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Barkley
Sample Pediatric Test Questions
| Question | Answer |
|---|---|
| 18 y/o male comes to see you with a painless mass in the right side of his scrotum. Most likely dx. | Hydrocele |
| Kail is HIV positive and has just delivered a 3.8kg male infant. which should be included in postpartum counseling | suggest use of commercially prepared formula |
| major psychosocial tasks of infancy | development of secure attachment |
| 10y/o Bobs teeth, you note that the upper incisors slightly overlap the lower incisiors. the 2nd and lower first molars are absent. Your assessment is | delayed mandibular dentition |
| which of the following best describes behavior associated with Piagets concrete operations | categorizing information |
| 5 1/2 year old Asian child has fallen off her growth curve. The best intervention would be to | incorporate traditional foods in diet |
| What is considered minimal weight gain in a normal newborn after discharge from the hospital | 30gms/day |
| The most likely weight of a l year old whose weight at birth was 6 1/2 lbs would be what | 19-20 pounds |
| You would expect a school age child to | gain about 6 lbs a year |
| Johnny, a 5 yr old is in your clinic for his initial well check. You note he has not received any immunizations. Which of the following is not necessary at this age | Hib |
| As the NP, you are assessing an 8 mon.old infant in an immunization clinic. You know that by age 8 months the child should have had which of the following immunizations? | Hep B (1st, 2nd), all primary DTaP series, two doses of polio |
| Mom informs you that he and her 6 month old infant are traveling to a place where measles is endemic. Your best response to her is | Give baby a MMR or monovalent measles injection |
| Tommy is in for his 4 month well check. He was born preterm with a birth weight of 2.0 kg. The appropriate immunizations to give him today would be | DTaP, Hib, IPV, PCV 13 |
| IN considering client situations, which one requires the use of inactivated vaccine | immunocompromised |
| While examining a 2 1/2 week old infant, you notice irritability when you lift the infant and an asymmetrical Moro reflex. A spasm of the sternocleidomastoid on the left side is also present. | fractured clavicle |
| Newborn screening for hypothyroidism is done by measuring | T4 and TSH |
| Infants who have been identified as IUGR are prone to developing hypoglycemia due to | low levels of glycogen stored |
| You are performing a newborn physical exam and you notice white specks around the circumference of the iris. You will also have to assess for | heart murmur |
| At what age will 3 month old RAchel acquire the seated position with support | 7 months |
| During a well child visit you teach parents that an infant may first transfer an object from hand to hand | 7 months |
| a child just started to reach for objects placed in front of him is probably around | 4 months |
| Children do not generally exhibit a fear of strangers until after about | 6 months |
| According to Erik Erikson the cornerstone of personality is the development of | basic trust |
| A mother of a 10month old infant asks aboutt he progression of solid foods into her diet. From the choices below, you advise her to introduce which foods last to her baby's diet | egg whites |
| Higher functioning adolescents with autism are at increased risk for | OCD |
| Which is an example of a fine motor skill achieved by preschool aged children | Holding a glass with one hand |
| According to Erikson, the major psychological task between 1-2 years of age is the development of | autonomy |
| a mother of a 16 yr old toddler announces that she is giving her child skim milk. You tell her she should switch to whole milk bc | skim milk does not contain enough of the essential fatty acids |
| what is the most sophisticated and advanced play | cooperative |
| IN boys, Tanner III is distinguished from Tanner stage II by | penile growth in length |
| During an annual physical exam, you noticed that Lisa has developed breast buds. You tell her she can expect which of the following in 2 years | Onset of menses |
| The time of ovulation is usually | about 14 days BEFORE the onset of the next menstrual period |
| Jeff has recently noticed that a change in his voice, they shape of his body, & pubic hair/facial hair growth. What is he noticing is the development of | secondary sexual characteristics |
| According to Erikson, the major psychosocial task of adolescence is the achievement of | Identity |
| Which component of identity is likely to develop first | physical |
| Which is responsible for sexual maturation of males | testosterone |
| adolescent girls are especially prone to developing which of these disorders | hirsutism |
| When discussing issues concerning confidentiality, the NP should tell the adolescent, <18, or when under the state age of majority that | It is at the discretion of the provider to decide whether to release information |
| During auscultation of a 3 yr olds chest, you note an irregular heartbeat of 90 BPM that slows when the RR slows and accelerates when the child breathes faster. The rest of the exam is normal. What is an appropriate response to this finding | record the finding in the child's chart |
| Which of the following drugs is important in symptom management and the prevention of complications in Kawasaki's disease | Aspirin |
| While performing a well child check exam on a 3 y/o, you discover a heart murmur. In your evaluation, you remember the following about innocent murmurs | The intensity in no greater than a I or II |
| In moderate dehydration, what rate of fluid intake is appropriate | 50ml/hr |
| in severe dehydration, what rate of fluid intake is appropriate | 100 ml/hr |
| with gastroenteritis, what antibiotic | bactrim |
| S/S of GERD in infants | choking, coughing, wheezing, wt. loss, irritability, recurrent vomiting, heartburn, stool pattern changes, presently in 85% of infants |
