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Pediatric Primary Care Flashcards

7 cards from real APEA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Pediatric Primary Care flashcards as text

  1. Under CMS requirements, at what ages must Medicaid-enrolled children have blood lead screening?

    Answer: At 12 and 24 months

    Medicaid requires blood lead testing at 12 and 24 months, or by age 6 years if it was never done.

  2. A 2-year-old has a barking cough and inspiratory stridor only when crying, with no stridor at rest. What is the most appropriate treatment?

    Answer: A single dose of oral dexamethasone

    Mild croup is treated with a single dose of dexamethasone (0.15–0.6 mg/kg), while racemic epinephrine is saved for moderate to severe stridor at rest.

  3. A 9-month-old has episodes of drawing the legs up and crying inconsolably, with lethargy between episodes and a currant-jelly stool. What is the initial imaging of choice?

    Answer: Abdominal ultrasound

    Ultrasound is the preferred diagnostic test for intussusception, showing a target or donut sign.

  4. A 2-year-old who drinks 40 oz of cow's milk a day is pale with microcytic anemia. Which lab pattern best supports iron deficiency?

    Answer: Low ferritin, elevated RDW

    Iron deficiency causes low ferritin, high RDW, and high TIBC, which separates it from thalassemia trait, where RDW is usually normal.

  5. A 12-month-old had 4 days of high fever and then a pink maculopapular rash on the trunk as the fever went away. What is the most likely cause?

    Answer: Human herpesvirus 6

    Roseola infantum (HHV-6) causes several days of high fever followed by a truncal rash once the child is afebrile.

  6. According to current AAP guidance, how long should a toddler stay in a rear-facing car seat?

    Answer: Until reaching the seat's highest rear-facing weight or height limit

    Since 2018, the AAP advises keeping children rear-facing as long as possible, until they reach the seat's rear-facing limits.

  7. An otherwise healthy, motivated 7-year-old has primary nocturnal enuresis. Which intervention has the highest long-term success rate?

    Answer: An enuresis (bed-wetting) alarm

    Enuresis alarms have the lowest relapse rate and best long-term cure rate, while desmopressin works quickly but relapse is common after stopping.

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  1. apea.com — Time limit, fees, score release, exam format · verified Oct 2026