PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1. Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse
hair. - ANSWER Tanner Stage 2
2. Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and
areola are one mound. Darkened hair, starts to curl. - ANSWER
Tanner Stage 3
3. Penis thickens and increases in size. Areola/nipple separate for secondary
mound. Curly hair, not on medial thigh. - ANSWER Tanner 4
4. After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary
sexual characteristics by 12-13 in girls and 14 in boys. - ANSWER
When does menarche begin?
5. Down Syndrome. Risk with advanced maternal age. Microcephaly, flat
nose, hypotonia, simian crease. - ANSWER Trisomy 21
6. Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic
regurgitation. Do not clear for sports. - ANSWER Marfan's Syndrome
,7. FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced
nipples, HTN coarctation of aorta. - ANSWER Turner's Syndrome
8. Extra X in males. More feminine. Will see in puberty. Infertile,
hypogonadism, low testosterone. Tall, lanky, underdeveloped sexually. -
ANSWER Klienfelter's Syndrome
9. Sutures cross midline, spreads. - ANSWER Caput succadeum
10.Sutures do not cross midline, more significant. - ANSWER
Caphalohematoma
11.18 months - ANSWER When does anterior fontanelle close?
12.2-3 months - ANSWER When does posterior fontanelle close?
13.Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White
specks in down syndrome. - ANSWER Abrnomal red reflex
14.Trisomy 18. Small mouth. High pitched cry. - ANSWER Edward's
Syndrome
15.PKU (phenylalanine), can lead to hyperactivity and mental retardation.
Hypothyroid. If not treated, mental retardation. Sickle cell.
Galactessemia, maple smell to urine, septic. - ANSWER Newborn
screening tests
,16.Stye. Pain, edema. Bacitracin ophthalmic ointment. - ANSWER
Hordeolum
17.Emergency. Rocephin for gonorrhea. - ANSWER STD conjunctivitis.
18.2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC
culture, Thayer Martin, ROCEPHIN. - ANSWER Gonococcola
Ophthamlia Neonatorum
19.4-10 days after birth. Edematous, red, profuse WATERY discharge that
becomes purulent. Azithromycin, erythmocycin. - ANSWER
Chalmydial Ophthalmia Trachoma
20.Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna.
Corticosporin - ANSWER Otitis externa
21.Syphilis, acoustic neuroma, aminoglycoside (gentamycin) - ANSWER
Sensorineuro hearing loss in PEDS
22.Bacterial. Thumb sign on x-ray. - ANSWER Epiglottitis
23.Viral. Steeple sign on x-ray. - ANSWER Croup
24.RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal flaring,
stridor.If a preemie, synegis. - ANSWER Bronchioloitis
25.SABA, 2 puffs q 4-6 hours. Peak 30 min-2 hours, lasts 4-6. -
ANSWER Intermittent Asthma peds
, 26.Lobar consolidation. Tx with penicillin. - ANSWER S. Pneumonia
(CAP) peds
27.Lobar consolidation. Amoxicillin or cephalosporin. - ANSWER H.
Influenza pneumonia peds
28.Linear. Azithromycin. - ANSWER M. Cataralis or mycoplasma
29.Cafe au lait spots. Neurofibromas. Eye nodules. Freckling. -
ANSWER Neurofibromatosis
30.Slow GI loss, too much whole milk. PICA. Flat shaped nails. Ferritin low.
6-9 month treatments. 3-6 mg/kg day of iron - ANSWER Peds IDA
31.Asymptomatic. Enlarged spleen, tachypnea, tachycardia, prominence in
facial bones. TIBC not increased . Electrophoresis. - ANSWER
Thalassemia peds
32.Vasocclusive crisis. Symptoms in stress, heat, overexerting. Howel Jolly
Bodies. Reticulocytosis. Hydrate, oxygenate, pain managemnet. -
ANSWER Sickle Cell Peds
33.Factor VIII. Mother/daughter carry gene but presents in males. Bleed into
joints. - ANSWER Hemophilia
34.Over 10 refer. IDA. Butonion line, gingival border. Kelation therapy. -
ANSWER Lead Poisoning
35.Chronically tired, pale, resp. Infections. Blast cells, peripheral smear,
WBC - ANSWER Leukemia peds