• NU664A Exam 09/07/2026
NU664A Exam 1 2026/2027 ACTUAL
COMPLETE 370 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
Nine-year-old boy no significant health problems, but his mother is very concerned because he is letting himself.
As he began your history and physical exam, you keep in mind that the most common types of eneuresis in
school aged children is:
-primary nocturnal enuresis
-occasional daytime enuresis
-secondary nocturnal enuresis
-primary diurnal enuresis
- Correct Answer :-primary diurnal enuresis
P 1
, • NU664A Exam 09/07/2026
the reoccurrence risk for a child to be affected by enuresis is 40% if one parent and 70% of both parents had been
affected as children
Which of the following statements is not true with regard to primary nocturnal enuresis?
-there's often a positive family history
-it appears to be related to maturational delay
-some nighttime letters stop wedding without any form of treatment
-the incident is higher in girls than boys –
Correct Answer :-the incident is higher in girls than boys
primary nocturnal enuresis is seen in boys almost 3 times more as girls
Which of the following is not true about the use of imipramine for the treatment of enuresis?
-it's not generally recommended for this non-fatal disorder due to the potentially lethal side effects
-the lasting cure rate is approximately 17%
-imipramine should only be given to children who have had a baseline EEG
-the most appropriate imipramine treatment group is adolescent boys with both ADHD and persistent nocturnal
enuresis –
Correct Answer :-imipramine should only be given to children who have had a baseline EEG
while imipramine therapist is helpful and approximately 50% of children care should be taken to stay within the
recommended 25 to 50 MG by mouth every night. A baseline EEG is not necessary.
While examining a seven month old boy you are unable to palpate one of the testes. The next most appropriate
step is to:
-reassure the parents that this is a normal finding
-refer their child to endocrinologist
-Re-examine the baby in two months
-for further the child to a urologist –
P 2
, • NU664A Exam 09/07/2026
Correct Answer :-for further the child to a urologist
the testes rarely descend after the first six months
Which of the following is not true with regard to hypospadias?
-the meatus is formed along the dorsum the penis
-it is one of the most common penile abnormalities
-circumcision should be deferred
-a referral for an endocrine evaluation may be indicated –
Correct Answer :-the meatus is formed along the dorsum the penis
the incident of hypospadias has increased over the past 15 years in western culture. The meatus of the penis
forms ventrally.
Upon examination of two month old boy, you notice a swelling in the right inguinal canal. Your differential
diagnosis would not include:
-diastasis recti
-hydrocele of spermatic cord
-inguinal hernia
-lymphadenopathy
- Correct Answer :-diastasis recti
diastasis recti is a midline fascial attenuation, extending from the uncus to the xiphoid process
Patients with acute nephrotic syndrome may present with all, but which of the following signs?
-edema
-hypertension
-dark amber colored urine
-history of weight loss –
P 3
, • NU664A Exam 09/07/2026
Correct Answer :-history of weight loss
patient with nephrotic syndrome can present with periorbital edema, hyper or hypotension and associated
tachycardia, as well as we gain due to fluid overload
It is important to look for evidence of a proceeding streptococcal infection when ruling out acute nephritis. This
best done by:
-throat culture
-skin examination
-ASO titer
-ESR –
Correct Answer :-ASO titer
the ASO tighter is elevated in 80% of patience with a proceeding streptococcal infection, and although ASO
tighter peak 2 to 4 weeks after acute episode, antibody tights can remain elevated for up to six months
An adolescent boy presents to the clinic with painless mass on the left side of his scrotum. Most likely diagnosis
is.:
-epididymitis
-testicular torsion
-incarcerated hernia
-hydrocele –
Correct Answer :-hydrocele
typically a hydrocele manifest as a painless, Scrotal swelling, a variable size, and an inguinal hernia manifest as an
intermittent inguinal swelling
According to the 2011 AEP guidelines for UTI management and children 2 to 24 months, a six month old baby girl
diagnosed with her first UTI should be treated with inappropriate antimicrobial agent. Which additional
intervention should be ordered for this child?
