ABFM + KSA CARE OF CHILDREN EXAM NEWEST
2026 ACTUAL EXAM QUESTIONS AND CORRECT
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A healthy 2-month-old female is brought to your office for a well
child visit. Which one of the following immunizations should be
administered at this visit?
A. Meningococcal conjugate
B. MMR
C. Oral poliovirus
D. Rotavirus - ANSWER : D
Childhood immunizations have prevented many previously
common communicable diseases, and the CDC's Advisory
Committee on Immunization Practices regularly updates its
recommendations.
Rotavirus vaccine is administered in a three-dose series at 2, 4,
and 6 months of age, and is the only one on this list that is
appropriate for a 2-month-old child. A first dose of
meningococcal vaccine is recommended at 11-12 years of age,
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with a second dose at age 16. MMR has been found to be
efficacious only when given after 1 year of age.
Because of the risk of inducing clinical polio with the live oral
poliovirus vaccine, it is no longer recommended for routine
childhood immunizations. Since 1999, parenteral inactivated
poliovirus vaccine has been recommended instead.
You and your staff are preparing for the onset of influenza
season. Which one of the following is recommended by the CDC's
Advisory Committee on Immunization Practices?
A. Annual influenza vaccine for all children starting at age 6
months
B. A single dose of influenza vaccine for previously unvaccinated
children 3-8 years of age
C. Delaying influenza vaccination until symptoms resolve in
children who have minor illnesses such as upper respiratory
infections
D. Skin testing with influenza vaccine prior to administration in
patients with an egg allergy
E. The use of quadrivalent live attenuated influenza vaccine
rather than trivalent inactivated influenza vaccine in patients
with a history of hypersensitivity, including anaphylaxis, to eggs -
ANSWER: A
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The Advisory Committee on Immunization Practices of the CDC
recommends annual influenza vaccine for all persons 6 months
of age or older. Children 6 months to 8 years of age require two
doses of influenza vaccine separated by 4 or more weeks in
order to optimize immune response if they have not been
previously vaccinated. Children in this age range also require two
doses the second year they receive the vaccine if they received
only one dose the first year. The recommendations for previously
vaccinated children 6 months to 8 years of age vary from year to
year depending upon changes to the viruses included in the
vaccine.
Several inactivated influenza vaccines (IIVs) and a quadrivalent
live attenuated influenza vaccine (LAIV4) are licensed in the
United States for use in children. LAIV4 and IIV are both
appropriate options in healthy children 2-8 years of age who
have no contraindications (SOR B). A Cochrane review of 41
randomized, controlled trials with more than 200,000 children
ages 2-16, plus 12 case-control and 21 cohort studies, compared
either LAIV or IIV with placebo. The review found that in a
moderate-risk population, vaccination of seven children with
LAIV or five children with IIV would prevent one case of
laboratory-confirmed influenza in a season. The numbers needed
to treat increased to 19 for LAIV and 13 for IIV to prevent one
episode of influenza-like illness.
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Immunization usually should be withheld from children with
moderate to severe acute febrile illness until resolution of their
symptoms, but children with minor illnesses (with or without
fever) should receive the vaccine, particularly if they have an
upper respiratory tract infection or allergic rhinitis.
Young children with an egg allergy are at increased risk for
influenza complications and therefore would benefit from
vaccination
The mother of a 6-year-old male has recently noticed fecal
soiling evident in the child's underwear once or twice weekly.
When she asks her son about this problem he quickly changes
the subject to avoid the discussion. She fears that this sudden
change might indicate a serious physical or psychological
problem, which concerns her because the child's father was
recently diagnosed with bipolar disorder. She and the child's
father are currently separated. The child started first grade 4
months ago and appears to be doing well in school. His teacher
reports no behavioral problems. Specifically, she said she has
not noticed any behavior or odor that might suggest fecal soiling
during the school day. The mother had a normal prenatal course
and delivery, and the child's infancy and early childhood have
progressed normally with no serious medical problems.
Developmental milestones were met in a timely fashion. He was
exclusi - ANSWER: B