NRl 602/l NR602l Finall Exam:l Primaryl
Carel ofl thel Childbearingl andl
Childrearingl Familyl Practicuml Guidel
(Latestl 2026/l 2027l Update)l |l Qsl &l As|l
Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Gastroenteritis
Answer:
-Mostl commonlyl causedl byl virall pathogens
-TXl isl basedl onl symptomaticl support
QUESTION
GERD
Answer:
-Thel passagel ofl gastricl contentsl intol thel esophagusl froml thel stomachl throughl thel LES
-Youngl infantsl havel increasedl intraabdominall pressurel becausel ofl theirl inabilityl tol sitl
upright.l Theyl canl alsol regurgitatel whenl theyl cough,l cry,l orl strain.l Dailyl regurgitationl
isl morel commonl inl youngl infantsl thanl inl olderl infantsl andl childrenl andl isl foundl inl
higherl ratesl inl neonates
-H2l blockersl andl PPIs
QUESTION
Genul Varum
Answer:
·l Bowlegs;l alignmentl ofl thel kneel withl thel tibial mediallyl inl relationl tol thel femur;l
bowleggedl appearancel asl resultl ofl uterinel position;l distancel betweenl kneesl withl feetl
,togetherl shouldl bel lessl thanl 5l inches;l angularl deformityl isl physiologicl andl normall upl
tol 3l yearsl ofl age;l pathologicl ifl morel thanl 15l degrees;l associatedl withl shortl stature;l
rapidlyl progressing
·l Tx:l brace,l splint,l NSAIDs,l strengthening,l weightl managementl ifl overweight
QUESTION
Cholesteatoma
Answer:
-Usuallyl thel resultl ofl al chronicl earl infection;l formationl ofl anl epidermall inclusionl cystl
ofl thel middlel earl orl mastoidl consistingl ofl desquamatedl debrisl froml thel keratinizing,l
squamousl epitheliall liningl ofl thel middlel ear
-Chronicl otitisl medial withl malodorousl purulentl otorrhea
•l Vertigol andl hearingl loss
•l Historyl orl presencel ofl tympanostomyl orl PEl tubes
•l Al pearlyl whitel lesionl isl presentl onl orl behindl thel TM
-Tx:l surgicall management
QUESTION
Idiopathicl Scoliosis
Answer:
-Nol definitel cause
-Canl resolvel spontaneously
-Progressivel curvaturel requiresl bracingl andl surgeryl
-Juvenilel scoliosisl isl foundl morel frequentlyl inl girls
-Treatmentl goall isl tol delayl spinall fusion,l allowingl timel forl thel pulmonaryl systeml andl
thoracicl cagel tol havel maturedl andl maximall trunkl heightl tol bel achieved
QUESTION
Dysplasial ofl thel hip
Answer:
-Anatomicl abnormalitiesl inl whichl thel femorall headl andl acetabuluml arel inl improperl
alignmentl and/orl growl abnormally
,-Dysplasial isl characterizedl byl al shallow,l morel verticall acetabularl socketl withl anl
immaturel hip/acetabulum
-Mostl neonatall hipl instabilityl resolvesl spontaneouslyl byl 6l tol 8l weeksl ofl age
QUESTION
Osgood-Schlatterl Disease
Answer:
·l asepticl necrosisl ofl tibiall tuberclesl andl apophysis
·l S/s:l painfull swellingl ofl tibiall tubercle,l limp,l intermittentl painl overl months;l hipl painl
mayl bel aggravatedl byl extensionl ofl kneel againstl resistance;l worsensl whenl squatting,l
stairl walking,l forcefull contractionl ofl quadriceps,l usuallyl duel tol overusel injuryl
associatedl withl athleticl activityl duringl rapidl growthl ofl tibiall tuberosity,l relievedl byl rest;l
morel commonl inl males
·l Dx:l x-ray,l MRl ifl osteochondrall lesion
·l Tx:l rest,l ice,l NSAIDs,l strengthening,l stretching
QUESTION
Febrilel Seizures
Answer:
-Simplel seizure:l 70-75%l common;l feverl inl 6l mol -l 5l years.l Usuallyl consistl ofl al singlel
seizurel lastingl <15l min,l neurologicallyl healthy,l feverl isl notl froml meningitis,l
encephalitis,l orl otherl brainl illness
-Complexl febrilel seizure:l 20-25%;l feverl inl 6l mol -l 5l y.o.l withl focall orl prolongl seizurel
