2026-2027 Exams Includes Frequently Tested Questions
With ELABORATED 100% Correct COMPLETE SOLUTIONS
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1. A 10 month old child has been diagnosed with gastroenteritis. He attends a
childcare facility. What is the most likely cause of his illness?
A. Clostridium difficile
B. Rotavirus
C. Salmonella
D. Cryptosporidium - Correct Answer: B. Rotavirus
2. An adolescent boy presents to the clinic with a painless mass on the left
side of his scrotum. The most likely diagnosis is - Correct Answer:
Hydrocele
3. To obtain the most accurate hydration status in a child with acute
gastroenteritis. The np should ask about
A. the tie of last urination
B. thirst
C. quantity of liquids taken
D. number of episodes of vomiting and diarrhea - Correct Answer:
A. the time of last urination
4. Upon examination of a 2 month old boy, you notice swelling in the right
inguinal canal. Your differential diagnosis would not include
A. Hydrocele
B. Inguinal hernia
, C. Varicocele
D. Spermatocele - Correct Answer: C. Varicocele
5. An 11 year old male is returning to the office with his mother to start
stimulants for a diagnosis of ADHD. The np discusses the treatment plan for
methylphenidate (concerta). The child is 100 lbs. What dose would you
anticipate starting at? - Correct Answer: Typically 18 mg once daily. The
dose can be adjusted in increments of 18mg at weekly intervals based on
the childs response and tolerence, but it should not exceed 54 mg per day
6. Which of the following children needs an orthopedic referral
A. A 6 year old with mild bowing of the lower legs
B. A 6 month old with internal tibial torsion
C. A 3 week old with equinovarus of feed
D. A newborn with a positive Pavlik sign - Correct Answer: C. A 3
week old with equinovarus of feed
7. A healthy 6 year old child presents with a limb and knee pain. The np finds
limited passive internal rotation and abduction of the hip joint on physical
examination. The most likely diagnosis is
A. Slipped capital femoral epiphysis
B. Osgood Schlatter disease
C. Transient synovitis of the hip
D. Legg Calve Perthes disease - Correct Answer: D. Legg Calve
Perthes disease
8. You have been treating a 14 month old for torticollis since birth. The
condition has not resolved, and the child still has limited neck rotation. The
appropriate management plan would be
, A. Continue with the current treatment plan
B. Refer the child to a specialist for further evaluation
C. Prescribe medication to alleviate the symptoms
D. Perform surgery to correct the torticollis - Correct Answer: B.
Refer the child to a specialist for further evaluation
9. The following statements are true about Wilms tumor
A. It is a neuroblastoma arising from the adrenal glands
B. It is a type of bone cancer commonly affecting children
C. It is a malignant tumor originating from the kidney
D. It is a benign tumor of the liver - Correct Answer: C. It is a
malignant tumor originating from the kidney
10.A 13 year old adolescent girl is brought to the health clinic by her mother
for a sports physical. The mother reports that the teens last vaccines were
given at the age of 6 years. Which of the following vaccines is
recommended by the CDC for this patient?
A. Td and HPV vaccines
B. Tdap, MCV4, and the HPV vaccines
C. DTap and the flu vaccine
D. DT and MCV4 vaccines - Correct Answer: B. Tdap, MCV4, and the
HPV vaccines
11.All of the following are true statements about the HPV (Gardisil) except -
Correct Answer:
12.Management of scoliosis depends on the severity of the curve as well as the
age. Which of the following would require surgical intervention?
A. Curves of 15 degrees in a child who is still growing