PEDIATRICS EXAM zm
Exam Solution
zm
Aquifer 2026 A+ GRADE ASSURED COMPLETE SOLUTIO
zm zm zm zm zm zm
NS AND VERIFIED ANSWERS (A8DEE)
zm zm zm zm
QUESTION 1 zm
"Red flags" of back pain
zm zm zm zm
ANSWER
fecal incontinence, fever, progressive weakness at a single or spinal levels, saddle anesthesia, uninten
zm zm zm zm zm zm zm zm zm zm zm zm zm
ded weight loss, urinary retention
zm zm zm zm
QUESTION 2 zm
Potential hams associated with imaging tests
zm zm zm zm zm
ANSWER
allergic reaction, contrast induced nephropathy, financial burden to patient, incidental findings, pain,
zm zm zm zm zm zm zm zm zm zm zm zm
radiation exposure, nephrogenic systemic fibrosis
zm zm zm zm
QUESTION 3 zm
How much does X ray, CT and MRI cost?
zm zm zm zm zm zm zm zm
ANSWER
X-ray $250, CT $1400, MRI $2500
zm zm zm zm zm
QUESTION 4 zm
Elements of informed decision-making?
zm zm zm
ANSWER
discussion of the patient's role in decision making, discussion of the clinical issue or nature of the d
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ecision, discussion of alternatives, discussion of pros and cons of alternatives, discussion of uncertain
zm zm zm zm zm zm zm zm zm zm zm zm zm
ties associated with the decision, assessment of the patient's understanding, exploration of patient pr
zm zm zm zm zm zm zm zm zm zm zm zm zm
eferences.
,QUESTION 5 zm
Approximately what proportion of health care spending is on wasteful care?
zm zm zm zm zm zm zm zm zm zm
ANSWER
30%
QUESTION 6 zm
There are multiple potential causes for Ms. Shakil's iron-
zm zm zm zm zm zm zm zm
deficiency anemia. From the following list, please select the two conditions that would
zm zm zm zm zm zm zm zm zm zm zm zm z
mbe most likely one year ago when she was initially seen by her primary care provider
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
, when she was initially evaluated and diagnosed with iron-deficiency anemia.
zm zm zm zm zm zm zm zm zm zm
ANSWER
Colon Cancer and Celiac disease
zm zm zm zm
QUESTION 7 zm
What are adequate screening strategies for colorectal cancer?
zm zm zm zm zm zm zm
ANSWER
colonoscopy with follow up screening every 10 years if initial screen is normal, annual hemoccult ca
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rd testing, FOBT or FIT every 3 years plus flexible sigmoidoscopy every 5 years.
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
In a 65 y/o F with a stable sexual partner and history of 3 recent normal pap tests in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mthe last 10 years, how often do you recommend Pap test screening?
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Never
QUESTION 9 zm
Questions to ask patient with depression?zm zm zm zm zm
ANSWER
SIGECAPS
QUESTION 10 zm
, Which of the following principles are used to determine whether to screen for particu
zm zm zm zm zm zm zm zm zm zm zm zm zm
lar diseases?
zm
ANSWER
screen for diseases that are clinically important, screen for disease that have an asymptomatic perio
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
d during which disease can be detected, screen for diseases where there is an accurate, readily avail
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
able, cost- zm
effective screening test that is acceptable to the patient, Screen for diseases for which there is accep
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
table and effective treatment, Screen for diseases where early treatment is beneficial in terms of mo
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rbidity and mortality compared to treatment at a later stage
zm zm zm zm zm zm zm zm zm
QUESTION 11 zm
Which of the following is the definition of a T-score?
zm zm zm zm zm zm zm zm zm
ANSWER
Bone mineral density compared to the reference mean of normal, young individuals. This score is th
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e most relevant measure when screening for osteoporosis.
zm zm zm zm zm zm zm
QUESTION 12 zm
Which of the following are lifestyle changes Mrs. Thompson can make to prevent prog
zm zm zm zm zm zm zm zm zm zm zm zm zm
ression of osteopenia? zm zm
ANSWER
Consume 1200 mg calcium daily, take at least 600 units of vitamin D daily, do weight bearing exerci
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
se for 30 minutes three times weekly.
zm zm zm zm zm zm
QUESTION 13 zm
Which of the following are major categories of preventive care?
zm zm zm zm zm zm zm zm zm
ANSWER
behavioral counseling, immunizations, screening examinations
zm zm zm zm
QUESTION 14 zm
Which of the following are reliable sources for high quality, evidence-
zm zm zm zm zm zm zm zm zm zm
based preventive care recommendations?
zm zm zm
ANSWER
Agency for healthcare research and quality (AHRQ), Centers for Disease Control and Prevention (CDC
zm zm zm zm zm zm zm zm zm zm zm zm zm
), Choosing Wisely Campaign, US preventative Services Task Force (USPSTF)
zm zm zm zm zm zm zm zm zm
Exam Solution
zm
Aquifer 2026 A+ GRADE ASSURED COMPLETE SOLUTIO
zm zm zm zm zm zm
NS AND VERIFIED ANSWERS (A8DEE)
zm zm zm zm
QUESTION 1 zm
"Red flags" of back pain
zm zm zm zm
ANSWER
fecal incontinence, fever, progressive weakness at a single or spinal levels, saddle anesthesia, uninten
zm zm zm zm zm zm zm zm zm zm zm zm zm
ded weight loss, urinary retention
zm zm zm zm
QUESTION 2 zm
Potential hams associated with imaging tests
zm zm zm zm zm
ANSWER
allergic reaction, contrast induced nephropathy, financial burden to patient, incidental findings, pain,
zm zm zm zm zm zm zm zm zm zm zm zm
radiation exposure, nephrogenic systemic fibrosis
zm zm zm zm
QUESTION 3 zm
How much does X ray, CT and MRI cost?
zm zm zm zm zm zm zm zm
ANSWER
X-ray $250, CT $1400, MRI $2500
zm zm zm zm zm
QUESTION 4 zm
Elements of informed decision-making?
zm zm zm
ANSWER
discussion of the patient's role in decision making, discussion of the clinical issue or nature of the d
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ecision, discussion of alternatives, discussion of pros and cons of alternatives, discussion of uncertain
zm zm zm zm zm zm zm zm zm zm zm zm zm
ties associated with the decision, assessment of the patient's understanding, exploration of patient pr
zm zm zm zm zm zm zm zm zm zm zm zm zm
eferences.
,QUESTION 5 zm
Approximately what proportion of health care spending is on wasteful care?
zm zm zm zm zm zm zm zm zm zm
ANSWER
30%
QUESTION 6 zm
There are multiple potential causes for Ms. Shakil's iron-
zm zm zm zm zm zm zm zm
deficiency anemia. From the following list, please select the two conditions that would
zm zm zm zm zm zm zm zm zm zm zm zm z
mbe most likely one year ago when she was initially seen by her primary care provider
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
, when she was initially evaluated and diagnosed with iron-deficiency anemia.
zm zm zm zm zm zm zm zm zm zm
ANSWER
Colon Cancer and Celiac disease
zm zm zm zm
QUESTION 7 zm
What are adequate screening strategies for colorectal cancer?
zm zm zm zm zm zm zm
ANSWER
colonoscopy with follow up screening every 10 years if initial screen is normal, annual hemoccult ca
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rd testing, FOBT or FIT every 3 years plus flexible sigmoidoscopy every 5 years.
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
In a 65 y/o F with a stable sexual partner and history of 3 recent normal pap tests in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mthe last 10 years, how often do you recommend Pap test screening?
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Never
QUESTION 9 zm
Questions to ask patient with depression?zm zm zm zm zm
ANSWER
SIGECAPS
QUESTION 10 zm
, Which of the following principles are used to determine whether to screen for particu
zm zm zm zm zm zm zm zm zm zm zm zm zm
lar diseases?
zm
ANSWER
screen for diseases that are clinically important, screen for disease that have an asymptomatic perio
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
d during which disease can be detected, screen for diseases where there is an accurate, readily avail
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
able, cost- zm
effective screening test that is acceptable to the patient, Screen for diseases for which there is accep
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
table and effective treatment, Screen for diseases where early treatment is beneficial in terms of mo
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rbidity and mortality compared to treatment at a later stage
zm zm zm zm zm zm zm zm zm
QUESTION 11 zm
Which of the following is the definition of a T-score?
zm zm zm zm zm zm zm zm zm
ANSWER
Bone mineral density compared to the reference mean of normal, young individuals. This score is th
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e most relevant measure when screening for osteoporosis.
zm zm zm zm zm zm zm
QUESTION 12 zm
Which of the following are lifestyle changes Mrs. Thompson can make to prevent prog
zm zm zm zm zm zm zm zm zm zm zm zm zm
ression of osteopenia? zm zm
ANSWER
Consume 1200 mg calcium daily, take at least 600 units of vitamin D daily, do weight bearing exerci
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
se for 30 minutes three times weekly.
zm zm zm zm zm zm
QUESTION 13 zm
Which of the following are major categories of preventive care?
zm zm zm zm zm zm zm zm zm
ANSWER
behavioral counseling, immunizations, screening examinations
zm zm zm zm
QUESTION 14 zm
Which of the following are reliable sources for high quality, evidence-
zm zm zm zm zm zm zm zm zm zm
based preventive care recommendations?
zm zm zm
ANSWER
Agency for healthcare research and quality (AHRQ), Centers for Disease Control and Prevention (CDC
zm zm zm zm zm zm zm zm zm zm zm zm zm
), Choosing Wisely Campaign, US preventative Services Task Force (USPSTF)
zm zm zm zm zm zm zm zm zm
