APEA Pediatric Primary Care

Question 1

What is the most common bacterial cause of acute otitis media in children?

Accepted Answer

Streptococcus pneumoniae

Answer

Streptococcus pneumoniae remains the most common bacterial pathogen in acute otitis media, responsible for approximately 30-40% of cases.

Question 2

Which developmental milestone is expected by 12 months of age?

Accepted Answer

Pointing to objects of interest

Answer

Pointing to indicate interest is a key social-communication milestone expected by 12 months and is an early indicator of joint attention development.

Question 3

A 6-week-old male presents with projectile, non-bilious vomiting after every feeding. What is the most likely diagnosis?

Accepted Answer

Pyloric stenosis

Answer

Pyloric stenosis classically presents at 2-8 weeks with projectile non-bilious vomiting due to hypertrophic pyloric muscle causing gastric outlet obstruction.

Question 4

According to ACIP guidelines, at what age is the HPV vaccine routinely recommended?

Accepted Answer

11-12 years

Answer

ACIP recommends routine HPV vaccination at age 11-12 years, though it can be administered as early as age 9 to allow for better immune response.

Question 5

A 3-year-old has hemoglobin of 10.2 g/dL with microcytic, hypochromic red cells. What is the first-line treatment?

Accepted Answer

Oral ferrous sulfate

Answer

Oral ferrous sulfate is the first-line treatment for iron deficiency anemia in children at a dose of 3-6 mg/kg/day of elemental iron.

APEA - Advanced Practice Education Associates Practice Test

APEA - Advanced Practice Education Associates Practice Test

APEA Pediatric Primary Care