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PC-PNCB Exam with complete solutions 2024_2025.
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PC-PNCB Exam with complete solutions 2024_2025.
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PC-PNCB Exam with complete solutions2024/2025
BACKGROUND:
- 3yo boy
- abnormal stools x6mo (greasy, floating)
- Freq sinus infxn (tx = amox)
QUESTION: Which DX test?
A) Anti-transglutaminase IgA
B) Ciliary biopsy + molecular genetic testing
C) Pulm Fxn Testing
D) Sweat Chloride Testing
CORRECT ANSWER(S):
D) Sweat Chloride Test for CF (>60mEq/L)
WRONG ANSWERS:
A) Dx's celiac disease
B) Dx's primary ciliary dyskinesia
C) Dx asthma & determines lung fxn in CF
BACKGROUND:
- IOM recommendations of NP as part of a team
QUESTION: Which is true?
A) Regulatory construct that mandates autonomy of NP
B) Leader appointed by statute
C) Laws allow full participation of team to potential of training and skill
D) NP role varies
CORRECT ANSWER(S):
D) NP role varies
WRONG ANSWERS:
,A) Team-based care is not a regulatory construct
B) Should be flexible
C) Current laws prohibit this
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BACKGROUND:
- 1 wk old infant
- "Clunk" with adducting legs while applying downward and lateral pressure on
knees
QUESTION: What sign is this?
A) Barlow
B) Psoas
C) Ortolani
D) Galeazzi
CORRECT ANSWER(S):
A) Barlow --> DDH
WRONG ANSWERS:
B) Pain elicited by passively extending thigh of pt lying on side --> appendicitis
C) Hip relocation and "clunk" w/abduction of legs and lifting up on trochanters --
>DDH
D) Discrepancy in height of flexed thighs (affected limb is shortened) -->DDH
BACKGROUND:
- 25-OH Vitamin D Level of 19ng/mL
- Normal Xrays
QUESTION: What is the diagnosis?
A) Vitamin D Deficiency
B) Rickets
C) Vitamin D Insufficiency
D) Nothing, this child is normal
CORRECT ANSWER(S):
A) Vit D Deficiency levels are <20
,WRONG ANSWERS:
B) Can't be this because normal Xray
C) Vit D Insuff levels are 20-30
D) Incorrect
BACKGROUND:
- Screening test of 100 subjects
- 20 screening tests are positive (18 actually have it)
- 80 screening tests are negative (10 actually have it)
QUESTION: What probability that pt has it when test is positive?
A) 0.28
B) 0.64
C) 0.87
D) 0.90
CORRECT ANSWER(S):
D) Positive Predictive Value:
18 correct positives / 20 total positives = 0.90 % are correct positives
WRONG ANSWERS:
A) This is the Prevalence (total number of those that actually have it / total
number of subjects)
B) This is the Sensitivity (# positive tests/#people with disease)
C) Negative Predictive Value (probability that person will not have the disease if
the test is negative = 70/80)
BACKGROUND:
- Avoidance
QUESTION: What is true when using avoidance as a method of conflict
resolution?
A) Results in pursuing one's own goals at expense of another
B) Results in meeting the goal's of the other person
C) It does not address the conflict
D) Effective when individuals are of equal power
CORRECT ANSWER(S):
C) It does not address the conflict, only postpones it
WRONG ANSWERS:
A) This is Competition
B) This is Accommodation
D) This is Compromise
BACKGROUND:
, - Pt in alcohol withdrawal
QUESTION: How do you communicate with this pt?
A) Cheerful tone & humor
B) Short sentences & matter of fact manner
C) Loud voice to ensure pt can hear
D) Full explanations in a soft voice
CORRECT ANSWER(S):
B) Pt may be disoriented & anxious
WRONG ANSWERS:
A) Leads pt to feeling like the staff member is laughing at him, which may lead to
withdrawal
C) Loud tone of voice makes pt feel as though he's being yelled at or chastised
D) Typically these pts can't follow extensive explanations, so keep sentences
short & to the point
BACKGROUND:
- 10yo male w/Constitutional Growth Delay
QUESTION: Kid asks, "When will I be as tall as my Dad?"
A) Eventually, you'll hit a growth spurt
B) Little chance you'll be as tall as your dad
C) Unsure what final height will be, but should be less than Dad
D) Eat well, otherwise you'll always be short
CORRECT ANSWER(S):
A
QUESTION: What % of adolescents who commit suicide suffered from associated
psychiatric disorder at the time of their death?
A) 90%
B) 75%
C) 50%
D) 30%
CORRECT ANSWER(S):
A) 90%
Preceding stressful events include romantic breakups, school/legal probs, &
death in the family
BACKGROUND:
GI = N/V/Ab Pain
Renal = Diabetes Insipidus
Neuro = tremor, ataxia, coma
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