PNCB Prerequisite pretest Exam training Questions with Rated A + Marking Scheme Latest 2023/2024
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PNCB
PNCB Prerequisite pretest Exam training Questions with Rated A + Marking Scheme Latest 2023/2024
Which of the following findings would be MOST concerning for a child with Factor V Leiden deficiency?
A) femur fracture
B) hematochezia
C) periorbital petechiae
D) persistent epistaxis - correc...
PNCB Prerequisite pretest Exam training
Questions with Rated A + Marking Scheme
Latest 2023/2024
Which of the following findings would be MOST concerning for a
child with Factor V Leiden deficiency?
A) femur fracture
B) hematochezia
C) periorbital petechiae
D) persistent epistaxis - correct answer A) femur fracture
In a child with myasthenia gravis, which of the following
symptoms would be MOST indicative of a myasthenic crisis?
A) eyelid drooping
B) respiratory distress
C) excessive salivation
D) muscle fasciculation - correct answer B) respiratory distress
The palliative care team is being consulted for a 6 month old
with complex medical conditions who has been hospitalized since
birth. It is MOST important for the family to understand that the
primary focus of palliative care is to
A) assess the infant, modify care goals, and focus on discharge
preparation.
,B) assist with anticipating bereavement needs and transition to
hospice care.
C) prevent readmissions to the hospital for acute illnesses after
the infant is discharged to home.
D) develop desirable goals of care, recommend life prolonging
therapies, and enhance quality of life. - correct answer D)
develop desirable goals of care, recommend life prolonging
therapies, and enhance quality of life.
In a previously healthy, immunized infant who has a urinalysis
positive for leukocyte esterase and nitrates, which of the
following findings is MOST supportive of a diagnosis of
pyelonephritis?
A) lethargy
B) malodorous urine
C) vomiting 24 hours prior
D) fever of 102.6F (39.2C) - correct answer D) fever of 102.6F
(39.2C)
An otherwise healthy infant, who is up to date on immunizations,
has harsh, high-pitched inspiratory noises that have been present
since birth and worsen with agitation. Which of the following is
the MOST likely diagnosis?
A) laryngomalacia
B) posterior laryngeal cleft
C) tonsillar hypertrophy
D) vascular ring - correct answer A) laryngomalacia
,A child with a history of congenital heart disease fell while
playing and presents with a closed fracture of the humerus.
Physical examination reveals mild bradycardia and a moderate
pain score. Which of the following medications would MOST
likely explain this child's bradycardia?
A) enalapril
B) furosemide (Lasix)
C) levothyroxine (Synthroid)
D) propranolol (Inderal) - correct answer D) propranolol
Which of the following children is MOST at risk for opiate
withdrawal?
A) infant intubated for respiratory failure receiving
dexmedetomidine (Precedex) infusion for 5 days.
B) infant intubated for respiratory failure receiving a morphine
infusion for 6 days
C) adolescent post-posterior spinal fusion receiving
hydromorphone via patient-controlled analgesia (PCA) for 3 days
D) adolescent post-cardiac surgery receiving oral oxycodone as
needed for 2 days - correct answer B) infant intubated for
respiratory failure receiving a morphine infusion for 6 days
A toddler presents with a cough and fever greater than 102F
(38.8C) for three days. On physical exam, decreased breath
sounds and intermittent rales are auscultated over the left lower
lobe. The MOST likely diagnosis is:
, A) foreign body aspiration
B) laryngotracheobronchitis
C) pneumonia
D) tracheitis - correct answer C) pneumonia
The MOST common viral infection following pediatric lung
transplantation is:
A) adenovirus
B) cytomegalovirus
C) Epstein-Barr virus
D) human herpesvirus 6 - correct answer B) cytomegalovirus
a 3 day old with a lactate of 7 mg/dL is suspected of having an
inborn error of metabolism. Concurrently with stabilization of
cardiovascular and respiratory functions, which of the following
interventions should be the FIRST priority?
A) intravenous dextrose
B) intravenous amino acids
C) nasogastric feeding of breast milk or formula
D) nasogastric administration of sodium benzoate - correct
answer A) intravenous dextrose
A child with asthma presents with tachypnea and moderate
retractions. Physical exam reveals a pulse oximeter of 89% on
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