ATI PEDIATRIC FINAL PROCTORED EXAM LATEST
2023-2024 ACTUAL EXAM COMPLETE 130 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
What is the total amount of Amoxicillin the child should receive per day?
A. 200 mg
B. 250 mg
C. 300 mg
D. 660 mg - ANSWER-C
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
T/F: The extraction is being delayed for 7 days to give the antibiotics an opportunity to work because
local anesthetics aren't as effective in acidic environments. - ANSWER-True
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
The plan will be to use 2% lidocaine with 1: 100,000 epinephrine as the local anesthetic. What is the
maximum dose of this type of local anesthetic in children?
A. 2.2 mg/kg
,B. 3.3 mg/kg
C. 4.4 mg/kg
D. 5.5 mg/kg - ANSWER-C
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
What combination of local anesthetic techniques will provide the most effective local anesthesia for this
patient?
1. ASA (anterior superior alveolar injection)
2. MSA (middle superior alveolar injection)
3. PSA (posterior superior alveolar injection)
4. Nasopalatine
5. Greater palatine
A. 1 and 4
B. 2 and 4
C. 3 and 4
D. 1 and 5
E. 2 and 5
F. 3 and 5 - ANSWER-E
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
The patient returns the next day to the pediatric clinic with a postoperative complaint of pain to their
lower lip. What is the most likely cause of this complication?
A. local anesthetic necrosis
, B. lip biting
C. mucocele sloughing
D primary herpetic gingivostomatitis - ANSWER-B
A 3 year old with a history of multiple hospitalizations for asthma comes in for an initial exam. The
patient uses an albuterol nebulizer daily and is on an antihistamine as well. Based upon your clinical
exam (which you perform using the knee to knee technique as the patient would not sit in the dental
chair and thrashed about during the exam), you see that this patient has several areas of anterior and
posterior decay. Twelve of twenty teeth are affected with dental caries.
Which of the following are typical side effects of this patient's asthma medications?
1. Xerostomia
2. Decreased salivary flow rate
3. Candidiasis
4. Decreased salivary pH
A. 1 and 3
B. 1, 2, 3
C. 2 and 4
D. 1, 2, and 4
E. all of the above - ANSWER-E
A 3 year old with a history of multiple hospitalizations for asthma comes in for an initial exam. The
patient uses an albuterol nebulizer daily and is on an antihistamine as well. Based upon your clinical
exam (which you perform using the knee to knee technique as the patient would not sit in the dental
chair and thrashed about during the exam), you see that this patient has several areas of anterior and
posterior decay. Twelve of twenty teeth are affected with dental caries.
Based on this patient's behavior and dental needs, this patient would best benefit from treatment in
which clinical setting?
A. using traditional behavior management techniques in combination with nitrous oxide/oxygen
analgesia
B. using mild to moderate oral sedation
C. using general anesthesia
D. clinic using traditional behavior management techniques such as Tell-Show-Do and distraction -
2023-2024 ACTUAL EXAM COMPLETE 130 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
What is the total amount of Amoxicillin the child should receive per day?
A. 200 mg
B. 250 mg
C. 300 mg
D. 660 mg - ANSWER-C
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
T/F: The extraction is being delayed for 7 days to give the antibiotics an opportunity to work because
local anesthetics aren't as effective in acidic environments. - ANSWER-True
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
The plan will be to use 2% lidocaine with 1: 100,000 epinephrine as the local anesthetic. What is the
maximum dose of this type of local anesthetic in children?
A. 2.2 mg/kg
,B. 3.3 mg/kg
C. 4.4 mg/kg
D. 5.5 mg/kg - ANSWER-C
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
What combination of local anesthetic techniques will provide the most effective local anesthesia for this
patient?
1. ASA (anterior superior alveolar injection)
2. MSA (middle superior alveolar injection)
3. PSA (posterior superior alveolar injection)
4. Nasopalatine
5. Greater palatine
A. 1 and 4
B. 2 and 4
C. 3 and 4
D. 1 and 5
E. 2 and 5
F. 3 and 5 - ANSWER-E
A healthy 5 year old female patient presents to the clinic with her mother who reports the child has
been in pain for the last week with a tooth ache. Your clinical examination reveals that the child has
several areas of decay with an abscess associated with tooth #B. The plan will be to extract tooth #B
after the child finishes a course of antibiotics. The child is 33 lbs. (15 kg) and your plan is to prescribe a
seven day course of Amoxicillin using a dosage of 20 mg/kg/day. The Amoxicillin is supplied in a 250
mg/5 ml suspension.
The patient returns the next day to the pediatric clinic with a postoperative complaint of pain to their
lower lip. What is the most likely cause of this complication?
A. local anesthetic necrosis
, B. lip biting
C. mucocele sloughing
D primary herpetic gingivostomatitis - ANSWER-B
A 3 year old with a history of multiple hospitalizations for asthma comes in for an initial exam. The
patient uses an albuterol nebulizer daily and is on an antihistamine as well. Based upon your clinical
exam (which you perform using the knee to knee technique as the patient would not sit in the dental
chair and thrashed about during the exam), you see that this patient has several areas of anterior and
posterior decay. Twelve of twenty teeth are affected with dental caries.
Which of the following are typical side effects of this patient's asthma medications?
1. Xerostomia
2. Decreased salivary flow rate
3. Candidiasis
4. Decreased salivary pH
A. 1 and 3
B. 1, 2, 3
C. 2 and 4
D. 1, 2, and 4
E. all of the above - ANSWER-E
A 3 year old with a history of multiple hospitalizations for asthma comes in for an initial exam. The
patient uses an albuterol nebulizer daily and is on an antihistamine as well. Based upon your clinical
exam (which you perform using the knee to knee technique as the patient would not sit in the dental
chair and thrashed about during the exam), you see that this patient has several areas of anterior and
posterior decay. Twelve of twenty teeth are affected with dental caries.
Based on this patient's behavior and dental needs, this patient would best benefit from treatment in
which clinical setting?
A. using traditional behavior management techniques in combination with nitrous oxide/oxygen
analgesia
B. using mild to moderate oral sedation
C. using general anesthesia
D. clinic using traditional behavior management techniques such as Tell-Show-Do and distraction -
