Solutions
"boggy" nasal mucous membranes with serous drainage upon
examination usually suggests:
a. sinusitis
b. polyps
c. URI
d. allergic rhinitis Correct Answers d
"incident to" billing is specific to:
a. Medicare
b. Medicaid
c. Medicare & Medicaid
d. Private insurance companies Correct Answers a
1. A 10mo old child has been diagnosed with gastroenteritis. He
attends a child care facility. What is the most likely cause of his
illness?
a. Clostridium difficile
b. Rotavirus
c. Salmonella
d. Cryptosporidium Correct Answers b
1. A typical febrile seizure is most likely to be the problem of
which of the following children?
a. A 1yo with otitis media & a fever of 104F
b. A 3mo old with unequal pupils & bulging fontanels
c. An 11yo with fever of 101F who is on valproic acid for
seizure disorder
d. A 5yo with bacterial meningitis Correct Answers a
,1. Baseline management of all neonates with ABO
incompatibility includes:
a. Phototherapy
b. Serial monitoring of bilirubin & hemoglobin levels
c. Exchange transfusion
d. Simple transfusion of packed RBCs Correct Answers b
1. Secondary hypothyroidism results from:
a. Excess release of thyroid hormone beyond the newborn period
b. Intrauterine exposure to thyrotoxic drugs
c. Disease or disorder of the thyroid gland itself
d. Disease or disorder of the hypothalamus or pituitary gland
compromising thyroid function Correct Answers d
1. Septicemia in the newborn period is likely caused by which
organism?
a. Listeria monocytogenes
b. Haemophilus influenza
c. Neisseria meningitides
d. Streptococcus pneuomniae Correct Answers a
1. Urinary tract infections (UTI) are the most common pediatric
urinary tract problems seen in primary care. Which of the
following statements is not true regarding UTIs?
a. Symptoms are often nonspecific, especially in infancy
b. Urine culture is required for definitive diagnosis
c. Trimethoprim-sulfamethoxazole is a drug of choice for most
children
d. Radiologic studies are rarely indicated with first infection
Correct Answers d
,1. Which of the following disorders is usually associated with
adduction of the forefoot?
a. Internal femoral torsion
b. Talipes equinovarus congenital
c. Genu valgum
d. Internal tibial torsion Correct Answers b
1. which of the following is a characteristic physical sign of
fragile X syndrome in adolescent males?
a. Small posteriorly rotated ears
b. Macroorchidism
c. Hypertonia
d. Double hair whirl Correct Answers b
1. Which of the following is true for idiopathic scoliosis, which
occurs primarily in adolescents?
a. Mild curves occur equally between the sexes
b. Generally there is no family history
c. Back pain is usually associated with curves of 35 degrees or
greater
d. Bracing is indicated for thoracic curves of 10-25 degrees
Correct Answers a
10. An 11yo girl is brought in by her mother complaining of
severe headaches associated with nausea & vomiting. Which of
the following s/s would lead you to consider a brain tumor as
part of your differential diagnosis?
a. Throbbing pain accompanied by severe light sensitivity
b. Bilateral throbbing pain
c. Preceded by a visual aura
, d. More severe in the morning followed by vomiting Correct
Answers d
10. For a newborn, the correct management of hip dislocation
should include:
a. Use of flexion-abduction device such as Pavlik harness to
stabilize hip
b. Follow and observe closely for 3-4 weeks then refer to ortho
c. Surgical reduction
d. Traction for 6 weeks Correct Answers a
10. Meatal stenosis, narrowing of the distal urethra, is seen in
the following:
a. Orchiopexy
b. Circumcision
c. Epididymitis
d. Hypospadias repair Correct Answers b
10. Sally is vomiting and diarrhea has stopped. If she needs oral
replacement therapy (ORT) today, what would be the
appropriate amount to recommend?
a. 325-350 cc over 4hrs
b. 600-700cc over 4hrs
c. 600-700cc over 12hrs
d. 325-350cc over 8hrs Correct Answers b
10. The expected hemoglobin range for sickle cell anemia is:
a. 6.5-9.5g/dl
b. 13.5-16.5g/dl
c. 8.5-12.5g/dl
d. 9.5-13.5g/dl Correct Answers a