Pediatrics Final Exam Latest This exam
consists of frequently tested questions
and answers solved 100% (verified)
‣ A 6-week-old is suspected of having developmental dysplasia of the hip (DHH). What
test would best assess for this?
Barlow and Ortolani
Galeazzi and Klisic
Trendelenbyrg pelvic tilt test
Romberg balance test -✓✓Barlow and Ortolani
‣ What is the usual recommendation about administering MMR and varicella
immunizations?
they should not be given on the same day under any circumstance
they should be given on the same day or at least one month apart
they cannot be given with the flu vaccine
they can be given only with live vaccines -✓✓they should be given on the same day or
at least one month apart
‣ A pregnant patient is concerned because her 12 month-old needs an MMR
immunization. What should the NP advise this patient?
the MMR is a dead virus; therefore is no risk to the mother
have the child wait until the mom delivers
have the child wait until mom is in her 28th week or later before immunization
MMR immunization presents no risk to the child's mother. immunize now. -✓✓MMR
immunization presents no risk to the child's mother. immunize now.
‣ A 9-year-old female has presented to your clinic because of a rash on the left, upper
area of her anterior trunk. She is embarrassed and very reticent to lift her blouse
because her nipple will be exposed. How should the NP proceed?
examine the patient with the area as covered as possible
the NP should lift the blouse to expose the area for the exam
ask the accompanying caregiver to expose the area for exam
examine all other areas of the trunk, then ask the child to lift her blouse -✓✓examine all
other areas of the trunk, then ask the child to lift her blouse
‣ A positive trendelenburg's test could be used to identify a child with
scoloisis
,Osgood-Schlatter disease
nursemaid's elbow
slipped capital femoral epiphysis -✓✓slipped capital femoral epiphysis
‣ A male child has a swelling in the upper thigh below the inguinal ligament with
cramping and abdominal pain. What is in the NP's differential diagnosis?
testicular torsion
femoral hernia
varicocele
hydrocele -✓✓femoral hernia
‣ Children with Legg-Calve Perthes disease should:
maintain a diet high in protein, vitamins and minerals
sleep on a firm mattress to prevent contractures
avoid weight bearing on the affected extremity
be allowed to play basketball -✓✓avoid weight bearing on the affected extremity
‣ MMR immunization is safe in children:
who are allergic to eggs
younger than 1 year of age
when given every 5 years
if they are at least 5 years of age -✓✓who are allergic to eggs
‣ A 3-year-old female had a fever of 102F for the last 3 days. Today she woke up from a
nap and is afebrile. She has a maculopapular rash. Which statement is true?
this child probably has measles
the rash will blanch
this is a streptococcal rash
this could be Kawasaki disease -✓✓the rash will blanch
‣ A 4-month-old is suspected of having developmental dysplasia of the hip (DDH). What
test would best assess for this?
Barlow and Ortolani
Galeazzi and Klisic
Trendelenburg pelvic tilt test
Romberg balance test -✓✓Galeazzi and Klisic
‣ A NP examines a screaming 2-year-old. A common finding is:
nasal discharge
, increased respiratory rate
pink tympanic membranes
coarse breath sounds -✓✓pink tympanic membranes
‣ Children with an inguinal hernia:
have a history of an intermittent bulge in the groin
are usually symptomatic
have a mass that is always present on exam
are usually irritable and often constipated -✓✓have a history of an intermittent bulge in
the groin
‣ Which statement below is true of infants with developmental dysplasia of the hip?
They usually have other orthopedic ailments.
Most have some congenital orthopedic anomaly.
There's often pain in the hip when the infants diaper is changed.
A palpable clunk is considered diagnostic. -✓✓A palpable clunk is considered
diagnostic.
‣ A four-year-old child with otitis media with effusion:
needs an antibiotic.
probably has a viral infection.
probably has just had acute otitis media.
has cloudy fluid in the middle ear. -✓✓probably has just had acute otitis media.
‣ What is the usual age for vision screening in young children?
2 years
3 years
4 years
5 years -✓✓3 years
‣ What Tanner stage corresponds to an average 8-year-old male?
Stage 0
Stage 1
Stage 2
Stage 3 -✓✓Stage 1
‣ What of the following is true about metatarsus adductus?
