PEDS 6541 Exam Study Guide | Questions with 100%
Correct Answers | Verified | Latest Update 2024
1. A 17 year old sexually active girl with chancres in the genital area is noted to have a positive
Venereal Disease Research Laboratories (VDRL) test. The next step would be to.
A. Treat with ceftriaxone
B. Perform a specific treponemal antibody test
C. Culture for C. trachomatis
D. Discuss safer sex practice
s
2. The mother of an 11 year old boy is concerend that her son is developing secondary sexual
characteristics too early. Your counseling for this family is based on the knowledge that
puberty is considered precocious in boys if secondary sexual characteristics appear prior to
age
A. 12 years
B. 11 years
C. 10 years
D. 9 years
3. Which of the following signs of symptoms is not associated with congenital adrenal
hyperplasia?
A. Hypernatremia
B. Progressive weight loss
C. Dehydration
D. Hyperkalemia
4. An adolescent male who fails to develop secondary sex characteristics at puberty and who
has small underdeveloped testes should be suspected of having
A. Adrenal hyperplasia
B. Klinefelter syndrome
C. C. Marfan syndrome
D. D. Cerebral gigantism
5. Fasting blood glucose goals for children younger than the age of 6 years with diabetes
should be:
A. Between 100 and 180
B. Between 70 and 120
C. Between 60 and 80
D. Slightly over 200
, 6. An 18 month old child exposed to HIV in utero had negative HIV DNA at 2 weeks and 8
weeks. What is indicated at the 18 month visit?
A. No further testing is needed
B. HIV DNA should be repeated
C. Enzyme immunoassay for antibody to HIV 1 should be performed
D.CBC with diff and immunoglobulins is needed
7. A newborn fails his newborn hearing test. Because the mother is an adolescent and there is
evidence of the presence of intrauterine growth restriction, jaundice, and mild hepatomegaly,
you suspect CMV. What is the best way to establish the diagnosis of congenital CMV?
A. CMV-specific IgM
B.Isolation of CMV from infant urine, pharynx, or peripheral blood leukocytes within first 3 weeks
of life
C. Enzyme-linked immunosorbent assays (ELISA)
D. CMV antigenemia
8. A 2 year old female has lymphedema of the hands and feet, with low posterior hairline,
cubitus valgus, and a history of IUGR. Which of the following dfects is the most common
among the children with these signs? A. Supravalvular aortic valve stenosis
B. Mitral valve prolapse
C. Dissecting aortic arch
D. Coarctation of the aorta
9. A newborn presents with lymphadenopathy, a decrease in the ability to move the left leg,
Coombs-negative hemolytic anemia, hepatomegaly, and snuffles. what is the most likely
diagnosis?
A. congenital herpes infections
B. CMV
C. Congenital syphilis
D. Congenital gonococcal infection
10. What would you expect to find in a child with congenital toxoplasmosis?
A. Jaundice
B. Microcephaly
C. Cerebral calcifications
D. Congenital heart disease
11. A mantoux test in a child with no risk factors is considered postiive with a reaction of
A. at least 5 mm induration
B. at least 8 mm induration
C. At least 10 mm induration
D. at least 15 mminduration
12. You have ordered routine blood screening for a 2 year old girl who because of dietary habits
is at risk for IDA. Which of the following findings is not associated with IDA.
A. Hypochromic RBC
B. Microcytic RBC
Correct Answers | Verified | Latest Update 2024
1. A 17 year old sexually active girl with chancres in the genital area is noted to have a positive
Venereal Disease Research Laboratories (VDRL) test. The next step would be to.
A. Treat with ceftriaxone
B. Perform a specific treponemal antibody test
C. Culture for C. trachomatis
D. Discuss safer sex practice
s
2. The mother of an 11 year old boy is concerend that her son is developing secondary sexual
characteristics too early. Your counseling for this family is based on the knowledge that
puberty is considered precocious in boys if secondary sexual characteristics appear prior to
age
A. 12 years
B. 11 years
C. 10 years
D. 9 years
3. Which of the following signs of symptoms is not associated with congenital adrenal
hyperplasia?
A. Hypernatremia
B. Progressive weight loss
C. Dehydration
D. Hyperkalemia
4. An adolescent male who fails to develop secondary sex characteristics at puberty and who
has small underdeveloped testes should be suspected of having
A. Adrenal hyperplasia
B. Klinefelter syndrome
C. C. Marfan syndrome
D. D. Cerebral gigantism
5. Fasting blood glucose goals for children younger than the age of 6 years with diabetes
should be:
A. Between 100 and 180
B. Between 70 and 120
C. Between 60 and 80
D. Slightly over 200
, 6. An 18 month old child exposed to HIV in utero had negative HIV DNA at 2 weeks and 8
weeks. What is indicated at the 18 month visit?
A. No further testing is needed
B. HIV DNA should be repeated
C. Enzyme immunoassay for antibody to HIV 1 should be performed
D.CBC with diff and immunoglobulins is needed
7. A newborn fails his newborn hearing test. Because the mother is an adolescent and there is
evidence of the presence of intrauterine growth restriction, jaundice, and mild hepatomegaly,
you suspect CMV. What is the best way to establish the diagnosis of congenital CMV?
A. CMV-specific IgM
B.Isolation of CMV from infant urine, pharynx, or peripheral blood leukocytes within first 3 weeks
of life
C. Enzyme-linked immunosorbent assays (ELISA)
D. CMV antigenemia
8. A 2 year old female has lymphedema of the hands and feet, with low posterior hairline,
cubitus valgus, and a history of IUGR. Which of the following dfects is the most common
among the children with these signs? A. Supravalvular aortic valve stenosis
B. Mitral valve prolapse
C. Dissecting aortic arch
D. Coarctation of the aorta
9. A newborn presents with lymphadenopathy, a decrease in the ability to move the left leg,
Coombs-negative hemolytic anemia, hepatomegaly, and snuffles. what is the most likely
diagnosis?
A. congenital herpes infections
B. CMV
C. Congenital syphilis
D. Congenital gonococcal infection
10. What would you expect to find in a child with congenital toxoplasmosis?
A. Jaundice
B. Microcephaly
C. Cerebral calcifications
D. Congenital heart disease
11. A mantoux test in a child with no risk factors is considered postiive with a reaction of
A. at least 5 mm induration
B. at least 8 mm induration
C. At least 10 mm induration
D. at least 15 mminduration
12. You have ordered routine blood screening for a 2 year old girl who because of dietary habits
is at risk for IDA. Which of the following findings is not associated with IDA.
A. Hypochromic RBC
B. Microcytic RBC
