PNCB PRIMARY CARE CERTIFICATION EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION

PNCB PRIMARY CARE CERTIFICATION EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION 1. Birth - 6 month kcal/kg/day requirement - ANSWER 120 kcal/kg/day 2. 7 months - 1 year kcal/kg/day requirement - ANSWER 100 kcal/kg/day 3. 2 - 10 years kcal/kg/day requirement - ANSWER 70-100 kcal/kg/day 4. Adolescent kcal/kg/day requirement - ANSWER 5. weight gain per day for first 3 months - ANSWER 30g/day or 1oz/day 6. Daily gain between 3-6 months - ANSWER 15-20g/day 7. Vitamin D supplementation begins at what age? - ANSWER 2 months 8. Vitamin D dose per day through adolescence: - ANSWER 400 international units (IU) 9. Vegetarian mothers need _________ supplementation. - ANSWER Vitamin B12 (causes neuro abnormalities) 10. Dose of iron per day for exclusively breast fed infants: - ANSWER 1 mg/kg/day AFTER 6 months 11. Bottle-fed infants should have ____________ supplementation: - ANSWER Iron (ideally from fortified cereals) 12. Infant weight doubles by: - ANSWER 5 months 13. Infant weight triples by: - ANSWER 1 year 14. Infant weight quadruples by: - ANSWER 2 years 15. 3 years - school age weight gain per year - ANSWER 4-6 pounds/year 16. School age children weight gain per year - ANSWER 5-7 pounds/year 17. central incisor primary teeth erupt at what age? - ANSWER 6-7.5 months 18. Second molar primary teeth erupt at what age? - ANSWER 20-24 months 19. A female athlete experiences anaphylaxis during a soccer game. The only significant history is that she had lunch about 1 hour before the incident. Food-dependent exercise-induced anaphylaxis is diagnosed. Of the following, the MOST likely cause is: chocolate milkshake pineapple tomatoes whole wheat bread - ANSWER whole wheat bread Exercise is a known co-factor in some children who experience anaphylaxis. Food-dependent exercise-induced anaphylaxis (FDEIA) is defined as a food induced allergic reaction that occurs during or soon after exercise. Children should not exercise within 2-3 hours of ingesting the triggering food. Nuts, wheat, apples, bananas, kiwi, peaches and eggs frequently are the cause for anaphylaxis. 20. A healthy 24 month old can be expected to have achieved which of the following language milestones? counts three objects correctly speaks using 30 - 50 words states full name tells a story - ANSWER speaks using 30 - 50 words Utilizing the Early Language Milestone Scale, beginning at the age of 11 months and continuing to 24 months of age, the child should have a vocabulary of 50 words. This child should be able to put words together in short, 2 - 3 word sentences and name at least one object in a picture. The child at age 3 - 4 years will be able to tell a short story and begin to count. A 2 year old may know his first name, but usually cannot state full name until he/she is older. 21. Which is the MOST important safety question to ask a 17 year old? "Are you aware of ways to avoid accidents?" "Do you play violent video games more than 2 hours a day?" "Do you always wear a seat belt when driving or riding in a car?" "Is there a gun anywhere in your house?" - ANSWER "Do you always wear a seat belt when driving or riding in a car?" Motor vehicle accidents are the leading cause of death among children in the United States, with 78% of all unintentional injury deaths related to MVA among adolescents. When correctly used, restraint systems can prevent fatalities and reduce the number and severity of injuries to children and adolescents. As adolescents begin to drive and carry peer passengers, it is especially important to remind them of basic safety issues, including the use of seat belts, emphasizing the danger of driving, drinking and drug use as well as appropriate behavior while in the car. Reinforcing pedestrian safety is another important issue with adolescents. Firearm injuries have decreased over recent years, especially among older children, and there is no link between violent video games and increased accidents. 22. A 14-year-old cross country runner has a 3 - 4 week history of knee pain, which increases with activity. On exam, there is notable pain and tenderness over the tibial tuberosity. Which is the BEST management strategy? modify activities that cause pain until the inflammation subsides refer to orthopedic surgeon for evaluation refer for physical therapy obtain MRI to rule out malignant disease - ANSWER modify activities that cause pain until the inflammation subsides Osgood-Schlatter disease (OSD) is inflammation of the tibial tubercle usually caused by repetitive trauma to this site, causing inflammation, microfractures and new bone formation at the tibial tubercle apophysis. OSD is a common problem in adolescents who are involved in sports activities and occurs in males between the ages of 10 - 15 and in females between 8 and 14. Pain is typical with point tenderness over the tibial tuberosity and pain with knee flexion or knee extension against passive resistance. Imaging is not indicated unless there is concern that a tumor may be present. 23. Management includes avoiding or modifying activities which cause pain, applying ice to the site, stretching exercises prior to activity, knee immobilization if pain is severe and use of an ace wrap to stabilize the patella. The American Academy of Pediatrics Practice Guidelines for the long-term management of the child with simple febrile seizures recommends: providing maintenance therapy with phenobarbital. administering valproic acid every day and acetaminophen at onset of fever. administering prophylactic acetaminophen or ibuprofen at onset of fever. using antipyretics for the comfort of the child. - ANSWER using antipyretics for the comfort of the child.