PNCB CPN newest actual 225/2026 EXAM COMPREHENSIVE
with complete QUESTIONS WITH ANSWERS.verifed/ GRADED
A+
Congenital Hypothyroidism - ----Answers---with congenital
form ONLY: intellectual disability, enlarged tongue, hoarse cry
Hyperthyroidism (Grave's disease) - ----Answers---
irritability, emotional lability, hyperactivity, short attention
span, tremors, insomnia
Precocious puberty - ----Answers---Focus on psycho-social
aspects
treat mental age, may be fertile but display no sexual interest,
contraception not indicated unless sexually active
SIADH - ----Answers---low sodium -> cerbral edema ->
seizure
DM: effects of Exercise - ----Answers---decrease BS and
insulin needs
decrease insulin or add uncovered snacks
with children usually give extra snacks
DM: Sick days - ----Answers---Increase BS and insulin needs
check BS more often
,DM treatment - ----Answers---1st line is diet and exercise
metformin only drug approve for peds
Osteomyelitis - ----Answers---most common organism is
staphylococcus bacteria
Structural Scoliosis - ----Answers---S-shaped curvature of
the spine
Normal Hemoglobin - ----Answers---11.5-14.5
Cardiac murmur - ----Answers---common in chronic anemia
due to chronic increase in HR
Iron deficiency Anemia - ----Answers---treat with iron
supplementation
give with dropper, brush teeth afterwards
best between meals with citrus
stools should be tarry green black when levels are normal
(few days to week)
Sickle Cell Anemia: Fever - ----Answers---caused by splenic
failure (low ability to fight infection)
first sign of bacteremia
sickle cell child with fever - ----Answers---straight to ED
, give penicillin, does work of spleen when spleen doesn't work
ITP - ----Answers---Bleeding precautions
bruising when plt<50
petechi when plt <20
avoid: ibuprofen and injections
bleeding precautions
Uveitis - ----Answers---Inflammation of eyes, associated
with cataracts
MMR and Varicella Vaccines - ----Answers---live vaccines,
give unless child is severely immunocompromised.
Specifically recommended for children with HIV
Brain tumor - ----Answers---most common symptom:
Headache upon awakening
Hodgkin's lymphoma - ----Answers---night sweats
Wilms' Tumor (Nephroblastoma) - ----Answers---DO NOT
palpate abdomen (may disseminate cancer cells to other sites)
Tumor Lysis Syndrome - ----Answers---Serious metabolic
disorder occurring within 72 hours following administration of
with complete QUESTIONS WITH ANSWERS.verifed/ GRADED
A+
Congenital Hypothyroidism - ----Answers---with congenital
form ONLY: intellectual disability, enlarged tongue, hoarse cry
Hyperthyroidism (Grave's disease) - ----Answers---
irritability, emotional lability, hyperactivity, short attention
span, tremors, insomnia
Precocious puberty - ----Answers---Focus on psycho-social
aspects
treat mental age, may be fertile but display no sexual interest,
contraception not indicated unless sexually active
SIADH - ----Answers---low sodium -> cerbral edema ->
seizure
DM: effects of Exercise - ----Answers---decrease BS and
insulin needs
decrease insulin or add uncovered snacks
with children usually give extra snacks
DM: Sick days - ----Answers---Increase BS and insulin needs
check BS more often
,DM treatment - ----Answers---1st line is diet and exercise
metformin only drug approve for peds
Osteomyelitis - ----Answers---most common organism is
staphylococcus bacteria
Structural Scoliosis - ----Answers---S-shaped curvature of
the spine
Normal Hemoglobin - ----Answers---11.5-14.5
Cardiac murmur - ----Answers---common in chronic anemia
due to chronic increase in HR
Iron deficiency Anemia - ----Answers---treat with iron
supplementation
give with dropper, brush teeth afterwards
best between meals with citrus
stools should be tarry green black when levels are normal
(few days to week)
Sickle Cell Anemia: Fever - ----Answers---caused by splenic
failure (low ability to fight infection)
first sign of bacteremia
sickle cell child with fever - ----Answers---straight to ED
, give penicillin, does work of spleen when spleen doesn't work
ITP - ----Answers---Bleeding precautions
bruising when plt<50
petechi when plt <20
avoid: ibuprofen and injections
bleeding precautions
Uveitis - ----Answers---Inflammation of eyes, associated
with cataracts
MMR and Varicella Vaccines - ----Answers---live vaccines,
give unless child is severely immunocompromised.
Specifically recommended for children with HIV
Brain tumor - ----Answers---most common symptom:
Headache upon awakening
Hodgkin's lymphoma - ----Answers---night sweats
Wilms' Tumor (Nephroblastoma) - ----Answers---DO NOT
palpate abdomen (may disseminate cancer cells to other sites)
Tumor Lysis Syndrome - ----Answers---Serious metabolic
disorder occurring within 72 hours following administration of
