APEA Pediatrics Final
Exam
All Questions with multiple
choices and Correct Answers
with Rationales | Already Graded
A+ | Verified Answers | Newest
Version | Just Released
,Never give to: live vaccines
Children younger than 1 year old
Pregnant patients MMR
People who are immunocompromised Varicella
Intranasal influenza
• Live attenuated vaccines: Weakened versions of live rota
virus. Must replicate in the body to produce immunity smallpox/yellow fever
• Viral replication reaction (fever, rash)
2
How many live vaccines can be give at one time?
Considering the possibility of reduced efficacy, 3. Live vaccines should be given same day or 4 weeks apart.
which of the following statements is true?
1. Up to 3 live vaccines can be administered
simultaneously.
2. Live vaccines should not be administered with
inactivated vaccines.
3. Live vaccines should be given same day or 4 weeks
apart.
4. Live vaccines should not be given simultaneously
How long does the CDC recommend monitoring after 15 minutes - AR usually happens within 15 minutes of administration
giving a child an immunization?
1. 15 minutes
2. 30 minutes
3. 45 minutes
4. 60 minutes
Why?
An infant is due to receive 3 vaccines at their 4- 4. Vaccines given more than 5 days early are not considered valid doses.
month well visit. The infant’s caregiver asks if they
can schedule the immunization appointment when
the infant is 3 ½ months old. Which of the following
should the caregiver be told about?
1. If the child tolerated the previous doses well, the
vaccines can be given early.
2. Vaccinations can be given up to 14 days before their
schedule dose.
3. Vaccines cannot be given prior to the recommended
age.
4. Vaccines given more than 5 days early are not
considered valid doses.
Vaccines are valid if given 4 days prior to the scheduled
time
• Vaccines given 5 days prior to the scheduled time
are invalid $ Doses require repeating
An initial visit is scheduled for a 4-year-old. When 4. Schedule the child and defer vaccine discussion until a therapeutic
asked to bring an immunization record, the caregiver relationship is established.
states that the child has not been immunized.
According to the CDC, how should this situation be
handled?
1. Turn the child away from the practice.
2. Attempt to persuade the caregiver that vaccines are
important.
3. Schedule the child and note on the chart that vaccines
should not be discussed.
4. Schedule the child and defer vaccine discussion until
a therapeutic relationship is established.
A 6-year-old child is presenting as a new patient. The 3. A combination of 1 and 2.
caregivers report no knowledge of the child’s
vaccine history. Which of the following actions
should be taken?
1. Perform titers for antibodies to vaccine-preventable
illnesses.
2. Vaccinate or revaccinate the child as if they have
never been vaccinated.
3. A combination of 1 and 2.
4. Only option 2
, • Infection of the middle ear S Acute Otitis Media (AOM)
• Etiology =
Viral: RSV and influenza =Most common
Bacterial • Streptococcus pneumoniae (40–50%) • H.
influenzae • Moraxella catarrhalis
Symptoms are variable, Cloudy, bulging TM with
impaired mobility
TX:
Antibiotics= • AOM with severe symptoms, Toxic
appearing, pain >48 hours, Temp ≥102.2
Observation= • Bilateral AOM w/o otorrhea 6 mo to 2
years= Observation: f/u 48–72 hours • AOM w/o otorrhea
≥2 years • Unilateral AOM w/o otorrhea
Medication mgmt of AOM: 1st line- amoxi
first choice? augmentin
Recent anitbiotic? cephalosporin, macrolide
PCN allergy?
When do you refer for AOM? ≥ 3 distinct, well-documented episodes in a 6-month period
OR
4 episodes in 12 months WITH Appropriate antibiotic therapy
An ill appearing 8-year-old patient is being 2. Strep throat
examined. The NP notices raised, red papillae on the
tongue. Which of the following is the most common
cause of this?
1. Vitamin B12 deficiency
2. Strep throat
3. Hand, foot, and mouth disease
4. Thrush
Neurodevelopmental disorder: Autism Screening •
-Symptoms usually begin before age 2 years
-Suspect if: Delayed language/communication
milestones
-Regression in social or language skills, Siblings have
ASD, Developmental concerns raised by caregivers
Screening: When? Routine screens at • 9-, 18-, 24-, 30-
month visits Developmental concerns are raised by
parents
• Screening Tools= M-CHAT-R/F (18–30 months)
A parent is concerned that their child is being Low self-esteem
bullied. Which of the following are possible risk
factors that put a child at risk of being bullied?
1. Frequent reports of health problems
2. Low self-esteem
3. Thinks badly of others
4. Easily frustrated
Which of the following statements about eating 3. Preadolescents are more likely to have comorbid psychiatric conditions than
disorders in children and teens are true? older adolescents.
1. Males are less likely to have eating disorders than
females.
2. Most patients are underweight at the time of
diagnosis.
3. Preadolescents are more likely to have comorbid
psychiatric conditions than older adolescents.
4. Patients with lower socioeconomic status are less
likely to have eating disorders.
