1. which of the following is a characteristic physical sign of fragile X syndrome in
adolescent males?
a. Small posteriorly rotated ears
b. Macroorchidism
c. Hypertonia
d. Double hair whirl - Answer b
2. Which of the following physical stigmata are common in newborns with Down
syndrome?
a. ...
Pediatric Nurse Practitioner Exam 2024| 600+
Questions Solved with 100% Correct Answers
1. which of the following is a characteristic physical sign of fragile X syndrome in
adolescent males?
a. Small posteriorly rotated ears
b. Macroorchidism
c. Hypertonia
d. Double hair whirl - Answer b
2. Which of the following physical stigmata are common in newborns with Down
syndrome?
a. Microcephaly, large ears & mouth, flattened philtrum
b. Hypotonia, large appearing tongue & small mouth, upward slant to eyes
c. Fair mottled skin, large hands & feet, broad stocky neck
d. Funnel or pigeon-breasted chest, Brushfield spots, extra digits - Answer b
3. a 2mo infant, with hx of sacral myelomeningocele repair, has an increase in head
circumference from the 75th to the 95th percentile. What is the most appropriate first
action?
a. Order a stat head CT scan
b. Refer to neurosurgery for management
c. Recheck it at the next well-child visit
d. Recheck & replot the child's head circumference - Answer d
4. a 2 week old presents with mucopurulent eye discharge with injection and edema of
the conjunctiva. The 15yr old mother had no prenatal care. What is the most likely
organism?
,a. Staphylococcus aureus
b. Gonococcus
c. C. pneumoniae
d. C. trachomatis - Answer d
5. a newborn presents with a large VSD, rocker bottom feet, overlapping second & third
fingers, & fourth & fifth fingers with hypotonia. What is the most likely diagnosis?
a. Fragile X syndrome
b. Down syndrome
c. Edwards Syndrome
d. Klinefelter's syndrome - Answer c
6. Which of the following problems is common in a child with Hurler's syndrome?
a. Developmental delay from birth
b. Sleep obstructive apnea
c. Ectopic lentis
d. Congenital heart disease - Answer b
7. Young infants with cerebral palsy often show:
a. Voracious appetite & weight gain
b. Increased muscle tone in the first weeks of life
c. Hypotonia in the first weeks of life
d. Unusually severe reactions to their first immunizations - Answer c
8. A 5yo child is born at 28 weeks gestation has mild spastic diplegia. Which evaluation is
important before the child is placed in regular kindergarten?
,a. Stanford-binet IQ test
b. Carey scale of temperament
c. CBC with diff
d. Chromosome studies - Answer a
9. A mother with Marfan syndrome comes with her 5yo for a checkup. The child has
myopia & a + wrist & thumb sign. She reports that she was told by her last health care
provider not to worry about this child. What is the next best step?
a. Raise the issue of a genetic referral
b. Reassure her
c. Follow the child for further signs of Marfan syndrome
d. Refer to ophthalmology - Answer a
10. Which of the following is appropriate advice for the mother of a newborn?
a. The child should sleep on her back
b. The child should sleep on her back or side
c. The child should be allowed to sleep in a carseat at night
d. The child can sleep on her comforter - Answer a
11. A 5yo female presents for a school physical with a complaint of hyperactivity, a mild
developmental delay, aversion of gaze, hand mannerism, long thing face with slightly
dysmorphic ear. What is the likely diagnosis?
a. Fragile X
b. Turner's Syndrome
c. Fetal alcohol syndrome
d. Williams syndrome - Answer a
, 12. Congenital HIV infection:
a. Is diagnosed through finding maternal antibodies in infant serum
b. Does not respond to antiretroviral therapy
c. May be latent for years before clinical signs develop
d. Does not include lymphadenopathy as a physical finding - Answer c
13. an infant presents with cataracts, congetinal glaucoma, congenital heart disease,
hepatosplenomegaly, thrombocytopenia, blueberry muffin rash, & growth retardation.
What is the most likely diagnosis?
a. Cytomegalovirus
b. Taxoplasmosis
c. Rubella syndrome
d. Syphilis - Answer c
14. A well-appearing, well dressed 11mo old has a long philtrum, midface hypoplasia,
microcephaly, mild developmental delay, & myopia. The mother denies drinking alcohol
during the pregnancy. What is the next best step?
a. Refer the mother-child to child protective services
b. Refer the child to early intervention
c. Refer the child to cardiology
d. Refer the mother to alcoholics anonymous - Answer b
15. An 18mo old child exposed to HIV in utero had negative HIV DNA at 2 weeks and 8
weeks. What is indicated at the 18-month visit?
a. No further testing is needed
b. HIV DNA should be repeated
c. Enzyme immunoassay for antibody to HIV-1
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Examsplug. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
