FNP-C — Family Nurse Practitioner Certified,, WITH
CORRECT ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST ALREADY
GRADED A+ (2025/2026)
Question 1
A 2-year-old child is brought to the clinic with a fever of 39.5°C (103.1°F)
for 2 days. The child is irritable, has a runny nose, and is pulling at the right
ear. Otoscopic examination reveals a bulging, erythematous tympanic
membrane with decreased mobility. What is the most appropriate
treatment?
A) Watchful waiting for 48-72 hours
B) Amoxicillin 80-90 mg/kg/day divided BID for 10 days
C) Amoxicillin-clavulanate 45 mg/kg/day divided BID
D) Refer for tympanostomy tube placement
Correct ,,,,Answer,,,,: B
Rationale: This child meets diagnostic criteria for acute otitis media (fever
+ bulging erythematous TM). First-line treatment is high-dose amoxicillin
(80-90 mg/kg/day) for 10 days. Watchful waiting is appropriate only for
children >6 months with non-severe illness. Amoxicillin-clavulanate is
second-line for treatment failure. Tympanostomy tubes are for recurrent
AOM.
Question 2
,A 6-month-old infant is noted to have a round, erythematous, sharply
demarcated rash on the face, with satellite papules. The rash is located
on the cheeks and chin. The parent reports the rash worsens with
drooling. What is the most likely diagnosis?
A) Atopic dermatitis
B) Irritant contact dermatitis (perioral)
C) Seborrheic dermatitis
D) Candidal dermatitis
Correct ,,,,Answer,,,,: B
Rationale: Irritant contact dermatitis from drooling presents as
erythematous, scaly patches on the lower face, chin, and neck, often with
satellite papules. Candidal dermatitis (D) has satellite papules but is
more common in the diaper area. Atopic dermatitis (A) is pruritic and
chronic.
Question 3
A 3-year-old child presents with a 2-week history of a harsh, barking cough
that worsens at night and a hoarse voice. The child is afebrile and well-
appearing. What is the most likely diagnosis?
A) Bacterial tracheitis
B) Croup (laryngotracheobronchitis)
C) Epiglottitis
D) Pertussis
Correct ,,,,Answer,,,,: B
Rationale: Croup presents with barking cough, hoarseness, and
,inspiratory stridor, often worse at night. It is typically viral (parainfluenza).
Epiglottitis (C) presents with drooling, tripod positioning, and toxic
appearance. Pertussis (D) has paroxysmal cough with inspiratory whoop.
Question 4
A 9-month-old infant has a fever of 40°C (104°F) for 3 days. On day 4, the
fever abruptly resolves, and a diffuse, rose-pink, maculopapular rash
appears on the trunk. The infant is playful and feeding well. What is the
most likely diagnosis?
A) Measles (rubeola)
B) Fifth disease (erythema infectiosum)
C) Roseola infantum (HHV-6)
D) Scarlet fever
Correct ,,,,Answer,,,,: C
Rationale: Roseola is characterized by high fever (3-5 days) followed by a
rash as the fever resolves (exanthem subitum). The child appears well
during the fever. Measles (A) has cough, coryza, conjunctivitis, and Koplik
spots, with rash that appears while febrile.
Question 5
A 5-year-old child reports itching and is noted to have a gray-white, 1-cm
circular lesion on the occipital scalp with broken hairs. Fluorescence
under Wood’s lamp is positive. What is the most appropriate treatment?
, A) Topical clotrimazole cream
B) Oral griseofulvin or terbinafine for 6-8 weeks
C) Selenium sulfide shampoo
D) Intralesional corticosteroids
Correct ,,,,Answer,,,,: B
Rationale: This is tinea capitis (gray patch type), which requires systemic
antifungal therapy because topical agents do not penetrate the hair shaft.
Wood’s lamp fluorescence suggests Microsporum species. Oral
griseofulvin or terbinafine is first-line.
Question 6
A 4-year-old child is brought to the clinic with a rash characterized by
vesicles on an erythematous base (“dewdrop on a rose petal”) in various
stages of healing. The rash is pruritic and involves the trunk and face. The
child has a low-grade fever. What is the most likely diagnosis?
A) Impetigo
B) Varicella (chickenpox)
C) Herpes simplex
D) Hand-foot-mouth disease
Correct ,,,,Answer,,,,: B
Rationale: Varicella presents with crops of vesicles on an erythematous
base in various stages (dew drop on rose petal), centripetal distribution,
and is pruritic. Hand-foot-mouth disease (D) has vesicles on palms, soles,
and oral mucosa. Impetigo (A) has honey-crusted lesions.
