• NU664A Exam 09/07/2026
NU664A Exam 2 2026/2027 ACTUAL
COMPLETE 370 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
During a prenatal visit, you review the mother's record for routine prenatal screening results. While educating
the mother, you explain that the screening of maternal serum for alpha-fetoprotein (MSAFP) between 15-21 wks
of pregnancy is done to assess for:
a. PKU
b. neural tube defects
c. galactosemia
d. CF –
Correct Answer :b. neural tube defects
P 1
, • NU664A Exam 09/07/2026
The parents of a 1 week old infant are concerned about the unusual shape of their child's head. In the physical
examination of the infant, which of the following signs would NOT support the diagnosis of craniosynostosis?
A. Palpation of a ridge along a given suture line
B. Unusual skull configuration
C. A palpable lesion at the occipital region
D. Abnormal head circumference –
Correct Answer :C. A palpable lesion at the occipital region
In the emergency room, you encounter a toddler whose injuries are not consistent with the history that is given.
Which of the following would be the best step you could take to foster communication with abusive parents?
a. realize that abusive parents have different goals for their children than other caregivers
b. understand that parental hostility and resistance are potent symptoms of fear and inadequacy
c. consider referring the parents to a SUD program
d. be cautious when sharing the results of medical findings with the parents
- Correct Answer :b. understand that parental hostility and resistance are potent symptoms of fear and
inadequacy
During a checkup of a 15-month-old girl, you notice the child has dropped significantly in percentile for weight
over the past few months. In evaulating a child with FTT, the msot important part of your assessment involves:
a. history
b. physical exam
c. lab studies
d. observation of family interactions –
Correct Answer :a. history
P 2
, • NU664A Exam 09/07/2026
Which one of the following may cause microcephaly?
a. hypocalcemia
b. craniosynostosis
c. skull fracture
d. seizure disorder –
Correct Answer :b. craniosynostosis
What finding may accompany macrocephaly?
a. pulsating anterior fontanel
b. sunken fontanel
c. premature closing of suture lines
d. widended suture lines –
Correct Answer :d. widended suture lines
With which of the following conditions would a CT of the head be indicated?
a. macrocephaly
b. cephalohematoma
c. craniosynostosis
d. caput succedaneum - Correct Answer :a. macrocephaly
-check for tumors, hydrocephalus, etc
Which of the following conditions increases the risk of developing hydrocephalus?
a. bilateral cephalohematomas
b. craniosynostosis
c. prematurity
d. familial macrocephalu - Correct Answer :c. prematurity
P 3
, • NU664A Exam 09/07/2026
Conjunctivits appearing in a 2-day old infant is likely due to:
a. chemical irritation from eye drops
b. group B strep
c. chlamydia
g. gonorrhea - Correct Answer :a. chemical irritation from eye drops
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by obtaining which one of
the following?
a. cervical swab of the mother
b. urine PCR from the mother
c. culture of the eye discharge
d. culture of the conjunctival scrapings - Correct Answer :d. culture of the conjunctival scrapings
Concurrent OM and conjunctivitis is likely due to which organism:
A. S. Pneumoniae
B. H. Influenzae
C. M. Catarrhalis
D. S. Aureus - Correct Answer :B. H. Influenzae
Prematurity increases the risk of developing which one of the following?
a. nystagmus
b. astigmatism
c. myopia
d. glaucoma - Correct Answer :c. myopia
A 10-year-old has marked ear pain, not wanting anyone to touch his ear. The canal is edematous, and exudate is
present. TM is normal. How should this be managed?
a. topical fluoroquinolone
P 4
NU664A Exam 2 2026/2027 ACTUAL
COMPLETE 370 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
During a prenatal visit, you review the mother's record for routine prenatal screening results. While educating
the mother, you explain that the screening of maternal serum for alpha-fetoprotein (MSAFP) between 15-21 wks
of pregnancy is done to assess for:
a. PKU
b. neural tube defects
c. galactosemia
d. CF –
Correct Answer :b. neural tube defects
P 1
, • NU664A Exam 09/07/2026
The parents of a 1 week old infant are concerned about the unusual shape of their child's head. In the physical
examination of the infant, which of the following signs would NOT support the diagnosis of craniosynostosis?
A. Palpation of a ridge along a given suture line
B. Unusual skull configuration
C. A palpable lesion at the occipital region
D. Abnormal head circumference –
Correct Answer :C. A palpable lesion at the occipital region
In the emergency room, you encounter a toddler whose injuries are not consistent with the history that is given.
Which of the following would be the best step you could take to foster communication with abusive parents?
a. realize that abusive parents have different goals for their children than other caregivers
b. understand that parental hostility and resistance are potent symptoms of fear and inadequacy
c. consider referring the parents to a SUD program
d. be cautious when sharing the results of medical findings with the parents
- Correct Answer :b. understand that parental hostility and resistance are potent symptoms of fear and
inadequacy
During a checkup of a 15-month-old girl, you notice the child has dropped significantly in percentile for weight
over the past few months. In evaulating a child with FTT, the msot important part of your assessment involves:
a. history
b. physical exam
c. lab studies
d. observation of family interactions –
Correct Answer :a. history
P 2
, • NU664A Exam 09/07/2026
Which one of the following may cause microcephaly?
a. hypocalcemia
b. craniosynostosis
c. skull fracture
d. seizure disorder –
Correct Answer :b. craniosynostosis
What finding may accompany macrocephaly?
a. pulsating anterior fontanel
b. sunken fontanel
c. premature closing of suture lines
d. widended suture lines –
Correct Answer :d. widended suture lines
With which of the following conditions would a CT of the head be indicated?
a. macrocephaly
b. cephalohematoma
c. craniosynostosis
d. caput succedaneum - Correct Answer :a. macrocephaly
-check for tumors, hydrocephalus, etc
Which of the following conditions increases the risk of developing hydrocephalus?
a. bilateral cephalohematomas
b. craniosynostosis
c. prematurity
d. familial macrocephalu - Correct Answer :c. prematurity
P 3
, • NU664A Exam 09/07/2026
Conjunctivits appearing in a 2-day old infant is likely due to:
a. chemical irritation from eye drops
b. group B strep
c. chlamydia
g. gonorrhea - Correct Answer :a. chemical irritation from eye drops
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by obtaining which one of
the following?
a. cervical swab of the mother
b. urine PCR from the mother
c. culture of the eye discharge
d. culture of the conjunctival scrapings - Correct Answer :d. culture of the conjunctival scrapings
Concurrent OM and conjunctivitis is likely due to which organism:
A. S. Pneumoniae
B. H. Influenzae
C. M. Catarrhalis
D. S. Aureus - Correct Answer :B. H. Influenzae
Prematurity increases the risk of developing which one of the following?
a. nystagmus
b. astigmatism
c. myopia
d. glaucoma - Correct Answer :c. myopia
A 10-year-old has marked ear pain, not wanting anyone to touch his ear. The canal is edematous, and exudate is
present. TM is normal. How should this be managed?
a. topical fluoroquinolone
P 4
