PNCB PRIMARY CARE CERTIFICATION
EXAM 2026 COMPLETE QUESTIONS WITH
SOLUTIONS
◉In addition to hypoglycemia, the MOST common complications
found in infants born to mothers with diabetes or gestational
diabetes include:
LGA, neural tube defects, anemia, and renal vein thrombosis
SGA, cardiomegaly, polycythemia, and hyperthermia
LGA, cardiomegaly, renal vein thrombosis, and polycythemia
SGA, hepatosplenomegaly, hypotonia, and anemia. Answer: LGA,
cardiomegaly, renal vein thrombosis, and polycythemia
Infants born to mothers with diabetes or gestational diabetes are
generally large for gestational age (LGA) and predisposed to many
anomalies and metabolic disorders related to diabetic control during
,the first trimester and throughout the pregnancy. Hypoglycemia
develops in about 25 - 50% of these infants, with only a small
percentage actually demonstrating symptoms of jitteriness,
hyperexcitability and poor feeding. Cardiomegaly is common in
infants of diabetic mothers, occurring about 30% of the time and
associated with many different congenital anomalies including
asymmetrical septal hypertrophy, subaortic stenosis, atrial septal
defect, transposition, and others. Additional anomalies include
neural tube defects, and defects of the GI tract and kidneys. These
infants have a higher risk of tachypnea for many reasons, and an
increased incidence of hyperbilirubinemia, renal vein thrombosis,
and polycythemia.
◉Which is the BEST next step for an adolescent with scaly patches
limited to the torso, palms of hands, and soles of feet?
active nonintervention
treponemal antibody test
topical steroids
oral antifungals. Answer: treponemal antibody test
, Non-specific scaly rashes are common in children and adolescents; it
is important to differentiate possible causes so that management is
appropriate. Scaly patches that involve the torso, palms of the hands,
and soles of feet should prompt consideration of secondary syphilis
for which the treponemal antibody test is appropriate. Active
nonintervention is appropriate for pityriasis rosea, although oral
antihistamines may be used for those who have associated itching.
While topical steroids are effective for eczematous lesions, eczema is
rarely found on the palms of hands and soles of feet. Oral antifungal
medications may be used in the treatment of tinea versicolor.
◉Which is the INITIAL approach for a healthy 5 year old with a BMI
of 30 and a fasting low density lipoprotein (LDL) of 120 mg/dL?
counseling regarding nutrition and physical exercise
obtaining annual blood pressure measurements
obtaining biannual fasting lipid profiles
prescribing a bile acid sequestrant. Answer: counseling regarding
nutrition and physical exercise
EXAM 2026 COMPLETE QUESTIONS WITH
SOLUTIONS
◉In addition to hypoglycemia, the MOST common complications
found in infants born to mothers with diabetes or gestational
diabetes include:
LGA, neural tube defects, anemia, and renal vein thrombosis
SGA, cardiomegaly, polycythemia, and hyperthermia
LGA, cardiomegaly, renal vein thrombosis, and polycythemia
SGA, hepatosplenomegaly, hypotonia, and anemia. Answer: LGA,
cardiomegaly, renal vein thrombosis, and polycythemia
Infants born to mothers with diabetes or gestational diabetes are
generally large for gestational age (LGA) and predisposed to many
anomalies and metabolic disorders related to diabetic control during
,the first trimester and throughout the pregnancy. Hypoglycemia
develops in about 25 - 50% of these infants, with only a small
percentage actually demonstrating symptoms of jitteriness,
hyperexcitability and poor feeding. Cardiomegaly is common in
infants of diabetic mothers, occurring about 30% of the time and
associated with many different congenital anomalies including
asymmetrical septal hypertrophy, subaortic stenosis, atrial septal
defect, transposition, and others. Additional anomalies include
neural tube defects, and defects of the GI tract and kidneys. These
infants have a higher risk of tachypnea for many reasons, and an
increased incidence of hyperbilirubinemia, renal vein thrombosis,
and polycythemia.
◉Which is the BEST next step for an adolescent with scaly patches
limited to the torso, palms of hands, and soles of feet?
active nonintervention
treponemal antibody test
topical steroids
oral antifungals. Answer: treponemal antibody test
, Non-specific scaly rashes are common in children and adolescents; it
is important to differentiate possible causes so that management is
appropriate. Scaly patches that involve the torso, palms of the hands,
and soles of feet should prompt consideration of secondary syphilis
for which the treponemal antibody test is appropriate. Active
nonintervention is appropriate for pityriasis rosea, although oral
antihistamines may be used for those who have associated itching.
While topical steroids are effective for eczematous lesions, eczema is
rarely found on the palms of hands and soles of feet. Oral antifungal
medications may be used in the treatment of tinea versicolor.
◉Which is the INITIAL approach for a healthy 5 year old with a BMI
of 30 and a fasting low density lipoprotein (LDL) of 120 mg/dL?
counseling regarding nutrition and physical exercise
obtaining annual blood pressure measurements
obtaining biannual fasting lipid profiles
prescribing a bile acid sequestrant. Answer: counseling regarding
nutrition and physical exercise
