PNCB 3 questions and answers A+ Grade 2026\2027
Which of the following is least likely to pose a risk of genetic problems?
- correct answer A history of premature pregnancies.
You have just diagnosed an 18-month-old girl with iron deficiency anemia. The patient's lab tests
indicate that her hemoglobin is 10.9 and her hematocrit is 32% with a serum ferritin of 25. The patient
retains much of her color and has normal breathing functions. Which of the following is most
appropriate treatment this patient?
- correct answer 3 to 6 mg/kg/day of elemental iron.
You have been treating a 16 year old asthmatic patient with a short term beta agonist (SABA). He has
had fewer than two attacks per week, usually following exercise, and never needs to take his Saba at
night. After two years of living with the condition, he now inquires about using a steroid inhaler for
acute attacks. You advised him that steroid intake healers are not appropriate treatment for acute
attacks. You and the patient are satisfied with his asthma control period, however, when would you
consider adding a low dose inhaled steroid to his management?
- correct answer Only if symptoms increased
An inhaled steroid is
- correct answer not used for acute attack management, to have better tolerance in sports, or in place of
a SABA (short term beta agonist)
A mother comes to the emergency room with her very ill nine-month-old son. The baby is pale and he
has a three day history of Jelly like stools, vomiting, and inconsolable crying. On exam the nurse
practitioner notes abdominal distention, a sausage shaped. Mass in the right upper quadrant, and blood
in the baby's rectum. Which of the following tests would you order to confirm the diagnosis?
- correct answer Radiograph
Intussusception
- correct answer jelly like stools, vomiting, sausage like mass. Diagnose with radiograph and barium
enema.
, Girls in Tanner Stage 3
- correct answer begin to develop noticeable breasts with no separate contour to their nipples as well as
pubic hair that grows darker and curlier but is not fully developed
Veracity:
- correct answer honesty in healthcare
Fidelity
- correct answer Faithful
Beneficence
- correct answer prevent harm and do good
Justice
- correct answer fairness and equal distribution of healthcare in all groups
A mother who follows a vegan diet is concerned about irritability in her infant who is exclusively
breastfed. She reports that the infant feeds well and has 6-8 wet diapers daily with large, soft stools
every other day. Which of the following INITIAL laboratory studies is MOST appropriate?
- correct answer complete blood count (CBC) due to b12 deficency
A mildly ill preschooler, with a recent positive rapid strep test, returns with abdominal pain and
erythematous nonblanching lesions on the legs. What is the MOST likely diagnosis?
- correct answer HSP
Common trigger for HSP
- correct answer Group A Streptococcus
HSP triad
- correct answer non-thrombocytopenic palpable purpura, colicky abdominal pain, and arthritis
A 9 year old with juvenile idiopathic arthritis was exposed to varicella two days ago. The child is
currently receiving 20 mg of prednisone daily and is unvaccinated for varicella. What is the BEST course
Which of the following is least likely to pose a risk of genetic problems?
- correct answer A history of premature pregnancies.
You have just diagnosed an 18-month-old girl with iron deficiency anemia. The patient's lab tests
indicate that her hemoglobin is 10.9 and her hematocrit is 32% with a serum ferritin of 25. The patient
retains much of her color and has normal breathing functions. Which of the following is most
appropriate treatment this patient?
- correct answer 3 to 6 mg/kg/day of elemental iron.
You have been treating a 16 year old asthmatic patient with a short term beta agonist (SABA). He has
had fewer than two attacks per week, usually following exercise, and never needs to take his Saba at
night. After two years of living with the condition, he now inquires about using a steroid inhaler for
acute attacks. You advised him that steroid intake healers are not appropriate treatment for acute
attacks. You and the patient are satisfied with his asthma control period, however, when would you
consider adding a low dose inhaled steroid to his management?
- correct answer Only if symptoms increased
An inhaled steroid is
- correct answer not used for acute attack management, to have better tolerance in sports, or in place of
a SABA (short term beta agonist)
A mother comes to the emergency room with her very ill nine-month-old son. The baby is pale and he
has a three day history of Jelly like stools, vomiting, and inconsolable crying. On exam the nurse
practitioner notes abdominal distention, a sausage shaped. Mass in the right upper quadrant, and blood
in the baby's rectum. Which of the following tests would you order to confirm the diagnosis?
- correct answer Radiograph
Intussusception
- correct answer jelly like stools, vomiting, sausage like mass. Diagnose with radiograph and barium
enema.
, Girls in Tanner Stage 3
- correct answer begin to develop noticeable breasts with no separate contour to their nipples as well as
pubic hair that grows darker and curlier but is not fully developed
Veracity:
- correct answer honesty in healthcare
Fidelity
- correct answer Faithful
Beneficence
- correct answer prevent harm and do good
Justice
- correct answer fairness and equal distribution of healthcare in all groups
A mother who follows a vegan diet is concerned about irritability in her infant who is exclusively
breastfed. She reports that the infant feeds well and has 6-8 wet diapers daily with large, soft stools
every other day. Which of the following INITIAL laboratory studies is MOST appropriate?
- correct answer complete blood count (CBC) due to b12 deficency
A mildly ill preschooler, with a recent positive rapid strep test, returns with abdominal pain and
erythematous nonblanching lesions on the legs. What is the MOST likely diagnosis?
- correct answer HSP
Common trigger for HSP
- correct answer Group A Streptococcus
HSP triad
- correct answer non-thrombocytopenic palpable purpura, colicky abdominal pain, and arthritis
A 9 year old with juvenile idiopathic arthritis was exposed to varicella two days ago. The child is
currently receiving 20 mg of prednisone daily and is unvaccinated for varicella. What is the BEST course
