Peds (APEA) Questions and Answers 2024
How long should a child be in a rear-facing car seat? - ✔✔ANSW✔✔..Until 2 y/o
How many doses are in the DTaP series? - ✔✔ANSW✔✔..5
How to test for cystic fibrosis - ✔✔ANSW✔✔..Sweat test
Interventions for GER - ✔✔ANSW✔✔..None, unless "red flags"
Intussusception - ✔✔ANSW✔✔..Sudden onset of crampy abdominal pain
Surgical emergency
Currant jelly stools
Is it ok to give influenza to a patient who has experienced an allergic reaction and signs
of angioedema, respiratory distress? - ✔✔ANSW✔✔..Yes, under the supervision of a
HCP who can manage severe allergic reactions
Is PNA in kids usually viral or bacterial? - ✔✔ANSW✔✔..Viral
Jaundice within first 24 hrs of life? - ✔✔ANSW✔✔..Abnormal, pathological
Klinefeller Syndrome:
What is it?
Treatment - ✔✔ANSW✔✔..Males born with extra X-chromosome
Treat with testosterone
Lead toxicity masqueredes as... - ✔✔ANSW✔✔..iron deficiency anemia
Managing ADHD preschool v. school-age - ✔✔ANSW✔✔..Preschool: behavioral
School-age: stimulant medication
Measles symptoms - ✔✔ANSW✔✔.." 3 C's"
Conjunctivitis, coryza (congestion, runny nose), cough
Koplik's spots
Med for croup - ✔✔ANSW✔✔..Single dose of oral dexamethasone (0.6 mg/kg)
Med for UTI in kids - ✔✔ANSW✔✔..Cefuroximine
, Method used to assess hydrocele & look at sctrotum? - ✔✔ANSW✔✔..Transillumination
MMR and varicella immunization schedule - ✔✔ANSW✔✔..At 12 months (can be on the
same day), then must wait one month for second
Most common cause of pediatric UTI - ✔✔ANSW✔✔..Vesicoureteral reflux
Neonates should regain their birth weight in... - ✔✔ANSW✔✔..2 wks
Nephroblastoma - ✔✔ANSW✔✔..Abdominal mass does not cross midline
Wilm's tumor
Neuroblastoma - ✔✔ANSW✔✔..Abdominal mass crosses midline
Newborn has urethral opening above or below glans/shaft? - ✔✔ANSW✔✔..Refer to
urologist
Newborns with hyperbilirubinemia are at risk for? - ✔✔ANSW✔✔..Neurological
dysfunction
Nursemaid's elbow - ✔✔ANSW✔✔..Radial head subluxation
Only vaccine given at birth: - ✔✔ANSW✔✔..Hep B
Osgood-schlatter disease - ✔✔ANSW✔✔..Anterior knee pain that increases over time
Overuse injury
More common in athletes
(+) Barlow & Ortolani test? - ✔✔ANSW✔✔..When click is heard or examiner palpates
the trochanter becoming displaced
A 15 year old patient who is sexually active is in your clinic to receive her first HPV
vaccine. How should the NP handle this? - ✔✔ANSW✔✔..Administer today without
checking pregnancy status
A 6-month old patient has suspected hip dysplasia. What might be present on
assessment? - ✔✔ANSW✔✔..Unequal gluteal folds
Difficulty abducting hips
A mother reports that her one year old child has an allergy to eggs that produces hives.
How should this be handled? - ✔✔ANSW✔✔..Influenza vaccine should be given
Acetaminophen:
When to check drug level
How long should a child be in a rear-facing car seat? - ✔✔ANSW✔✔..Until 2 y/o
How many doses are in the DTaP series? - ✔✔ANSW✔✔..5
How to test for cystic fibrosis - ✔✔ANSW✔✔..Sweat test
Interventions for GER - ✔✔ANSW✔✔..None, unless "red flags"
Intussusception - ✔✔ANSW✔✔..Sudden onset of crampy abdominal pain
Surgical emergency
Currant jelly stools
Is it ok to give influenza to a patient who has experienced an allergic reaction and signs
of angioedema, respiratory distress? - ✔✔ANSW✔✔..Yes, under the supervision of a
HCP who can manage severe allergic reactions
Is PNA in kids usually viral or bacterial? - ✔✔ANSW✔✔..Viral
Jaundice within first 24 hrs of life? - ✔✔ANSW✔✔..Abnormal, pathological
Klinefeller Syndrome:
What is it?
Treatment - ✔✔ANSW✔✔..Males born with extra X-chromosome
Treat with testosterone
Lead toxicity masqueredes as... - ✔✔ANSW✔✔..iron deficiency anemia
Managing ADHD preschool v. school-age - ✔✔ANSW✔✔..Preschool: behavioral
School-age: stimulant medication
Measles symptoms - ✔✔ANSW✔✔.." 3 C's"
Conjunctivitis, coryza (congestion, runny nose), cough
Koplik's spots
Med for croup - ✔✔ANSW✔✔..Single dose of oral dexamethasone (0.6 mg/kg)
Med for UTI in kids - ✔✔ANSW✔✔..Cefuroximine
, Method used to assess hydrocele & look at sctrotum? - ✔✔ANSW✔✔..Transillumination
MMR and varicella immunization schedule - ✔✔ANSW✔✔..At 12 months (can be on the
same day), then must wait one month for second
Most common cause of pediatric UTI - ✔✔ANSW✔✔..Vesicoureteral reflux
Neonates should regain their birth weight in... - ✔✔ANSW✔✔..2 wks
Nephroblastoma - ✔✔ANSW✔✔..Abdominal mass does not cross midline
Wilm's tumor
Neuroblastoma - ✔✔ANSW✔✔..Abdominal mass crosses midline
Newborn has urethral opening above or below glans/shaft? - ✔✔ANSW✔✔..Refer to
urologist
Newborns with hyperbilirubinemia are at risk for? - ✔✔ANSW✔✔..Neurological
dysfunction
Nursemaid's elbow - ✔✔ANSW✔✔..Radial head subluxation
Only vaccine given at birth: - ✔✔ANSW✔✔..Hep B
Osgood-schlatter disease - ✔✔ANSW✔✔..Anterior knee pain that increases over time
Overuse injury
More common in athletes
(+) Barlow & Ortolani test? - ✔✔ANSW✔✔..When click is heard or examiner palpates
the trochanter becoming displaced
A 15 year old patient who is sexually active is in your clinic to receive her first HPV
vaccine. How should the NP handle this? - ✔✔ANSW✔✔..Administer today without
checking pregnancy status
A 6-month old patient has suspected hip dysplasia. What might be present on
assessment? - ✔✔ANSW✔✔..Unequal gluteal folds
Difficulty abducting hips
A mother reports that her one year old child has an allergy to eggs that produces hives.
How should this be handled? - ✔✔ANSW✔✔..Influenza vaccine should be given
Acetaminophen:
When to check drug level