CORRECT ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST ALREADY
GRADED A+ (2025/2026)
Question 1
A 2-year-old child is brought to the clinic with a fever of 39.5°C (103.1°F)
for 2 days. The child is irritable, has a runny nose, and is pulling at the right
ear. Otoscopic examination reveals a bulging, erythematous tympanic
membrane with decreased mobility. What is the most appropriate
treatment?
A) Watchful waiting for 48-72 hours
B) Amoxicillin 80-90 mg/kg/day divided BID for 10 days
C) Amoxicillin-clavulanate 45 mg/kg/day divided BID
D) Refer for tympanostomy tube placement
Correct ,,,,Answer,,,,: B
Rationale: This child meets diagnostic criteria for acute otitis media (fever
+ bulging erythematous TM). First-line treatment is high-dose amoxicillin
(80-90 mg/kg/day) for 10 days. Watchful waiting is appropriate only for
children >6 months with non-severe illness. Amoxicillin-clavulanate is
second-line for treatment failure. Tympanostomy tubes are for recurrent
AOM.
Question 2
,A 6-month-old infant is noted to have a round, erythematous, sharply
demarcated rash on the face, with satellite papules. The rash is located
on the cheeks and chin. The parent reports the rash worsens with
drooling. What is the most likely diagnosis?
A) Atopic dermatitis
B) Irritant contact dermatitis (perioral)
C) Seborrheic dermatitis
D) Candidal dermatitis
Correct ,,,,Answer,,,,: B
Rationale: Irritant contact dermatitis from drooling presents as
erythematous, scaly patches on the lower face, chin, and neck, often with
satellite papules. Candidal dermatitis (D) has satellite papules but is
more common in the diaper area. Atopic dermatitis (A) is pruritic and
chronic.
Question 3
A 3-year-old child presents with a 2-week history of a harsh, barking cough
that worsens at night and a hoarse voice. The child is afebrile and well-
appearing. What is the most likely diagnosis?
A) Bacterial tracheitis
B) Croup (laryngotracheobronchitis)
C) Epiglottitis
D) Pertussis
Correct ,,,,Answer,,,,: B
Rationale: Croup presents with barking cough, hoarseness, and
,inspiratory stridor, often worse at night. It is typically viral (parainfluenza).
Epiglottitis (C) presents with drooling, tripod positioning, and toxic
appearance. Pertussis (D) has paroxysmal cough with inspiratory whoop.
Question 4
A 9-month-old infant has a fever of 40°C (104°F) for 3 days. On day 4, the
fever abruptly resolves, and a diffuse, rose-pink, maculopapular rash
appears on the trunk. The infant is playful and feeding well. What is the
most likely diagnosis?
A) Measles (rubeola)
B) Fifth disease (erythema infectiosum)
C) Roseola infantum (HHV-6)
D) Scarlet fever
Correct ,,,,Answer,,,,: C
Rationale: Roseola is characterized by high fever (3-5 days) followed by a
rash as the fever resolves (exanthem subitum). The child appears well
during the fever. Measles (A) has cough, coryza, conjunctivitis, and Koplik
spots, with rash that appears while febrile.
Question 5
A 5-year-old child reports itching and is noted to have a gray-white, 1-cm
circular lesion on the occipital scalp with broken hairs. Fluorescence
under Wood’s lamp is positive. What is the most appropriate treatment?
, A) Topical clotrimazole cream
B) Oral griseofulvin or terbinafine for 6-8 weeks
C) Selenium sulfide shampoo
D) Intralesional corticosteroids
Correct ,,,,Answer,,,,: B
Rationale: This is tinea capitis (gray patch type), which requires systemic
antifungal therapy because topical agents do not penetrate the hair shaft.
Wood’s lamp fluorescence suggests Microsporum species. Oral
griseofulvin or terbinafine is first-line.
Question 6
A 4-year-old child is brought to the clinic with a rash characterized by
vesicles on an erythematous base (“dewdrop on a rose petal”) in various
stages of healing. The rash is pruritic and involves the trunk and face. The
child has a low-grade fever. What is the most likely diagnosis?
A) Impetigo
B) Varicella (chickenpox)
C) Herpes simplex
D) Hand-foot-mouth disease
Correct ,,,,Answer,,,,: B
Rationale: Varicella presents with crops of vesicles on an erythematous
base in various stages (dew drop on rose petal), centripetal distribution,
and is pruritic. Hand-foot-mouth disease (D) has vesicles on palms, soles,
and oral mucosa. Impetigo (A) has honey-crusted lesions.
