Drexel University Nurse Practitioner- FNP II Pediatrics
Questions With Complete Solutions
*Anemia* with a *HIGH Retic* count is probably due to ...
Correct Answers *Blood Loss* or *Hemolysis* (inc. red cell
destruction)
*Anemia* with a *LOW Retic* count is probably due to ...
Correct Answers -**Iron Deficiency**
-Transient Erythroblastopenia of Childhood (TEC)
-*Viral Infections* (Hepatits, EBV, HIV, ParvoB19)
-Chronic Disease
-Malnutrition
*Boy, tall, small gonads, learning problems*
Suspected genetic disorder? Correct Answers *Klinefelter
Syndrome 47, XXY*
extra X chromosome(s)
*Boys* growth spurt typically happens at what age? Correct
Answers Mean age to *begin*- 11yrs
Mean age to *peak*- *13.5yrs*
*Breast milk* helps prevent what MAJOR complication in
neonates (especially premies!) Correct Answers *Necrotizing
Enterocolitis*
(bacterial infx of the bowel wall)
*Buchanan's Rules*:
Normal Hgb (LLN) =
,Normal MCV (LLN) = Correct Answers *Nl Hgb = 11 + (0.1 x
Age(yrs))*
(3yr old nl Hgb = 11.3)
*Nl MCV = 70 + Age(yrs)*
(3yr old nl MCV = 73)
*Epstein Pearls*
What are they? Will they go away? Correct Answers Inclusion
cysts along midline of *hard palate*
-will resolve-
*Fair haired, blue eyed baby*
Developmental delay by 6months
Seizures, eczema
*Musty odor to urine*
Suspected metabolism problem? Management? Correct
Answers *PKU* - deficiency of phenylalanine hydroxylase
Tx: restriction of phenylalanine (only eat fruits and veggies)
*Fixed and widely split S2*. Soft systolic murmur @ ULSB.
Right axis deviation seen on EKG. Correct Answers Atrial
Septal Defect (ASD)
*Floppy newborn* baby with *protruding tongue*, prolonged
*jaundice*, and periorbital edema.
What should you suspect? Correct Answers *Hypothyroidism*
-check labs and moms labs
, *Girls* growth spurt typically happens at what age? Correct
Answers Mean age to *begin*- 9yrs
Mean age to *peak*- *11.5yrs*
*Herpangina* is associated with what Dx and pathogen?
Correct Answers *Hand-Foot-Mouth Dz*
--Coxachie Virus--
*Holoprosencephaly* along with a *single umbilical artery* are
characteristic of what chromosomal defect? Correct Answers
*Trisomy 13*
-Also has cleft lip/palate, cardiac defects, urinary tract defects
>70% die by 1 yr
*Hypertension* in mom puts baby at risk for _____________
Correct Answers IUGR (Intrauterine Growth Restriction)
*Leukokoria*
What is it? When do you see it? Correct Answers *Absence of
Red Reflex*
-cataract
-retinoblastoma
-chorioretinitis
-retinal detachment
*Otitis Externa* that presents with *pruritus and white
discharge* Correct Answers Fungi
*Physiologic Jaundice*, conjugated or unconjugated? Correct
Answers *UNCONJUGATED*
Questions With Complete Solutions
*Anemia* with a *HIGH Retic* count is probably due to ...
Correct Answers *Blood Loss* or *Hemolysis* (inc. red cell
destruction)
*Anemia* with a *LOW Retic* count is probably due to ...
Correct Answers -**Iron Deficiency**
-Transient Erythroblastopenia of Childhood (TEC)
-*Viral Infections* (Hepatits, EBV, HIV, ParvoB19)
-Chronic Disease
-Malnutrition
*Boy, tall, small gonads, learning problems*
Suspected genetic disorder? Correct Answers *Klinefelter
Syndrome 47, XXY*
extra X chromosome(s)
*Boys* growth spurt typically happens at what age? Correct
Answers Mean age to *begin*- 11yrs
Mean age to *peak*- *13.5yrs*
*Breast milk* helps prevent what MAJOR complication in
neonates (especially premies!) Correct Answers *Necrotizing
Enterocolitis*
(bacterial infx of the bowel wall)
*Buchanan's Rules*:
Normal Hgb (LLN) =
,Normal MCV (LLN) = Correct Answers *Nl Hgb = 11 + (0.1 x
Age(yrs))*
(3yr old nl Hgb = 11.3)
*Nl MCV = 70 + Age(yrs)*
(3yr old nl MCV = 73)
*Epstein Pearls*
What are they? Will they go away? Correct Answers Inclusion
cysts along midline of *hard palate*
-will resolve-
*Fair haired, blue eyed baby*
Developmental delay by 6months
Seizures, eczema
*Musty odor to urine*
Suspected metabolism problem? Management? Correct
Answers *PKU* - deficiency of phenylalanine hydroxylase
Tx: restriction of phenylalanine (only eat fruits and veggies)
*Fixed and widely split S2*. Soft systolic murmur @ ULSB.
Right axis deviation seen on EKG. Correct Answers Atrial
Septal Defect (ASD)
*Floppy newborn* baby with *protruding tongue*, prolonged
*jaundice*, and periorbital edema.
What should you suspect? Correct Answers *Hypothyroidism*
-check labs and moms labs
, *Girls* growth spurt typically happens at what age? Correct
Answers Mean age to *begin*- 9yrs
Mean age to *peak*- *11.5yrs*
*Herpangina* is associated with what Dx and pathogen?
Correct Answers *Hand-Foot-Mouth Dz*
--Coxachie Virus--
*Holoprosencephaly* along with a *single umbilical artery* are
characteristic of what chromosomal defect? Correct Answers
*Trisomy 13*
-Also has cleft lip/palate, cardiac defects, urinary tract defects
>70% die by 1 yr
*Hypertension* in mom puts baby at risk for _____________
Correct Answers IUGR (Intrauterine Growth Restriction)
*Leukokoria*
What is it? When do you see it? Correct Answers *Absence of
Red Reflex*
-cataract
-retinoblastoma
-chorioretinitis
-retinal detachment
*Otitis Externa* that presents with *pruritus and white
discharge* Correct Answers Fungi
*Physiologic Jaundice*, conjugated or unconjugated? Correct
Answers *UNCONJUGATED*
