AAP Exam Prep Questions and Answers |Fall 2025/2026
Update | 100% Correct
Question 1
Testing for patient with chronic urticaria (>6 wk)
Correct Answer
CBC
ESR/CRP
TSH (r/o Thyroid dx, autoimmune conditions)
Food allergies are rarely a cause
Question 2
Rx for urticaria
Correct Answer
First line: H1 antihistamines
Second line: H2 antihistamines and leukotriene modifiers
Third line: systemic steroids
Page 1 of 21
,Question 3
Two categories of hemolytic uremic syndrome
Correct Answer
Diarrhea-positive: STEC (EHEC O157:H7)
Diarrhea-negative (poorer outcomes): malignancy, medications (cyclosporine, tacrolimus), SLE, pregnancy, genetic
(alternative complement pathway)
Question 4
- Grade 1 - 3 sprains
- Most common ligaments affected by ankle sprain?
Correct Answer
Grade 1 when the ligament is stretched
Grade 2 a partial ligament tear
Grade 3 complete tear of the ligament
Most commonly anterior talofibular and calcaneofibular ligaments
Question 5
Ottawa ankle criteria for ordering radiographs
Correct Answer
Individuals unable to bear weight on the affected ankle or those with tenderness involving the tip or posterior aspect of
the ankle malleoli (bony tenderness)
Page 2 of 21
, Question 6
GAS pharyngitis treatment:
1. Initial
2. Recurrent/PCN anaphylaxis
Correct Answer
1. oral PCN V x10d
oral amox x10d
IM benzathine PCN G x1 dose
cephalosporin x10d (if allergy to PCN)
oral macrolide (20% resistance)
2. oral clinda x10d
Question 7
Indication for the use of IV hypertonic (3%) saline
Correct Answer
1. Na < 120 mEq/L
2. Associated neurologic manifestations (headaches, seizures, behavioral changes, obtundation, coma, and respiratory
arrest)
Page 3 of 21
Update | 100% Correct
Question 1
Testing for patient with chronic urticaria (>6 wk)
Correct Answer
CBC
ESR/CRP
TSH (r/o Thyroid dx, autoimmune conditions)
Food allergies are rarely a cause
Question 2
Rx for urticaria
Correct Answer
First line: H1 antihistamines
Second line: H2 antihistamines and leukotriene modifiers
Third line: systemic steroids
Page 1 of 21
,Question 3
Two categories of hemolytic uremic syndrome
Correct Answer
Diarrhea-positive: STEC (EHEC O157:H7)
Diarrhea-negative (poorer outcomes): malignancy, medications (cyclosporine, tacrolimus), SLE, pregnancy, genetic
(alternative complement pathway)
Question 4
- Grade 1 - 3 sprains
- Most common ligaments affected by ankle sprain?
Correct Answer
Grade 1 when the ligament is stretched
Grade 2 a partial ligament tear
Grade 3 complete tear of the ligament
Most commonly anterior talofibular and calcaneofibular ligaments
Question 5
Ottawa ankle criteria for ordering radiographs
Correct Answer
Individuals unable to bear weight on the affected ankle or those with tenderness involving the tip or posterior aspect of
the ankle malleoli (bony tenderness)
Page 2 of 21
, Question 6
GAS pharyngitis treatment:
1. Initial
2. Recurrent/PCN anaphylaxis
Correct Answer
1. oral PCN V x10d
oral amox x10d
IM benzathine PCN G x1 dose
cephalosporin x10d (if allergy to PCN)
oral macrolide (20% resistance)
2. oral clinda x10d
Question 7
Indication for the use of IV hypertonic (3%) saline
Correct Answer
1. Na < 120 mEq/L
2. Associated neurologic manifestations (headaches, seizures, behavioral changes, obtundation, coma, and respiratory
arrest)
Page 3 of 21
