Pediatrics Drexel University Nurse Practitioner- FNP II
Pediatrics Questions With Complete Solutions
_____ are the most common causes of urticaria in children.
Correct Answers Viral infections
"Football-shaped" vesicles w/ surrounding erythema on the
hands and feet and oral ulcerations are a/w _____. Correct
Answers Hand, foot, and mouth disease (Coxsackie A virus)
(T/F) A patient may develop tuberculosis despite prior bacillus
Calmette-Guerin (BCG) vaccination. Correct Answers True
(T/F) Acute post-streptococcal glomerulonephritis (APSGN)
occurs only after group A beta-hemolytic Streptococcus
(GABHS) pharyngitis. Correct Answers False; APSGN may
occur following both GABHS pharyngitis or skin lesion
(impetigo)
(T/F) After an episode of acute otitis media, middle ear fluid can
persist for up to several months. Correct Answers True
(T/F) An ethnic association exists w/ Sudden Infant Death
Syndrome (SIDS). Correct Answers True; SIDS is more
common among African-American and Native-American infants
(T/F) Atypical mycobacterial infections are considered AIDS-
defining illnesses. Correct Answers True
,(T/F) Barium enemas are useful in ileoileal intussusceptions.
Correct Answers False
(T/F) Both Salmonella and Shigella bacterial enteritis are
generally treated. Correct Answers False; Salmonella
infections are self-limited and generally are not treated except in
patients younger than 3 months or immunocompromised
individuals, while Shigella infections are generally treated to
shorten the illness and decrease organism excretion
(T/F) Both Salmonella and Shigella bacterial enteritis both
commonly result in meningitis. Correct Answers False;
Salmonella bacterial enteritis is a/w meningitis, while Shigella
bacterial enteritis rarely causes meningitis (seizures more
common)
(T/F) Clostridium difficile colonizes approximately half of
normal healthy infants in the first 12 months. Correct Answers
True
(T/F) Depression is a rare side-effect of isotretinoin. Correct
Answers True
(T/F) Family and twin studies provide evidence that febrile
seizures are hereditary. Correct Answers True
(T/F) High indirect serum bilirubin levels in the first 24 hours of
life are never physiologic. Correct Answers True
,(T/F) Ileal involvement is common in both Crohn's disease and
ulcerative colitis. Correct Answers False; ileal involvement is
common Crohn's disease but unusual in ulcerative colitis
(T/F) In cases of constitutional growth delay, the "bone age" is
equal to the "height age." Correct Answers True
(T/F) In cases of infectious croup, stridor at rest is an indication
for hospital admission. Correct Answers True
(T/F) In children, microhematuria following minor trauma is
suggestive of a congenital anomaly of the genitourinary system.
Correct Answers True
(T/F) Long bone radiographs are not recommended at any blood
lead level. Correct Answers True
(T/F) Maternal alpha-fetoprotein is reduced in trisomies 21 and
18. Correct Answers True
(T/F) Meconium ileus is a surgical emergency. Correct Answers
True
(T/F) Naloxone may be used to treat infants of narcotic-abusing
mothers following delivery. Correct Answers False; may
precipitate seizures
(T/F) Patients w/ Down syndrome are at a decreased risk of
developing solid tumors. Correct Answers True
, (T/F) Patients w/ Klinefelter syndrome may have a normal full
IQ, but their verbal IQ is usually somewhat decreased. Correct
Answers True
(T/F) Platelet transfusion is first-line treatment for idiopathic
thrombocytopenic purpura. Correct Answers False; platelet
transfusion is reserved for life-threatening bleeding
(T/F) Presence or absence of tonsils does not affect
susceptibility to pharyngitis. Correct Answers True
(T/F) The common cold and flu are contraindications to breast
feeding. Correct Answers False
(T/F) The Haemophilus influenzae type B vaccine is generally
not recommended for children older than 5. Correct Answers
True
(T/F) The Monospot test is the diagnostic test of choice for EBV
infection in all children. Correct Answers False; the results of
the Monospot test are unreliable in children younger than 5
years of age
30% of patients w/ Turner's syndrome have what congenital
heart disease? Correct Answers Coarctation of the aorta
A _____ murmur may be present in newborns (especially low
birth weight) and may be heard at the upper left sternal border,
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