PNCB PNP PC COMPREHENSIVE EXAMS UPDATED
QUESTIONS AND ANSWERS SURE A+
✔✔When should you refer stuttering? - ✔✔Lasts > 6 months
Child > 6 years
Child avoids speaking
✔✔What age is considered precocious puberty for boys and girls? - ✔✔Boys: 9 years
Girls: 8 years
✔✔When does handedness defvelop? - ✔✔Age 7-9 years old
✔✔What is the most common form of child abuse? - ✔✔Neglect
✔✔What are some of the most common red flag for child abuse? - ✔✔Delay in seeking
care
Fractures or bruises in various stages of healing
Soft tissue markings
History is vague, incompatible with injury
✔✔What are some qualifying characteristics necessary to diagnose ADHD? -
✔✔Interferes with home, school, and play
,Present before age 7 years
Persist for at least 6 months
✔✔What percentage of children with ADHD also experience learning disabilities? -
✔✔35%
✔✔What percentage of children with ADHD also have a diagnosis of ODD or conduct
disorder? - ✔✔50%
✔✔What are some considerations when prescribing a stimulant for the first time for a
child with ADHD? - ✔✔Cardiovascular disease
Hypertension
Anxiety
Glaucoma
Hx of drug abuse
Depression
✔✔How many inches should a girl expect to grow after menarche? - ✔✔1-3 inches
✔✔What would you refer for scoliosis? - ✔✔>25 degrees
OR
Painful
✔✔What is PACES? - ✔✔P - Parents, peers
A- Accident, alcohol
C - Cigarettes
E - Emotions
S - Sex, school
✔✔What is CRAFFT and how is it used? - ✔✔C - Car with someone under influence
R - Relax
A - Alone
F - Forget
F - Friends say cut down
T - Trouble
Used for assessment of drug dependence
✔✔How would you classify the following Tanner Stage?
Breast enlargement without separate nipple contour
Dark, curlier pubic hair - ✔✔Tanner Stage 3
, ✔✔How would you describe this Tanner Stage?
Penis elongates
Darker, curlier hair - ✔✔Tanner Stage 3
✔✔What is estimated mortality rate for eating disorders? - ✔✔Around 10%
✔✔What is Russel's Sign? - ✔✔Bruised or calloused knuckles from making self vomit
✔✔What shunting is seen in cyanotic heart defects? - ✔✔Right to left
✔✔What is the most common congenital heart defect? - ✔✔VSD - 30%
✔✔How would you describe S3 and what does it indicate? - ✔✔"Ken-tuck-y"
Increased fluid state
✔✔What are the 5 areas to listen to heart sounds? - ✔✔Aortic
Pulmonic
Erb's Point
Tricuspid
Mitral
✔✔How would you describe fetal circulation? - ✔✔Increased pulmonary vascular
resistance
Decreased systemic vascular resistance
Minimal flow to lungs
Hyper-sensitive to changes in maternal oxygen
✔✔What acyanotic heart defect do you suspect with:
- holosystolic thrill
- LLSB
- Grade II-V systolic - ✔✔VSD
✔✔What acyanotic heart defect do you suspect:
- Machinery-like
- Holosystolic
- Grade II-IV
- LUSB - ✔✔PDA
✔✔What acyanotic heart defect do you suspect:
QUESTIONS AND ANSWERS SURE A+
✔✔When should you refer stuttering? - ✔✔Lasts > 6 months
Child > 6 years
Child avoids speaking
✔✔What age is considered precocious puberty for boys and girls? - ✔✔Boys: 9 years
Girls: 8 years
✔✔When does handedness defvelop? - ✔✔Age 7-9 years old
✔✔What is the most common form of child abuse? - ✔✔Neglect
✔✔What are some of the most common red flag for child abuse? - ✔✔Delay in seeking
care
Fractures or bruises in various stages of healing
Soft tissue markings
History is vague, incompatible with injury
✔✔What are some qualifying characteristics necessary to diagnose ADHD? -
✔✔Interferes with home, school, and play
,Present before age 7 years
Persist for at least 6 months
✔✔What percentage of children with ADHD also experience learning disabilities? -
✔✔35%
✔✔What percentage of children with ADHD also have a diagnosis of ODD or conduct
disorder? - ✔✔50%
✔✔What are some considerations when prescribing a stimulant for the first time for a
child with ADHD? - ✔✔Cardiovascular disease
Hypertension
Anxiety
Glaucoma
Hx of drug abuse
Depression
✔✔How many inches should a girl expect to grow after menarche? - ✔✔1-3 inches
✔✔What would you refer for scoliosis? - ✔✔>25 degrees
OR
Painful
✔✔What is PACES? - ✔✔P - Parents, peers
A- Accident, alcohol
C - Cigarettes
E - Emotions
S - Sex, school
✔✔What is CRAFFT and how is it used? - ✔✔C - Car with someone under influence
R - Relax
A - Alone
F - Forget
F - Friends say cut down
T - Trouble
Used for assessment of drug dependence
✔✔How would you classify the following Tanner Stage?
Breast enlargement without separate nipple contour
Dark, curlier pubic hair - ✔✔Tanner Stage 3
, ✔✔How would you describe this Tanner Stage?
Penis elongates
Darker, curlier hair - ✔✔Tanner Stage 3
✔✔What is estimated mortality rate for eating disorders? - ✔✔Around 10%
✔✔What is Russel's Sign? - ✔✔Bruised or calloused knuckles from making self vomit
✔✔What shunting is seen in cyanotic heart defects? - ✔✔Right to left
✔✔What is the most common congenital heart defect? - ✔✔VSD - 30%
✔✔How would you describe S3 and what does it indicate? - ✔✔"Ken-tuck-y"
Increased fluid state
✔✔What are the 5 areas to listen to heart sounds? - ✔✔Aortic
Pulmonic
Erb's Point
Tricuspid
Mitral
✔✔How would you describe fetal circulation? - ✔✔Increased pulmonary vascular
resistance
Decreased systemic vascular resistance
Minimal flow to lungs
Hyper-sensitive to changes in maternal oxygen
✔✔What acyanotic heart defect do you suspect with:
- holosystolic thrill
- LLSB
- Grade II-V systolic - ✔✔VSD
✔✔What acyanotic heart defect do you suspect:
- Machinery-like
- Holosystolic
- Grade II-IV
- LUSB - ✔✔PDA
✔✔What acyanotic heart defect do you suspect:
