NR603 Primary Care of the Child & Adolescent FINAL EXAM
2026/2027 COMPLETE ACCURATE TEST EXAM ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED SOLUTIONS) |ALREADY GRADED
A+||NEWEST VERSION |BEST DOCUMENT FOR EXAM
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and
Newest Version!!!
A 5-year-old child presents with a barking cough, inspiratory stridor, and
hoarseness that worsens at night. What is the most likely diagnosis?
a. Epiglottitis
b. Croup
c. Asthma
d. Bronchiolitis
✔️ Correct Answer: B
Rationale:
Croup (laryngotracheobronchitis) is caused by parainfluenza virus and
presents with a barking cough, stridor, and hoarseness, especially worse at
night. Epiglottitis presents with drooling and toxic appearance. Croup is
typically managed with supportive care, cool mist, and corticosteroids such
as dexamethasone for moderate to severe cases.
,A 2-year-old child has drooling, high fever, and tripod positioning. What is
the priority concern?
a. Asthma exacerbation
b. Epiglottitis
c. Foreign body aspiration
d. Croup
✔️ Correct Answer: B
Rationale:
Epiglottitis is a medical emergency characterized by drooling, tripod
positioning, and airway obstruction risk. It is most commonly caused by
Haemophilus influenzae type B (Hib). Immediate airway management and
avoidance of throat examination are critical. The child should be kept calm
and transported to the operating room or ICU for airway evaluation.
A 6-month-old infant has wheezing, cough, and difficulty feeding after a
viral illness. What is the diagnosis?
a. Croup
b. Bronchiolitis
c. Pneumonia
d. Asthma
✔️ Correct Answer: B
Rationale:
Bronchiolitis (usually caused by RSV) affects infants under 2 years with
wheezing and feeding difficulty. Treatment is supportive with hydration,
oxygen, and nasal suctioning. Bronchodilators may provide temporary relief
but are not consistently effective. Severe cases may require hospitalization.
,A 10-year-old child has recurrent wheezing, chest tightness, and nighttime
cough. What is the diagnosis?
a. Bronchiolitis
b. Asthma
c. Pneumonia
d. Croup
✔️ Correct Answer: B
Rationale:
Asthma is characterized by reversible airway obstruction with episodic
symptoms and nighttime cough. Triggers include allergens, exercise, and
respiratory infections. Diagnosis is clinical with spirometry demonstrating
reversible obstruction. Management includes inhaled corticosteroids and
bronchodilators.
A child presents with fever, sore throat, and strawberry tongue. What is the
diagnosis?
a. Kawasaki disease
b. Scarlet fever
c. Measles
d. Viral pharyngitis
✔️ Correct Answer: B
Rationale:
Scarlet fever is caused by group A Streptococcus and presents with
, sandpaper rash and strawberry tongue. It is treated with penicillin or
amoxicillin to prevent complications such as rheumatic fever. Kawasaki
disease (Option A) also presents with strawberry tongue but includes fever
>5 days, conjunctivitis, and rash.
A 4-year-old child has fever for 5 days, conjunctivitis, cracked lips, and rash.
What is the diagnosis?
a. Scarlet fever
b. Kawasaki disease
c. Measles
d. Roseola
✔️ Correct Answer: B
Rationale:
Kawasaki disease is a vasculitis with fever >5 days, mucocutaneous changes,
and risk of coronary aneurysms. It is the leading cause of acquired heart
disease in children in developed countries. Treatment includes IVIG and
aspirin. Echocardiogram is required to monitor for coronary artery
involvement.
A 7-year-old child presents with itchy, raised wheals that come and go. What
is the diagnosis?
a. Atopic dermatitis
b. Urticaria
2026/2027 COMPLETE ACCURATE TEST EXAM ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED SOLUTIONS) |ALREADY GRADED
A+||NEWEST VERSION |BEST DOCUMENT FOR EXAM
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and
Newest Version!!!
A 5-year-old child presents with a barking cough, inspiratory stridor, and
hoarseness that worsens at night. What is the most likely diagnosis?
a. Epiglottitis
b. Croup
c. Asthma
d. Bronchiolitis
✔️ Correct Answer: B
Rationale:
Croup (laryngotracheobronchitis) is caused by parainfluenza virus and
presents with a barking cough, stridor, and hoarseness, especially worse at
night. Epiglottitis presents with drooling and toxic appearance. Croup is
typically managed with supportive care, cool mist, and corticosteroids such
as dexamethasone for moderate to severe cases.
,A 2-year-old child has drooling, high fever, and tripod positioning. What is
the priority concern?
a. Asthma exacerbation
b. Epiglottitis
c. Foreign body aspiration
d. Croup
✔️ Correct Answer: B
Rationale:
Epiglottitis is a medical emergency characterized by drooling, tripod
positioning, and airway obstruction risk. It is most commonly caused by
Haemophilus influenzae type B (Hib). Immediate airway management and
avoidance of throat examination are critical. The child should be kept calm
and transported to the operating room or ICU for airway evaluation.
A 6-month-old infant has wheezing, cough, and difficulty feeding after a
viral illness. What is the diagnosis?
a. Croup
b. Bronchiolitis
c. Pneumonia
d. Asthma
✔️ Correct Answer: B
Rationale:
Bronchiolitis (usually caused by RSV) affects infants under 2 years with
wheezing and feeding difficulty. Treatment is supportive with hydration,
oxygen, and nasal suctioning. Bronchodilators may provide temporary relief
but are not consistently effective. Severe cases may require hospitalization.
,A 10-year-old child has recurrent wheezing, chest tightness, and nighttime
cough. What is the diagnosis?
a. Bronchiolitis
b. Asthma
c. Pneumonia
d. Croup
✔️ Correct Answer: B
Rationale:
Asthma is characterized by reversible airway obstruction with episodic
symptoms and nighttime cough. Triggers include allergens, exercise, and
respiratory infections. Diagnosis is clinical with spirometry demonstrating
reversible obstruction. Management includes inhaled corticosteroids and
bronchodilators.
A child presents with fever, sore throat, and strawberry tongue. What is the
diagnosis?
a. Kawasaki disease
b. Scarlet fever
c. Measles
d. Viral pharyngitis
✔️ Correct Answer: B
Rationale:
Scarlet fever is caused by group A Streptococcus and presents with
, sandpaper rash and strawberry tongue. It is treated with penicillin or
amoxicillin to prevent complications such as rheumatic fever. Kawasaki
disease (Option A) also presents with strawberry tongue but includes fever
>5 days, conjunctivitis, and rash.
A 4-year-old child has fever for 5 days, conjunctivitis, cracked lips, and rash.
What is the diagnosis?
a. Scarlet fever
b. Kawasaki disease
c. Measles
d. Roseola
✔️ Correct Answer: B
Rationale:
Kawasaki disease is a vasculitis with fever >5 days, mucocutaneous changes,
and risk of coronary aneurysms. It is the leading cause of acquired heart
disease in children in developed countries. Treatment includes IVIG and
aspirin. Echocardiogram is required to monitor for coronary artery
involvement.
A 7-year-old child presents with itchy, raised wheals that come and go. What
is the diagnosis?
a. Atopic dermatitis
b. Urticaria
