PNCB 3 Exam Questions and
Answers16
What congenital infection can present with snuffles, lymphadenopathy, pseudo paralysis of
Parrot, CNS abnormalities, and low birth weight? - ANSWERS -Syphilis
9A 6-year-old child has increased reflexes, toe walking, and a clumsy gait. Which of the following
diagnostic tests would be helpful in making a diagnosis of cerebral palsy? - ANSWERS -MRI of
the head/brain
Medicaid provides health insurance coverage to: - ANSWERS -certain categories of people
whose personal income falls below a certain percentage of the federal poverty level.
Which of the following is least likely to pose a risk of genetic problems? - ANSWERS -A history of
premature pregnancies.
You have just diagnosed an 18-month-old girl with iron deficiency anemia. The patient's lab
tests indicate that her hemoglobin is 10.9 and her hematocrit is 32% with a serum ferritin of 25.
The patient retains much of her color and has normal breathing functions. Which of the
following is most appropriate treatment this patient? - ANSWERS -3 to 6 mg/kg/day of
elemental iron.
You have been treating a 16 year old asthmatic patient with a short term beta agonist (SABA).
He has had fewer than two attacks per week, usually following exercise, and never needs to take
his Saba at night. After two years of living with the condition, he now inquires about using a
steroid inhaler for acute attacks. You advised him that steroid intake healers are not appropriate
treatment for acute attacks. You and the patient are satisfied with his asthma control period,
however, when would you consider adding a low dose inhaled steroid to his management? -
ANSWERS -Only if symptoms increased
, An inhaled steroid is - ANSWERS -not used for acute attack management, to have better
tolerance in sports, or in place of a SABA (short term beta agonist)
A mother comes to the emergency room with her very ill nine-month-old son. The baby is pale
and he has a three day history of Jelly like stools, vomiting, and inconsolable crying. On exam
the nurse practitioner notes abdominal distention, a sausage shaped. Mass in the right upper
quadrant, and blood in the baby's rectum. Which of the following tests would you order to
confirm the diagnosis? - ANSWERS -Radiograph
Intussusception - ANSWERS -jelly like stools, vomiting, sausage like mass. Diagnose with
radiograph and barium enema.
Girls in Tanner Stage 3 - ANSWERS -begin to develop noticeable breasts with no separate
contour to their nipples as well as pubic hair that grows darker and curlier but is not fully
developed
Veracity: - ANSWERS -honesty in healthcare
Fidelity - ANSWERS -Faithful
Beneficence - ANSWERS -prevent harm and do good
Justice - ANSWERS -fairness and equal distribution of healthcare in all groups
A mother who follows a vegan diet is concerned about irritability in her infant who is exclusively
breastfed. She reports that the infant feeds well and has 6-8 wet diapers daily with large, soft
stools every other day. Which of the following INITIAL laboratory studies is MOST appropriate? -
ANSWERS -complete blood count (CBC) due to b12 deficency
Answers16
What congenital infection can present with snuffles, lymphadenopathy, pseudo paralysis of
Parrot, CNS abnormalities, and low birth weight? - ANSWERS -Syphilis
9A 6-year-old child has increased reflexes, toe walking, and a clumsy gait. Which of the following
diagnostic tests would be helpful in making a diagnosis of cerebral palsy? - ANSWERS -MRI of
the head/brain
Medicaid provides health insurance coverage to: - ANSWERS -certain categories of people
whose personal income falls below a certain percentage of the federal poverty level.
Which of the following is least likely to pose a risk of genetic problems? - ANSWERS -A history of
premature pregnancies.
You have just diagnosed an 18-month-old girl with iron deficiency anemia. The patient's lab
tests indicate that her hemoglobin is 10.9 and her hematocrit is 32% with a serum ferritin of 25.
The patient retains much of her color and has normal breathing functions. Which of the
following is most appropriate treatment this patient? - ANSWERS -3 to 6 mg/kg/day of
elemental iron.
You have been treating a 16 year old asthmatic patient with a short term beta agonist (SABA).
He has had fewer than two attacks per week, usually following exercise, and never needs to take
his Saba at night. After two years of living with the condition, he now inquires about using a
steroid inhaler for acute attacks. You advised him that steroid intake healers are not appropriate
treatment for acute attacks. You and the patient are satisfied with his asthma control period,
however, when would you consider adding a low dose inhaled steroid to his management? -
ANSWERS -Only if symptoms increased
, An inhaled steroid is - ANSWERS -not used for acute attack management, to have better
tolerance in sports, or in place of a SABA (short term beta agonist)
A mother comes to the emergency room with her very ill nine-month-old son. The baby is pale
and he has a three day history of Jelly like stools, vomiting, and inconsolable crying. On exam
the nurse practitioner notes abdominal distention, a sausage shaped. Mass in the right upper
quadrant, and blood in the baby's rectum. Which of the following tests would you order to
confirm the diagnosis? - ANSWERS -Radiograph
Intussusception - ANSWERS -jelly like stools, vomiting, sausage like mass. Diagnose with
radiograph and barium enema.
Girls in Tanner Stage 3 - ANSWERS -begin to develop noticeable breasts with no separate
contour to their nipples as well as pubic hair that grows darker and curlier but is not fully
developed
Veracity: - ANSWERS -honesty in healthcare
Fidelity - ANSWERS -Faithful
Beneficence - ANSWERS -prevent harm and do good
Justice - ANSWERS -fairness and equal distribution of healthcare in all groups
A mother who follows a vegan diet is concerned about irritability in her infant who is exclusively
breastfed. She reports that the infant feeds well and has 6-8 wet diapers daily with large, soft
stools every other day. Which of the following INITIAL laboratory studies is MOST appropriate? -
ANSWERS -complete blood count (CBC) due to b12 deficency
