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PNCB-PC 100 Practice Questions and Answers
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PNCB-PC 100 Practice Questions and Answers
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PNCB-PC 100 Practice Questions and AnswersA preschooler presents with a low-grade fever, respirations 36, spO2 94% in room
air. Physical exam reveals crackles and decreased breath sounds in the left lower
lobe. Which of the following is the MOST appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR - ANSWER A
A school-aged child's father, who had been terminally ill, has died. The mother is
seeking guidance related to the funeral service and supporting the child initially
through this loss. Which of the following advice is the MOST appropriate?
A. Work to maintain neutral emotions around the child.
B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific questions. -
ANSWER C
The parent of a 2 month old who is formula fed is concerned that the infant spits up
after every feeding. Weight gain in the past month has averaged 60 grams (2 oz) per
day. What is the MOST appropriate next step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine - ANSWER C
For a 6 year old with asthma, a LABA is FIRST considered when
A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
D. Symptoms are allergy-induced - ANSWER A
A mother expresses concern that her 6 month old is awakening q2h during the night
to breastfeed. The BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. - ANSWER A
A child who received an incorrect vaccine experienced no adverse consequences.
No additional care was required and an incident report was completed. Which of the
following actions is MOST appropriate?
, A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event - ANSWER B
An afebrile 6 year old presents with unilateral knee and anterior thigh pain without a
hx of trauma. On exam, there is an antalgic gait, leg-length discrepancy, limited
abduction, and internal rotation of the hip on the affected side. Which dx is the
MOST likely?
A. Legg-Calve-Perthes disease
B. Juvenile idiopathic arthritis
C. Septic arthritis
D. Slipped capital femoral epiphysis - ANSWER A
A school aged child has a blood pressure of 166/88 mmHg, which has also been
elevated on two previous visits. Which of the following is MOST appropriate next?
A. Order UA
B. Counsel on reducing sodium intake
C. Refer to cardiology
D. Start antihypertensive medication - ANSWER A
An otherwise healthy adolescent male presents with bilateral breast enlargement for
the past 6 months and small masses palpable below the nipples. The BEST next
step is to
A. Obtain thyroid, testosterone, and estradiol levels.
B. Discuss expected resolution within 2 years.
C. Order a bilateral breast ultrasound.
D. Refer to an endocrinologist. - ANSWER B
A toddler with a hx of recurrent otitis media and PE tubes, has excessive cerumen
noted bilaterally. The MOST appropriate method for removing the cerumen is by
A. Using an ear curette.
B. Irrigating with warm water.
C. Instilling 2 or 3 drops of mineral oil.
D. Administering carbamide peroxide (Debrox) drops. - ANSWER A
The INITIAL evaluation of an adolescent female who is a long-distance runner and
has a BMI of 17 should include
A. Assessing the tibial tuberosity.
B. Ordering an EKG.
C. Reviewing menstrual cycle pattern.
D. Obtaining bone mineral density test. - ANSWER C
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