Peds 6541 Comprehensive
Questions (Frequently Tested)
with Verified Answers Graded
A+
A mantoux test in a child with no risk factors is considered postiive with a reaction of
A. at least 5 mm induration
B. at least 8 mm induration
C. At least 10 mm induration
D. at least 15 mm induration - Answer: D. at least 15 mm induration
You have ordered routine blood screening for a 2 year old girl who because of dietary habits is
at risk for IDA. Which of the following findings is not associated with IDA.
A. Hypochromic RBC
B. Microcytic RBC
C. Low reticulocyte count
D. Low free erythrocyte protoporphin level - Answer: D. Low free erythrocyte protoporphin level
A tenderness is detected over the tibial tuberosity of a 10 year old boy during a routine
examination at a school-based clinic. The PNP know that this may be a sign of-
A. Osgood-Schlatter
B. Blount's disease
,C. Plantar fascitis
D. Effusion in the joint space - Answer: A. Osgood-Schlatter disease
Which one of the following conditions increases the risk of developing hydrocephalus?
A. Bilateral cephalohematomas
B. Craniosynostosis
C. Prematurity
D. Familial macrocephaly - Answer: C. Prematurity
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by
obtaining which one of the following?
A. Cervical swab of the mother
B. Urine PCR from the mother
C. culture of the eye discharge
D. culture of the conjunctival scrapings - Answer: D. Culture of the conjunctival scrapings
A 3 year old has an edematous, mildly erythematous right upper eyelid for 1 day with a fever of
103. An important eye assessment would be
A. ocular mobility
B. Conjunctival inflammation
C. Pupillary reaction
D. Optic disc papilledema - Answer: A. ocular mobility
Concurrent otitis media and onjunctivitis is likely due to which organism?
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Moraxella catarrhalis
, D. Staphyloccocus aureaus - Answer: B. Haemophilus influenzae
A 16 year old was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids
with 5 out of 10 eye pain. All but which of the following would be appropriate to obtain at this
time?
A. visual acuity
B. Intraocular pressure
C. CT scan
D. Fluoroscein test - Answer: B. intraocular pressure
a 7 year old has experience recurrent epistaxis in the past 2 months. Which finding on the
physical exam would suggest an underlying medical cause for the epistaxis?
A. Wheezing
B. Grade ii murmur
C. Petechiae
D. tonsil hypertrophy - Answer: C. Petechiae
What complication of sinusitis are adolescent males more prone to?
A. Intracranial abscess
B. Potts puffy tumor
C. Orbital cellulitis
D. Dental infection - Answer: A. Intracranial abscess
A 9 month old is noted to have a bifid uvula. This would increase his risk of developing which
disorder?
A. Otitis media
B. Retropharyngeal abscess
Questions (Frequently Tested)
with Verified Answers Graded
A+
A mantoux test in a child with no risk factors is considered postiive with a reaction of
A. at least 5 mm induration
B. at least 8 mm induration
C. At least 10 mm induration
D. at least 15 mm induration - Answer: D. at least 15 mm induration
You have ordered routine blood screening for a 2 year old girl who because of dietary habits is
at risk for IDA. Which of the following findings is not associated with IDA.
A. Hypochromic RBC
B. Microcytic RBC
C. Low reticulocyte count
D. Low free erythrocyte protoporphin level - Answer: D. Low free erythrocyte protoporphin level
A tenderness is detected over the tibial tuberosity of a 10 year old boy during a routine
examination at a school-based clinic. The PNP know that this may be a sign of-
A. Osgood-Schlatter
B. Blount's disease
,C. Plantar fascitis
D. Effusion in the joint space - Answer: A. Osgood-Schlatter disease
Which one of the following conditions increases the risk of developing hydrocephalus?
A. Bilateral cephalohematomas
B. Craniosynostosis
C. Prematurity
D. Familial macrocephaly - Answer: C. Prematurity
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by
obtaining which one of the following?
A. Cervical swab of the mother
B. Urine PCR from the mother
C. culture of the eye discharge
D. culture of the conjunctival scrapings - Answer: D. Culture of the conjunctival scrapings
A 3 year old has an edematous, mildly erythematous right upper eyelid for 1 day with a fever of
103. An important eye assessment would be
A. ocular mobility
B. Conjunctival inflammation
C. Pupillary reaction
D. Optic disc papilledema - Answer: A. ocular mobility
Concurrent otitis media and onjunctivitis is likely due to which organism?
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Moraxella catarrhalis
, D. Staphyloccocus aureaus - Answer: B. Haemophilus influenzae
A 16 year old was hit in the eye 1 day ago and now has ecchymoses on the upper and lower lids
with 5 out of 10 eye pain. All but which of the following would be appropriate to obtain at this
time?
A. visual acuity
B. Intraocular pressure
C. CT scan
D. Fluoroscein test - Answer: B. intraocular pressure
a 7 year old has experience recurrent epistaxis in the past 2 months. Which finding on the
physical exam would suggest an underlying medical cause for the epistaxis?
A. Wheezing
B. Grade ii murmur
C. Petechiae
D. tonsil hypertrophy - Answer: C. Petechiae
What complication of sinusitis are adolescent males more prone to?
A. Intracranial abscess
B. Potts puffy tumor
C. Orbital cellulitis
D. Dental infection - Answer: A. Intracranial abscess
A 9 month old is noted to have a bifid uvula. This would increase his risk of developing which
disorder?
A. Otitis media
B. Retropharyngeal abscess
