QUESTIONS AND VERIFIED ANSWERS NEW UPDATE 2026-
2027 ASSURED PASS!!!!!!!!!!!!!!!!!!!!!!
The most sensitive indicator of a child's neurologic status is:
a. Mood and affect
b. Gait and balance
c. Cranial nerve assessment
d. Level of consciousness - ANS... -d. Level of consciousness
Which of the following assessments indicates potential cerebellar dysfunction?
a. Ataxia
b. Graphesthesia
c. Hearing deficits
d. Stereognosis - ANS... -a. Ataxia
To assess vestibular function of the acoustic nerve in a child, the examiner would:
a. Perform the whisper test
b. Perform the Romberg test
c. Perform the Weber test
d. Perform the Rinne test - ANS... -b. Perform the Romberg test
To examine for the function of the hypoglossal nerve in a child, the examiner
would:
a. Ask the child to identify tastes
b. Ask the child to stick out his or her tongue
c. Test the child's ability to swallow
d. Ask the child to nod his or her head from side to side - ANS... -b. Ask the child
to stick out his or her tongue
Select the correct sequence of techniques used during an examination of a child's
abdomen:
a. Percussion, inspection, palpation, auscultation
b. Inspection, palpation, percussion, auscultation
c. Inspection, auscultation, percussion, palpation
d. Auscultation, inspection, palpation, percussion - ANS... -c. Inspection,
auscultation, percussion, palpation
,When percussing a child's abdomen, you note tympany. This is indicative of the
presence of:
a. Fluid
b. Air
c. Feces
d. Hepatomegaly - ANS... -b. Air
When inspecting the child's abdomen, the examiner notes a midline muscular
separation with bulging at the child cries. This finding is a(n):
a. Umbilical hernia
b. Inguinal hernia
c. Omphalocele
d. Diastasis recti - ANS... -d. Diastasis recti
A 10-month-old infant is brought to the clinic with complaints of cough and
rhinorrhea. When auscultating the child's lungs, you note a large, bulging umbilical
mass. The mass is easily reducible but increases when the child cries. This
assessment finding is a(n):
a. Inguinal hernia
b. Umbilical hernia
c. Gastroschisis
d. Omphalocele - ANS... -b. Umbilical hernia
The iliopsoas (psoas sign) test is used to identify:
a. Splenic enlargement
b. Costovertebral tenderness
c. Intra-abdominal inflammation
d. Decreased peristalsis or intestinal activity - ANS... -c. Intra-abdominal
inflammation
A child who exhibits a positive Gower sign likely has a:
a. Fracture
b. Myopathy
c. Hip infection
d. Seizure disorder - ANS... -b. Myopathy
Uneven knee height with knees flexed in a supine infant indicates:
,a. Genu varum
b. Tibial torsion
c. Developmental dysplasia of the hip
d. Metatarsus adductus - ANS... -c. Developmental dysplasia of the hip
A rapid and rhythmic, jerking movement of the foot caused by the sudden
stretching of a tendon is termed:
a. Tremor
b. Clonus
c. Nystagmus
d. Myoclonus - ANS... -b. Clonus
Muscle strength in the lower extremities can be assessed in a 6-month-old infant
by:
a. Pulling the infant from the sitting to the standing position
b. Placing the infant prone and observing whether the infant can crawl
c. Performing the Ortolani maneuver
d. Observing the infant try to pull to stand - ANS... -a. Pulling the infant from the
sitting to the standing position
The most common presenting symptom of neuromuscular disease in children is:
a. Fatigue
b. Muscle weakness
c. Myoclonus
d. Tremors - ANS... -b. Muscle weakness
Genu varum (bow legs) is normal until age:
a. 3-4 years
b. 4-5 years
c. 5-6 years
d. 6-7 years - ANS... -a. 3-4 years
The varus deformity of both tibias caused by chronic obesity is:
a. Osgood-Schlatter disease
b. McMurray disease
c. Blount's disease
d. Werdnig-Hoffmann disease - ANS... -c. Blount's disease
A marked limp or refusal to walk accompanied by fever, point tenderness, or
limited range of motion in the hip suggests:
, a. Juvenile rheumatoid arthritis
b. Osteomyelitis
c. Cerebral palsy
d. Sacroiliac inflammation - ANS... -b. Osteomyelitis
The forward bending test is an essential screening tool for:
a. Lordosis in preschool children
b. Kyphosis in school-aged children
c. Torticollis in all age groups
d. Scoliosis in school-aged children and adolescents - ANS... -d. Scoliosis in
school-aged children and adolescents
A normal healthy full-term infant should be able to walk independently by age:
a. 9-12 months
b. 12-15 months
c. 15-18 months
d. 18-21 months - ANS... -b. 12-15 months
A 7-year-old child is asked to stand straight and then raise the right leg off the
ground. When bearing weight on the left hip, the pelvis will drop on the right side.
This finding is the:
a. Trendelenburg sign
b. Barlow sign
c. Ortolani sign
d. Galeazzi sign - ANS... -a. Trendelenburg sign
Which of the following statements regarding pes planus (flat feet) is true?
a. A normal variation, beginning at 2 to 3 years and resolving by approximately 7
to 8 years
b. A normal variation in infants as they first begin to walk, then slowly resolving as
the child grows
c. A normal variation in infants until approximately age 3 to 4 months
d. A normal variation, beginning at 2 to 3 years, resolving by adolescence - ANS...
-b. A normal variation in infants as they first begin to walk, then slowly resolving
as the child grows
When auscultating bowel sounds in an infant or a young child, it is essential to use
a pediatric stethoscope because:
a. A stethoscope diaphragm that is too large may also encompass lung sounds,
confusing the clinical picture