ATI Peds Midterm Exam Quizzes 2024
Cataracts are defined as opacity of the lens in one or both eyes. What test do we
perform to rule out cataracts in an infant?
a. Red light reflex
b. Cover uncover test
c. Corneal light reflex
d. None of the above - a. Red light reflex
Dustin has just been diagnosed with Amblyopia. His parents are very worried and are
asking for more information. Your patient education is based on your knowledge that
this diagnosis results from:
a. an uneven curvature of the cornea
b. an asymmetrical corneal light reflex
c. a bilateral muscular weakness of extraocular muscles
d. a unilateral deficit secondary to poor/ improper development of visual pathways
needed to attain central vision - d. a unilateral deficit secondary to poor/ improper
development of visual pathways needed to attain central vision
Rizzo, age 18 months has just been diagnosed with a second AOM. He was treated last
2 months ago with Amoxicillin. He has no known allergies. The treatment of choice for
Rizzo is:
a. Amoxicillin 50 mg/kg/day divided BID for 7 days
b. Augmentin 80-90 mg/kg/day divided BID for 10 days
c. Cefdinir 14 mg/kg/day given QD for 10 days
d. Amoxicillin 80-90 mg/kg/day divided BID for 10 days - d. Amoxicillin 80-90 mg/kg/day
divided BID for 10 days
A 3 year old child with repeated episodes of AOM demonstrates a clear language delay.
The most likely cause of the delay is:
a. autism
b. ceruminosis
c. conductive hearing loss
d. sensorineural hearing loss - c. conductive hearing loss
Oliver, a 4 year old boy presents with a nasal congestion almost every day of the past 4
winter months. Parents deny fever but he has a cough off and on. An oral histamine prn
has not helped much. He has no other significant medical problems and has started
preschool this year. His exam reveals green nasal discharge. What is the most likely
diagnosis?
,a. recurrent URI
b. allergic rhinitis
c. bacterial rhinitis
d. chronic sinusitis - a. recurrent URI
Fourteen-month-old Michele is brought in by her mother with cold symptoms, fussiness,
and fever for the past day. Her history is significant for otitis media 4 times in the last
year. Physical exam reveals that the right tympanic membrane is bulging,
erythematous, and has no light reflex. The remainder of the exam is normal except for
nasal discharge that is green. Which of the following risks factors would contribute to
her risk of otitis media?
a. Pacifier use
b. Daycare
c. Passive smoke exposure
d. All of the above - d. All of the above
Perry is a 15 year old male who presents with a history of a sore throat, headache, and
a low grade fever of 100.7 for the past 4 days. He reports fatigue, mild belly pain, and
loss of appetite. He has missed 3 days of school. He has no allergies and no significant
health history. He took ibuprofen at home for his headache which was helpful. On
physical exam he has anterior cervical lymphadenopathy, tonsils are beefy red, slightly
swollen with exudates and you note soft palate petechiae. You differential list would
include all of the following EXCEPT?
a. Viral Pharyngitis
b. peritonsillar abscess
c. Infectious Mononucleosis
d. Stretococcal pharyngitis - b. peritonsillar abscess
Perry is a 15 year old male who presents with a history of a sore throat, headache, and
a low grade fever of 100.7 for the past 4 days. He reports fatigue, mild belly pain, and
loss of appetite. He has missed 3 days of school. He has no allergies and no significant
health history. He took ibuprofen at home for his headache which was helpful. On
physical exam he has anterior cervical lymphadenopathy, tonsils are erythematous with
exudates and you not soft palate petechiae. His rapid strep screen is positive for Group
A beta hemolytic streptococcal pharyngitis. What is the first line treatment for Perry?
a. Cephalexin 50 mg/kg/day for 10 days
b. Penicillin VK 500 mg PO BID for 10 days
c. Azithromycin 10 mg/kg PO on day 1 then 5 mg/kg PO on days 2-5.
