Deck 26: Pediatrics

Question 1

Which of the following is the appropriate area for measuring the head circumference?

A)From the occipital protuberance to the first spinal prominence  
B)From the mid-forehead to the back of head  
C)From the occipital protuberance to the supraorbital prominence  
D)From the supraorbital prominence to the forehead

Answer 1

From the occipital protuberance to the supraorbital prominence  

Question 2

Which of the following is the normal range in inches for newborn head circumference?

A)10.5 to 12.5 inches
B)11.5 to 13.5 inches  
C)12.5 to 14.5 inches
D)14.5 to 16.5 inches

Answer 2

12.5 to 14.5 inches

Question 3

Which of the following is a primary component of well baby visits?

A)Diagnostic tests
B)Treatments  
C)Immunizations
D)Evaluation and management

Answer 3

Immunizations

Question 4

Which of the following is the name of the vaccine given for chickenpox?

A)DPT
B)IPV  
C)HiB
D)HBV  
E)Varicella

Question 5

Which of the following is often omitted in the pediatric examination?

A)Pulse
B)Respirations  
C)Height
D)Weight  
E)Blood pressure

Question 6

Which of the following is the main purpose of using growth charts?

A)To have established standards available  
B)To check child's growth and screen for growth abnormalities  
C)To diagnose disease  
D)To keep a chronological record of vital signs

Question 7

Which of the following is the name of the vaccine given for influenza type B?

A)DPT
B)IPV  
C)HiB
D)HBV  
E)Varicella

Question 8

Which of the following pulse sites is preferred when taking a pulse on small children?

A)Brachial
B)Temporal  
C)Apical
D)Radial

Question 9

At which of the following time intervals should booster vaccinations be scheduled?

A)24 months and school entry
B)School entry and every 5 years  
C)20 months and every 10 years
D)School entry and every 10 years

Question 10

Which of the following best describes a cause of failure to thrive?

A)High protein diet
B)Acute diseases  
C)Emotional deprivation
D)Adequate diet

Question 11

Which of the following is the heart rate range of children 1 to 3 years old?

A)120-150 bpm
B)98-140 bpm  
C)70-110 bpm
D)60-100 bpm

Question 12

At what age are most of the child's recommended vaccines administered?

A)12-15 months
B)15-18 months  
C)20-18 months
D)24-28 months

Question 13

Which of the following best describes one of the major concerns when working with pediatrics patients?

A)Performing a comprehensive exam  
B)Establishing rapport before an examination  
C)Gaining trust by the end of the examination  
D)Allowing parents to be present during examination

Question 14

Which of the following is NOT an appropriate procedure when weighing the infant?

A)Wash hands.
B)Position infant on its back. 
C)Leave infant's diaper on.
D)Place a utility towel on the scale.

Question 15

Which of the following is the name of the vaccine given for polio?

A)DPT
B)IPV  
C)HiB
D)HBV  
E)Varicella

Question 16

When are rectal temperatures contraindicated?

A)Diarrhea
B)Colon condition  
C)Abdominal surgery
D)Nausea and vomiting

Question 17

How many seconds are counted when assessing an older child's respirations?

A)15 seconds
B)30 seconds  
C)60 seconds
D)120 seconds

Question 18

At what age (in months) during routine visits, is the measurement of head circumference usually discontinued?

A)6 months
B)12 months  
C)24 months
D)36 months

Question 19

At which stage of developmental growth do children begin to interact with others?

A)Infants
B)Preschoolers  
C)School age
D)Adolescents

Question 20

Which of the following is NOT a measurement placed on the infant growth chart?

A)Height
B)Weight  
C)Limb length
D)Head circumference

Question 21

When administering an IM injection in the gluteal muscle, it should be administered lateral and superior to a line between the posterior superior iliac spine and what other area?

A)Greater trochanter
B)Femur  
C)Tailbone
D)Lumbar spine

Question 22

Which of the following is the most appropriate action of the medical assistant when a patient is suspected of being a victim of child abuse?

A)Leave it out of documentation. 
B)Notify the local child protective agency. 
C)Alert the parents' clergy of your suspicions. 
D)Ask the parents about it.

Question 23

Which of the following is a serious chronic respiratory disease of children?

A)Otitis media
B)Tonsillitis  
C)Chickenpox
D)Asthma  
E)Frequent colds

Question 24

What is the appropriate protocol for administering multiple vaccines? ?

A)inject 1-2 inches apart on the same limb
B)inject 2-3 inches apart on the same limb  
C)inject 3-4 inches apart on the same limb
D)separate limbs should be used for each vaccine

Question 25

Which of the following is a term for a procedure to place special tubes in the ears if the symptoms become chronic?

A)Myringotomy
B)Tympanotomy  
C)Tympanostomy
D)Myringostomy

Question 26

How can a blood pressure reading be taken on a child if one cannot be obtained in the usual manner?

A)Auscultation
B)Palpation  
C)Percussion
D)Olfaction

Question 27

IM injections are inserted at what angle?

A)10 degree
B)45 degree  
C)75 degree
D)90 degree

Question 28

What disease is a highly contagious respiratory infection caused by bacterium?

A)Croup
B)RSV  
C)Pneumonia
D)Pertussis

Question 29

Asthma triggers typically include:

A)pollen
B)medications  
C)stress
D)all of the above

Question 30

Which muscle is the preferred site for injections on infants to 2 years of age?

A)Deltoid
B)Dorsal gluteal  
C)Vastus lateralis
D)Ventrogluteal

Question 31

Hand, foot, and mouth disease is a self-limiting viral illness that requires no treatment and usually resolves in:

A)1 week
B)2-4 weeks  
C)7-10 days
D)21 days

Question 32

What vaccine is given for the prevention of Kawasaki disease?

A)HAV
B)ROTA  
C)HIB
D)IPV

Question 33

How do newborns respond to light when measuring their visual acuity?

A)Newborns do not respond to light. 
B)Newborns follow an object visually. 
C)Newborns shut their eyes tight. 
D)Newborns respond only when bright colors are used.

Question 34

How will you position Carol to take her apical pulse?

A)Sitting upright on the exam table
B)Sitting prone on the exam table  
C)Sitting prone on her parent's lap
D)Sitting on her parent's lap

Question 35

Which of the following is most often caused by Group A beta-hemolytic streptococcus?

A)Otitis media
B)Tonsillitis  
C)Chickenpox
D)Asthma  
E)Frequent colds

Question 36

Which of the following is your best initial approach to Clyde?

A)Say, " Hi Clyde, I am May, and I take care of little children all day.It is nice to meet you."  
B)Approach him at his level of understanding. 
C)Ask Mrs.Lee to sit Clyde on the examining table and hold him there. 
D)Ask Mrs.Lee to undress Clyde down to his underwear.

Question 37

What is the appropriate needle gauge used when administering pediatric immunizations?

A)18-20 gauge
B)20-21 gauge  
C)21-22 gauge
D)22-25 gauge

Question 38

Which of the following is generally treated by getting plenty of rest, increasing fluids, and eating a well-balanced diet?

A)Otitis media
B)Tonsillitis  
C)Chickenpox
D)Asthma  
E)Common colds

Question 39

Which of the following illnesses have the common symptom of inflammation of the middle ear?

A)Eustachian tube blockage
B)Otitis externa  
C)Otitis media
D)Otitis interna

Question 40

The oral route for checking a child's temperature should be used on children of what age?

A)Birth to 2 years
B)2-5 years  
C)> 5 years
D)> 10 years