you monitor
the child for? - ✔✔hyperbilirubinemia
✔✔Which patient population has highest risk for hyperbilirubinemia? Asians, African
Americans, Greeks? - ✔✔Asians and American indians have highest risk. African
americans with G6PD deficiency are at greater risk, as is Greeks and people who live in
higher elevations.
✔✔A pregnant mother positive HIV presents to the hospital in labor, intact membranes
at 38 weeks with an unknown viral load. She has had 3 ARV. What is the treatment
plan? - ✔✔Patient with a viral load or unknown viral load, despite receiving 3 ARV,
should have a c-section.
✔✔What recurrent infection is commonly associated with HIV? - ✔✔oral thrush
✔✔What is the treatment for Chlamydia Trachomatis conjuntivitis? - ✔✔Oral
Azithromycin is preferred (20mg/kg/day in 1 dose) for 3 days or 40mg/kg/day in 4
divided doses for 14 days of erythromycin - eye drops do NOT work
,✔✔What is the most prevalent sexually transmitted disease in the US? - ✔✔Chylamdia
Trachomatis
✔✔What is the treatment for Gonorrheoeae Conjuntivitis? - ✔✔IV antibiotics -
ceftriaxone 25-50mg/kg IV or IM in a single dose. Infant must be evaluated for
disseminated disease
✔✔What is the gold standard for testing of Chlamydia Trachomatis? - ✔✔Culture
✔✔What medication(s) are associated with increased risk for pyloric stenosis? -
✔✔Erythromycin and Azithromycin
✔✔A 3-day old neonate presents with conjunctivitis, what are you suspicious of? -
✔✔Gonococcal opthalmia
✔✔If an infant presents with Gonorrheoeae Conjunctivitis and also has
hyperbilirubinemia, what antibiotic should be employed? - ✔✔Cefotaxime
✔✔What contraception method increases your risk for ectopic pregnancy? - ✔✔An IUD
and progestin only contraceptive
✔✔Which method is most efficient in detecting HCG levels for diagnosis of pregnancy?
- ✔✔Serum is detectable in 48 hours post conception
✔✔What is Goodell's sign? - ✔✔Indication of pregnancy where there is significant
softening of the vaginal portion of the cervix
✔✔What is Hegar's sign? - ✔✔Softening of the cervical isthmus present in second and
third months of pregnancy
✔✔Which type of eating disorder has arrhythmias as a cardiac finding? - ✔✔Bulimia
Nervosa
✔✔Which type of eating disorder has an increase in carotene as a side effect? -
✔✔Anorexia Nervosa
✔✔Which eating disorder has enlarged parotid gland finding on physical exam? -
✔✔Bulimia Nervos
✔✔Which disease causes an elevated WBC count with lymphocytosis (shift to the
right)? - ✔✔Pertussis
✔✔When is coxsackie most prevalence (months of the year)? - ✔✔May to October
, ✔✔What is the term for Bornholm disease or Devil's Grip? - ✔✔Pleurodynia
✔✔What is another term for Pleurodynia? - ✔✔Bornholm diseases or devil's grip.
✔✔When is Hepatitis A contagious? - ✔✔2 weeks before onset and 1 week after onset
✔✔In what disease process, during the jaundice phase, does the urine darkens and
stools become clay colored? - ✔✔Hepatitis A
✔✔When do you expect to see IgG-specific antibodies in serology? - ✔✔2-4 months
later
✔✔When is measles contagious? - ✔✔3-5 days before rash to 4 days after appearance
✔✔Koplick spots are associated with which disease? - ✔✔Measles
✔✔Any rash on mucosa surfaces are called? - ✔✔Enanthem
✔✔How does one differentiate a scarlet fever rash from a measles rash? - ✔✔The
scarlet fever rash does not fade at all. With a measles rash, when red, fades on
pressure - when brown, does not fade
✔✔What is the most common complication of measles? - ✔✔Pneumonia. Fever that
lasts beyond the third or fourth day of a rash or coughing that continues generally
suggests a complication of measles has occurred.
✔✔When is Rubella contagious? - ✔✔5-7 days after the rash onset.
✔✔Epidemic parotitis is also known as? - ✔✔Mumps
✔✔When is the peak occurrence of Mumps - ✔✔also known as epidemic parotitis, peak
incidence is January to May.
✔✔When is epidemic parotitis contagious? - ✔✔Must exclude children from school for 5
days after onset of parotid glan swelling.
✔✔When does a fever and rash most occur after MMR vaccination? - ✔✔7-12 days
later.
✔✔Name the 4 fat soluable vitamins? - ✔✔A,D,E,K.
✔✔What vitamin supplementation is necessary for a vegan diet patient? - ✔✔Vitamin
B12
SOLUTIONS RATED A+
✔✔A quad screen expected result for a child with down syndrome would read? -
✔✔Low levels of AFP
✔✔What AFP level would you expect in a child with esophageal atresia? - ✔✔High
✔✔An 8 month old infant presents with significant head lag, what are you suspicious of?
- ✔✔Cerebral Palsy
✔✔When is an infant expected to double it's birth weight by? - ✔✔5 months?