This is another term for clubfoot
Mild flexible metatarsus usually spontaneously corrects
consists of frequently tested questions
and answers solved 100% (verified)
‣ A 6-week-old is suspected of having developmental dysplasia of the hip (DHH). What
test would best assess for this?
Barlow and Ortolani
Galeazzi and Klisic
Trendelenbyrg pelvic tilt test
Romberg balance test -✓✓Barlow and Ortolani
‣ What is the usual recommendation about administering MMR and varicella
immunizations?
they should not be given on the same day under any circumstance
they should be given on the same day or at least one month apart
they cannot be given with the flu vaccine
they can be given only with live vaccines -✓✓they should be given on the same day or
at least one month apart
‣ A pregnant patient is concerned because her 12 month-old needs an MMR
immunization. What should the NP advise this patient?
the MMR is a dead virus; therefore is no risk to the mother
have the child wait until the mom delivers
have the child wait until mom is in her 28th week or later before immunization
MMR immunization presents no risk to the child's mother. immunize now. -✓✓MMR
immunization presents no risk to the child's mother. immunize now.
‣ A 9-year-old female has presented to your clinic because of a rash on the left, upper
area of her anterior trunk. She is embarrassed and very reticent to lift her blouse
because her nipple will be exposed. How should the NP proceed?
examine the patient with the area as covered as possible
the NP should lift the blouse to expose the area for the exam
ask the accompanying caregiver to expose the area for exam
examine all other areas of the trunk, then ask the child to lift her blouse -✓✓examine all
other areas of the trunk, then ask the child to lift her blouse
‣ A positive trendelenburg's test could be used to identify a child with
scoloisis
,Osgood-Schlatter disease
nursemaid's elbow
slipped capital femoral epiphysis -✓✓slipped capital femoral epiphysis
‣ A male child has a swelling in the upper thigh below the inguinal ligament with
cramping and abdominal pain. What is in the NP's differential diagnosis?
testicular torsion
femoral hernia
varicocele
hydrocele -✓✓femoral hernia
‣ Children with Legg-Calve Perthes disease should:
maintain a diet high in protein, vitamins and minerals
sleep on a firm mattress to prevent contractures
avoid weight bearing on the affected extremity
be allowed to play basketball -✓✓avoid weight bearing on the affected extremity
‣ MMR immunization is safe in children:
who are allergic to eggs
younger than 1 year of age
when given every 5 years
if they are at least 5 years of age -✓✓who are allergic to eggs
‣ A 3-year-old female had a fever of 102F for the last 3 days. Today she woke up from a
nap and is afebrile. She has a maculopapular rash. Which statement is true?
this child probably has measles
the rash will blanch
this is a streptococcal rash
this could be Kawasaki disease -✓✓the rash will blanch
‣ A 4-month-old is suspected of having developmental dysplasia of the hip (DDH). What
test would best assess for this?
Barlow and Ortolani
Galeazzi and Klisic
Trendelenburg pelvic tilt test
Romberg balance test -✓✓Galeazzi and Klisic
‣ A NP examines a screaming 2-year-old. A common finding is:
nasal discharge
, increased respiratory rate
pink tympanic membranes
coarse breath sounds -✓✓pink tympanic membranes
‣ Children with an inguinal hernia:
have a history of an intermittent bulge in the groin
are usually symptomatic
have a mass that is always present on exam
are usually irritable and often constipated -✓✓have a history of an intermittent bulge in
the groin
‣ Which statement below is true of infants with developmental dysplasia of the hip?
They usually have other orthopedic ailments.
Most have some congenital orthopedic anomaly.
There's often pain in the hip when the infants diaper is changed.
A palpable clunk is considered diagnostic. -✓✓A palpable clunk is considered
diagnostic.
‣ A four-year-old child with otitis media with effusion:
needs an antibiotic.
probably has a viral infection.
probably has just had acute otitis media.
has cloudy fluid in the middle ear. -✓✓probably has just had acute otitis media.
‣ What is the usual age for vision screening in young children?
2 years
3 years
4 years
5 years -✓✓3 years
‣ What Tanner stage corresponds to an average 8-year-old male?
Stage 0
Stage 1
Stage 2
Stage 3 -✓✓Stage 1
‣ What of the following is true about metatarsus adductus?
This is another term for clubfoot
Mild flexible metatarsus usually spontaneously corrects
