The parents of a 3-year-old child are concerns that the child has begun
refusing usual foods and wants to eat mashed potatoes and chicken strips
at every meal and snack. The child's rate of weight has slowed, but the child
remains at the same percentile for weight on a growth chart. What will the
PNP tell the parents to do>
a) allow the child to choose foods for meals to improve caloric intake
b) place a variety of nutritious foods on the child's plate at each meal
c) prepare masked potatoes and chicken strips for the child at mealtimes
d) suggest cutting out snacks to improve the child's appetite at mealtimes -
ANS ✓b) place a variety of nutritious foods on the child's plate at each meal
The PC-PNP is evaluating a 2-year-old with a documented speech delay.
Screening s to assess motor skills and cognition are normal, and the child
passed a recent hearing test. What will the PNP do next?
a) ask the child's parents whether they read to the child
b) give parents educational materials to encourage speech
c) refer the child to and early intervention program
d) suggest that they purchase age-appropriate music videos - ANS ✓a) ask
the child's parents whether they read to the child
The mother of a 3-year-old child takes the child to play group once a week.
She expressed concern that the child plays with toys but does not interact
with the other toddlers. What will the PNP counsel the mother?
a) the child probably is very shy but will outgrow this tendency with
repeated exposure to other children
1
PNCB Examination
,PNCB
b) the toddler may have a language delay that interferes with socialization
with other children
c) toddlers may be interested in other children but usually do not engage in
interactive play
d) toddlers need more structured play to encourage interaction and
socialization with others - ANS ✓c) toddlers may be interested in other
children but usually do not engage in interactive play
Which of the following set of symptoms would be most consistent GABHS
infection?
a) cough, nasal congestion, cervical lymphadenopathy
b) fever, HA, tender cervical lymphadenopathy
c) cough, fever, macular papular rash to trunk
d) sneezing, rhinorrhea, exudative tonsils - ANS ✓b) fever, HA, tender cervical
lymphadenopathy
What of the following is the most appropriate treatment for strep throat?
a) penicillin V 250mg BID x5days and tylenol for pain or fever
b) azithromycin for 5 days and ibuprofen
c) penicillin V 500mg bid for 10 days with tylenol for pain and fever
d) cephalexin 500mg BID for 10 days - ANS ✓c) penicillin V 500mg bid for 10
days with tylenol for pain and fever
The red reflex is done in the newborn to rule out:
a) retinoblastoma
b) decreased visual acuity
c) strabismus
d) corneal abrasions - ANS ✓a) retinoblastoma
2
PNCB Examination
,PNCB
A child presents with acute onset of 104 temperature and difficult
swallowing. She appears anxious and is drooling. You suspect epiglotitis.
Your immediate management plan would be:
a) medical transportation to an ER with anesthesiology notified
b) given an injection of ceftriaxone in the clinic and have the parents
transport the child to the ER
c) obtain a CBC and blood culture and transport the child to the ER/hospital
for admission
d) obtain a rapid strep and culture to rule out GABHS - ANS ✓a) medical
transportation to an ER with anesthesiology notified
Laboratory analysis of neonatal ocular discharge would be positive for
gram negative intracellular diplococci for which of the following
organisms?
a) chlamydia
b) influenza
c) adenovirus
d) gonococcus - ANS ✓d) gonococcus
All bacterial conjunctivitis:
a) must be treated with antibiotics to prevent complications
b) is highly contagious requiring family education on prevention
c) is more common than viral conjunctivitis
d) is frequently caused by m. catarrhalis - ANS ✓b) is highly contagious
requiring family education on prevention
Which of the following is used for hearing assessment in a child age 4 or
older?
a) brainstem auditory evoked response (BAER)
b) moro reflex
c) whisper test
3
PNCB Examination
, PNCB
d) audiometry - ANS ✓d) audiometry
What is the most common cause of atypical pneumonia in the pediatric
population?
a) mycoplasma
b) staphylcoccus aureus
c) ureaplasma
d) haemophilus influenzae - ANS ✓a) mycoplasma
A mother brings her 4-month-old to the office with fever, tachypnea, and
decreased intake. The probable diagnosis and treatment include:
a) bronchiolitis, albuterol via nebulizer at home
b) bronchiolitis, amoxicillin
c) pneumonia, albuterol
d) bronchiolitis, symptomatic treatment - ANS ✓d) bronchiolitis,
symptomatic treatment
The most common clinical presentation of pneumonia includes:
a) cough, fever, tachypnea, and abdominal pain
b) hemoptysis, putrid breath, and weight loss
c) sudden chest pain, cyanosis
d) retractions, stridor - ANS ✓a) cough, fever, tachypnea, and abdominal pain
A 4-year-old male comes to the office for routine well visit. Mom reports he
uses his albuterol twice a month with URIs. Sleeps well, no nocturnal cough.
He has:
a) moderate persisten asthma
b) severe persistent asthma
c) mild intermittent asthma
d) mild persistent asthma - ANS ✓c) mild intermittent asthma
4
PNCB Examination
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