PEDS 2021 FINAL EXAM MARKED CORRECTLY,
RATED A+
1. Absence seizures
- Appear as altered awareness and blank stare for a brief period
2. A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional
symptom would cause the NP to suspect Crohn's disease?
- Blood, mucous diarrhea
3. A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-ray reveals bilateral
pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal.
The most likely etiology is
- Chlamydia pneumonia
4. Primary dysmenorrhea is due to
- Elevated prostaglandin level
5. The diet of a 3-year-old with cystic fibrosis should be supplemented with which of the following?
- Vitamin D
6. Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has
increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram. Which
of the following diagnosis would you suspect Robert as having?
- Marfan syndrome
7. Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a "Christmas tree" distribution. It is
predominantly on her trunk. One lesion is on her buttock that is larger than the other, at about 4
cm in diameter. What is your diagnosis?
Pityriasis rosea
,8. The most common central nervous system side effect of mumps in children i
– Ataxia
9. John is 4 years old and in today for a well child visit. He is due for his 4-year-old immunizations.
He was recently diagnosed with ALL and is being treated with chemotherapy and radiation.
Which statement is true about immunizations during treatments during childhood cancer?
- Immunizations are not given during active chemotherapy
10. What is the appropriate management of a child with asthma who presents with acute wheezing
and/or coughing?
- Administer a short-acting beta agonist
11. A 6-year-old male is brought in for evaluation of a painful hip. He has been limping and not
wanting to walk for the past 2 days. He has no obvious injury. He feels a little better if he is given
ibuprofen. He has not had a fever and does not have any other current symptoms, although he
had "the flu" last week. On examination, his vital signs are normal. His right hip has some pain
with internal rotation. He walks with a pronounced limp. Which of the following statements is
most accurate?
- He should have a complete blood count (CBC) and ESR.
12. Drew is a 6-month-old with newly diagnosed sickle cell disease. His mother brings him to the
office for a well-baby visit. Which of the following should you do on this visit?
- Immunize Drew with diphtheria, tetanus, and pertussis: Haemophilus influenzae type B
(HIB), hepatitis B (HBV), and polio vaccines.
13. A 5-year-old girl is somewhat short and has mild leg bowing. Her medical history is significant
only for well-controlled seizure disorder. Serum calcium, phosphorus, and alkaline phosphatase
levels and urinary amino acid concentration are normal. A bone age is notable for abnormal
distal radius and ulna mineralization. Which of the following is the most likely diagnosis?
- Vitamin D deficiency
14. Kawasaki disease is most common in
- Children younger than 5 years of age
, 15. The most common congenital heart defect in children as
- Ventricular septal defect
16. Which of the following is a characteristic physical sign of fragile X syndrome in adolescent
males? - Macro-orchidism
17. While doing a 5-year-old well child exam, you notice two small patches of hair loss. Broken hair
is present, as is erythema and scaling. On the basis of this information, which of these is the
likely diagnosis? - Tinea corporis
18. Which of the following is not a feature of DiGeorge syndrome? - Frontal bossing
19. Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis? -
Port-wine stain (nervus flammeus)
20. A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare facility. What is
the likely cause of the illness? - Rotavirus
21. During the 2-year-old well-child visit, the child's mother shows you a picture from the birthday
party. You notice only one eye has a red reflex on the picture. When you do the exam, in the
right eye, you notice leukocoria. What is your diagnosis? - Retinoblastoma
22. Prophylactic penicillin should be started in children with sickle cell anemia by - 2 to 3 months of
age
23. A 7-month-old female was brought by her mother to an outpatient clinical because of a 2-day
history of fever, copious nasal secretions, and wheezing. The mother volunteered that the baby
has been healthy and has not had these symptoms in the past. The infant's temperature is noted
to be 100.7°F, her respiratory rate is 50 breaths/min, and her pulse oximetry is 95% on room air.
Physical examination reveals no signs of dehydration, but wheezing is hear on lung auscultation.
The infant shows no improvement after three treatments with nebulized albuterol. Which of the
following is recommended treatment? - Supportive care with hydration and humidified oxygen
RATED A+
1. Absence seizures
- Appear as altered awareness and blank stare for a brief period
2. A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional
symptom would cause the NP to suspect Crohn's disease?
