PULMONARY ROSH EXAM WITH QUESTIONS AND ANSWERS p p p p p p
(VERIFIED AND DETAILED ANSWERS) LATEST2024/2025
p p p p p p
A 4-year-
p
old boy presents to your office with his mother to discuss concerning sy
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mptoms of shortness of breath, facial swelling, cough,
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and development of urticaria after eating peanut butter for the first ti
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me. The patient is referred to an allergy specialist and both skin prick
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and immunoglobulin E antibody testing results are positive forpeanut
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allergy. Which of the following is the first priority in caring for this pa
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tient?
A. Access to injectable epinephrine p p p
B. Avoid all nuts, seeds, and legumes
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C. Oral desensitization to peanuts
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D. Physician-supervised oral food challenge p p p
Access to injectable epinephrine
p p p
A 15-year-
p
old boy presents to the clinic with fever, posterior cervicallymphaden
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opathy, sore throat, and splenomegaly. Which of the following is the b
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est test to confirm the most likely diagnosis?
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A. Epstein-Barr virus-specific antibodies p p
B. Heterophile antibody test p p
C. Rapid antigen detection test p p p
D. Throat culture p
Heterophile antibody test p p
,A 7-year-
p
old girl presents to her pediatrician with a malar rash withcircumoral
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pallor. Her mother states that the rash was preceded byfever and rhin
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orrhea. Which of the following is the most likely
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causative pathogen? p
A. Human herpesvirus 6 p p
B. Parvovirus B19 p
C. Rubella
D. Rubeola
Parvovirus B19 p
A 6-year-
p
old boy is brought to the clinic for evaluation of headache,generalized
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malaise, and myalgia that began three days after his
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return from camping. Laboratory studies confirm the suspected dia
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gnosis of Rocky Mountain spotted fever. Which of the followingis the
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appropriate treatment? p
A. Amoxicillin
B. Clarithromycin
C. Doxycycline
D. Penicillin G p
Doxycycline
A 12-year-
p
old girl is referred to you for treatment of scoliosis which was discover
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ed on a recent physical examination. She is in good health, has no back
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pain, and her neurologic examination is normal.
p p p p p p p
X-
rays show a right thoracic curve with a Cobb angle of 32° and aleft lu
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mbar curve with a Cobb angle of 26°. Which of the followingpieces of i
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nformation will be most helpful in deciding whether bracing is approp
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riate for this patient?
p p p
,A. Genetic testing
p
, B. Magnetic resonance imaging of the spine p p p p p
C. Measurement of the patient’s and parents’ height p p p p p p
D. X-ray of the pelvis p p p
X-ray of the pelvis
p p p
An 8-year-
p
old boy presents for his annual physical with complaintsof night-
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time cough and intermittent wheezing. Which of the following diagno
p p p p p p p p p
stic studies would confirm a diagnosis of asthma?
p p p p p p p
A. Arterial blood gas p p
B. Bronchoscopy
C. Chest radiograph p
D. Spirometry
Spirometry
A 10-month-
p
old boy presents to the emergency department with a widespread mac
p p p p p p p p p p
ulopapular rash. His mother states he had a fever for three days that s
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uddenly resolved prior to the development of therash. Which of the fol
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lowing infectious exanthems is the most likely cause?
p p p p p p p
A. Erythema infectiosum p
B. Roseola infantum p
C. Rubella
D. Rubeola
Roseola infantum p
A 13-year-old obese boy presents to the clinic with insidious left-
p p p p p p p p p p
sided hip pain and altered gait for the past three months. The hip pain
p p p p p p p p p p p p p p
is worse with activity. He reports no history of trauma. Based
p p p p p p p p p p p
(VERIFIED AND DETAILED ANSWERS) LATEST2024/2025
p p p p p p
A 4-year-
p
old boy presents to your office with his mother to discuss concerning sy
p p p p p p p p p p p p
mptoms of shortness of breath, facial swelling, cough,
p p p p p p p
and development of urticaria after eating peanut butter for the first ti
p p p p p p p p p p p
me. The patient is referred to an allergy specialist and both skin prick
p p p p p p p p p p p p p
and immunoglobulin E antibody testing results are positive forpeanut
p p p p p p p p p p
allergy. Which of the following is the first priority in caring for this pa
p p p p p p p p p p p p p
tient?
