Peds Exam II Practice Questions with Solutions
1. A 4-year-old boy (weight 18 kg) is diagnosed
with bilateral otitis media. His last ear infection
was 6 months ago and he has no know drug
allergies. An appropriate medication to
prescribe would be
Amoxicillin 75-90 mg/kg/day twice daily X 10
days.
Corticosteriod otic solution 3 drops both ears
X 10 days.
Doxycycline 250 mg three times daily X 10
days.
Ampicillin 40-50 mg/kg/day three times daily
X 7 days. - -Amoxicillin
75-90
mg/kg/day
twice daily
X 10 days.
-2. A 4 year old c/o severe ear pain, left ear, will
not allow parents to touch the ear. As the NP
you gently touch the tragus and he screams
and jerks away. What is the likely diagnosis?
A. Otitis Media
B. Acute Otitis Media (AOM)
C. Otitis Externa
D. Left ear effusion - -C. Otitis Externa
-3. A 6 year old boy presents with a 1-day history
of a fiery red, Maculopapular facial rash
concentrated on the cheeks. He has a mild
headache and myalgia for the past week. The
most likely diagnosis is:
A. Pityriasis Rosea
B. HFM disease
C. Tinea Corporis
D. Fifth's Disease - -D. Fifth's Disease
-4. A 6-year-old child is seen by the NP for ear
pain. The child is afebrile. The left ear canal is
extremely edematous and moderately
inflamed, with thick yellowish drainage at the
external meatus. The child denies putting
anything in the ear canal, but the nurse
,practitioner finds that the child swims
frequently. The most likely diagnosis is
AOM.
Serous otitis media.
Otitis externa.
Sinusitis. - -Otitis
externa.
-5. An 18 year old woman has a chief
complaint of a "sore throat" and swollen
glands' for the past 3 days. Her physical
examination reveals exudative pharyngitis,
minimally tender anterior and posterior
cervical lymphadenopathy, and
maculopapular rash. Abdominal
examination reveals right and left upper
quadrant abdominal tenderness. The most
likely diagnosis is:
a. Rubella
b. Group A beta-hemolytic streptococcal
pharyngitis
c. Infectious mononucleosis
d. Scarlet fever - -c. Infectious mononucleosis
-7. 44. Sam is a 4 year old boy who presents
with a 1 week history of intermittent fever,
rash and "watery eyes". Clinical
presentation is of an alert child who is
cooperative with examination, but irritable,
with temperate of 37.0 C, pulse rate of 132
bpm, and respiratory rate of 38/min.
Physical examination findings include nasal
crusting, dry and erythematous, cracked
lips; red, enlarged tonsils without exudate;
and elevated tongue papillae. The
diagnosis of Kawasaki disease is being
considered. Additional findings are likely
to include:
a. Exudative conjunctivitis
b. Occipital lymphadenopathy
c. Vesicular-form rash
d. Peeling hands - -d. Peeling hands
-12. An adolescent client has had yellowish
green nasal discharge and frontal headache
, for 10 days. The adolescent's temperature
has gone up to 101.2 F on most afternoons
an she has a cough that worsens when she
lies down. The physical exam is within normal
limits except for the drainage and a slightly
erythematous pharynx. She does not have
any drug allergies and has not been taking
any medications in the last few months.
Which medication would be best to
prescribe for her?
Erythromycin
Benadryl
Augmentin
Sudafed - -Augmentin
-16. The antibiotic of choice for betalactamase
coverage of otitis media is
Prednisone.
Azithromycin.
Amoxicillin and potassium clavulanate.
Amoxicillin. - -Amoxicillin and potassium clavulanate.
-17. Approximately 50% of children with viral
croup have a(n)
Concurrent epiglottitis.
History of allergic rhinitis.
Aspirated foreign body.
Tapered symmetric subglottic narrowing
of xray. - -History of allergic rhinitis.
-25. A child is diagnosed by the nurse
practitioner with acute otitis media (AOM).
During pneumatic otoscopy the NP
expects the tympanic membranse to be
Immobile, painful, with absent or
decreased landmarks.
Mobile, not painful, full, and bulging.
Mobile, painful, with absent or decreased
landmarks.
Immobile, not painful, with landmarks
visible. - -Immobile, painful, with absent or
decreased landmarks.
