Paediatrics Exam Test Bank-HESI exam questions and answers

Practice Exam Questions and Answers Practice Exam Questions and Answers 2021 October DWE Paediatrics & Child Health Instructions: • This document contains the questions and answers from the DWE Paediatrics & Child Health Practice Exam • The correct answer for each question is in bold type. Question 1 A 2-year-old with acute abdominal pain has been diagnosed with pancreatitis. An ultrasound is performed, which reveals a significantly dilated common bile duct, tapering distally with dilatation of intrahepatic ducts. Results of liver function tests are s hown below. What is the most likely cause of her pancreatitis? Answer options: A. Bile duct adenoma. B. Choledochal cyst. C. Neonatal sclerosing cholangitis. D. Sphincter of Oddi dysfunction. Practice Exam Questions and Answers Question 2 Which of the following is the most common clinical feature at presentation in acute rheumatic fever (ARF)? Answer options: A. Arthritis. B. Carditis. C. Erythema marginatum. D. Subcutaneous nodules. Question 3 What is the most important serious side effect that parents should be warned about before commencing atomo xetine? Answer options: A. Cardiac toxicity. B. Depression. C. Potential for abuse. D. Suicidal ideation. Question 4 Which renal condition is most commonly associated with congenital hepatic fibrosis? Answer options: A. Autosomal recessive polycystic kidney disease. B. Horseshoe kidney. C. Multicystic dysplastic kidney. D. Nephronophthisis Practice Exam Questions and Answers Question 5 You are called after hours by the mother of a 14 -year-old girl with well -controlled type 1 diabetes, who has been recently started on insulin pump therapy. The mother states that she has recorded a capillary blood glucose level of 20.2 mmol/L, and ketones of 1.2 mmol/L [< 0.5]. Earlier in the day her blood glucose level was normal at 6.5 mmol/L, and she had been correctly given insulin with her dinner meal through the insulin pump. Her mother reports that apart from feeling thirsty, her daughter is well, wi th no nausea or vomiting. With respect to her hyperglycaemia, what is the best advice you should give? Answer options: A. Deliver a correction bolus of rapid -acting insulin through the insulin pump. B. Deliver a correction bolus of rapid -acting insulin via an insulin syringe or pen. C. Deliver a dose of long -acting insulin. D. Perform 30 minutes of exercise and drink 500 mL of water. Question 6 A 4-year-old boy is assessed for failure to thrive, having not gained weight over the preceding year. He was becoming inc reasingly irritable and lethargic, and is now refusing foods. His mother reported abdominal bloating and excess wind over recent months. A symmetrical rash is noted on his elbows and knees. As part of a nutritional screen, his transglutaminase IgA antibodi es were positive. What is the most likely diagnosis? Answer options: A. Dermatitis herpetiformis. B. Discoid eczema. C. Henoch–Schönlein purpura. D. Impetigo.