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PNCB Exam – Questions With Correct Solutions (A+)
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PNCB Exam – Questions With Correct Solutions (A+)
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PNCB Exam – Questions With Correct Solutions (A+)What is the developmental stage and age range defined as experiencing the
world through senses and actions? Right Ans - Piaget's Sensorimotor, Birth
to 2 years
What is the developmental stage and age range defined as representing things
with words and images? Right Ans - Piaget's Preoperational, 2 to 6 years
old
What is the developmental stage and age range defined as thinking logically
about concrete events and grasping concrete analogies? Right Ans -
Piaget's Concrete Operational, 7 to 11 years old
What is the developmental stage and age range defined as thinking about
hypothetical scenarios and processing abstract thoughts? Right Ans -
Piaget's Formal Operational, 12 to adulthood
What age range is Piaget's Formal Operational? Right Ans - 12 to adulthood
What age range is Piaget's Concrete Operational? Right Ans - 7 to 11 years
old
What age range is Piaget's Preoperational? Right Ans - 2 to 6 years old
What age range is Piaget's Sensorimotor? Right Ans - Birth to 2 years old
Describe independent play Right Ans - Common in ages 2-3
They are uninterested in or is unaware of what others are doing.
They are playing alone and maintains focus on its activity.
What stage of play is defined by playing alone and uninterested in or unaware
of what others are doing? Right Ans - Independent play
Describe Parallel Play Right Ans - Children play adjacent to each other, but
don't influence each other's play.
They are interested in what other children are playing, but plays alone.
Ages 2-3, but can start after 1st birthday
,What stage of play is defined as interested in another's activity but playing
along side them without influencing or interacting with them? Right Ans -
Parallel play
What differentiates Parallel play vs Associative play? Right Ans -
Interaction. There is interaction with associative play, not with Parallel play.
In Associative, there is interest but no coordinated activity.
What type of head trauma is typically associated with vacuum deliveries?
Right Ans - Subgaleal hemorrhage - ruptured emissary vein caused by
fragmentation of the parietal bone associated with skull fracture. Can extend
to the neck and orbits. May have crepitus, fluid waves and ill-defined borders
A quad screen expected result for a child with down syndrome would read?
Right Ans - Low levels of AFP
What AFP level would you expect in a child with esophageal atresia? Right
Ans - High
An 8 month old infant presents with significant head lag, what are you
suspicious of? Right Ans - Cerebral Palsy
When is an infant expected to double it's birth weight by? Right Ans - 5
months?
When is an infant expected to triple it's birth weight by? Right Ans - 1 year
Pregnant Greeks and pregnant woman living in higher elevations should have
their newborns followed for? Right Ans - higher risk of hyperbilirubinemia
An indirect bili measures conjugated or unconjugated bili? Right Ans -
unconjugated
An infant presents with elevated total bili, what should you suspect? Right
Ans - biliary atresia
An infant assessment finds a cephalohematoma on exam, what should you
monitor the child for? Right Ans - hyperbilirubinemia
, Which patient population has highest risk for hyperbilirubinemia? Asians,
African Americans, Greeks? Right Ans - Asians and American indians have
highest risk. African americans with G6PD deficiency are at greater risk, as is
Greeks and people who live in higher elevations.
A pregnant mother positive HIV presents to the hospital in labor, intact
membranes at 38 weeks with an unknown viral load. She has had 3 ARV. What
is the treatment plan? Right Ans - Patient with a viral load or unknown
viral load, despite receiving 3 ARV, should have a c-section.
What recurrent infection is commonly associated with HIV? Right Ans -
oral thrush
What is the treatment for Chlamydia Trachomatis conjuntivitis? Right Ans -
Oral Azithromycin is preferred (20mg/kg/day in 1 dose) for 3 days or
40mg/kg/day in 4 divided doses for 14 days of erythromycin - eye drops do
NOT work
What is the most prevalent sexually transmitted disease in the US? Right
Ans - Chylamdia Trachomatis
What is the treatment for Gonorrheoeae Conjuntivitis? Right Ans - IV
antibiotics - ceftriaxone 25-50mg/kg IV or IM in a single dose. Infant must be
evaluated for disseminated disease
What is the gold standard for testing of Chlamydia Trachomatis? Right Ans
- Culture
What medication(s) are associated with increased risk for pyloric stenosis?
Right Ans - Erythromycin and Azithromycin
A 3-day old neonate presents with conjunctivitis, what are you suspicious of?
Right Ans - Gonococcal opthalmia
If an infant presents with Gonorrheoeae Conjunctivitis and also has
hyperbilirubinemia, what antibiotic should be employed? Right Ans -
Cefotaxime
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