-27. A child that presents to your clinic with
1. A 4-year-old boy (weight 18 kg) is diagnosed
with bilateral otitis media. His last ear infection
was 6 months ago and he has no know drug
allergies. An appropriate medication to
prescribe would be
Amoxicillin 75-90 mg/kg/day twice daily X 10
days.
Corticosteriod otic solution 3 drops both ears
X 10 days.
Doxycycline 250 mg three times daily X 10
days.
Ampicillin 40-50 mg/kg/day three times daily
X 7 days. - -Amoxicillin
75-90
mg/kg/day
twice daily
X 10 days.
-2. A 4 year old c/o severe ear pain, left ear, will
not allow parents to touch the ear. As the NP
you gently touch the tragus and he screams
and jerks away. What is the likely diagnosis?
A. Otitis Media
B. Acute Otitis Media (AOM)
C. Otitis Externa
D. Left ear effusion - -C. Otitis Externa
-3. A 6 year old boy presents with a 1-day history
of a fiery red, Maculopapular facial rash
concentrated on the cheeks. He has a mild
headache and myalgia for the past week. The
most likely diagnosis is:
A. Pityriasis Rosea
B. HFM disease
C. Tinea Corporis
D. Fifth's Disease - -D. Fifth's Disease
-4. A 6-year-old child is seen by the NP for ear
pain. The child is afebrile. The left ear canal is
extremely edematous and moderately
inflamed, with thick yellowish drainage at the
external meatus. The child denies putting
anything in the ear canal, but the nurse
,practitioner finds that the child swims
frequently. The most likely diagnosis is
AOM.
Serous otitis media.
Otitis externa.
Sinusitis. - -Otitis
externa.
-5. An 18 year old woman has a chief
complaint of a "sore throat" and swollen
glands' for the past 3 days. Her physical
examination reveals exudative pharyngitis,
minimally tender anterior and posterior
cervical lymphadenopathy, and
maculopapular rash. Abdominal
examination reveals right and left upper
quadrant abdominal tenderness. The most
likely diagnosis is:
a. Rubella
b. Group A beta-hemolytic streptococcal
pharyngitis
c. Infectious mononucleosis
d. Scarlet fever - -c. Infectious mononucleosis
-7. 44. Sam is a 4 year old boy who presents
with a 1 week history of intermittent fever,
rash and "watery eyes". Clinical
presentation is of an alert child who is
cooperative with examination, but irritable,
with temperate of 37.0 C, pulse rate of 132
bpm, and respiratory rate of 38/min.
Physical examination findings include nasal
crusting, dry and erythematous, cracked
lips; red, enlarged tonsils without exudate;
and elevated tongue papillae. The
diagnosis of Kawasaki disease is being
considered. Additional findings are likely
to include:
a. Exudative conjunctivitis
b. Occipital lymphadenopathy
c. Vesicular-form rash
d. Peeling hands - -d. Peeling hands
-12. An adolescent client has had yellowish
green nasal discharge and frontal headache
, for 10 days. The adolescent's temperature
has gone up to 101.2 F on most afternoons
an she has a cough that worsens when she
lies down. The physical exam is within normal
limits except for the drainage and a slightly
erythematous pharynx. She does not have
any drug allergies and has not been taking
any medications in the last few months.
Which medication would be best to
prescribe for her?
Erythromycin
Benadryl
Augmentin
Sudafed - -Augmentin
-16. The antibiotic of choice for betalactamase
coverage of otitis media is
Prednisone.
Azithromycin.
Amoxicillin and potassium clavulanate.
Amoxicillin. - -Amoxicillin and potassium clavulanate.
-17. Approximately 50% of children with viral
croup have a(n)
Concurrent epiglottitis.
History of allergic rhinitis.
Aspirated foreign body.
Tapered symmetric subglottic narrowing
of xray. - -History of allergic rhinitis.
-25. A child is diagnosed by the nurse
practitioner with acute otitis media (AOM).
During pneumatic otoscopy the NP
expects the tympanic membranse to be
Immobile, painful, with absent or
decreased landmarks.
Mobile, not painful, full, and bulging.
Mobile, painful, with absent or decreased
landmarks.
Immobile, not painful, with landmarks
visible. - -Immobile, painful, with absent or
decreased landmarks.
-27. A child that presents to your clinic with
