**Question 1.** Which component of the Pediatric Assessment Triangle (PAT) evaluates skin color,
temperature, and capillary refill?
A) Appearance
B) Work of Breathing
C) Circulation
D) Level of Consciousness
Answer: C
Explanation: Circulation in the PAT assesses perfusion signs such as skin color and capillary refill.
**Question 2.** In a newborn, the normal respiratory rate range is:
A) 10-20 breaths/min
B) 30-40 breaths/min
C) 40-60 breaths/min
D) 70-80 breaths/min
Answer: C
Explanation: Newborns normally breathe 40-60 times per minute.
**Question 3.** Which growth chart is recommended for children older than 2 years in the United
States?
A) WHO weight-for-age
B) CDC BMI-for-age
C) WHO length-for-age
D) CDC head-circumference-for-age
Answer: B
Explanation: CDC growth charts are used for children >2 years, including BMI-for-age.
**Question 4.** A 4-year-old child has a heart rate of 140 bpm. This is:
A) Bradycardia
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B) Normal for age
C) Mild tachycardia indicating shock
D) Severe tachycardia requiring immediate CPR
Answer: B
Explanation: Normal heart rate for a 4-year-old is 80-120 bpm; 140 bpm is slightly elevated but can be
normal with activity.
**Question 5.** The term “compensated shock” in pediatrics refers to:
A) Irreversible organ failure
B) Normal blood pressure with increased heart rate
C) Low blood pressure with cold extremities
D) Absence of tachycardia
Answer: B
Explanation: Compensated shock maintains blood pressure through tachycardia and peripheral
vasoconstriction.
**Question 6.** The ASQ-3 primarily relies on:
A) Direct clinician observation
B) Parent-reported responses
C) Neuroimaging findings
D) Laboratory biomarkers
Answer: B
Explanation: The Ages and Stages Questionnaires are completed by parents to screen development.
**Question 7.** Which age range is the M-CHAT-R/F designed to screen for autism?
A) 6-12 months
B) 12-18 months
C) 16-30 months
D) 3-5 years
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Answer: C
Explanation: The Modified Checklist for Autism in Toddlers is validated for 16-30 months.
**Question 8.** The Bayley-4 Scales assess all of the following EXCEPT:
A) Cognitive development
B) Language development
C) Motor development
D) Emotional regulation
Answer: D
Explanation: Bayley-4 evaluates cognition, language, motor, social-emotional, and adaptive behavior but
not specific emotional regulation as a separate domain.
**Question 9.** The GMFCS is most appropriate for children with:
A) Autism spectrum disorder
B) Cerebral palsy
C) Down syndrome
D) Muscular dystrophy
Answer: B
Explanation: The Gross Motor Function Classification System classifies motor function in cerebral palsy.
**Question 10.** The ASQ:SE-2 screens for:
A) Speech delays
B) Social-emotional problems
C) Visual impairments
D) Nutritional deficiencies
Answer: B
Explanation: The Social-Emotional version of ASQ identifies early social-emotional concerns.
**Question 11.** Which tool includes both parent and teacher forms for ADHD assessment?
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A) Vanderbilt Assessment Scales
B) Conners 3
C) PHQ-9
D) SCARED
Answer: A
Explanation: Vanderbilt scales have separate parent and teacher questionnaires for ADHD.
**Question 12.** The PHQ-9 modified for adolescents assesses:
A) Anxiety severity
B) Depressive symptoms
C) Conduct disorder
D) Substance use
Answer: B
Explanation: The adolescent PHQ-9 is a depression screening instrument.
**Question 13.** The SCARED questionnaire is intended for children aged:
A) 3-7 years
B) 5-12 years
C) 8-18 years
D) 12-21 years
Answer: C
Explanation: SCARED screens anxiety in children 8-18 years old.
**Question 14.** The FLACC scale is used for:
A) Verbal pain reporting in adolescents
B) Non-verbal pain assessment in infants and young children
C) Measuring anxiety levels
D) Evaluating respiratory distress