| What is Hirschbrung's Disease | more common in boys, can cause enterocolitis, failure to pass meconium, infrequent explosive BM's, FTT, abd. distension |
| a 9 month old infant boy is seen with a 2 day history of diarrhea. He had 3-4 wet diapers in the past 24 hr. and anterior fontanelle is slightly depressed. Capillary refill in WNL. What percentage of dehydration does he have | 8% |
| 12 yr. old Molly has diffuse stomach pain and acute onset of diarrhea described as a frequent urge to defecate. She is passing large amounts | abd. ultrasound |
| vomitus that is bilious suggests | Obstruction below the ampulla of Vader |
| 18 y/o female college student, presents with 8hr hx of abd pain that began in periumbilical area then localized to RLQ. She has anorexia/nauseous/diarrhea. She is sexually active/on OCP x 6 mos. denies hx of UTI/preg/STD/chronic illness. on exam guarding | appendicitis |
| Which is LEAST helpful in the evaluation of abdominal pain of temperature, preg. test, CBC, UA | temperature |
| Which is most suggestive of appendicitis diagnosis | positive psoas sign |
| You receive a call from a mother of a 2 yr/old girl with temp of 101F and diarrhea x 5 days with 6-8 liquid stools daily. How would you advise this mom | come to the office tomorrow morning |
| Normal findings in Weber and Rinne test | W: sound should be heard equally in both ears/not lateralize R: air conduction > bone conduction |
| hearing loss findings in weber and rinne | W: laterization to sick ear R; abn in sick ear |
| sensorineural hearing loss for weber/rinne | W; lateralized to well ear R: normal in sick ear |
| Pneumonic FLEA for Strep | F-fever > 98, L- lack of cough, E- exudate, A-anterior adenopathy |
| strep infection antibiotics | 1. PCN 2. erythromycin |
| Thumbs sign, HIGH grade fever, drooling | epiglottitis |
| steeple sign, LOW grade fever, barking | croup |
| Bacterial or viral? Croup | Viral |
| Bacterial or viral? epiglottitis | bacterial |
| Mono s/s & incubation period | incub: 1-2 months, s/s- +monospot, fever, MALAISE, anorexia, POSTERIOR adenopathy, |
| Management of Mono | NO contact sports, NSAIDS, oral corticosteroids, |
| What age is typically NOT diagnosed with sinusitis? | less than 9 |
| a 2.5 yr/old presents with a dried pea stuck in his nose passed the 1st turbinate. An appropriate intervention would be | refer to ENT |
| following a tympanostomy tube insertion, it is important that the tubes remain patent. Which method may be used to determine patency | visual inspection |
| 9 y/o Tom is in the clinic for a "cold" x 10 days, no C/O breathing problems. Exam reveals T-100F, edematous cervical lymph nodes, mucopurulent drainage from the middle meatus, erytheatous pharynx and bad breath. What management? | use of antibiotic |
| 2 days later Tom is back now with swollen eye. Redness, inflammation & impaired occular movement of right eye is abserved. Which action is most appropriate | REfer immediately |
| 7 y/o Jimmy presents to clinic with inspiratory stridor, drooling, and a temp of 105F. He insists of sitting up during exam. What is diagnsis | Epiglottitis |
| In a child with chronic sinusitis, the most accurate method of identifying abnormalities is | CT scan of sinuses |
| 8 yr old afebrile child presents with a sore throat. ON exam you note that his tonsils are 4+, without exudate. Differential diagnoses include | Hodgkin Disease |
| 18 year old male patient presents with painless mass in right side of his scrotom. most likely diagnosis | hydrocele |
| HIV + Kali has just delivered a 3.8kg baby. Which should be included in her postpartum counseling | suggest use of commercially prepared formula |
| Most common STD / Treatment | Chlamydia: Azithromycin or Doxy |
| UTI most often offending bug | E. Coli |
| When should children be hospitalized with UTI | less than 2 months old |
| Most important test for hyperthroidism | TSH and T3 |
| Most imp. test for hypothyroidism | TSH and T4 |
| Only antidiabetic (oral) FDA approved | Metformin |
| a CBC is ordered for a 10 y/o female. REsults = low MCHC and low MCH. Diagnosis is | IRon deficiency anemia |
| lab results reveal hypochromic, microcytic anemia in a 3 y/o child. Your diff. diagnosis would be | lead poisoning |
| What is therapy for lead poisoning | chelation therapy: it extracts heavy metals in blood |
| why is lead poisoning dangerous | stores in marrow, prevents red blood cell production |
| 16 year old Johnny, high school student, in for physical. Good health but is concerned about a "bad" headache he had several weeks ago. He is afraid he may have a brain tumor. YOu tell him the most common type of headache with onset in adolescence is | Tension headache |
| During a visit to the clinic, 2 y/o male presents large muscular calves and demonstrates difficulty rising from a sitting position. Which lab test should you order below | serum CK |
| Which test is not an appropriate test for development dysplasia of the hip in an 18 month old | Ortolani maneuver |
| 12 y/o presents with lateral curvature of her spine. Which test would diagnose scoliosis | Positive Adam's sign |
| In Muscular Dystrophy what lab is markedly elevated | CK |
| Which of the following is NOT a goal for appropriate asthma management | limited activity and exercise |
| 9 y/o John has recently been diagnosed with mild intermittent asthma. Which is NOT a routine part of his treatment | Allergy skin testing |
| Tammy has mild persistent asthma. Appropriate daily medications for this 4 y/o preschooler should include | Inhaled low-dose corticosteroid |
| Sally, 9 y/o with moderate persistent asthma, still having mild symptoms. She uses a SABA, 3 times daily and cromolyn sodium. You alter this treatment to include which of these | Replace Cromlyn with inhaled corticosteroids, & decrease the SABA to PRN when symptoms subside |
Created by:
MissyGirl3971