PNCB Examination Questions and
Answers|Latest Update
The red reflex is done in the newborn to rule out:
a) retinoblastoma
b) decreased visual acuity
c) strabismus
d) corneal abrasions a) retinoblastoma
A child presents with acute onset of 104 temperature and difficult swallowing. She appears
anxious and is drooling. You suspect epiglotitis. Your immediate management plan would be:
a) medical transportation to an ER with anesthesiology notified
b) given an injection of ceftriaxone in the clinic and have the parents transport the child to the
ER
c) obtain a CBC and blood culture and transport the child to the ER/hospital for admission
d) obtain a rapid strep and culture to rule out GABHS a) medical transportation to an ER
with anesthesiology notified
,Laboratory analysis of neonatal ocular discharge would be positive for gram negative
intracellular diplococci for which of the following organisms?
a) chlamydia
b) influenza
c) adenovirus
d) gonococcus d) gonococcus
All bacterial conjunctivitis:
a) must be treated with antibiotics to prevent complications
b) is highly contagious requiring family education on prevention
c) is more common than viral conjunctivitis
d) is frequently caused by m. catarrhalis b) is highly contagious requiring family
education on prevention
Which of the following is used for hearing assessment in a child age 4 or older?
a) brainstem auditory evoked response (BAER)
b) moro reflex
c) whisper test
,d) audiometry d) audiometry
What is the most common cause of atypical pneumonia in the pediatric population?
a) mycoplasma
b) staphylcoccus aureus
c) ureaplasma
d) haemophilus influenzae a) mycoplasma
A mother brings her 4-month-old to the office with fever, tachypnea, and decreased intake. The
probable diagnosis and treatment include:
a) bronchiolitis, albuterol via nebulizer at home
b) bronchiolitis, amoxicillin
c) pneumonia, albuterol
d) bronchiolitis, symptomatic treatment d) bronchiolitis, symptomatic treatment
The most common clinical presentation of pneumonia includes:
a) cough, fever, tachypnea, and abdominal pain
b) hemoptysis, putrid breath, and weight loss
, c) sudden chest pain, cyanosis
d) retractions, stridor a) cough, fever, tachypnea, and abdominal pain
A 4-year-old male comes to the office for routine well visit. Mom reports he uses his albuterol
twice a month with URIs. Sleeps well, no nocturnal cough. He has:
a) moderate persisten asthma
b) severe persistent asthma
c) mild intermittent asthma
d) mild persistent asthma c) mild intermittent asthma
A 6-year-old in the office using Albuterol every week has nocturnal cough and has just
completed his second round of orapred from express care visit this month. What would be the
next step in the treatment plan per the NHLBI step-wise guideline?
a) Begin low-dose ICS
b) increase albuterol to QID
c) refer to pulmonology
d) no change in treatment plan a) Begin low-dose ICS
Answers|Latest Update
The red reflex is done in the newborn to rule out:
a) retinoblastoma
b) decreased visual acuity
c) strabismus
d) corneal abrasions a) retinoblastoma
A child presents with acute onset of 104 temperature and difficult swallowing. She appears
anxious and is drooling. You suspect epiglotitis. Your immediate management plan would be:
a) medical transportation to an ER with anesthesiology notified
b) given an injection of ceftriaxone in the clinic and have the parents transport the child to the
ER
c) obtain a CBC and blood culture and transport the child to the ER/hospital for admission
d) obtain a rapid strep and culture to rule out GABHS a) medical transportation to an ER
with anesthesiology notified
,Laboratory analysis of neonatal ocular discharge would be positive for gram negative
intracellular diplococci for which of the following organisms?
a) chlamydia
b) influenza
c) adenovirus
d) gonococcus d) gonococcus
All bacterial conjunctivitis:
a) must be treated with antibiotics to prevent complications
b) is highly contagious requiring family education on prevention
c) is more common than viral conjunctivitis
d) is frequently caused by m. catarrhalis b) is highly contagious requiring family
education on prevention
Which of the following is used for hearing assessment in a child age 4 or older?
a) brainstem auditory evoked response (BAER)
b) moro reflex
c) whisper test
,d) audiometry d) audiometry
What is the most common cause of atypical pneumonia in the pediatric population?
a) mycoplasma
b) staphylcoccus aureus
c) ureaplasma
d) haemophilus influenzae a) mycoplasma
A mother brings her 4-month-old to the office with fever, tachypnea, and decreased intake. The
probable diagnosis and treatment include:
a) bronchiolitis, albuterol via nebulizer at home
b) bronchiolitis, amoxicillin
c) pneumonia, albuterol
d) bronchiolitis, symptomatic treatment d) bronchiolitis, symptomatic treatment
The most common clinical presentation of pneumonia includes:
a) cough, fever, tachypnea, and abdominal pain
b) hemoptysis, putrid breath, and weight loss
, c) sudden chest pain, cyanosis
d) retractions, stridor a) cough, fever, tachypnea, and abdominal pain
A 4-year-old male comes to the office for routine well visit. Mom reports he uses his albuterol
twice a month with URIs. Sleeps well, no nocturnal cough. He has:
a) moderate persisten asthma
b) severe persistent asthma
c) mild intermittent asthma
d) mild persistent asthma c) mild intermittent asthma
A 6-year-old in the office using Albuterol every week has nocturnal cough and has just
completed his second round of orapred from express care visit this month. What would be the
next step in the treatment plan per the NHLBI step-wise guideline?
a) Begin low-dose ICS
b) increase albuterol to QID
c) refer to pulmonology
d) no change in treatment plan a) Begin low-dose ICS
