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 3-year-old presents with fever, drooling, and refusal to swallow. She is leaning forward in the 'sniffing position.' What is the MOST likely diagnosis?

    Answer: Epiglottitis

    Epiglottitis presents with high fever, drooling, dysphagia, and the tripod/sniffing position due to supraglottic inflammation, and is a airway emergency.

  2. Which developmental milestone should a typically developing 12-month-old be able to perform?

    Answer: Walk with one hand held and say 1-2 words

    At 12 months, infants typically walk with support and produce 1-2 meaningful words beyond 'mama/dada.'

  3. A neonate born at 36 weeks develops respiratory distress within 4 hours of birth. Chest X-ray shows bilateral ground-glass opacities with air bronchograms. The MOST likely diagnosis is:

    Answer: Respiratory distress syndrome (RDS)

    RDS results from surfactant deficiency in premature infants and presents with early respiratory distress and bilateral ground-glass infiltrates on X-ray.

  4. A 6-year-old with newly diagnosed ALL is found to have a WBC of 120,000/µL. Which complication requires immediate prophylactic intervention?

    Answer: Tumor lysis syndrome

    Tumor lysis syndrome is the most immediate concern with high-burden ALL; IV hydration, allopurinol or rasburicase, and electrolyte monitoring are initiated before chemotherapy.

  5. A 2-month-old presents for well-child care. Which vaccines are due at this visit per the ACIP schedule?

    Answer: DTaP, Hib, IPV, PCV15, HepB, RV

    At 2 months, infants receive DTaP, Hib, IPV, PCV15 (or PCV20), HepB (second dose), and rotavirus vaccine per the ACIP schedule.

  6. A 15-year-old athlete presents with anterior knee pain worsened by stair climbing and kneeling. There is tenderness over the tibial tubercle. The MOST likely diagnosis is:

    Answer: Osgood-Schlatter disease

    Osgood-Schlatter disease is traction apophysitis at the tibial tubercle from repetitive quadriceps stress, common in adolescent athletes during growth spurts.

  7. Which finding is MOST characteristic of Kawasaki disease in a 3-year-old with 5 days of fever?

    Answer: Bilateral non-exudative conjunctivitis, strawberry tongue, and rash

    Kawasaki disease requires fever plus 4 of 5 criteria: rash, conjunctival injection, oral changes (strawberry tongue/cracked lips), cervical lymphadenopathy, and extremity changes.