Peds 6541 EXAM QUESTIONS WITH
ACCURATE SOLUTIONS
A |mantoux |test |in |a |child |with |no |risk |factors |is |considered |postiive |with |a |reaction |of |
A. |at |least |5 |mm |induration
B. |at |least |8 |mm |induration
C. |At |least |10 |mm |induration
D. |at |least |15 |mm |induration |- |CORRECT |ANSWER✔✔-D. |at |least |15 |mm |induration
You |have |ordered |routine |blood |screening |for |a |2 |year |old |girl |who |because |of |dietary |habits |
is |at |risk |for |IDA. |Which |of |the |following |findings |is |not |associated |with |IDA.
A. |Hypochromic |RBC
B. |Microcytic |RBC
C. |Low |reticulocyte |count
D. |Low |free |erythrocyte |protoporphin |level |- |CORRECT |ANSWER✔✔-D. |Low |free |erythrocyte |
protoporphin |level
A |tenderness |is |detected |over |the |tibial |tuberosity |of |a |10 |year |old |boy |during |a |routine |
examination |at |a |school-based |clinic. |The |PNP |know |that |this |may |be |a |sign |of-
A. |Osgood-Schlatter
B. |Blount's |disease
C. |Plantar |fascitis
D. |Effusion |in |the |joint |space |- |CORRECT |ANSWER✔✔-A. |Osgood-Schlatter |disease
Which |one |of |the |following |conditions |increases |the |risk |of |developing |hydrocephalus? |
A. |Bilateral |cephalohematomas
B. |Craniosynostosis
,C. |Prematurity
D. |Familial |macrocephaly |- |CORRECT |ANSWER✔✔-C. |Prematurity
Confirming |the |diagnosis |of |chlamydia |conjunctivitis |in |a |newborn |would |best |be |done |by |
obtaining |which |one |of |the |following?
A. |Cervical |swab |of |the |mother
B. |Urine |PCR |from |the |mother
C. |culture |of |the |eye |discharge
D. |culture |of |the |conjunctival |scrapings |- |CORRECT |ANSWER✔✔-D. |Culture |of |the |conjunctival |
scrapings
A |3 |year |old |has |an |edematous, |mildly |erythematous |right |upper |eyelid |for |1 |day |with |a |fever |
of |103. |An |important |eye |assessment |would |be
A. |ocular |mobility
B. |Conjunctival |inflammation
C. |Pupillary |reaction
D. |Optic |disc |papilledema |- |CORRECT |ANSWER✔✔-A. |ocular |mobility
Concurrent |otitis |media |and |onjunctivitis |is |likely |due |to |which |organism?
A. |Streptococcus |pneumoniae
B. |Haemophilus |influenzae
C. |Moraxella |catarrhalis
D. |Staphyloccocus |aureaus |- |CORRECT |ANSWER✔✔-B. |Haemophilus |influenzae
A |16 |year |old |was |hit |in |the |eye |1 |day |ago |and |now |has |ecchymoses |on |the |upper |and |lower |
lids |with |5 |out |of |10 |eye |pain. |All |but |which |of |the |following |would |be |appropriate |to |obtain |
at |this |time?
A. |visual |acuity
, B. |Intraocular |pressure
C. |CT |scan
D. |Fluoroscein |test |- |CORRECT |ANSWER✔✔-B. |intraocular |pressure
a |7 |year |old |has |experience |recurrent |epistaxis |in |the |past |2 |months. |Which |finding |on |the |
physical |exam |would |suggest |an |underlying |medical |cause |for |the |epistaxis?
A. |Wheezing
B. |Grade |ii |murmur
C. |Petechiae
D. |tonsil |hypertrophy |- |CORRECT |ANSWER✔✔-C. |Petechiae
What |complication |of |sinusitis |are |adolescent |males |more |prone |to?
A. |Intracranial |abscess
B. |Potts |puffy |tumor
C. |Orbital |cellulitis
D. |Dental |infection |- |CORRECT |ANSWER✔✔-A. |Intracranial |abscess
A |9 |month |old |is |noted |to |have |a |bifid |uvula. |This |would |increase |his |risk |of |developing |which |
disorder? |
A. |Otitis |media
B. |Retropharyngeal |abscess
C. |Sinusitis
D. |Dental |malocclusion |- |CORRECT |ANSWER✔✔-A. |Otitis |media
Initial |exposure |to |the |herpes |virus |may |produce |all |of |the |following |except:
A. |Fever |and |dehydration
B. |Submandibular |lymph |nodes
ACCURATE SOLUTIONS
A |mantoux |test |in |a |child |with |no |risk |factors |is |considered |postiive |with |a |reaction |of |
A. |at |least |5 |mm |induration
B. |at |least |8 |mm |induration
C. |At |least |10 |mm |induration
D. |at |least |15 |mm |induration |- |CORRECT |ANSWER✔✔-D. |at |least |15 |mm |induration
You |have |ordered |routine |blood |screening |for |a |2 |year |old |girl |who |because |of |dietary |habits |
is |at |risk |for |IDA. |Which |of |the |following |findings |is |not |associated |with |IDA.
