Pediatric Final Review 2

41- Knee pain in adolescent athletes: A. Legg-Calvé-Perthes. B. Osgood-Schlatter. C. Osteosarcoma. D. JRA.

42- Avascular necrosis of femoral head is: A. SCFE. B. Perthes disease. C. Osgood-Schlatter. D. Septic arthritis.

43- Greenstick fracture is: A. Complete. B. Comminuted. C. Incomplete. D. Pathologic.

44- Laceration repair includes: A. Observation. B. Cleaning and closing. C. IV antibiotics. D. MRI.

45- Snake bite management: A. Immediate incision. B. Ice pack. C. Antivenom. D. Amputation.

46- Chemical intoxication primary concern: A. Heart rate. B. BP. C. ABCs. D. Rash.

47- Neonatal jaundice treatment: A. Iron. B. Corticosteroids. C. Phototherapy. D. Oxygen.

48- ABO incompatibility test: A. CBC. B. Coombs test. C. CRP. D. LFT.

49- FLACC is a tool for: A. Asthma. B. Pain assessment. C. Sleep apnea. D. Motor skills.

50- Best route for pediatric opioids in severe pain: A. Subcutaneous. B. IV. C. Rectal. D. Inhaled.

51- Pediatric dosing is based on: A. Age. B. Gender. C. Weight. D. Race.

52- Palliative sedation is for: A. Chronic illness. B. Refractory symptoms. C. Acute infection. D. Fever.

53- Pediatric palliative care focuses on: A. Surgery. B. Resuscitation. C. Holistic comfort. D. Chemotherapy.

54- Which is not a goal of pediatric palliative care?. A. Symptom control. B. Curative treatment at all costs. C. Emotional support for family. D. Coordination of multidisciplinary care.

55- A newborn presents with yellowing of skin and sclera on day 2 of life. Most likely cause: A. Hemolytic disease. B. Breast milk jaundice. C. Physiologic jaundice. D. Hepatitis.

56- In a child with ABO incompatibility, what is the risk?. A. Immunodeficiency. B. Respiratory failure. C. Hemolytic anemia. D. Diabetes.

57- The most reliable indicator of pain in infants is: A. Crying. B. Heart rate. C. Facial expression (FLACC). D. Parental report.

58- Which is not appropriate for managing pain in a toddler?. A. FLACC scale. B. Ibuprofen. C. PCA pump. D. Distraction techniques.

59- Pediatric medication errors most commonly occur due to: A. Underdosing. B. Weight miscalculation. C. Adherence problems. D. Poor communication.

60- Post-tonsillectomy concern within the first 24 hours: A. Cough. B. Fever. C. Dehydration. D. Hemorrhage.

61- Red flags in bacterial meningitis include: A. Mild headache. B. Lethargy and petechiae. C. Sore throat. D. Cough.

62- A 4-week-old infant with projectile vomiting and visible peristalsis may have: A. Intussusception. B. GERD. C. Pyloric stenosis. D. NEC.

63- Delayed passage of meconium >48 hours may indicate: A. Gastroenteritis. B. Hirschsprung disease. C. Umbilical hernia. D. Hypothyroidism.

64- What does absence of red reflex in a newborn suggest?. A. Conjunctivitis. B. Cataract or retinoblastoma. C. Glaucoma. D. Normal finding.

65- When is newborn hearing screening recommended?. A. Only with family history. B. Within the first 3 months. C. Only before school. D. When speech delay is noted.

66- What is the earliest sign of autism in toddlers?. A. Tics. B. Echolalia. C. Poor eye contact and lack of social smile. D. Hyperactivity.

67- Long QT syndrome is associated with: A. Intellectual delay. B. Cardiac arrhythmias. C. Rickets. D. Short stature.

68- The first step in evaluating ambiguous genitalia in a newborn is: A. Genetic counseling. B. Karyotype and electrolytes. C. Laparoscopy. D. Hormone replacement therapy.

69- Necrotizing enterocolitis (NEC) is most common in: A. Term infants. B. Full-term, normal-weight babies. C. Premature infants. D. Post-term babies.

70- A child stung by a bee develops stridor and hives. Management?. A. Diphenhydramine. B. Epinephrine IM. C. Albuterol. D. Steroids.

71- A child has motor and vocal tics. Diagnosis?. A. Autism. B. ADHD. C. Tourette Syndrome. D. OCD.

72- Which is used to assess pain in non-verbal infants?. A. Wong-Baker scale. B. Numeric scale. C. FLACC scale. D. VAS.

73- A newborn has jaundice, positive Coombs test, and anemia. Diagnosis?. A. Physiologic jaundice. B. ABO incompatibility. C. Biliary atresia. D. Sepsis.

74- A child with CF presents with abdominal distension and no meconium passage. Likely diagnosis: A. NEC. B. Hirschsprung. C. Meconium ileus. D. Pyloric stenosis.

75- What’s the most important aspect of pediatric palliative care?. A. Rapid diagnosis. B. Communication with family. C. Surgery planning. D. Isolation procedures.