Practice Test Geeks(NCCPA) National Commission on Certification of Physician Assistants Practice Test
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Pediatric Care Flashcards

7 cards from real NCCPA 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 Care flashcards as text

  1. A 2-year-old presents with a barky cough, stridor at rest, and low-grade fever. Which treatment is first-line for moderate croup?

    Answer: Oral dexamethasone 0.6 mg/kg

    Oral dexamethasone 0.6 mg/kg is first-line for moderate-to-severe croup due to its anti-inflammatory effect on subglottic edema.

  2. Which finding on newborn exam is MOST associated with congenital hypothyroidism?

    Answer: Enlarged anterior fontanelle, prolonged jaundice, and hypotonia

    Congenital hypothyroidism classically presents with large fontanelles, prolonged jaundice, poor feeding, and hypotonia due to reduced metabolic activity.

  3. A 7-year-old with sickle cell disease develops sudden onset priapism lasting 3 hours. What is the INITIAL management?

    Answer: Oral hydration, analgesia, and pseudoephedrine

    Initial management of stuttering or early priapism in sickle cell disease includes oral hydration, analgesia, and oral pseudoephedrine before escalating to procedural interventions.

  4. A 4-week-old male presents with projectile non-bilious vomiting after feeds and visible peristalsis. The MOST likely diagnosis is:

    Answer: Pyloric stenosis

    Pyloric stenosis presents at 3-6 weeks with forceful non-bilious vomiting and visible gastric peristalsis due to hypertrophied pyloric muscle.

  5. Which vaccine is CONTRAINDICATED in a 6-month-old infant with a known severe egg allergy?

    Answer: None — MMR and influenza are safe with egg allergy

    Current guidelines indicate MMR and influenza vaccines can be given safely to children with egg allergy, including severe reactions, without special precautions.

  6. A 10-year-old presents with a painless limp. X-ray shows flattening and fragmentation of the femoral head. Which condition is MOST likely?

    Answer: Legg-Calvé-Perthes disease

    Legg-Calvé-Perthes disease is avascular necrosis of the femoral head occurring in children 4-8 years, presenting with painless limp and X-ray fragmentation.

  7. A 5-year-old is evaluated for enuresis. Which finding warrants further workup beyond reassurance?

    Answer: Daytime wetting with urinary urgency and dysuria

    Daytime wetting with urgency and dysuria suggests an organic cause such as UTI, bladder dysfunction, or anatomical abnormality requiring further evaluation.