PEDS MIDTERM 6541
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
Appropriate advice for a mother of a 2-week-old child here for a "well child" visit includes which
of the following? - Answer: Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th percentile
for height, weight and head circumference. He was born at 30 weeks' gestation and weighed
1000g. He was a planned pregnancy, and his mother's prenatal course was uneventful until an
automobile accident initiated the labor. He was ventilated for 3 days in the intensive care unit
but otherwise did well without ongoing problems. He was discharged at 8 weeks of life. Which
of the following is the most likely explanation for his small size? - Answer: Normal ex-preemie
infant growth
A Mantoux test in a child with no risk factors is considered positive with a reaction of - Answer:
at least 15 mm induration
A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child
has not yet achieved which of the principles of Piaget? - Answer: Conservation
I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods,
but I can't wave bye-bye yet. How old am I? - Answer: 6 months
,A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile,
height about the 10th percentile, and head circumference at the 50th percentile. The planned
pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were
discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity seems
sufficient. The child has had no illness. The examination is unremarkable except for the child's
small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33%
respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140,
chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver
function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no
white blood cells, bacteria, protein, ketones, or reducing substances. Which of the follow -
Answer: Oral supplementation with bicarbonate
Which of the following vaccines is routinely recommended at 4 months of age? - Answer:
Diphtheria, tetanus, acellular pertussis (DTaP)
I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot
balance on one foot for 1 second. I am - Answer: 2-1/2 years old (30 months)
You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received the
diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second dose; measles,
mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal
conjugate (PCV13) fourth dose; and Haemophilus influenzae type B (Hib) fourth dose. Which of
the following do you order today? - Answer: DTaP, varicella, hepatitis A, and hepatitis B
Which is the correct order for introduction of solid foods to an infant? - Answer: Cereal,
vegetables, fruits, and meats
I like to use my pincer grasp that involves the ability to pick up a small object such as a raisin or
piece of cereal with the thumb and forefinger, and that is mastered around what age? - Answer:
9 months
, The first sign of the onset of female puberty is usually - Answer: Breast buds
A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best
response is: - Answer: 10 hours at night and 3-4 hours during the day
Medicaid provides health insurance coverage to - Answer: Certain categories of people whose
personal income falls below a certain percentage of the federal poverty level.
You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower
lateral incisor bulges. You recommend: - Answer: A and D
You see a young child who has tripled her birth weight and looks for hidden objects. When given
blocks, she places one in each hand. She has a fine pincer grasp. On the floor, she walks around
holding objects and is trying to take independent steps. This child is most likely how old? -
Answer: 12 months
Sally, age 4, presents to the office with her mother for a well-child visit. To assess for age-
appropriate fine motor skills, what activity would you ask her to perform? - Answer: Cut on a
line with scissors
Which adolescent would be at greatest risk for developing anorexia nervosa? - Answer: 14-year-
old female gymnast
Which of the following injuries is most likely to be caused by abuse of a toddler? - Answer: A
displaced posterior rib fracture.
You see a 3-year-old for a well-child visit. His mother informs you that potty training has been
very easy because he "has an amazing internal clock. He falls asleep, gets hungry, and has bowel
movements at the same time every day." This describes which aspect of temperament? -
Answer: Rhythmicity
Comprehensive Questions
(Frequently Tested) with
Verified Answers Graded A+
Appropriate advice for a mother of a 2-week-old child here for a "well child" visit includes which
of the following? - Answer: Answers:
Sleep in the supine position is recommended
Parents bring their 6-month-old son to see you. He is symmetrically less than the 5th percentile
for height, weight and head circumference. He was born at 30 weeks' gestation and weighed
1000g. He was a planned pregnancy, and his mother's prenatal course was uneventful until an
automobile accident initiated the labor. He was ventilated for 3 days in the intensive care unit
but otherwise did well without ongoing problems. He was discharged at 8 weeks of life. Which
of the following is the most likely explanation for his small size? - Answer: Normal ex-preemie
infant growth
A Mantoux test in a child with no risk factors is considered positive with a reaction of - Answer:
at least 15 mm induration
A 4-year-old believes there is more juice in a tall, thin glass than a shorter, wider one. The child
has not yet achieved which of the principles of Piaget? - Answer: Conservation
I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods,
but I can't wave bye-bye yet. How old am I? - Answer: 6 months
,A 4-month-old child has poor weight gain. Her current weight is less than the 5th percentile,
height about the 10th percentile, and head circumference at the 50th percentile. The planned
pregnancy resulted in a normal, spontaneous, vaginal delivery; mother and child were
discharged after a 48-hour hospitalization. Feeding is via breast and bottle; the quantity seems
sufficient. The child has had no illness. The examination is unremarkable except for the child's
small size. Screening laboratory shows the hemoglobin and hematocrit are 11 mg/dL and 33%
respectively, with a platelet count of 198,000/mm3. Serum electrolyte levels are sodium 140,
chloride 105, potassium 3.5, bicarbonate 17, blood urea nitrogen 15, and creatinine 0.3. Liver
function tests are normal. Urinalysis reveals a pH of 8 with occasional epithelial cells but no
white blood cells, bacteria, protein, ketones, or reducing substances. Which of the follow -
Answer: Oral supplementation with bicarbonate
Which of the following vaccines is routinely recommended at 4 months of age? - Answer:
Diphtheria, tetanus, acellular pertussis (DTaP)
I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but I cannot
balance on one foot for 1 second. I am - Answer: 2-1/2 years old (30 months)
You see a healthy 18-month-old for a well-child visit. At the 12-month visit he received the
diphtheria, tetanus, and acellular pertussis (DTaP) third dose; hepatitis B second dose; measles,
mumps, and rubella (MMR) first dose; injected poliovirus (IPV) second dose; pneumococcal
conjugate (PCV13) fourth dose; and Haemophilus influenzae type B (Hib) fourth dose. Which of
the following do you order today? - Answer: DTaP, varicella, hepatitis A, and hepatitis B
Which is the correct order for introduction of solid foods to an infant? - Answer: Cereal,
vegetables, fruits, and meats
I like to use my pincer grasp that involves the ability to pick up a small object such as a raisin or
piece of cereal with the thumb and forefinger, and that is mastered around what age? - Answer:
9 months
, The first sign of the onset of female puberty is usually - Answer: Breast buds
A mother of a 6-month-old asks you about normal sleep patterns for an infant this age. The best
response is: - Answer: 10 hours at night and 3-4 hours during the day
Medicaid provides health insurance coverage to - Answer: Certain categories of people whose
personal income falls below a certain percentage of the federal poverty level.
You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower
lateral incisor bulges. You recommend: - Answer: A and D
You see a young child who has tripled her birth weight and looks for hidden objects. When given
blocks, she places one in each hand. She has a fine pincer grasp. On the floor, she walks around
holding objects and is trying to take independent steps. This child is most likely how old? -
Answer: 12 months
Sally, age 4, presents to the office with her mother for a well-child visit. To assess for age-
appropriate fine motor skills, what activity would you ask her to perform? - Answer: Cut on a
line with scissors
Which adolescent would be at greatest risk for developing anorexia nervosa? - Answer: 14-year-
old female gymnast
Which of the following injuries is most likely to be caused by abuse of a toddler? - Answer: A
displaced posterior rib fracture.
You see a 3-year-old for a well-child visit. His mother informs you that potty training has been
very easy because he "has an amazing internal clock. He falls asleep, gets hungry, and has bowel
movements at the same time every day." This describes which aspect of temperament? -
Answer: Rhythmicity