d. Clindamycin 15 mg/kg/day for 10 days - b. Penicillin VK 500 mg PO BID for 10 days
Perry is a 15 year old male who presents with a history of a sore throat, headache, and
a low grade fever of 100.7 for the past 4 days. He reports fatigue, mild belly pain, and
loss of appetite. He has missed 3 days of school. He has no allergies and no significant
, health history. He took ibuprofen at home for his headache which was helpful. On
physical exam he has anterior cervical lymphadenopathy, tonsils are erythematous with
exudates and you not soft palate petechiae. Early diagnosis and treatment of strep
pharyngitis can prevent all of the following EXCEPT?
a. Poststreptococcal glomerulonephritis
b. Retropharyngeal abscess
c. Kawasaki Disease
d. Rheumatic fever - c. Kawasaki Disease
Thomas a 13 year old male who presents with red eyes. On exam his conjunctiva have
hyperemia with purulent discharge bilaterally. His fever started last night 101.9. He has
had cold symptoms for 5 days with a mild wet sounding cough and no ear pain. His
TM's are erythematous bilaterally with no bony landmark or pus visible. He has a
positive light reflex bilaterally. What would your treatment plan be?
a. Treat with Augmentin 90 mg/kg/day divided in two daily doses for 10 days.
b. Treat with Trimethoprim- polymixin B opthalmic drops (Polytrim) 1-2 drops each eye
for 5-7 days.
c. Treat with Amoxicillin 90 mg/kg/day divided in two doses for 10 days.
d. Supportive care - b. Treat with Trimethoprim- polymixin B opthalmic drops (Polytrim)
1-2 drops each eye for 5-7 days
Janice is an 18-year-old female who has been a patient at your practice since birth. She
has an altered immunization schedule per her parent's request. She is presenting to
inquire about getting caught up on her vaccines and wants to start with the MMR
(measles, mumps and rubella) vaccine. Which of the following would be a
contraindication to the vaccine?
a. acute illness (URI symptoms) without a fever
b. late menses, possible pregnancy
c. exercise induced asthma
d. all of the above - b. late menses, possible pregnancy
Children in daycare typically get 6-8 respiratory illnesses per year. Which vaccines
lower the risk for serious respiratory illnesses in infants?
a. Measles
b. Haemophilus influenzae type B
c. Varicella
d. All of the above - d. All of the above
Which of the following vaccine does NOT decrease the risk of both otitis media in
children.
a. Menactra
Cataracts are defined as opacity of the lens in one or both eyes. What test do we
perform to rule out cataracts in an infant?
a. Red light reflex
b. Cover uncover test
c. Corneal light reflex
d. None of the above - a. Red light reflex
Dustin has just been diagnosed with Amblyopia. His parents are very worried and are
asking for more information. Your patient education is based on your knowledge that
this diagnosis results from:
a. an uneven curvature of the cornea
b. an asymmetrical corneal light reflex
c. a bilateral muscular weakness of extraocular muscles
d. a unilateral deficit secondary to poor/ improper development of visual pathways
needed to attain central vision - d. a unilateral deficit secondary to poor/ improper
development of visual pathways needed to attain central vision
Rizzo, age 18 months has just been diagnosed with a second AOM. He was treated last
2 months ago with Amoxicillin. He has no known allergies. The treatment of choice for
Rizzo is:
a. Amoxicillin 50 mg/kg/day divided BID for 7 days
b. Augmentin 80-90 mg/kg/day divided BID for 10 days
c. Cefdinir 14 mg/kg/day given QD for 10 days
d. Amoxicillin 80-90 mg/kg/day divided BID for 10 days - d. Amoxicillin 80-90 mg/kg/day
divided BID for 10 days
A 3 year old child with repeated episodes of AOM demonstrates a clear language delay.
The most likely cause of the delay is:
a. autism
b. ceruminosis
c. conductive hearing loss
d. sensorineural hearing loss - c. conductive hearing loss
Oliver, a 4 year old boy presents with a nasal congestion almost every day of the past 4
winter months. Parents deny fever but he has a cough off and on. An oral histamine prn
has not helped much. He has no other significant medical problems and has started
preschool this year. His exam reveals green nasal discharge. What is the most likely
diagnosis?
