PEDS APEA FINAL EXAM PREP 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS <LATEST VERSION>

PEDS APEA FINAL EXAM PREP 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS &lt;LATEST VERSION&gt; 1. A 6-month old patient has suspected hip dysplasia. What might be present on assessment? - ANSWER Unequal gluteal folds Difficulty abducting hips 2. (+) Barlow & Ortolani test? - ANSWER When click is heard or examiner palpates the trochanter becoming displaced 3. Nursemaid's elbow - ANSWER Radial head subluxation 4. Scoliosis - ANSWER &gt; 10 degree curvature Risk is greatest during pubertal growth spurt 5. Osgood-schlatter disease - ANSWER Anterior knee pain that increases over time Overuse injury More common in athletes 6. Characteristics of osgood schlatter disease - ANSWER Pain reproduced by extending the knee against resistance Straight less raise is painless 7. Measles symptoms - ANSWER " 3 C's" Conjunctivitis, coryza (congestion, runny nose), cough Koplik's spots 8. Acute otitis media - ANSWER Bulging TM 9. Treatment for acute otitis media - ANSWER Amoxicillin 10. What do newborn breastfed infants need their first few days of life? - ANSWER Vit D drops Caput seccedaneum - ANSWER Cone-shaped head after birth Resolves itself 11. When should a baby pass their first meconium? - ANSWER 24 hrs after birth 12. How long does it take an infant's head circumference to increase 12 cm? - ANSWER 12 months 13. Neonates should regain their birth weight in... - ANSWER 2 wks 14. Birth weight at: 6 months 12 months - ANSWER 6 months: doubles 12 months: triples 15. Newborn has urethral opening above or below glans/shaft? - ANSWER Refer to urologist 16. Method used to assess hydrocele & look at sctrotum? - ANSWER Transillumination 17. Only vaccine given at birth: - ANSWER Hep B 18. How long should a child be in a rear-facing car seat? - ANSWER Until 2 y/o 19. Jaundice within first 24 hrs of life? - ANSWER Abnormal, pathological 20. Hemangiomas should be treated when? - ANSWER At 12 months with laser 21. Physiologic jaundice? - ANSWER Phototherapy usually not indicated 22. Red reflex exam on child shows white reflection? - ANSWER Retinoblastoma 23. Neuroblastoma - ANSWER Abdominal mass crosses midline 24. Nephroblastoma - ANSWER Abdominal mass does not cross midline Wilm's tumor 25. Epiglottitis in child - ANSWER Tripod sitting with hyper-extended neck & open-mouth breathing 26. Fragile X-syndrome - ANSWER Macrocephaly & developmental delays 27. Hand-foot-mouth disease: What is it? Symptoms Treatment - ANSWER Acute viral illness Multiple small blisters on hands, feet, rectum Ulcers inside mouth Tx is symptomatic 28. Acetaminophen: When to check drug level Treatment - ANSWER Serum drug level should be checked after 4 hrs after ingestion Antidote: N-acetylcystine 29. An 11-year-old girl is brought to the clinic by her father for complaints of "chapped hands." When asked how her hands got this way, the girl's father rolls his eyes and states, "when she washes her hands, she has to do it three times in a row! I told her once is enough, but she repeats the process three times. Can't you just tell her once is enough? We have put lotion on them, but it doesn't help much! I just don't want her to be like her mom, who has to check that all the doors are locked five times every night!" On exam, the nurse practitioner notes that both hands are dry and excoriated on the palmar and dorsal surfaces. The metacarpophalangeal joints are chafed on both hands. No other significant skin findings are noted. The girl is happy and cooperative, stating "I just need my hands to be clean." What is the most likely diagnosis? Eczema Psoriasis Body dysmorphic disorder Obsessive-compulsive disorder - ANSWER Obsessive-compulsive disorder 30. A 15-year-old boy comes into the clinic for hemorrhoids. During the visit, he states that the hemorrhoids started after his uncle's adult friend talked him into having sex with him. He states that he is "not gay," but doesn't want his uncle's friend to get into trouble. What is the best action by the nurse practitioner at this time? Let the patient know that it is okay to have sexual role confusion at this age Notify the local child protection agency Notify the local child protection agency and refer him to counseling. Let the parent know what happened and refer him to a counselor - ANSWER Notify the local child protection agency and refer him to counseling. 31. A 7-year-old boy is brought to the clinic to establish care. The boy does not have a pediatrician and he is delinquent on immunizations. The mother has made three previous appointments, but did not keep them. She is here today stating "the school said I had to get his shots caught up before he can go back to school." On exam, his growth chart reveals that his height is at the 25th percentile and his weight is at the 5th percentile. Oral exam reveals multiple caries on several teeth. His behavior is appropriate for his age, but he appears sleepy. What is the most appropriate diagnosis? Behind on immunizations Dental caries Child neglect Underweight - ANSWER Child neglect 32. Which finding is least concerning for child abuse in a preschooler? Bruising on the shins