ACPNP study bank
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
A mother presents to the emergency department with her 5 month old with a chief complaint
of "not acting himself". The mother reports that recently the infant has been weaker than usual,
with poor oral intake, trouble swallowing, and excessive drooling. In your history the mother
reveals that the patient has been having a sore throat and read a good home remedy for the
ailment was honey. Your treatment for this child will likely include: - Answer: Supportive
therapy, nasogastric feeding and assisted ventilation as needed. Botulism immune globulin if no
clinical improvement.
First line treatment for a patient with status epilepticus is - Answer: Lorazepam
First line agent for a neonate in status epilepticus is - Answer: phenobarbital
A 2 year old boy is brought into the emergency department by his father with a chief complaint
of weakness which has been present over the past several months. On your physical exam you
note that the calf muscles are enlarged. A likely diagnosis for this patient is: - Answer: Reassure
mother that no workup or medications are necessary at this time, the cause of his illness is
likely viral. Assure appropriate follow-up is in place
A patient presents with a sudden, acute, unilateral facial paralysis. The patient reports a recent
illness, Monospot laboratory comes back positive. There are no other neurologic findings on
, exam. Course of action appropriate for this patient include - Answer: Reassurance that the
diagnosis is self-limiting, and it will resolve on its own in 1-9 weeks
In children younger than 5 _______is one of the most common causes of coma - Answer:
nonaccidental trauma
In your assessment of the comatose patient, when turning the head, the eyes look straight
ahead and then slowly drift back to midline position. This maneuver is referred to as: - Answer:
Oculocephalic maneuver
An intact response for a cold caloric irrigation reveals - Answer: Eye deviation to the irrigated
side
The most common form of migraine in children is - Answer: migraine without aura
A 6 year old girl is brought to the clinic for a routine health maintenance visit. Her growth was
normal until 2 years of age, when her height started to fall off the growth chart, steadily
decreasing to below the 5th percentile. On exam, you note a webbed neck with normal range of
motion, broad chest with widely spaced nipples and scoliosis. Past medical history is also
pertinent for a repaired coarctation of the aorta at 3 years of age. Which of the following is the
most likely diagnosis? - Answer: Turner Syndrome
A 14 year old boy with mental retardation has been referred to you. The underlying cause of the
mental retardation has never been identified. On physical exam, you note that he has large ears
and also large testes. Which of the following syndromes is associated with mental retardation,
large ears, and large testes? - Answer: Fragile X syndrome
A 12 year old boy is brought to the office for a routine health maintenance visit by his parents.
They note that he has struggled in school, requiring educational assistance since kindergarten,
but has otherwise been a healthy boy. Exam reveals that he is greater than 95th percentile for
height, with long thin arms. On auscultation, you note a heart murmur consistent with mitral
valve regurgitation. Based on your likely diagnosis, which of the following would you expect to
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
A mother presents to the emergency department with her 5 month old with a chief complaint
of "not acting himself". The mother reports that recently the infant has been weaker than usual,
with poor oral intake, trouble swallowing, and excessive drooling. In your history the mother
reveals that the patient has been having a sore throat and read a good home remedy for the
ailment was honey. Your treatment for this child will likely include: - Answer: Supportive
therapy, nasogastric feeding and assisted ventilation as needed. Botulism immune globulin if no
clinical improvement.
First line treatment for a patient with status epilepticus is - Answer: Lorazepam
First line agent for a neonate in status epilepticus is - Answer: phenobarbital
A 2 year old boy is brought into the emergency department by his father with a chief complaint
of weakness which has been present over the past several months. On your physical exam you
note that the calf muscles are enlarged. A likely diagnosis for this patient is: - Answer: Reassure
mother that no workup or medications are necessary at this time, the cause of his illness is
likely viral. Assure appropriate follow-up is in place
A patient presents with a sudden, acute, unilateral facial paralysis. The patient reports a recent
illness, Monospot laboratory comes back positive. There are no other neurologic findings on
, exam. Course of action appropriate for this patient include - Answer: Reassurance that the
diagnosis is self-limiting, and it will resolve on its own in 1-9 weeks
In children younger than 5 _______is one of the most common causes of coma - Answer:
nonaccidental trauma
In your assessment of the comatose patient, when turning the head, the eyes look straight
ahead and then slowly drift back to midline position. This maneuver is referred to as: - Answer:
Oculocephalic maneuver
An intact response for a cold caloric irrigation reveals - Answer: Eye deviation to the irrigated
side
The most common form of migraine in children is - Answer: migraine without aura
A 6 year old girl is brought to the clinic for a routine health maintenance visit. Her growth was
normal until 2 years of age, when her height started to fall off the growth chart, steadily
decreasing to below the 5th percentile. On exam, you note a webbed neck with normal range of
motion, broad chest with widely spaced nipples and scoliosis. Past medical history is also
pertinent for a repaired coarctation of the aorta at 3 years of age. Which of the following is the
most likely diagnosis? - Answer: Turner Syndrome
A 14 year old boy with mental retardation has been referred to you. The underlying cause of the
mental retardation has never been identified. On physical exam, you note that he has large ears
and also large testes. Which of the following syndromes is associated with mental retardation,
large ears, and large testes? - Answer: Fragile X syndrome
A 12 year old boy is brought to the office for a routine health maintenance visit by his parents.
They note that he has struggled in school, requiring educational assistance since kindergarten,
but has otherwise been a healthy boy. Exam reveals that he is greater than 95th percentile for
height, with long thin arms. On auscultation, you note a heart murmur consistent with mitral
valve regurgitation. Based on your likely diagnosis, which of the following would you expect to