,a. recurrent URI
b. allergic rhinitis
c. bacterial rhinitis
d. chronic sinusitis - a. recurrent URI
Fourteen-month-old Michele is brought in by her mother with cold symptoms, fussiness,
and fever for the past day. Her history is significant for otitis media 4 times in the last
year. Physical exam reveals that the right tympanic membrane is bulging,
erythematous, and has no light reflex. The remainder of the exam is normal except for
nasal discharge that is green. Which of the following risks factors would contribute to
her risk of otitis media?
a. Pacifier use
b. Daycare
c. Passive smoke exposure
d. All of the above - d. All of the above
Perry is a 15 year old male who presents with a history of a sore throat, headache, and
a low grade fever of 100.7 for the past 4 days. He reports fatigue, mild belly pain, and
loss of appetite. He has missed 3 days of school. He has no allergies and no significant
health history. He took ibuprofen at home for his headache which was helpful. On
physical exam he has anterior cervical lymphadenopathy, tonsils are beefy red, slightly
swollen with exudates and you note soft palate petechiae. You differential list would
include all of the following EXCEPT?
a. Viral Pharyngitis
b. peritonsillar abscess
c. Infectious Mononucleosis
d. Stretococcal pharyngitis - b. peritonsillar abscess
Perry is a 15 year old male who presents with a history of a sore throat, headache, and
a low grade fever of 100.7 for the past 4 days. He reports fatigue, mild belly pain, and
loss of appetite. He has missed 3 days of school. He has no allergies and no significant
health history. He took ibuprofen at home for his headache which was helpful. On
physical exam he has anterior cervical lymphadenopathy, tonsils are erythematous with
exudates and you not soft palate petechiae. His rapid strep screen is positive for Group
A beta hemolytic streptococcal pharyngitis. What is the first line treatment for Perry?
a. Cephalexin 50 mg/kg/day for 10 days
b. Penicillin VK 500 mg PO BID for 10 days
c. Azithromycin 10 mg/kg PO on day 1 then 5 mg/kg PO on days 2-5.
d. Clindamycin 15 mg/kg/day for 10 days - b. Penicillin VK 500 mg PO BID for 10 days
Perry is a 15 year old male who presents with a history of a sore throat, headache, and
a low grade fever of 100.7 for the past 4 days. He reports fatigue, mild belly pain, and
loss of appetite. He has missed 3 days of school. He has no allergies and no significant
, health history. He took ibuprofen at home for his headache which was helpful. On
physical exam he has anterior cervical lymphadenopathy, tonsils are erythematous with
exudates and you not soft palate petechiae. Early diagnosis and treatment of strep
pharyngitis can prevent all of the following EXCEPT?
a. Poststreptococcal glomerulonephritis
b. Retropharyngeal abscess
c. Kawasaki Disease
d. Rheumatic fever - c. Kawasaki Disease
Thomas a 13 year old male who presents with red eyes. On exam his conjunctiva have
hyperemia with purulent discharge bilaterally. His fever started last night 101.9. He has
had cold symptoms for 5 days with a mild wet sounding cough and no ear pain. His
TM's are erythematous bilaterally with no bony landmark or pus visible. He has a
positive light reflex bilaterally. What would your treatment plan be?
a. Treat with Augmentin 90 mg/kg/day divided in two daily doses for 10 days.
b. Treat with Trimethoprim- polymixin B opthalmic drops (Polytrim) 1-2 drops each eye
for 5-7 days.
c. Treat with Amoxicillin 90 mg/kg/day divided in two doses for 10 days.
d. Supportive care - b. Treat with Trimethoprim- polymixin B opthalmic drops (Polytrim)
1-2 drops each eye for 5-7 days
Janice is an 18-year-old female who has been a patient at your practice since birth. She
has an altered immunization schedule per her parent's request. She is presenting to
inquire about getting caught up on her vaccines and wants to start with the MMR
(measles, mumps and rubella) vaccine. Which of the following would be a
contraindication to the vaccine?
a. acute illness (URI symptoms) without a fever
b. late menses, possible pregnancy
c. exercise induced asthma
d. all of the above - b. late menses, possible pregnancy
Children in daycare typically get 6-8 respiratory illnesses per year. Which vaccines
lower the risk for serious respiratory illnesses in infants?
a. Measles
b. Haemophilus influenzae type B
c. Varicella
d. All of the above - d. All of the above
Which of the following vaccine does NOT decrease the risk of both otitis media in
children.
a. Menactra
