Family Practice Exam Pediatric Care 2

Question 1

A 2-year-old presents with a barky cough, stridor, and low-grade fever. What is the most likely diagnosis?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Croup is characterized by a seal-like barky cough and inspiratory stridor, typically caused by parainfluenza virus in children under 5.

Question 2

Which vaccine is recommended at 11-12 years as part of the adolescent immunization schedule?

Accepted Answer

Tdap and MenACWY

Answer

The 11-12 year visit includes Tdap (tetanus, diphtheria, acellular pertussis) and meningococcal (MenACWY) vaccines per CDC schedule.

Question 3

A 4-week-old boy presents with non-bilious projectile vomiting after every feeding. What is the best next step?

Accepted Answer

Abdominal ultrasound

Answer

Pyloric stenosis is the likely diagnosis; abdominal ultrasound is the gold standard for confirming hypertrophic pylorus in neonates.

Question 4

Which finding is most consistent with iron deficiency anemia in a 12-month-old?

Accepted Answer

Low MCV with low ferritin and high TIBC

Answer

Iron deficiency anemia presents with microcytic (low MCV), hypochromic anemia, low ferritin, and elevated TIBC reflecting low iron stores.

Question 5

A 7-year-old is brought in for enuresis. He has never been consistently dry at night. What is the most appropriate initial management?

Accepted Answer

Bladder training and moisture alarm

Answer

Primary nocturnal enuresis in children over 5 is first managed with behavioral interventions including moisture alarms, which have the highest long-term success rate.

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Pediatric Care 2