Peds Exam 1 Practice Questions

During a well-child visit you teach parents that an infant may first transfer an object from hand to hand at: a. 2mo b. 4mo c. 7mo d. 9mo - C. 7 months Role-play with equipment during the course of a physical examination would be most beneficial with which of the following age groups? a. Toddlers b. Preschoolers c. Young school-age children d. Older school-age children - B. Preschoolers Preschoolers engage in imaginative play and are more easily engaged in this activity. Providing reassurance of "normalcy" during the course of an examination would be most important for: a. Preschool children b. Young school-age children c. Older school-age children d. Adolescents - D: Adolescents Adolescents have heightened concerns regarding body image. They fear that they are abnormal and would be reassured by this behavior. Blood pressure should be measured at well-child vis-its beginning at age: a. 2 years b. 3 years c. 4 years d. 5 years - B. 3 Years Head and chest circumferences should be equal at: a. 6 months of age b. 1 year of age c. 2 years of age d. 3 years of age - B. 1 year of age Head circumference is approximately 2 cm larger than chest during the first year of life; head and chest circumferences should be equal at 1 year of age; dur-ing childhood, chest is usually 5 to 7 cm larger than head. The anterior fontanel usually closes by: a. 2 months of age b. 6 months of age c. 18 months of age d. 24 months of age - C. 18 months The posterior fontanel closes at 2 months, and the anterior fontanel closes at 18 months. Diffuse edema of the soft tissue of the scalp that usu-ally crosses suture lines in the newborn is: a. Bossing b. Caput succedaneum c. Cephalohematoma d. Macrocephaly - B. Caput Succedaneum An infant should no longer have a head lag when pulled from the supine to sitting position at what age? a. 2 months b. 4 months c. 6 months d. 9 months - C: 6 months By 6 months of age, there should be no head lag when infant is pulled from supine to sitting position; if present, it may indicate neuromuscular disorder; may be the first sign of cerebral palsy. "Boggy" nasal mucous membranes with serous drain-age upon examination usually suggest: a. Sinusitis b. Polyps c. URI d. Allergic rhinitis - D. Allergic Rhinitis A white instead of red reflex upon eye examination of a 1-year-old child would suggest: a. An accommodative error b. Retinoblastoma c. Papilledema d. Retinal detachment - B. Retinoblastoma White spots (leukokoria) within the area of either or both red reflexes is an abnormal red reflex and should be immediately referred to an ophthalmolo-gist for a more complete examination to rule out a retinoblastoma. Pain produced by manipulation of the auricle or pressure on the tragus suggests: a. Acute otitis media b. Otitis externa c. Otitis media with effusion d. Mastoiditis - B. Otitis Externa Which of the following infant reflexes should not dis-appear by 6 months of age? a. Moro b. Rooting c. Tonic neck d. Plantar grasp - D. Plantar Grasp Moro reflex is present from birth to 4-6 months, rooting reflex is present from birth to 3-4 months, tonic neck reflex is present from birth (or at 6 weeks) to 4-6 months, and plantar grasp reflex is present from birth to 10-12 months. Cholesterol screening should be done: a. On children 2 years of age and older who have a parent with a total cholesterol level of 240 mg/dL or greater b. Once for all children at 6 years of age c. On overweight children with a family history of premature cardiovascular disease d. Once for all children at 12 years of age - A. On children 2 years of age and older who have a parent with a total cholesterol level of 240 mg/dL or greater Children 2 years of age and older who have a parent with a total cholesterol level of 240 mg/dL or greater are at risk for elevated cholesterol level. It is a recom-mended screening test for children between 9 and 11 years of age. Which of the following topics would not be appropri-ate to include when providing anticipatory guidance to the parent of a 6-month-old infant? a. Introduction of solid foods b. Teething c. Negativism d. Introduction of a cup - C. Negativism Negativism is a toddler behavioral characteristic. Which of the following topics is not appropriate to include when providing anticipatory guidance to the parent of an 18-month-old? a. Temper tantrums b. Toilet training c. Dental care d. Stranger anxiety - D. Stranger anxiety