A. |Hypochromic |RBC
B. |Microcytic |RBC
C. |Low |reticulocyte |count
D. |Low |free |erythrocyte |protoporphin |level |- |CORRECT |ANSWER✔✔-D. |Low |free |erythrocyte |
protoporphin |level
A |tenderness |is |detected |over |the |tibial |tuberosity |of |a |10 |year |old |boy |during |a |routine |
examination |at |a |school-based |clinic. |The |PNP |know |that |this |may |be |a |sign |of-
A. |Osgood-Schlatter
B. |Blount's |disease
C. |Plantar |fascitis
D. |Effusion |in |the |joint |space |- |CORRECT |ANSWER✔✔-A. |Osgood-Schlatter |disease
Which |one |of |the |following |conditions |increases |the |risk |of |developing |hydrocephalus? |
A. |Bilateral |cephalohematomas
B. |Craniosynostosis
,C. |Prematurity
D. |Familial |macrocephaly |- |CORRECT |ANSWER✔✔-C. |Prematurity
Confirming |the |diagnosis |of |chlamydia |conjunctivitis |in |a |newborn |would |best |be |done |by |
obtaining |which |one |of |the |following?
A. |Cervical |swab |of |the |mother
B. |Urine |PCR |from |the |mother
C. |culture |of |the |eye |discharge
D. |culture |of |the |conjunctival |scrapings |- |CORRECT |ANSWER✔✔-D. |Culture |of |the |conjunctival |
scrapings
A |3 |year |old |has |an |edematous, |mildly |erythematous |right |upper |eyelid |for |1 |day |with |a |fever |
of |103. |An |important |eye |assessment |would |be
A. |ocular |mobility
B. |Conjunctival |inflammation
C. |Pupillary |reaction
D. |Optic |disc |papilledema |- |CORRECT |ANSWER✔✔-A. |ocular |mobility
Concurrent |otitis |media |and |onjunctivitis |is |likely |due |to |which |organism?
A. |Streptococcus |pneumoniae
B. |Haemophilus |influenzae
C. |Moraxella |catarrhalis
D. |Staphyloccocus |aureaus |- |CORRECT |ANSWER✔✔-B. |Haemophilus |influenzae
A |16 |year |old |was |hit |in |the |eye |1 |day |ago |and |now |has |ecchymoses |on |the |upper |and |lower |
lids |with |5 |out |of |10 |eye |pain. |All |but |which |of |the |following |would |be |appropriate |to |obtain |
at |this |time?
A. |visual |acuity
, B. |Intraocular |pressure
C. |CT |scan
D. |Fluoroscein |test |- |CORRECT |ANSWER✔✔-B. |intraocular |pressure
a |7 |year |old |has |experience |recurrent |epistaxis |in |the |past |2 |months. |Which |finding |on |the |
physical |exam |would |suggest |an |underlying |medical |cause |for |the |epistaxis?
A. |Wheezing
B. |Grade |ii |murmur
C. |Petechiae
D. |tonsil |hypertrophy |- |CORRECT |ANSWER✔✔-C. |Petechiae
What |complication |of |sinusitis |are |adolescent |males |more |prone |to?
A. |Intracranial |abscess
B. |Potts |puffy |tumor
C. |Orbital |cellulitis
D. |Dental |infection |- |CORRECT |ANSWER✔✔-A. |Intracranial |abscess
A |9 |month |old |is |noted |to |have |a |bifid |uvula. |This |would |increase |his |risk |of |developing |which |
disorder? |
A. |Otitis |media
B. |Retropharyngeal |abscess
C. |Sinusitis
D. |Dental |malocclusion |- |CORRECT |ANSWER✔✔-A. |Otitis |media
Initial |exposure |to |the |herpes |virus |may |produce |all |of |the |following |except:
A. |Fever |and |dehydration
B. |Submandibular |lymph |nodes