(>15l min),l orl multiplel seizuresl inl succession
-Symptomaticl febrilel seizure:l 5%;l feverl inl 6l mol -l 5l y.o.,l thel childl hasl preexistingl
neurologicall abnormalitiesl orl acutel illness
-Tx:l reassurancel &l antipyretics
QUESTION
Testicularl torsion
Answer:
, -Thel resultl ofl twistingl ofl thel spermaticl cord,l whichl subsequentlyl compromisesl thel
bloodl supplyl tol thel testicle.l Generally,l therel isl al 6-hourl windowl beforel significantl
ischemicl damagel andl alterationl inl spermaticl morphologyl andl formationl occurs
-TX:l surgicall emergency;l identificationl withl promptl surgicall referrall isl critical;l
occasionallyl manuall reductionl canl bel performed,l butl surgeryl shouldl followl withinl 6l tol
12l hoursl tol preventl retorsion,l preservel fertility,l andl preventl abscessl andl atrophy
QUESTION
Wilm'sl Tumor
Answer:
-Nephroblastoma
·l accountsl forl 90%l ofl childhoodl malignanciesl thatl arisel froml thel urogenitall tract;l
typicallyl presentsl asl anl abdominall massl (inl 80%)l withl orl withoutl associatedl abdominall
pain/hematuria
·l *Thel AAPl doesl notl recommendl urinalysisl screeningl inl asymptomaticl children
·l *Concerningl sighsl ofl renall diseasel inl anl asymptomaticl 2l yearl oldl wouldl bel
hematuria,l HTN,l andl peripherall edema
QUESTION
Turnerl Syndrome
Answer:
-Al conditionl thatl affectsl onlyl females,l resultsl whenl onel ofl thel Xl chromosomesl (sexl
chromosomes)l isl missingl orl partiallyl missing
-Canl causel al varietyl ofl medicall andl developmentall problems,l includingl shortl height,l
failurel ofl thel ovariesl tol developl andl heartl defects
-TX:l hormonel therapy;l fertilityl treatmentl mayl bel necessaryl forl womenl whol wantl tol
becomel pregnant
QUESTION
Downl Syndrome
Answer:
Carel ofl thel Childbearingl andl
Childrearingl Familyl Practicuml Guidel
(Latestl 2026/l 2027l Update)l |l Qsl &l As|l
Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Gastroenteritis
Answer:
-Mostl commonlyl causedl byl virall pathogens
-TXl isl basedl onl symptomaticl support
QUESTION
GERD
Answer:
-Thel passagel ofl gastricl contentsl intol thel esophagusl froml thel stomachl throughl thel LES
-Youngl infantsl havel increasedl intraabdominall pressurel becausel ofl theirl inabilityl tol sitl
upright.l Theyl canl alsol regurgitatel whenl theyl cough,l cry,l orl strain.l Dailyl regurgitationl
isl morel commonl inl youngl infantsl thanl inl olderl infantsl andl childrenl andl isl foundl inl
higherl ratesl inl neonates
-H2l blockersl andl PPIs
QUESTION
Genul Varum
Answer:
·l Bowlegs;l alignmentl ofl thel kneel withl thel tibial mediallyl inl relationl tol thel femur;l
bowleggedl appearancel asl resultl ofl uterinel position;l distancel betweenl kneesl withl feetl
,togetherl shouldl bel lessl thanl 5l inches;l angularl deformityl isl physiologicl andl normall upl
tol 3l yearsl ofl age;l pathologicl ifl morel thanl 15l degrees;l associatedl withl shortl stature;l
rapidlyl progressing
·l Tx:l brace,l splint,l NSAIDs,l strengthening,l weightl managementl ifl overweight
QUESTION
Cholesteatoma
Answer:
-Usuallyl thel resultl ofl al chronicl earl infection;l formationl ofl anl epidermall inclusionl cystl
ofl thel middlel earl orl mastoidl consistingl ofl desquamatedl debrisl froml thel keratinizing,l
squamousl epitheliall liningl ofl thel middlel ear
-Chronicl otitisl medial withl malodorousl purulentl otorrhea
•l Vertigol andl hearingl loss
•l Historyl orl presencel ofl tympanostomyl orl PEl tubes
•l Al pearlyl whitel lesionl isl presentl onl orl behindl thel TM
