1|Page
PNCB PRIMARY CARE EXAM QUESTION BANK
2025/2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {170 Q & A}
ALREADY GRADED A+ | BRAND NEW!
Which of the following is the BEST INITIAL counseling for a family
of a 5-year-old with primary nocturnal enuresis?
A. symptoms are often a developmental lag that will be outgrown
B. wake the child frequently during the night so urination is
effective
C. alarm systems are easy to use but less effective than
medication therapy
D. treatment with desmopressin has been effective with low
rates of relapse
A. symptoms are often a developmental lag that will be outgrown
,2|Page
Primary nocturnal enuresis is a common problem in children
between the ages of 5 and 8 years. In most cases, the symptoms
will be outgrown without treatment. Once any medical or physical
problem is ruled out, common sense approaches include limiting
fluids after dinner, encouraging urination right before sleep, and
holding the urine for longer periods during the day. These
procedures do help in many cases and should be the first
counseling information given to families.
Active treatment should not occur before 6 years of age, and
punitive consequences are avoided to prevent harm to the child’s
self-esteem. Alarm systems work well in waking the child when
the first few drops of urine are sensed and are considered first
line treatment. Alarm systems have lower relapse rates than
medications. Medications like DDAVP and imipramine are also
effective as long as they are used regularly, but relapses can
occur when they are stopped.
A parent is concerned about how to address the needs of 4-year-
old son who has expressed a desire to be a girl. Which guidance
is MOST appropriate?
A. prevent dressing in feminine clothes
,3|Page
B. promote group activities with other boys
C. discourage play with gender-targeted toys
D. encourage participation in activities of interest
D. encourage participation in activities of interest
Acceptance of the child and management of stigma are most
helpful to the child as he/she explores this. Pressure to suppress
non-conforming feelings and to participate in activities that
society deems appropriate for gender contributes to low self-
esteem and increased anxiety. Bullying and social isolation is
common to children who are gender non-conforming. Allowing
the child to dress in feminine clothes at home, a safe and
accepting place, helps the child with self-expression without
increasing the risk of social ostracism. Supporting the child’s
interests and strengths promotes self-esteem and demonstrates
acceptance of the child.
When a child has an avulsed permanent tooth, the BEST
management includes seeking immediate dental care and
, 4|Page
A. submerging the tooth in a cup of cold milk.
B. replanting the tooth in socket and holding in place.
C. submerging the tooth in a cup with the child's saliva.
D. soaking tooth in warm water, then wrapping in paper towel.
B. replanting the tooth in socket and holding in place.
Primary teeth cannot be replanted. If permanent teeth are
knocked out and the tooth is found, timing is important. A tooth
that dehydrates may not be successfully replanted after 60
minutes, but dental evaluation is still essential as other
interventions may be successful. The best management of an
avulsed permanent tooth is replantation in the socket.
A school-age child with phenylketonuria has started eating
school cafeteria lunches with friends to include eating dairy
products and meats. This dietary nonadherence increases the
child's risk for:
A. anaphylaxis
B. bipolar disorder
C. hyperactivity
D. lactose intolerance
C. hyperactivity
PNCB PRIMARY CARE EXAM QUESTION BANK
2025/2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {170 Q & A}
ALREADY GRADED A+ | BRAND NEW!
Which of the following is the BEST INITIAL counseling for a family
of a 5-year-old with primary nocturnal enuresis?
A. symptoms are often a developmental lag that will be outgrown
B. wake the child frequently during the night so urination is
effective
C. alarm systems are easy to use but less effective than
medication therapy
D. treatment with desmopressin has been effective with low
rates of relapse
A. symptoms are often a developmental lag that will be outgrown
,2|Page
Primary nocturnal enuresis is a common problem in children
between the ages of 5 and 8 years. In most cases, the symptoms
will be outgrown without treatment. Once any medical or physical
problem is ruled out, common sense approaches include limiting
fluids after dinner, encouraging urination right before sleep, and
holding the urine for longer periods during the day. These
procedures do help in many cases and should be the first
counseling information given to families.
Active treatment should not occur before 6 years of age, and
punitive consequences are avoided to prevent harm to the child’s
self-esteem. Alarm systems work well in waking the child when
the first few drops of urine are sensed and are considered first
line treatment. Alarm systems have lower relapse rates than
medications. Medications like DDAVP and imipramine are also
effective as long as they are used regularly, but relapses can
occur when they are stopped.
A parent is concerned about how to address the needs of 4-year-
old son who has expressed a desire to be a girl. Which guidance
is MOST appropriate?
A. prevent dressing in feminine clothes
,3|Page
B. promote group activities with other boys
C. discourage play with gender-targeted toys
D. encourage participation in activities of interest
D. encourage participation in activities of interest
Acceptance of the child and management of stigma are most
helpful to the child as he/she explores this. Pressure to suppress
non-conforming feelings and to participate in activities that
society deems appropriate for gender contributes to low self-
esteem and increased anxiety. Bullying and social isolation is
common to children who are gender non-conforming. Allowing
the child to dress in feminine clothes at home, a safe and
accepting place, helps the child with self-expression without
increasing the risk of social ostracism. Supporting the child’s
interests and strengths promotes self-esteem and demonstrates
acceptance of the child.
When a child has an avulsed permanent tooth, the BEST
management includes seeking immediate dental care and
, 4|Page
A. submerging the tooth in a cup of cold milk.
B. replanting the tooth in socket and holding in place.
C. submerging the tooth in a cup with the child's saliva.
D. soaking tooth in warm water, then wrapping in paper towel.
B. replanting the tooth in socket and holding in place.
Primary teeth cannot be replanted. If permanent teeth are
knocked out and the tooth is found, timing is important. A tooth
that dehydrates may not be successfully replanted after 60
minutes, but dental evaluation is still essential as other
interventions may be successful. The best management of an
avulsed permanent tooth is replantation in the socket.
A school-age child with phenylketonuria has started eating
school cafeteria lunches with friends to include eating dairy
products and meats. This dietary nonadherence increases the
child's risk for:
A. anaphylaxis
B. bipolar disorder
C. hyperactivity
D. lactose intolerance
C. hyperactivity
