C-NPT RAPID BOARD AND CERTIFICATION
REVIEW|UPDATED QUESTIONS AND
VERIFIED ANSWERS
GRADED A+
QUESTIONS & ANSWERS
Guillain Barre syndrome. ANSWER - What is the most common acquired paralysis
in a previously healthy child?
Potassium. ANSWER - What is the most important electrolyte to replace in a
dehydrated 4 week old infant with gastric outlet obstruction?
Thyroglossal duct cysts. ANSWER - A child has a midline cyst in the neck that moves
with swallowing. Wh is the most likely diagnosis?
30 %. ANSWER - How much time does a full term neonate spend in waking state?
20ml/kg over 5-20 min may repeat. ANSWER - A caregiver brings a 16 month old
into the ER for severe vomiting and diarrhea. Hypovolemic shock is suspected. No
cardiac abnormalities are suspected. what is the appropriate initial bolus dose of an
isotonic crystalloid solution?
Ventriculoperitoneal Shunt (VP). ANSWER - A newborn with a meningomyelocele
has surgery to close the defect but develops hydrocephalus. what procedure is most
commonly done to correct this?
Trisomy 21. ANSWER - An infant with hypotonia is born with upslanting palpebral
fissures, bilateral epicanthal folds, macroglossia, and a single transverse palmar
crease. What is the most likely dianosis?
, Down syndrome. ANSWER - What is another name for Trisomy 21?
SIDS (sudden infant death syndrome). ANSWER - What is a common cause of
deaths in infants?
Ampicillin and ceftriaxone. ANSWER - A 4 week-old infant is brought in with a
fever, poor feeding, and irritability. Physical exam shows temp 39.4 and right otitis
media with a bulging TM. The rest of the exam is normal. Appropriate labs are
obtained. What antibiotic is the best treatment in this scenario?
Holt-Oram syndrome. ANSWER - An infant is born with agenesis of the forearm
resulting in the left hand originating at the elbow, low sloping shoulders, cardiac
anomalies, a bifid thumb, and chest wall deformities.What is the most likely
diagnosis?
Hand washing with soap. ANSWER - Which is the most effective and practical
method to prevent the spread of infection?
Pressure under the jaw. ANSWER - What is the best intervention for a child having
difficulty maintaining lip seal with a bottle and nipple?
Therapeutic hypothermia. ANSWER - A 35 year old G3P2002 presents at 39 weeks
with severe abd pain and vag bleeding. FHR 100. Stat section is performed. The
neonatal team is handed a limp term infant with a HR of 40 and on spontaneous
breathing. The infant is aggressively resuscitated, including ppv, intubation, UVC,
epi, normal saline bolus, and emergency release blood. The OB confirms that a
uterine rupture was the etiology of the bleeding prior to delivery. The first ABG was
6.9, 35, 130, base excess -20, and lactate 16. At one hour of age she is breathing
spontaneously and has a normal HR. She is lethargic but responsive and has
overactive deep tendon reflexes, What is the most appropriate next course of action?
Hyperventilation. ANSWER - What are initial respiratory signs ans symptoms of
septic shock?
Failure of processus vaginalis to involute. ANSWER - A newborn is noted to have a
reducible swelling of the scrotum. what is the most likely cause of this finding?
REVIEW|UPDATED QUESTIONS AND
VERIFIED ANSWERS
GRADED A+
QUESTIONS & ANSWERS
Guillain Barre syndrome. ANSWER - What is the most common acquired paralysis
in a previously healthy child?
Potassium. ANSWER - What is the most important electrolyte to replace in a
dehydrated 4 week old infant with gastric outlet obstruction?
Thyroglossal duct cysts. ANSWER - A child has a midline cyst in the neck that moves
with swallowing. Wh is the most likely diagnosis?
30 %. ANSWER - How much time does a full term neonate spend in waking state?
20ml/kg over 5-20 min may repeat. ANSWER - A caregiver brings a 16 month old
into the ER for severe vomiting and diarrhea. Hypovolemic shock is suspected. No
cardiac abnormalities are suspected. what is the appropriate initial bolus dose of an
isotonic crystalloid solution?
Ventriculoperitoneal Shunt (VP). ANSWER - A newborn with a meningomyelocele
has surgery to close the defect but develops hydrocephalus. what procedure is most
commonly done to correct this?
Trisomy 21. ANSWER - An infant with hypotonia is born with upslanting palpebral
fissures, bilateral epicanthal folds, macroglossia, and a single transverse palmar
crease. What is the most likely dianosis?
, Down syndrome. ANSWER - What is another name for Trisomy 21?
SIDS (sudden infant death syndrome). ANSWER - What is a common cause of
deaths in infants?
Ampicillin and ceftriaxone. ANSWER - A 4 week-old infant is brought in with a
fever, poor feeding, and irritability. Physical exam shows temp 39.4 and right otitis
media with a bulging TM. The rest of the exam is normal. Appropriate labs are
obtained. What antibiotic is the best treatment in this scenario?
Holt-Oram syndrome. ANSWER - An infant is born with agenesis of the forearm
resulting in the left hand originating at the elbow, low sloping shoulders, cardiac
anomalies, a bifid thumb, and chest wall deformities.What is the most likely
diagnosis?
Hand washing with soap. ANSWER - Which is the most effective and practical
method to prevent the spread of infection?
Pressure under the jaw. ANSWER - What is the best intervention for a child having
difficulty maintaining lip seal with a bottle and nipple?
Therapeutic hypothermia. ANSWER - A 35 year old G3P2002 presents at 39 weeks
with severe abd pain and vag bleeding. FHR 100. Stat section is performed. The
neonatal team is handed a limp term infant with a HR of 40 and on spontaneous
breathing. The infant is aggressively resuscitated, including ppv, intubation, UVC,
epi, normal saline bolus, and emergency release blood. The OB confirms that a
uterine rupture was the etiology of the bleeding prior to delivery. The first ABG was
6.9, 35, 130, base excess -20, and lactate 16. At one hour of age she is breathing
spontaneously and has a normal HR. She is lethargic but responsive and has
overactive deep tendon reflexes, What is the most appropriate next course of action?
Hyperventilation. ANSWER - What are initial respiratory signs ans symptoms of
septic shock?
Failure of processus vaginalis to involute. ANSWER - A newborn is noted to have a
reducible swelling of the scrotum. what is the most likely cause of this finding?