- Blood, mucous diarrhea
3. A 16-year-old presents with pharyngitis, cough, and high fever. Her chest x-ray reveals bilateral
pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal.
The most likely etiology is
- Chlamydia pneumonia
4. Primary dysmenorrhea is due to
- Elevated prostaglandin level
5. The diet of a 3-year-old with cystic fibrosis should be supplemented with which of the following?
- Vitamin D
6. Robert, your 15-year-old male patient, is here today for a well visit. He is tall in stature and has
increased arm span, laxity of joints, pectus excavatum, and an abnormal echocardiogram. Which
of the following diagnosis would you suspect Robert as having?
- Marfan syndrome
7. Riley, a 12-year-old girl, has scaly, hyperpigmented lesions in a "Christmas tree" distribution. It is
predominantly on her trunk. One lesion is on her buttock that is larger than the other, at about 4
cm in diameter. What is your diagnosis?
Pityriasis rosea
,8. The most common central nervous system side effect of mumps in children i
– Ataxia
9. John is 4 years old and in today for a well child visit. He is due for his 4-year-old immunizations.
He was recently diagnosed with ALL and is being treated with chemotherapy and radiation.
Which statement is true about immunizations during treatments during childhood cancer?
- Immunizations are not given during active chemotherapy
10. What is the appropriate management of a child with asthma who presents with acute wheezing
and/or coughing?
- Administer a short-acting beta agonist
11. A 6-year-old male is brought in for evaluation of a painful hip. He has been limping and not
wanting to walk for the past 2 days. He has no obvious injury. He feels a little better if he is given
ibuprofen. He has not had a fever and does not have any other current symptoms, although he
had "the flu" last week. On examination, his vital signs are normal. His right hip has some pain
with internal rotation. He walks with a pronounced limp. Which of the following statements is
most accurate?
- He should have a complete blood count (CBC) and ESR.
12. Drew is a 6-month-old with newly diagnosed sickle cell disease. His mother brings him to the
office for a well-baby visit. Which of the following should you do on this visit?
- Immunize Drew with diphtheria, tetanus, and pertussis: Haemophilus influenzae type B
(HIB), hepatitis B (HBV), and polio vaccines.
13. A 5-year-old girl is somewhat short and has mild leg bowing. Her medical history is significant
only for well-controlled seizure disorder. Serum calcium, phosphorus, and alkaline phosphatase
levels and urinary amino acid concentration are normal. A bone age is notable for abnormal
distal radius and ulna mineralization. Which of the following is the most likely diagnosis?
- Vitamin D deficiency
14. Kawasaki disease is most common in
- Children younger than 5 years of age
, 15. The most common congenital heart defect in children as
- Ventricular septal defect
16. Which of the following is a characteristic physical sign of fragile X syndrome in adolescent
males? - Macro-orchidism
17. While doing a 5-year-old well child exam, you notice two small patches of hair loss. Broken hair
is present, as is erythema and scaling. On the basis of this information, which of these is the
likely diagnosis? - Tinea corporis
18. Which of the following is not a feature of DiGeorge syndrome? - Frontal bossing
19. Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis? -
Port-wine stain (nervus flammeus)
20. A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare facility. What is
the likely cause of the illness? - Rotavirus
21. During the 2-year-old well-child visit, the child's mother shows you a picture from the birthday
party. You notice only one eye has a red reflex on the picture. When you do the exam, in the
right eye, you notice leukocoria. What is your diagnosis? - Retinoblastoma
22. Prophylactic penicillin should be started in children with sickle cell anemia by - 2 to 3 months of
age
23. A 7-month-old female was brought by her mother to an outpatient clinical because of a 2-day
history of fever, copious nasal secretions, and wheezing. The mother volunteered that the baby
has been healthy and has not had these symptoms in the past. The infant's temperature is noted
to be 100.7°F, her respiratory rate is 50 breaths/min, and her pulse oximetry is 95% on room air.
Physical examination reveals no signs of dehydration, but wheezing is hear on lung auscultation.
The infant shows no improvement after three treatments with nebulized albuterol. Which of the
following is recommended treatment? - Supportive care with hydration and humidified oxygen
