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C-NPT (MNTT) EXAM COMPILED QUESTIONS & ANSWERS SCORED A+
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C-NPT (MNTT)EXAM COMPILED
QUESTIONS &
ANSWERS
SCORED A+
Evatee 10/29/24 C-NPT
,C-NPT (MNTT) EXAM COMPILED QUESTIONS
& ANSWERS SCORED A+
What is the most common acquired paralysis in a previously healthy child?
Answer - Guillian Barre Syndrome
What is the most important electrolyte to replace in a dehydrated 4 week old
infant with gastric outlet obstruction? Answer - Potassium
A child has a midline cyst in the neck that moves with swallowing. what is the
most likely diagnosis? Answer - Thyrolglossal duct cyst
How much time does a full term neonate spend in waking state? Answer - 30%
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 solutions? Answer
- 20 ml/kg over 5-20 min may repeat
A newborn with meningomyelocele has surgery to close the defect but
develops hydrocephalus. What procedure is most commonly done to correct
this? Answer - Ventriculoperitoneal shunt (VP)
An infant with hypertonia is born with up slanting palpebral fissures, bilateral
epicanthic fold, macroglossia, and a single transverse palmar crease. What is
the most likely diagnosis? Answer - Trisomy 21
What is another name for Trisomy 21? Answer - Down syndrome
,What is a common cause of deaths in infants? Answer - SIDS (sudden infant
death syndrome)
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? Answer - Ampicillin and ceftriaxone
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? Answer -
Holt Oram Syndrome
A 35 year old G3P2002 presents at 39 weeks with sever abd pain and vag
bleeding. FHR 100. Stat section is performed. The neonatal team is handed a
limp term infant with HR of 40 and no spontaneous breathing. The infant is
aggressively resuscitated, including PPV, intubation, UVC, EPI, Normal Saline
bolus, and emergency released 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 normal heart rate. She is lethargic but responsive and
has overactive deep tendon reflexes. What is the most appropriate next course
of action? Answer - Therapeutic Hypothermia
What are the initial respiratory signs and symptoms of septic shock? Answer -
Hyperventilation
A newborn is noted to have a reducible welling of the scrotum, what is the
most likely cause of this finding? Answer - Failure of processus vaginalis to
involute
, A 1 week old infant born at 39 weeks by vag delivery had no complications at
delivery. The parents complain that the child's breathing sounds funny and
seems to get worse when he coughs or feeds. His breathing is described at high
pitched and noisy but does get better when he sleeps. What is the best initial
management of this infant? What is this a sign of? Answer - Reassurance and
supportive care
Tracheomalacia
What is the most common childhood abd malignancy? Answer - Wilms Tumor
What capillary refill time in neonates would make you suspect that the term
infant has decreased intravascular volume? Answer - 4-5 seconds
a 5 month old male is brought in with lethargy, a weak cry, and poor feeding.
there have been no fevers, congestion, vomiting or diarrhea. The infant has not
had a bowel movement in 3 days. normally, the patient takes 6 oz per feeding
but only has been taking 2 oz. The mother is concerned the infant has been
unable to hold his head up and has been less active. PMH is unremarkable,
normal delivery , neonatal screening and vaccinations to date all normal. Exam
shows no fever, normal VS, and no obvious distress. The child is alert, mucosa is
clear, and the anterior fontanelle is flat. The cardiopulmonary exam is normal.
Abd is soft without masses. Neurologic exam shows reactive pupils, decreased
tone, and decreased gag. There is notable head lag and diminished deep
tendon relexes. What test would be most helpful in making the diagnosis?
Answer - stool for botulinum toxins
With what condition will gastrografin enema NOT be therapeutically helpful?
Answer - Hirschsprung disease
An 18 month old female is admitted with a left upper lobe pneumonia and the
blood culture is positive for staph A. After 24 hours the child becomes acutely
hypoxic, tachypneic, and hypotensive. On the way to see the pt, what
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