✔✔When is an infant expected to triple it's birth weight by? - ✔✔1 year
✔✔Pregnant Greeks and pregnant woman living in higher elevations should have their
newborns followed for? - ✔✔higher risk of hyperbilirubinemia
✔✔An indirect bili measures conjugated or unconjugated bili? - ✔✔unconjugated
✔✔An infant presents with elevated total bili, what should you suspect? - ✔✔biliary
atresia
✔✔An infant assessment finds a cephalohematoma on exam, what should you monitor
the child for? - ✔✔hyperbilirubinemia
✔✔Which patient population has highest risk for hyperbilirubinemia? Asians, African
Americans, Greeks? - ✔✔Asians and American indians have highest risk. African
americans with G6PD deficiency are at greater risk, as is Greeks and people who live in
higher elevations.
✔✔A pregnant mother positive HIV presents to the hospital in labor, intact membranes
at 38 weeks with an unknown viral load. She has had 3 ARV. What is the treatment
plan? - ✔✔Patient with a viral load or unknown viral load, despite receiving 3 ARV,
should have a c-section.
✔✔What recurrent infection is commonly associated with HIV? - ✔✔oral thrush
✔✔What is the treatment for Chlamydia Trachomatis conjuntivitis? - ✔✔Oral
Azithromycin is preferred (20mg/kg/day in 1 dose) for 3 days or 40mg/kg/day in 4
divided doses for 14 days of erythromycin - eye drops do NOT work
,✔✔What is the most prevalent sexually transmitted disease in the US? - ✔✔Chylamdia
Trachomatis
✔✔What is the treatment for Gonorrheoeae Conjuntivitis? - ✔✔IV antibiotics -
ceftriaxone 25-50mg/kg IV or IM in a single dose. Infant must be evaluated for
disseminated disease
✔✔What is the gold standard for testing of Chlamydia Trachomatis? - ✔✔Culture
✔✔What medication(s) are associated with increased risk for pyloric stenosis? -
✔✔Erythromycin and Azithromycin
✔✔A 3-day old neonate presents with conjunctivitis, what are you suspicious of? -
✔✔Gonococcal opthalmia
✔✔If an infant presents with Gonorrheoeae Conjunctivitis and also has
hyperbilirubinemia, what antibiotic should be employed? - ✔✔Cefotaxime
✔✔What contraception method increases your risk for ectopic pregnancy? - ✔✔An IUD
and progestin only contraceptive
✔✔Which method is most efficient in detecting HCG levels for diagnosis of pregnancy?
- ✔✔Serum is detectable in 48 hours post conception
✔✔What is Goodell's sign? - ✔✔Indication of pregnancy where there is significant
softening of the vaginal portion of the cervix
✔✔What is Hegar's sign? - ✔✔Softening of the cervical isthmus present in second and
third months of pregnancy
✔✔Which type of eating disorder has arrhythmias as a cardiac finding? - ✔✔Bulimia
Nervosa
✔✔Which type of eating disorder has an increase in carotene as a side effect? -
✔✔Anorexia Nervosa
✔✔Which eating disorder has enlarged parotid gland finding on physical exam? -
✔✔Bulimia Nervos
✔✔Which disease causes an elevated WBC count with lymphocytosis (shift to the
right)? - ✔✔Pertussis
✔✔When is coxsackie most prevalence (months of the year)? - ✔✔May to October
, ✔✔What is the term for Bornholm disease or Devil's Grip? - ✔✔Pleurodynia
✔✔What is another term for Pleurodynia? - ✔✔Bornholm diseases or devil's grip.
✔✔When is Hepatitis A contagious? - ✔✔2 weeks before onset and 1 week after onset
✔✔In what disease process, during the jaundice phase, does the urine darkens and
stools become clay colored? - ✔✔Hepatitis A
✔✔When do you expect to see IgG-specific antibodies in serology? - ✔✔2-4 months
later
✔✔When is measles contagious? - ✔✔3-5 days before rash to 4 days after appearance
✔✔Koplick spots are associated with which disease? - ✔✔Measles
✔✔Any rash on mucosa surfaces are called? - ✔✔Enanthem
✔✔How does one differentiate a scarlet fever rash from a measles rash? - ✔✔The
scarlet fever rash does not fade at all. With a measles rash, when red, fades on
pressure - when brown, does not fade
✔✔What is the most common complication of measles? - ✔✔Pneumonia. Fever that
lasts beyond the third or fourth day of a rash or coughing that continues generally
suggests a complication of measles has occurred.
✔✔When is Rubella contagious? - ✔✔5-7 days after the rash onset.
✔✔Epidemic parotitis is also known as? - ✔✔Mumps
✔✔When is the peak occurrence of Mumps - ✔✔also known as epidemic parotitis, peak
incidence is January to May.
✔✔When is epidemic parotitis contagious? - ✔✔Must exclude children from school for 5
days after onset of parotid glan swelling.
✔✔When does a fever and rash most occur after MMR vaccination? - ✔✔7-12 days
later.
✔✔Name the 4 fat soluable vitamins? - ✔✔A,D,E,K.
✔✔What vitamin supplementation is necessary for a vegan diet patient? - ✔✔Vitamin
B12