A. Access to injectable epinephrine p p p
B. Avoid all nuts, seeds, and legumes
p p p p p
C. Oral desensitization to peanuts
p p p
D. Physician-supervised oral food challenge p p p
Access to injectable epinephrine
p p p
A 15-year-
p
old boy presents to the clinic with fever, posterior cervicallymphaden
p p p p p p p p p p
opathy, sore throat, and splenomegaly. Which of the following is the b
p p p p p p p p p p p
est test to confirm the most likely diagnosis?
p p p p p p p
A. Epstein-Barr virus-specific antibodies p p
B. Heterophile antibody test p p
C. Rapid antigen detection test p p p
D. Throat culture p
Heterophile antibody test p p
,A 7-year-
p
old girl presents to her pediatrician with a malar rash withcircumoral
p p p p p p p p p p p p
pallor. Her mother states that the rash was preceded byfever and rhin
p p p p p p p p p p p p
orrhea. Which of the following is the most likely
p p p p p p p p
causative pathogen? p
A. Human herpesvirus 6 p p
B. Parvovirus B19 p
C. Rubella
D. Rubeola
Parvovirus B19 p
A 6-year-
p
old boy is brought to the clinic for evaluation of headache,generalized
p p p p p p p p p p p p
malaise, and myalgia that began three days after his
p p p p p p p p
return from camping. Laboratory studies confirm the suspected dia
p p p p p p p p
gnosis of Rocky Mountain spotted fever. Which of the followingis the
p p p p p p p p p p p p
appropriate treatment? p
A. Amoxicillin
B. Clarithromycin
C. Doxycycline
D. Penicillin G p
Doxycycline
A 12-year-
p
old girl is referred to you for treatment of scoliosis which was discover
p p p p p p p p p p p p
ed on a recent physical examination. She is in good health, has no back
p p p p p p p p p p p p p
pain, and her neurologic examination is normal.
p p p p p p p
X-
rays show a right thoracic curve with a Cobb angle of 32° and aleft lu
p p p p p p p p p p p p p p p
mbar curve with a Cobb angle of 26°. Which of the followingpieces of i
p p p p p p p p p p p p p p
nformation will be most helpful in deciding whether bracing is approp
p p p p p p p p p p
riate for this patient?
p p p
,A. Genetic testing
p
, B. Magnetic resonance imaging of the spine p p p p p
C. Measurement of the patient’s and parents’ height p p p p p p
D. X-ray of the pelvis p p p
X-ray of the pelvis
p p p
An 8-year-
p
old boy presents for his annual physical with complaintsof night-
p p p p p p p p p p
time cough and intermittent wheezing. Which of the following diagno
p p p p p p p p p
stic studies would confirm a diagnosis of asthma?
p p p p p p p
A. Arterial blood gas p p
B. Bronchoscopy
C. Chest radiograph p
D. Spirometry
Spirometry
A 10-month-
p
old boy presents to the emergency department with a widespread mac
p p p p p p p p p p
ulopapular rash. His mother states he had a fever for three days that s
p p p p p p p p p p p p p
uddenly resolved prior to the development of therash. Which of the fol
p p p p p p p p p p p p
lowing infectious exanthems is the most likely cause?
p p p p p p p
A. Erythema infectiosum p
B. Roseola infantum p
C. Rubella
D. Rubeola
Roseola infantum p
A 13-year-old obese boy presents to the clinic with insidious left-
p p p p p p p p p p
sided hip pain and altered gait for the past three months. The hip pain
p p p p p p p p p p p p p p
is worse with activity. He reports no history of trauma. Based
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