PC-PNCB Exam Topics, Exam Review. Top Questions & Answers. Rated A+

PC-PNCB Exam Topics, Exam Review. Top Questions & Answers. Rated A+ BACKGROUND: - 3yo boy - abnormal stools x6mo (greasy, floating) - Freq sinus infxn (tx = amox) QUESTION: Which DX test? A) Anti-transglutaminase IgA B) Ciliary biopsy + molecular genetic testing C) Pulm Fxn Testing D) Sweat Chloride Testing CORRECT ANSWER(S): D) Sweat Chloride Test for CF (60mEq/L) WRONG ANSWERS: A) Dx's celiac disease B) Dx's primary ciliary dyskinesia C) Dx asthma & determines lung fxn in CF BACKGROUND: - IOM recommendations of NP as part of a team QUESTION: Which is true? A) Regulatory construct that mandates autonomy of NP B) Leader appointed by statute C) Laws allow full participation of team to potential of training and skill D) NP role varies CORRECT ANSWER(S): D) NP role varies WRONG ANSWERS: A) Team-based care is not a regulatory construct B) Should be flexible C) Current laws prohibit this BACKGROUND: - 1 wk old infant - "Clunk" with adducting legs while applying downward and lateral pressure on knees QUESTION: What sign is this? A) Barlow B) Psoas C) Ortolani D) Galeazzi CORRECT ANSWER(S): A) Barlow -- DDH WRONG ANSWERS: B) Pain elicited by passively extending thigh of pt lying on side -- appendicitis C) Hip relocation and "clunk" w/abduction of legs and lifting up on trochanters --DDH D) Discrepancy in height of flexed thighs (affected limb is shortened) --DDH BACKGROUND: - 25-OH Vitamin D Level of 19ng/mL - Normal Xrays QUESTION: What is the diagnosis? A) Vitamin D Deficiency B) Rickets C) Vitamin D Insufficiency D) Nothing, this child is normal CORRECT ANSWER(S): A) Vit D Deficiency levels are 20 WRONG ANSWERS: B) Can't be this because normal Xray C) Vit D Insuff levels are 20-30 D) Incorrect BACKGROUND: - Screening test of 100 subjects - 20 screening tests are positive (18 actually have it) - 80 screening tests are negative (10 actually have it) QUESTION: What probability that pt has it when test is positive? A) 0.28 B) 0.64 C) 0.87 D) 0.90 CORRECT ANSWER(S): D) Positive Predictive Value: 18 correct positives / 20 total positives = 0.90 % are correct positives WRONG ANSWERS: A) This is the Prevalence (total number of those that actually have it / total number of subjects) B) This is the Sensitivity (# positive tests/#people with disease) C) Negative Predictive Value (probability that person will not have the disease if the test is negative = 70/80) BACKGROUND: - Avoidance QUESTION: What is true when using avoidance as a method of conflict resolution? A) Results in pursuing one's own goals at expense of another B) Results in meeting the goal's of the other person C) It does not address the conflict D) Effective when individuals are of equal power CORRECT ANSWER(S): C) It does not address the conflict, only postpones it WRONG ANSWERS: A) This is Competition B) This is Accommodation D) This is Compromise BACKGROUND: - Pt in alcohol withdrawal QUESTION: How do you communicate with this pt? A) Cheerful tone & humor B) Short sentences & matter of fact manner C) Loud voice to ensure pt can hear D) Full explanations in a soft voice CORRECT ANSWER(S): B) Pt may be disoriented & anxious WRONG ANSWERS: A) Leads pt to feeling like the staff member is laughing at him, which may lead to withdrawal C) Loud tone of voice makes pt feel as though he's being yelled at or chastised D) Typically these pts can't follow extensive explanations, so keep sentences short & to the point BACKGROUND: - 10yo male w/Constitutional Growth Delay QUESTION: Kid asks, "When will I be as tall as my Dad?" A) Eventually, you'll hit a growth spurt B) Little chance you'll be as tall as your dad C) Unsure what final height will be, but should be less than Dad D) Eat well, otherwise you'll always be short CORRECT ANSWER(S):