Exam Questions and CORRECT Answers
What is valid reason to delay vaccination administration? - CORRECT ANSWER-
✔✔Moderate or severe acute illness with or without fever
For which vaccine is a history of egg allergy considered a precaution? - CORRECT
ANSWER- ✔✔Influenza
What is initial tx for encopresis? - CORRECT ANSWER- ✔✔Polyethylene glycol for 6
months
What differentiates strep pharyngitis from infectious mono? - CORRECT ANSWER-
✔✔ANTERIOR cervical LAD is in strep throat
POSTERIOR cervical LAD is in Mono
What finding may be noted on the peripheral smear in patients with infectious
mononucleosis? - CORRECT ANSWER- ✔✔atypical lymphocytes
Which of the following best describes the effects of fetal coarctation of the aorta in utero? -
CORRECT ANSWER- ✔✔Blood flow through the patent ductus arteriosus bypasses the
coarctation, resulting in hemodynamic stability
What is seen on CXR in coarctation of the aorta? - CORRECT ANSWER- ✔✔Notching of
the ribs, d/t enlargement of intercostal collateral arteries
% BSA affected in SJS and TEN? - CORRECT ANSWER- ✔✔SJS < 10% BSA
TEN > 30% BSA
Which local anesthetic is contraindicated to provide pain control to the penis? - CORRECT
ANSWER- ✔✔Epinephrine
, What is dx of patient that has notable swelling of the distal foreskin and a band of tissue
proximal to the head of the penis appears constricting. Both the glans penis and the distal
foreskin are swollen and exquisitely tender to manipulation. The penile shaft appears flaccid
and normal. - CORRECT ANSWER- ✔✔PARAphimosis (requires PARAmedics)
What is duodenal atresia ass'd with? (2) - CORRECT ANSWER- ✔✔- Down Syndrome
- Polyhydamnios
What is sign on US/Ab Xray in duodenal atresia? - CORRECT ANSWER- ✔✔Double
bubble
What else needs to be r/o'd with dx of duodenal atresia? - CORRECT ANSWER-
✔✔Malrotation (UGI contrast series)
What is the most common congenital abnormality of the small intestine? - CORRECT
ANSWER- ✔✔Meckel Diverticulum
What is first line therapy for long QT syndrome? - CORRECT ANSWER- ✔✔Beta blockers
= Propranolol 2.9 mg/kg/day
What is another congenital defect associated with long QT syndrome? - CORRECT
ANSWER- ✔✔Congenital sensorineural deafness.
When is the MMR vaccine typically given in the United States? - CORRECT ANSWER-
✔✔Administration of the MMR vaccination is given in two doses to children at 12-15
months and at four to six years of age.
What is mumps caused by? - CORRECT ANSWER- ✔✔Paramyxovirus
first line tx for allergic rhinitis? - CORRECT ANSWER- ✔✔- H2RA: cetirizine or loratidine
- Intranasal glucocorticoid: Fluticasone, beclomethasone, or mometasone