Q U E S T I O N 1
1. Which of the following children is most likely to have a febrile seizure?
a A 1-year-old with otitis media and a fever of 104°F
.
b A 3-month-old with unequal pupils and a bulging fontanelle
.
...
Q U E S T I O N 1
1. Which of the following children is most likely to have a febrile seizure?
a A 1-year-old with otitis media and a fever of 104°F
.
b A 3-month-old with unequal pupils and a bulging fontanelle
.
c An 11-year-old with a fever of 102°F who is on valproate for a
. seizure disorder
d A 5-year-old with stiff neck and meningismus
Q U E S T I O N 2
1. The most definitive features of “growing pains”include:
a Exclusion of other causes oflower
. extremity pain
b Pain, swelling, anderythema
.
c Limp and decreased ambulation.
d Painless joint involvement
.
Q U E S T I O N 3
1. Which of the following diagnostic tests are indicated for a child witha first-time
nontraumatic, non-febrile seizure?
a CBC with differential, basic metabolic panel, skull X-ray, and CT scan of
. the head
b CBC with differential, basic metabolic panel, liver function tests, and
. electroencephalogram (EEG)
c CBC with differential, liver function tests, and electroencephalogram
. (EEG)
d Liver function tests and basic metabolicpanel
Q U E S T I O N 4
1. Which of the following is characteristic of slipped capital femoral epiphysis?
a It spontaneously resolves without intervention; intervention is to
. improve long-term outcomes.
b It is associated with a fracture along the growth plate.
.
c It is always bilateral.
d It is best treated by casting the hips in adduction.
.
Q U E S T I O N 5
1. Which of the following signs is characteristic of Duchenne muscular dystrophy?
a School-age children are unable to keep up with their
. peers when running.
b At birth, affected infants are notably hypotonic and. ”floppy.”
c The earliest symptom is a refusal to bear weight.
.
d Abnormal gait and posture become evident during the
. preschool years.
Q U E S T I O N 6
1. Which of the following statements regarding Osgood-Schlatterdisease is true?
a Quadriceps stretching is contraindicated.
.
b It is more common in obese children and
. adolescents.
c Pain worsens with rest and improveswith
. exercise.
d Growth spurts contribute tothe
. phenomenon.
Q U E S T I O N 7
1. Which of the following statements regarding scoliosis iscorrect?
a The majority of cases are idiopathic.
.
b Most cases have an onset in the preschool years.
.
c Males have a 3:1 occurrence rate overfemales.
.
d The best way to detect minor curvatures is to examine the spine in
. the standing position.
Q U E S T I O N 8
1. Correct management of a dislocated hip in the newborn is likelyto include:a Triple diapering until orthopedics can evaluate thechild
.
b Following the child carefully for the first 6 months, then referring to. orthopedics if no improvement
c Use of a Pavlik harness to ensureflexion
.
d Traction and surgicalreduction
Q U E S T I O N 9
1. Which of the following diagnostic tests should be performedroutinely following an
episode of bacterialmeningitis?
a CT scan of the brain
.
b Electroencephalogram
. (EEG)
c Hearing evaluation
.
d Psychometric and IQ testing
Q U E S T I O N 1 0
1. Michael is a 3-year-old with a recent upper respiratory tract infection. His mother states
he began limping in the last 24 hours and he is complaining of anterior thigh pain on the
affected side. He is afebrile, is unable to move his hip without considerable pain, and is
maintaining his hip in a flexed, externally rotated position. This scenario is consistent with:
a Septic arthritis of thehip
.
b Transient synovitis ofthe
. hip
c Legg-Calvé-Perthes
. disease
d Slipped capital femoral. epiphysis
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