NCCPA Pediatric Care 2

Question 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?

Accepted Answer

Oral dexamethasone 0.6 mg/kg

Answer

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

Question 2

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

Accepted Answer

Enlarged anterior fontanelle, prolonged jaundice, and hypotonia

Answer

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

Question 3

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

Accepted Answer

Oral hydration, analgesia, and pseudoephedrine

Answer

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

Question 4

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

Accepted Answer

Pyloric stenosis

Answer

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

Question 5

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

Accepted Answer

None — MMR and influenza are safe with egg allergy

Answer

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

(NCCPA) National Commission on Certification of Physician Assistants Practice Test

(NCCPA) National Commission on Certification of Physician Assistants Practice Test

NCCPA Pediatric Care 2