Update 2025-2026 Actual Exam 150 Questions
with 100% Verified Correct Answers Guaranteed
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· Acute Concussion evaluation tool
https://www.cdc.gov/headsup/pdfs/providers/ace-a.pdf - CORRECT ANSWER: A. Injury
Characteristics Date/Time of Injury
1. Injury Description
Reporter: __Patient __Parent __Spouse __Other________
1a. Is there evidence of a forcible blow to the head (direct or indirect)?
1b. Is there evidence of intracranial injury or skull fracture?
1c. Location of Impact: __Frontal __Lft Temporal __Rt Temporal __Lft Parietal __Rt
Parietal __Occipital __Neck __Indirect Force
2. Cause: __MVC __Pedestrian-MVC __Fall __Assault __Sports (specify) Other
3. Amnesia Before (Retrograde) Are there any events just BEFORE the injury that you/
person has no memory of (even brief)? __ Yes __No Duration
4. Amnesia After (Anterograde) Are there any events just AFTER the injury that you/
person has no memory of (even brief)? __ Yes __No Duration
5. Loss of Consciousness: Did you/ person lose consciousness? __ Yes __No Duration
6. EARLY SIGNS: __Appears dazed or stunned __Is confused about events __Answers
questions slowly __Repeats Questions __Forgetful (recent info)
7. Seizures: Were seizures observed? No__ Yes___ Detail _______Yes __No __Yes
__No__Unknown __Unknown
B. Symptom Check List* Since the injury, has the person experienced any of these
symptoms any more than usual today or in the past day?
Indicate presence of each symptom (0=No, 1=Yes).
PHYSICAL (10)
,Headache
Nausea
Vomiting
Balance problems
Dizziness
Visual problems
Fatigue
Sensitivity to light
Sensitivity to noise
Numbness/Tingling
COGNITIvE (4)
Feeling mentally foggy
Feeling slowed down
Difficulty concentrating
Difficulty remembering
COGNITIvE Total (0-4)
EMOTIONAL (4)
_____
SLEEP (4)
Drowsiness
Sleeping less than usual
Sleeping more than usual
Trouble falling asleep
SLEEP Total (0-4) _____
PHYSICAL Total (0-10) _____
,Irritability 0 1
Sadness 0 1
More emotional 0 1
Nervousness 0 1
EMOTIONAL Total (0-4) _____
(Add Physical, Cognitive, Emotion, Sleep total
· Health literacy- - CORRECT ANSWER: ● Mutual understanding and health planning
● Assessing and fostering health literacy- ability to read/communicate ,
evaluate/interpret health information
● Low health literacy affects health status- increased ED use, fewer preventative
measures, poor treatment management
● Screening tools include FOG index, SMOG, Flesch-Kincaid Readability tests, Rapid
estimate of Adolescent literacy in medicine
● Be clear in communication- avoid jargon, speak clearly, use a variety of education
materials, written materials at 5th grade level.
· Know asthma severity and classification system - CORRECT ANSWER:
https://ginasthma.org/wp-content/uploads/2020/04/Main-pocket-guide_2020_04_03-
final-wms.pdf
· Know when to refer to cardiologist - CORRECT ANSWER: Refer all children with
family history of SCD, inheritable cardiomyopathies, Marfan syndrome, chest pain
concerns, acquired or congenital heart disease, cardiac rhythm disturbances,
palpitations
· Know your grades of murmurs p.763 - CORRECT ANSWER: Grade I- barely audible,
heard faintly after a period of attentive listening
Grade II- soft but easily audible
Grade III- Moderately loud
, no thrill
Grade IV- Loud
present over widespread area
thrill present
Grade V- Loud
audible with stethoscope barely on the chest
precordial thrill present
Grade VI- Heard without stethoscope (rare)
· Management of hypertension - CORRECT ANSWER: ● Management
○ BP annually all children 3 years and older
○ Prehypertension: two follow-up BPs
○ Hypertension: if overweight: treatment of obesity with lifestyle changes. Refer to
nephrologist if HTN persistent
○ Medication management Table 31-11
Ch 38 - 7th edition
Ch 30 - 5th edition, p. 695
■
Strep throat: History - CORRECT ANSWER: ● •Ill with no URI symptoms
● •Headache
● •Fever at home
● •Exposure
■ Bacterial conjunctivitis: Clinical findings - CORRECT ANSWER: ● Erythema
● Yellow-green purulent discharge
● Encrusted/matted eyelids on awakening