APEA Pediatric Primary Care 2

Question 1

A 15-month-old child is not yet walking independently. What is the most appropriate next step?

Accepted Answer

Reassurance that this is within normal developmental limits

Answer

Independent walking is typically achieved between 9-15 months, with the upper limit of normal being 18 months, so a 15-month-old not yet walking warrants reassurance and close monitoring.

Question 2

Which vaccine is contraindicated in a child with a severe anaphylactic egg allergy?

Accepted Answer

Yellow fever

Answer

Yellow fever vaccine is produced in eggs and contains significant egg protein, making it contraindicated in individuals with severe egg anaphylaxis; MMR is safe despite the egg allergy misconception.

Question 3

A 2-year-old presents with a seal-like barking cough and inspiratory stridor, worse at night. What is the most likely diagnosis?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Croup is characterized by the classic barky, seal-like cough, inspiratory stridor, and hoarseness caused by subglottic edema, most often due to parainfluenza virus and typically worse at night.

Question 4

Which BMI-for-age percentile defines obesity in children aged 2-19 years?

Accepted Answer

≥95th percentile

Answer

A BMI-for-age at or above the 95th percentile defines obesity in children; the 85th to less than 95th percentile is classified as overweight.

Question 5

A 3-year-old girl has had three urinary tract infections in the past year. What imaging study should be obtained?

Accepted Answer

Voiding cystourethrogram (VCUG)

Answer

A voiding cystourethrogram (VCUG) is indicated to evaluate for vesicoureteral reflux, the most common anatomic abnormality associated with recurrent UTIs in young children.

APEA - Advanced Practice Education Associates Practice Test

APEA - Advanced Practice Education Associates Practice Test

APEA Pediatric Primary Care 2