-Tx:l surgicall management
QUESTION
Idiopathicl Scoliosis
Answer:
-Nol definitel cause
-Canl resolvel spontaneously
-Progressivel curvaturel requiresl bracingl andl surgeryl
-Juvenilel scoliosisl isl foundl morel frequentlyl inl girls
-Treatmentl goall isl tol delayl spinall fusion,l allowingl timel forl thel pulmonaryl systeml andl
thoracicl cagel tol havel maturedl andl maximall trunkl heightl tol bel achieved
QUESTION
Dysplasial ofl thel hip
Answer:
-Anatomicl abnormalitiesl inl whichl thel femorall headl andl acetabuluml arel inl improperl
alignmentl and/orl growl abnormally
,-Dysplasial isl characterizedl byl al shallow,l morel verticall acetabularl socketl withl anl
immaturel hip/acetabulum
-Mostl neonatall hipl instabilityl resolvesl spontaneouslyl byl 6l tol 8l weeksl ofl age
QUESTION
Osgood-Schlatterl Disease
Answer:
·l asepticl necrosisl ofl tibiall tuberclesl andl apophysis
·l S/s:l painfull swellingl ofl tibiall tubercle,l limp,l intermittentl painl overl months;l hipl painl
mayl bel aggravatedl byl extensionl ofl kneel againstl resistance;l worsensl whenl squatting,l
stairl walking,l forcefull contractionl ofl quadriceps,l usuallyl duel tol overusel injuryl
associatedl withl athleticl activityl duringl rapidl growthl ofl tibiall tuberosity,l relievedl byl rest;l
morel commonl inl males
·l Dx:l x-ray,l MRl ifl osteochondrall lesion
·l Tx:l rest,l ice,l NSAIDs,l strengthening,l stretching
QUESTION
Febrilel Seizures
Answer:
-Simplel seizure:l 70-75%l common;l feverl inl 6l mol -l 5l years.l Usuallyl consistl ofl al singlel
seizurel lastingl <15l min,l neurologicallyl healthy,l feverl isl notl froml meningitis,l
encephalitis,l orl otherl brainl illness
-Complexl febrilel seizure:l 20-25%;l feverl inl 6l mol -l 5l y.o.l withl focall orl prolongl seizurel
(>15l min),l orl multiplel seizuresl inl succession
-Symptomaticl febrilel seizure:l 5%;l feverl inl 6l mol -l 5l y.o.,l thel childl hasl preexistingl
neurologicall abnormalitiesl orl acutel illness
-Tx:l reassurancel &l antipyretics
QUESTION
Testicularl torsion
Answer:
, -Thel resultl ofl twistingl ofl thel spermaticl cord,l whichl subsequentlyl compromisesl thel
bloodl supplyl tol thel testicle.l Generally,l therel isl al 6-hourl windowl beforel significantl
ischemicl damagel andl alterationl inl spermaticl morphologyl andl formationl occurs
-TX:l surgicall emergency;l identificationl withl promptl surgicall referrall isl critical;l
occasionallyl manuall reductionl canl bel performed,l butl surgeryl shouldl followl withinl 6l tol
12l hoursl tol preventl retorsion,l preservel fertility,l andl preventl abscessl andl atrophy
QUESTION
Wilm'sl Tumor
Answer:
-Nephroblastoma
·l accountsl forl 90%l ofl childhoodl malignanciesl thatl arisel froml thel urogenitall tract;l
typicallyl presentsl asl anl abdominall massl (inl 80%)l withl orl withoutl associatedl abdominall
pain/hematuria
·l *Thel AAPl doesl notl recommendl urinalysisl screeningl inl asymptomaticl children
·l *Concerningl sighsl ofl renall diseasel inl anl asymptomaticl 2l yearl oldl wouldl bel
hematuria,l HTN,l andl peripherall edema
QUESTION
Turnerl Syndrome
Answer:
-Al conditionl thatl affectsl onlyl females,l resultsl whenl onel ofl thel Xl chromosomesl (sexl
chromosomes)l isl missingl orl partiallyl missing
-Canl causel al varietyl ofl medicall andl developmentall problems,l includingl shortl height,l
failurel ofl thel ovariesl tol developl andl heartl defects
-TX:l hormonel therapy;l fertilityl treatmentl mayl bel necessaryl forl womenl whol wantl tol
becomel pregnant
QUESTION
Downl Syndrome
Answer:
