PEDIATRICS EXAM zm
Exam Solution zm
Aquifer Peds 2026 A+ GRADE ASSURED COMPLETE SOL zm zm zm zm zm zm zm
UTIONS AND VERIFIED ANSWERS (E1389) zm zm zm zm
QUESTION 1 zm
What is your assessment of Tyler's feeding? Choose the single best answer.
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ANSWER
The feeding history suggests a problem with Tyler's ability to feed adequately.
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QUESTION 2 zm
What would you tell the mother now, in answer to her question? Choose the single be
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st answer.
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ANSWER
I am concerned that Tyler's feedings do not seem to be going well. Can I ask you a few more questi
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ons about Tyler to help us find out if there is a problem?
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QUESTION 3 zm
Based on the history, it sounds as if Tyler is having some real difficulties with his fee
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ds. Which of the following might be causing Tyler's difficulty feeding, respiratory distr
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ess, and diaphoresis? Select all that apply.
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ANSWER
CHD/CHF, respiratory infection, sepsis, metabolic disorder
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QUESTION 4 zm
Which of his vital signs is abnormal? Choose the single best answer.
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ANSWER
RR
,QUESTION 5 zm
What do you hear in the audio of Tyler's heart sounds? Choose the single best answer
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.
ANSWER
Holosystolic murmur zm
QUESTION 6 zm
Based on what you know about the patient so far, write a one- to three-
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sentence summary statement to communicate your understanding of the patient to ot
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her providers.
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ANSWER
Tyler is a 6-week-
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old former term infant who has recent onset of progressive dyspnea with feedings, diaphoresis, and
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poor weight gain (having only gained 300 grams from his birth weight). He is acyanotic with a nor
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mal temperature, but exam reveals tachypnea, an active precordium, Grade III holosystolic murmur,
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and hepatomegaly.
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QUESTION 7 zm
With your summary statement in mind, what etiologies now remain in your differenti
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al diagnosis?
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ANSWER
CHF
QUESTION 8 zm
What is the most common cause of a murmur in childhood? Choose the single best an
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swer
ANSWER
Innocent murmur zm
QUESTION 9 zm
What congenital heart defects are more likely to be detected in school-
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age children than in neonates? Select all that apply.
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ANSWER
,ASD, bicuspid aortic valve
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QUESTION 10 zm
Which of these sounds most like Tyler's murmur? Choose the single best answer.
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ANSWER
VSD
QUESTION 11 zm
What other common congenital heart defects can present with signs of congestive hea
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rt failure and a murmur? Select all that apply.
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ANSWER
Aortic stenosis, Coarctation of Aorta, PDA
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QUESTION 12 zm
Which of these diagnostic tests should you order to help you assess Tyler's clinical sta
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tus? Select all that apply.
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ANSWER
ECG, Echo, CXR
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QUESTION 13 zm
This is the chest x-
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ray you ordered on Tyler. What do you think this film shows? Choose the single best
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answer.
ANSWER
Increased heart size, increased pulmonary vascular markings
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QUESTION 14 zm
While Tyler was in the newborn nursery, his parents were told that the initial exam
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was normal, with no murmur noted. They ask why the murmur was not noted in the
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nursery.
ANSWER
There is elevated pulmonary vascular resistance in a newborn
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, QUESTION 15 zm
What medications might be effective at improving Tyler's symptoms of heart failure?
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ANSWER
Furosemide, digoxin, elanapril zm zm
QUESTION 16 zm
A 5-week-
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old infant is brought to the pediatrician for failure to thrive with a history of prolong
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ed feeding time and tachypnea. What other features does this infant most likely have?
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ANSWER
Hyperdynamic precordium with holosystolic murmur zm zm zm zm
QUESTION 17 zm
You have accepted a part-time tutoring job for first-
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year medical students. One of your students asks if you would please clarify the detail
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s of normal fetal circulation. Which of the following best describes the path oxygenate
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d blood takes to reach the fetal brain?
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ANSWER
RA > foramen ovale > LA > LV > systemic circulation
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QUESTION 18 zm
A 5-year-
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old boy is noted to have a grade II systolic murmur and a widely split S2 murmur on
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cardiac exam. His vital signs are stable and he has been asymptomatic. Which of the f
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ollowing statement is accurate regarding this child's presentation and likely condition
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?
ANSWER
This patient's murmur is caused by excessive flow through the pulmonary outflow tract and should
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be evaluated
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QUESTION 19 zm
After reviewing the chart, what are some of the important details that you already kn
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ow about Sunita?
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Exam Solution zm
Aquifer Peds 2026 A+ GRADE ASSURED COMPLETE SOL zm zm zm zm zm zm zm
UTIONS AND VERIFIED ANSWERS (E1389) zm zm zm zm
QUESTION 1 zm
What is your assessment of Tyler's feeding? Choose the single best answer.
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
The feeding history suggests a problem with Tyler's ability to feed adequately.
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QUESTION 2 zm
What would you tell the mother now, in answer to her question? Choose the single be
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st answer.
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ANSWER
I am concerned that Tyler's feedings do not seem to be going well. Can I ask you a few more questi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ons about Tyler to help us find out if there is a problem?
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 3 zm
Based on the history, it sounds as if Tyler is having some real difficulties with his fee
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ds. Which of the following might be causing Tyler's difficulty feeding, respiratory distr
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ess, and diaphoresis? Select all that apply.
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ANSWER
CHD/CHF, respiratory infection, sepsis, metabolic disorder
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QUESTION 4 zm
Which of his vital signs is abnormal? Choose the single best answer.
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ANSWER
RR
,QUESTION 5 zm
What do you hear in the audio of Tyler's heart sounds? Choose the single best answer
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.
ANSWER
Holosystolic murmur zm
QUESTION 6 zm
Based on what you know about the patient so far, write a one- to three-
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sentence summary statement to communicate your understanding of the patient to ot
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her providers.
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ANSWER
Tyler is a 6-week-
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old former term infant who has recent onset of progressive dyspnea with feedings, diaphoresis, and
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
poor weight gain (having only gained 300 grams from his birth weight). He is acyanotic with a nor
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
mal temperature, but exam reveals tachypnea, an active precordium, Grade III holosystolic murmur,
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and hepatomegaly.
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QUESTION 7 zm
With your summary statement in mind, what etiologies now remain in your differenti
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al diagnosis?
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ANSWER
CHF
QUESTION 8 zm
What is the most common cause of a murmur in childhood? Choose the single best an
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swer
ANSWER
Innocent murmur zm
QUESTION 9 zm
What congenital heart defects are more likely to be detected in school-
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age children than in neonates? Select all that apply.
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ANSWER
,ASD, bicuspid aortic valve
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QUESTION 10 zm
Which of these sounds most like Tyler's murmur? Choose the single best answer.
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ANSWER
VSD
QUESTION 11 zm
What other common congenital heart defects can present with signs of congestive hea
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rt failure and a murmur? Select all that apply.
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ANSWER
Aortic stenosis, Coarctation of Aorta, PDA
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QUESTION 12 zm
Which of these diagnostic tests should you order to help you assess Tyler's clinical sta
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tus? Select all that apply.
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ANSWER
ECG, Echo, CXR
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QUESTION 13 zm
This is the chest x-
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ray you ordered on Tyler. What do you think this film shows? Choose the single best
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answer.
ANSWER
Increased heart size, increased pulmonary vascular markings
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QUESTION 14 zm
While Tyler was in the newborn nursery, his parents were told that the initial exam
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was normal, with no murmur noted. They ask why the murmur was not noted in the
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nursery.
ANSWER
There is elevated pulmonary vascular resistance in a newborn
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, QUESTION 15 zm
What medications might be effective at improving Tyler's symptoms of heart failure?
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ANSWER
Furosemide, digoxin, elanapril zm zm
QUESTION 16 zm
A 5-week-
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old infant is brought to the pediatrician for failure to thrive with a history of prolong
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ed feeding time and tachypnea. What other features does this infant most likely have?
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ANSWER
Hyperdynamic precordium with holosystolic murmur zm zm zm zm
QUESTION 17 zm
You have accepted a part-time tutoring job for first-
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year medical students. One of your students asks if you would please clarify the detail
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s of normal fetal circulation. Which of the following best describes the path oxygenate
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d blood takes to reach the fetal brain?
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ANSWER
RA > foramen ovale > LA > LV > systemic circulation
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QUESTION 18 zm
A 5-year-
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old boy is noted to have a grade II systolic murmur and a widely split S2 murmur on
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cardiac exam. His vital signs are stable and he has been asymptomatic. Which of the f
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ollowing statement is accurate regarding this child's presentation and likely condition
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?
ANSWER
This patient's murmur is caused by excessive flow through the pulmonary outflow tract and should
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be evaluated
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QUESTION 19 zm
After reviewing the chart, what are some of the important details that you already kn
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ow about Sunita?
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