NSG 5442 Pediatric Primary Care Midterm Exam
(PDF) | 2026/2027 | South College Pediatrics
1. A 2-month-old infant is brought for a well-child visit. Which immunization
is contraindicated if the infant has a severe allergy to baker’s yeast?
A) DTaP
B) Hepatitis B
C) IPV
D) Hib
Answer: B
Rationale: Hepatitis B vaccine may contain yeast proteins; severe yeast allergy is a
contraindication.
2. At what age does a child typically begin to smile socially?
A) 1 month
B) 2 months
C) 4 months
D) 6 months
Answer: B
Rationale: Social smile is a 2-month milestone.
,3. A 4-year-old child is due for immunizations. Which vaccine is given at this
age?
A) MMR
B) DTaP
C) Hib
D) PCV13
Answer: B
Rationale: DTaP is given at 4-6 years as the fifth dose.
4. A 6-month-old infant has a fever of 38.9°C. Which sign indicates need for
immediate evaluation?
A) Mild runny nose
B) Lethargy and poor feeding
C) Occasional cough
D) One episode of vomiting
Answer: B
Rationale: Lethargy and poor feeding are red flags for serious illness in infants.
5. A 3-year-old child is diagnosed with acute otitis media. Which antibiotic is
first-line?
A) Azithromycin
B) Amoxicillin
C) Ciprofloxacin
,D) Doxycycline
Answer: B
Rationale: Amoxicillin is first-line for AOM unless allergy or recent use.
6. A 5-year-old child has a barking cough and stridor. Which condition is
most likely?
A) Epiglottitis
B) Croup
C) Bronchiolitis
D) Asthma
Answer: B
Rationale: Croup presents with barking cough and stridor.
7. Which vaccine is contraindicated in a child with severe combined
immunodeficiency?
A) DTaP
B) MMR
C) IPV
D) Hib
Answer: B
Rationale: Live vaccines are contraindicated in severe immunodeficiency.
, 8. A 2-year-old child should be screened for lead exposure according to
which risk factors?
A) Living in a house built before 1950
B) Living in a house built before 1978
C) Living in a new home
D) Having a sibling with lead poisoning
Answer: B
Rationale: Lead-based paint was banned in 1978; older homes are a risk.
9. A 12-month-old infant is due for which immunizations?
A) MMR, varicella, HepA
B) MMR, varicella, PCV13, Hib
C) DTaP, IPV, Hib
D) HepB, IPV, MMR
Answer: B
Rationale: At 12 months, MMR, varicella, PCV13, and Hib are given.
10. A 5-year-old child has a fever, sore throat, and a sandpaper-like rash.
Which condition is most likely?
A) Measles
B) Scarlet fever
C) Roseola
D) Fifth disease
(PDF) | 2026/2027 | South College Pediatrics
1. A 2-month-old infant is brought for a well-child visit. Which immunization
is contraindicated if the infant has a severe allergy to baker’s yeast?
A) DTaP
B) Hepatitis B
C) IPV
D) Hib
Answer: B
Rationale: Hepatitis B vaccine may contain yeast proteins; severe yeast allergy is a
contraindication.
2. At what age does a child typically begin to smile socially?
A) 1 month
B) 2 months
C) 4 months
D) 6 months
Answer: B
Rationale: Social smile is a 2-month milestone.
,3. A 4-year-old child is due for immunizations. Which vaccine is given at this
age?
A) MMR
B) DTaP
C) Hib
D) PCV13
Answer: B
Rationale: DTaP is given at 4-6 years as the fifth dose.
4. A 6-month-old infant has a fever of 38.9°C. Which sign indicates need for
immediate evaluation?
A) Mild runny nose
B) Lethargy and poor feeding
C) Occasional cough
D) One episode of vomiting
Answer: B
Rationale: Lethargy and poor feeding are red flags for serious illness in infants.
5. A 3-year-old child is diagnosed with acute otitis media. Which antibiotic is
first-line?
A) Azithromycin
B) Amoxicillin
C) Ciprofloxacin
,D) Doxycycline
Answer: B
Rationale: Amoxicillin is first-line for AOM unless allergy or recent use.
6. A 5-year-old child has a barking cough and stridor. Which condition is
most likely?
A) Epiglottitis
B) Croup
C) Bronchiolitis
D) Asthma
Answer: B
Rationale: Croup presents with barking cough and stridor.
7. Which vaccine is contraindicated in a child with severe combined
immunodeficiency?
A) DTaP
B) MMR
C) IPV
D) Hib
Answer: B
Rationale: Live vaccines are contraindicated in severe immunodeficiency.
, 8. A 2-year-old child should be screened for lead exposure according to
which risk factors?
A) Living in a house built before 1950
B) Living in a house built before 1978
C) Living in a new home
D) Having a sibling with lead poisoning
Answer: B
Rationale: Lead-based paint was banned in 1978; older homes are a risk.
9. A 12-month-old infant is due for which immunizations?
A) MMR, varicella, HepA
B) MMR, varicella, PCV13, Hib
C) DTaP, IPV, Hib
D) HepB, IPV, MMR
Answer: B
Rationale: At 12 months, MMR, varicella, PCV13, and Hib are given.
10. A 5-year-old child has a fever, sore throat, and a sandpaper-like rash.
Which condition is most likely?
A) Measles
B) Scarlet fever
C) Roseola
D) Fifth disease
