Peds Pearls & Practice Questions & Answers
2 months At what age should an infant begin cooing?
3 months What age should a child be able to hold his head up?
4 months By what age should a child be able to roll over?
6 months What age does a child sit up?
6 months At what age should a child begin to feed himself?
18 months At what age should a child be able to use a spoon and stack 3-4 block
A 14 YO patient presents with a change in behavior postbreakup, exhib
withdrawal from normal activities, increased fatigue, excessive sleep, an
15-lb weight loss over the last 3 months. Considering the clinical
presentation, which of the following medications is most appropriate at
time?
A A. Fluoxetine (Prozac) → approved for children and adolescents; 1st lin
treatment for pediatric unipolar depression
B. Amitriptyline (Elavil)
C. Selegiline (Emsam)
D. Paroxetine (Paxil) → SSRI but not typically first choice in pediatric
patients due to concerns about its safety profile in younger patients
, Peds Pearls & Practice Questions & Answers
A 5 YO is brought to the clinic with a new erythematous rash on the che
For the past 3 days, the patient has been experiencing a fever of 100.4,
headache, nasal congestion, and runny nose. Which of the following is
most likely etiology of the condition?
A
A. Parvovirus B19 → Erythema infectiosum (5th disease)
B. Rhinovirus
C. Coxsackievirus
D. Parainfluenza
During a routine well child check, the parent of a 6 YO reports that thei
child has started bedwetting 1-2 times.week after previously being dry a
night. The parent and child report no major stressors at home, and the
patient denies any dysuria, urinary frequency, or urgency. The physical
examination reveals no abnormalities, and the patient's development
A appears age appropriate. UA reveals no abnormalities. Which of the
following is the most appropriate initial management for this child?
A. Behavioral modification therapy
B. Oral nitrofurantoin (Macrobid)
C. Nighttime adsorbent undergarments (pull-ups)
D. Desmopressin (DDVAP)
, Peds Pearls & Practice Questions & Answers
A 4 YO is brought to the clinic with high fever and severe sore throat.
Examination reveals the patient in a sitting position, leaning forward,
drooling, and with noisy breathing upon inhalation. Which of the follow
the most immediate intervention?
A
A. Begin bag-valve mask ventilation → Epiglottitis
B. Administer nebulized epinephrine
C. Offer a cool mist humidifier
D. Provide oral corticosteroids
During a newborn examination, it is noted that the mother has epilepsy
treated with valproic acid until the second trimester of pregnancy. Whic
the following findings is most likely associated with valproic acid expos
in utero?
A. Cleft lip and palate → associated with increased risk of congenital
A malformations including neural tube defects and craniofacial anomalies
such as cleft lip and palate when taking during pregnancy especially in
first trimester during the period of organogenesis
B. Short palpebral fissures
C. Webbed neck
D. Leukocoria
2 months At what age should an infant begin cooing?
3 months What age should a child be able to hold his head up?
4 months By what age should a child be able to roll over?
6 months What age does a child sit up?
6 months At what age should a child begin to feed himself?
18 months At what age should a child be able to use a spoon and stack 3-4 block
A 14 YO patient presents with a change in behavior postbreakup, exhib
withdrawal from normal activities, increased fatigue, excessive sleep, an
15-lb weight loss over the last 3 months. Considering the clinical
presentation, which of the following medications is most appropriate at
time?
A A. Fluoxetine (Prozac) → approved for children and adolescents; 1st lin
treatment for pediatric unipolar depression
B. Amitriptyline (Elavil)
C. Selegiline (Emsam)
D. Paroxetine (Paxil) → SSRI but not typically first choice in pediatric
patients due to concerns about its safety profile in younger patients
, Peds Pearls & Practice Questions & Answers
A 5 YO is brought to the clinic with a new erythematous rash on the che
For the past 3 days, the patient has been experiencing a fever of 100.4,
headache, nasal congestion, and runny nose. Which of the following is
most likely etiology of the condition?
A
A. Parvovirus B19 → Erythema infectiosum (5th disease)
B. Rhinovirus
C. Coxsackievirus
D. Parainfluenza
During a routine well child check, the parent of a 6 YO reports that thei
child has started bedwetting 1-2 times.week after previously being dry a
night. The parent and child report no major stressors at home, and the
patient denies any dysuria, urinary frequency, or urgency. The physical
examination reveals no abnormalities, and the patient's development
A appears age appropriate. UA reveals no abnormalities. Which of the
following is the most appropriate initial management for this child?
A. Behavioral modification therapy
B. Oral nitrofurantoin (Macrobid)
C. Nighttime adsorbent undergarments (pull-ups)
D. Desmopressin (DDVAP)
, Peds Pearls & Practice Questions & Answers
A 4 YO is brought to the clinic with high fever and severe sore throat.
Examination reveals the patient in a sitting position, leaning forward,
drooling, and with noisy breathing upon inhalation. Which of the follow
the most immediate intervention?
A
A. Begin bag-valve mask ventilation → Epiglottitis
B. Administer nebulized epinephrine
C. Offer a cool mist humidifier
D. Provide oral corticosteroids
During a newborn examination, it is noted that the mother has epilepsy
treated with valproic acid until the second trimester of pregnancy. Whic
the following findings is most likely associated with valproic acid expos
in utero?
A. Cleft lip and palate → associated with increased risk of congenital
A malformations including neural tube defects and craniofacial anomalies
such as cleft lip and palate when taking during pregnancy especially in
first trimester during the period of organogenesis
B. Short palpebral fissures
C. Webbed neck
D. Leukocoria