Exam
All Questions with multiple
choices and Correct Answers
with Rationales | Already Graded
A+ | Verified Answers | Newest
Version | Just Released
,Never give to: live vaccines
Children younger than 1 year old
Pregnant patients MMR
People who are immunocompromised Varicella
Intranasal influenza
• Live attenuated vaccines: Weakened versions of live rota
virus. Must replicate in the body to produce immunity smallpox/yellow fever
• Viral replication reaction (fever, rash)
2
How many live vaccines can be give at one time?
Considering the possibility of reduced efficacy, 3. Live vaccines should be given same day or 4 weeks apart.
which of the following statements is true?
1. Up to 3 live vaccines can be administered
simultaneously.
2. Live vaccines should not be administered with
inactivated vaccines.
3. Live vaccines should be given same day or 4 weeks
apart.
4. Live vaccines should not be given simultaneously
How long does the CDC recommend monitoring after 15 minutes - AR usually happens within 15 minutes of administration
giving a child an immunization?
1. 15 minutes
2. 30 minutes
3. 45 minutes
4. 60 minutes
Why?
An infant is due to receive 3 vaccines at their 4- 4. Vaccines given more than 5 days early are not considered valid doses.
month well visit. The infant’s caregiver asks if they
can schedule the immunization appointment when
the infant is 3 ½ months old. Which of the following
should the caregiver be told about?
1. If the child tolerated the previous doses well, the
vaccines can be given early.
2. Vaccinations can be given up to 14 days before their
schedule dose.
3. Vaccines cannot be given prior to the recommended
age.
4. Vaccines given more than 5 days early are not
considered valid doses.
Vaccines are valid if given 4 days prior to the scheduled
time
• Vaccines given 5 days prior to the scheduled time
are invalid $ Doses require repeating
An initial visit is scheduled for a 4-year-old. When 4. Schedule the child and defer vaccine discussion until a therapeutic
asked to bring an immunization record, the caregiver relationship is established.
states that the child has not been immunized.
According to the CDC, how should this situation be
handled?
1. Turn the child away from the practice.
2. Attempt to persuade the caregiver that vaccines are
important.
3. Schedule the child and note on the chart that vaccines
should not be discussed.
4. Schedule the child and defer vaccine discussion until
a therapeutic relationship is established.
A 6-year-old child is presenting as a new patient. The 3. A combination of 1 and 2.
caregivers report no knowledge of the child’s
vaccine history. Which of the following actions
should be taken?
1. Perform titers for antibodies to vaccine-preventable
illnesses.
2. Vaccinate or revaccinate the child as if they have
never been vaccinated.
3. A combination of 1 and 2.
4. Only option 2
, • Infection of the middle ear S Acute Otitis Media (AOM)
• Etiology =
Viral: RSV and influenza =Most common
Bacterial • Streptococcus pneumoniae (40–50%) • H.
influenzae • Moraxella catarrhalis
Symptoms are variable, Cloudy, bulging TM with
impaired mobility
TX:
Antibiotics= • AOM with severe symptoms, Toxic
appearing, pain >48 hours, Temp ≥102.2
Observation= • Bilateral AOM w/o otorrhea 6 mo to 2
years= Observation: f/u 48–72 hours • AOM w/o otorrhea
≥2 years • Unilateral AOM w/o otorrhea
Medication mgmt of AOM: 1st line- amoxi
first choice? augmentin
Recent anitbiotic? cephalosporin, macrolide
PCN allergy?
When do you refer for AOM? ≥ 3 distinct, well-documented episodes in a 6-month period
OR
4 episodes in 12 months WITH Appropriate antibiotic therapy
An ill appearing 8-year-old patient is being 2. Strep throat
examined. The NP notices raised, red papillae on the
tongue. Which of the following is the most common
cause of this?
1. Vitamin B12 deficiency
2. Strep throat
3. Hand, foot, and mouth disease
4. Thrush
Neurodevelopmental disorder: Autism Screening •
-Symptoms usually begin before age 2 years
-Suspect if: Delayed language/communication
milestones
-Regression in social or language skills, Siblings have
ASD, Developmental concerns raised by caregivers
Screening: When? Routine screens at • 9-, 18-, 24-, 30-
month visits Developmental concerns are raised by
parents
• Screening Tools= M-CHAT-R/F (18–30 months)
A parent is concerned that their child is being Low self-esteem
bullied. Which of the following are possible risk
factors that put a child at risk of being bullied?
1. Frequent reports of health problems
2. Low self-esteem
3. Thinks badly of others
4. Easily frustrated
Which of the following statements about eating 3. Preadolescents are more likely to have comorbid psychiatric conditions than
disorders in children and teens are true? older adolescents.
1. Males are less likely to have eating disorders than
females.
2. Most patients are underweight at the time of
diagnosis.
3. Preadolescents are more likely to have comorbid
psychiatric conditions than older adolescents.
4. Patients with lower socioeconomic status are less
likely to have eating disorders.