-A test of cure
-A VCUG
P 4
NU664A Exam 1 2026/2027 ACTUAL
COMPLETE 370 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
Nine-year-old boy no significant health problems, but his mother is very concerned because he is letting himself.
As he began your history and physical exam, you keep in mind that the most common types of eneuresis in
school aged children is:
-primary nocturnal enuresis
-occasional daytime enuresis
-secondary nocturnal enuresis
-primary diurnal enuresis
- Correct Answer :-primary diurnal enuresis
P 1
, • NU664A Exam 09/07/2026
the reoccurrence risk for a child to be affected by enuresis is 40% if one parent and 70% of both parents had been
affected as children
Which of the following statements is not true with regard to primary nocturnal enuresis?
-there's often a positive family history
-it appears to be related to maturational delay
-some nighttime letters stop wedding without any form of treatment
-the incident is higher in girls than boys –
Correct Answer :-the incident is higher in girls than boys
primary nocturnal enuresis is seen in boys almost 3 times more as girls
Which of the following is not true about the use of imipramine for the treatment of enuresis?
-it's not generally recommended for this non-fatal disorder due to the potentially lethal side effects
-the lasting cure rate is approximately 17%
-imipramine should only be given to children who have had a baseline EEG
-the most appropriate imipramine treatment group is adolescent boys with both ADHD and persistent nocturnal
enuresis –
Correct Answer :-imipramine should only be given to children who have had a baseline EEG
while imipramine therapist is helpful and approximately 50% of children care should be taken to stay within the
recommended 25 to 50 MG by mouth every night. A baseline EEG is not necessary.
While examining a seven month old boy you are unable to palpate one of the testes. The next most appropriate
step is to:
-reassure the parents that this is a normal finding
-refer their child to endocrinologist
-Re-examine the baby in two months
-for further the child to a urologist –
P 2
, • NU664A Exam 09/07/2026
Correct Answer :-for further the child to a urologist
the testes rarely descend after the first six months
Which of the following is not true with regard to hypospadias?
-the meatus is formed along the dorsum the penis
-it is one of the most common penile abnormalities
-circumcision should be deferred
-a referral for an endocrine evaluation may be indicated –
Correct Answer :-the meatus is formed along the dorsum the penis
the incident of hypospadias has increased over the past 15 years in western culture. The meatus of the penis
forms ventrally.
Upon examination of two month old boy, you notice a swelling in the right inguinal canal. Your differential
diagnosis would not include:
-diastasis recti
-hydrocele of spermatic cord
-inguinal hernia
-lymphadenopathy
- Correct Answer :-diastasis recti
diastasis recti is a midline fascial attenuation, extending from the uncus to the xiphoid process
Patients with acute nephrotic syndrome may present with all, but which of the following signs?
-edema
-hypertension
-dark amber colored urine
-history of weight loss –
P 3
, • NU664A Exam 09/07/2026
Correct Answer :-history of weight loss
patient with nephrotic syndrome can present with periorbital edema, hyper or hypotension and associated
tachycardia, as well as we gain due to fluid overload
It is important to look for evidence of a proceeding streptococcal infection when ruling out acute nephritis. This
best done by:
-throat culture
-skin examination
-ASO titer
-ESR –
Correct Answer :-ASO titer
the ASO tighter is elevated in 80% of patience with a proceeding streptococcal infection, and although ASO
tighter peak 2 to 4 weeks after acute episode, antibody tights can remain elevated for up to six months
An adolescent boy presents to the clinic with painless mass on the left side of his scrotum. Most likely diagnosis
is.:
-epididymitis
-testicular torsion
-incarcerated hernia
-hydrocele –
Correct Answer :-hydrocele
typically a hydrocele manifest as a painless, Scrotal swelling, a variable size, and an inguinal hernia manifest as an
intermittent inguinal swelling
According to the 2011 AEP guidelines for UTI management and children 2 to 24 months, a six month old baby girl
diagnosed with her first UTI should be treated with inappropriate antimicrobial agent. Which additional
intervention should be ordered for this child?
-A test of cure
-A VCUG
P 4
