PEDS APEA COMPREHENSIVE EXAMINATION
TEST 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ What is the best option for treating an 18-year-old patient with
gastroesophageal reflux disease (GERD)?
Cimetidine (Tagamet) twice daily
Omeprazole (Prilosec) twice daily
Metoclopramide (Reglan) four times daily
Calcium carbonate (Tums) as needed. Answer: Cimetidine (Tagamet)
twice daily
first line for GERD is H2 blockers
◉ A 15-year-old who recently relocated to the United States from
Mexico presents to the clinic. The past medical history is significant for
a hepatitis A diagnosed 1 month ago. The adolescent has been
asymptomatic for 2 weeks. The mother asks whether her daughter is still
contagious. The best response would be:
once your daughter is asymptomatic, there is no risk for being
contagious.
weekly stool studies will be needed.
,a serum immunoglobulin assay must be obtained.
even though your daughter is asymptomatic, she is considered
contagious for several months. Answer: even though your daughter is
asymptomatic, she is considered contagious for several months
◉ Which of the following diagnoses is most commonly associated with
encopresis?
Meningomyelocele
Functional constipation
Hirschsprung disease
Anteriorly displaced anus. Answer: Functional constipation
◉ Congenital cysts at the midline of the neck just above the thyroid
cartilage and that may open under the tongue are known as:
thyroglossal duct cysts.
preauricular cysts.
branchial cleft cysts.
hypoglossal cysts. Answer: thyroglossal duct cysts
◉ What is the best maintenance medication indicated for a 12-month-
old toddler who has constipation?
Mineral oil by mouth
, Senna (Senokot) by mouth
Sodium phosphate (Fleets enema) rectally
Polyethylene glycol (MiraLAX) by mouth. Answer: Polyethylene glycol
(MiraLAX) by mouth
mineral oil not recommended <15 months
senna for acute exacerbations as it can cause permanent colonic nerve
damage if used for long periods of time
fleet is for disimpaction; it can cause electrolyte imbalances if used for
maintenance
◉ Which of the following is the least likely be a risk factor for
childhood obesity?
Parental obesity
Rapid growth in the first 6 months of life
Exclusively breastfed for the first 6 months of life
low socioeconomic status. Answer: exclusively breastfed for the first 6
months of life
◉ A 20-year-old woman is diagnosed with hepatitis C. Her only known
exposure was getting a tattoo with used equipment approximately 2
years prior. She is currently asymptomatic with normal liver enzymes.
What is the best plan for her?
No treatment unless she develops liver cirrhosis
TEST 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ What is the best option for treating an 18-year-old patient with
gastroesophageal reflux disease (GERD)?
Cimetidine (Tagamet) twice daily
Omeprazole (Prilosec) twice daily
Metoclopramide (Reglan) four times daily
Calcium carbonate (Tums) as needed. Answer: Cimetidine (Tagamet)
twice daily
first line for GERD is H2 blockers
◉ A 15-year-old who recently relocated to the United States from
Mexico presents to the clinic. The past medical history is significant for
a hepatitis A diagnosed 1 month ago. The adolescent has been
asymptomatic for 2 weeks. The mother asks whether her daughter is still
contagious. The best response would be:
once your daughter is asymptomatic, there is no risk for being
contagious.
weekly stool studies will be needed.
,a serum immunoglobulin assay must be obtained.
even though your daughter is asymptomatic, she is considered
contagious for several months. Answer: even though your daughter is
asymptomatic, she is considered contagious for several months
◉ Which of the following diagnoses is most commonly associated with
encopresis?
Meningomyelocele
Functional constipation
Hirschsprung disease
Anteriorly displaced anus. Answer: Functional constipation
◉ Congenital cysts at the midline of the neck just above the thyroid
cartilage and that may open under the tongue are known as:
thyroglossal duct cysts.
preauricular cysts.
branchial cleft cysts.
hypoglossal cysts. Answer: thyroglossal duct cysts
◉ What is the best maintenance medication indicated for a 12-month-
old toddler who has constipation?
Mineral oil by mouth
, Senna (Senokot) by mouth
Sodium phosphate (Fleets enema) rectally
Polyethylene glycol (MiraLAX) by mouth. Answer: Polyethylene glycol
(MiraLAX) by mouth
mineral oil not recommended <15 months
senna for acute exacerbations as it can cause permanent colonic nerve
damage if used for long periods of time
fleet is for disimpaction; it can cause electrolyte imbalances if used for
maintenance
◉ Which of the following is the least likely be a risk factor for
childhood obesity?
Parental obesity
Rapid growth in the first 6 months of life
Exclusively breastfed for the first 6 months of life
low socioeconomic status. Answer: exclusively breastfed for the first 6
months of life
◉ A 20-year-old woman is diagnosed with hepatitis C. Her only known
exposure was getting a tattoo with used equipment approximately 2
years prior. She is currently asymptomatic with normal liver enzymes.
What is the best plan for her?
No treatment unless she develops liver cirrhosis
