PEDIATRIC FINAL EXAM /PEDS FINAL EXAM VERSION A
ACTUAL EXAM
Which of the following scenarios would be most suspicious for possible abuse?
A. A 1 year old who presents with a forehead hematoma after reportedly falling out
of a stroller.
B. A 3 month old who presents with multiple rib fractures of different ages after
reportedly rolling off the changing table.
C. A 3 year old who presents with a spiral fracture of the tibia after reportedly
getting his leg twisted while falling off a tricycle. - ANSWER: A 3 month old who
presnts with multiple rib fractures of different ages after reportedly rolling off the
changing table
Ringworm is caused by what sort of organism, and is it spread by having skin contact
with someone who has ringworm?
A. Ring worm, not spread
B. Tinea fungus, easily spread
C. mushrooms, highly contagious
D. Strep virus, well contained - ANSWER: Tinea fungus, easily spread
A febrile seizure is a diagnosis of exclusion. What other diagnoses should be
considered in a child with fever and seizures?
A. Meningitis
B. Pneumonia
C. Milk allergy
D. AIDS - ANSWER: Meningitis
A 10-year-old boy returns from a month at camp with a severely itchy scalp. You
noticed small black insects on his scalp and white eggs on the bottom of his hair
follicles. He most likely came back from camp with?
A. German measles
B. Rocky mountain spotted fever
C. Mumps
D. Lice - ANSWER: Lice
A 1-month-old child comes to your o"ce with 102.5-degree temperature, is very
fussy, and has been vomiting for the last 24 hours. Any child of this age with this sort
of fever is considered to have what diagnosis and will get what test to con!rm?
A. Chicken pox, pox test
B. Strep throat, throat swab culture
, C. Meningitis, spinal tap
D. West nile virus, spinal tap - ANSWER: Meningitis, spinal tap
A two year old is brought to you with complaints of a fever for 2 days,
headaches and lack of appetite. A dozen raised blisters are noted on her face and
upper body. What would be your immediate diagnostic impression?
A. Meningitis
B. Pneumonia
C. Roseola
D. Chicken pox - ANSWER: Chicken pox
A seven year old boy has staring spells several times per day that have gotten him in
trouble with his teacher for not paying attention. What might be happening?
A. ADHD
B. Absence seizures
C. Tonic-clonic seizures
D. GBS - ANSWER: Absence seizures
What 2 orthopedic tests should you use to assess meningitis in a 6 month old child?
A. Brudzinski's and Kernig's
B. Brudzinski's and Valsalva
C. Kernig's and George's
D. None of the above - ANSWER: None of the above
A 5-year-old presents to your o"ce with a coarse rash, fever and malaise. You look in
his mouth and there are Koplik spots. This most likely is?
A. German Measles
B. Measles
C. Chicken pox
D. Hives - ANSWER: Measles
A 4-year-old child had strep throat a few weeks ago and now has a sandpaper-like
rash on her body and reddish lines across both groins and armpits. This might be
what illness, and the reddish lines are?
A. Roseola infantum, Rose's lines
B. Erythema infectiosum, Erythemic lines
C. Fifth disease, Five lines
D. Scarlett Fever, Pastia's lines - ANSWER: Scarlett Fever, Pastia's lines
A mom explains that her son had strep throat several weeks ago, but presents today
with a raised nodule on his arm and a blotchy red rash on his entire back. This might
be what issues, and you refer to the pediatrician to check the what speci!c organ?
ACTUAL EXAM
Which of the following scenarios would be most suspicious for possible abuse?
A. A 1 year old who presents with a forehead hematoma after reportedly falling out
of a stroller.
B. A 3 month old who presents with multiple rib fractures of different ages after
reportedly rolling off the changing table.
C. A 3 year old who presents with a spiral fracture of the tibia after reportedly
getting his leg twisted while falling off a tricycle. - ANSWER: A 3 month old who
presnts with multiple rib fractures of different ages after reportedly rolling off the
changing table
Ringworm is caused by what sort of organism, and is it spread by having skin contact
with someone who has ringworm?
A. Ring worm, not spread
B. Tinea fungus, easily spread
C. mushrooms, highly contagious
D. Strep virus, well contained - ANSWER: Tinea fungus, easily spread
A febrile seizure is a diagnosis of exclusion. What other diagnoses should be
considered in a child with fever and seizures?
A. Meningitis
B. Pneumonia
C. Milk allergy
D. AIDS - ANSWER: Meningitis
A 10-year-old boy returns from a month at camp with a severely itchy scalp. You
noticed small black insects on his scalp and white eggs on the bottom of his hair
follicles. He most likely came back from camp with?
A. German measles
B. Rocky mountain spotted fever
C. Mumps
D. Lice - ANSWER: Lice
A 1-month-old child comes to your o"ce with 102.5-degree temperature, is very
fussy, and has been vomiting for the last 24 hours. Any child of this age with this sort
of fever is considered to have what diagnosis and will get what test to con!rm?
A. Chicken pox, pox test
B. Strep throat, throat swab culture
, C. Meningitis, spinal tap
D. West nile virus, spinal tap - ANSWER: Meningitis, spinal tap
A two year old is brought to you with complaints of a fever for 2 days,
headaches and lack of appetite. A dozen raised blisters are noted on her face and
upper body. What would be your immediate diagnostic impression?
A. Meningitis
B. Pneumonia
C. Roseola
D. Chicken pox - ANSWER: Chicken pox
A seven year old boy has staring spells several times per day that have gotten him in
trouble with his teacher for not paying attention. What might be happening?
A. ADHD
B. Absence seizures
C. Tonic-clonic seizures
D. GBS - ANSWER: Absence seizures
What 2 orthopedic tests should you use to assess meningitis in a 6 month old child?
A. Brudzinski's and Kernig's
B. Brudzinski's and Valsalva
C. Kernig's and George's
D. None of the above - ANSWER: None of the above
A 5-year-old presents to your o"ce with a coarse rash, fever and malaise. You look in
his mouth and there are Koplik spots. This most likely is?
A. German Measles
B. Measles
C. Chicken pox
D. Hives - ANSWER: Measles
A 4-year-old child had strep throat a few weeks ago and now has a sandpaper-like
rash on her body and reddish lines across both groins and armpits. This might be
what illness, and the reddish lines are?
A. Roseola infantum, Rose's lines
B. Erythema infectiosum, Erythemic lines
C. Fifth disease, Five lines
D. Scarlett Fever, Pastia's lines - ANSWER: Scarlett Fever, Pastia's lines
A mom explains that her son had strep throat several weeks ago, but presents today
with a raised nodule on his arm and a blotchy red rash on his entire back. This might
be what issues, and you refer to the pediatrician to check the what speci!c organ?
