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Peds Exam III - Pediatric WCC

Total questions: 33

Worksheet time: 19mins

Name
Class
Date
1.

The two important tasks of a pediatric well child check is the detection of clinical problems and the promotion of health.

a)

True

b)

False

2.

Which of the following should be reviewed prior to entering the room for a WCC

a)

History

b)

Vital signs

c)

Chief complaint

d)

Physical exam

3.

During the physical exam the most invasive maneuvers should be performed first to get them out of the way.

a)

True

b)

False

4.

Establishing rapport with pediatric patients and their families is important. In which ways can rapport be established?

a)

Addressing patient and caregiver by name

b)

Referring to patient by name

c)

Asking about personal experiences

d)

Getting down on patient eye level

e)

Crossing arms and standing next to the door while speaking

5.

What additional information should be included in the HPI for children when compared to adults?

a)

Milestones

b)

Pertinent PMH

c)

Chief complaint

d)

Age

6.

It is important to observe parent-child interactions during your HPI and PE

a)

True

b)

False

7.

While an acute visit can have a limited number of systems of the ROS a WCC should include ___ systems

a)

5

b)

7

c)

All

d)

2

e)

Only those related to the CC

8.

Every pediatric exam including an acute visit should include which of the following?

a)

Cardio

b)

Pulmonary

c)

Psychiatric

d)

MSK

e)

GU

9.

Sites where the pulse can be measured during pediatric exam includes the following

a)

anterior fontanelle

b)

femoral

c)

carotid

d)

brachial

e)

radial

10.

In order to get the most accurate core temperature, measurements should be made by temporal, axillary, or tympanic measurement

a)

True

b)

False

11.

A SpO2 of < __ may be suggestive of a respiratory condition or cyanotic heart disease in a pediatric patient

a)

90-92%

b)

100%

c)

97-99%

d)

95-97%

12.

Head circumference should continued to measured until __

a)

8 months

b)

1 year

c)

18 months

d)

2 years

13.

Abnormal findings that may be present during general assessment include which of the following?

a)

Lethargic

b)

Ill-appearing

c)

Agitated

d)

Weak cry

e)

Sleeping quietly

14.

When examining the head you should expect closure of the anterior fontanelles at what age?

a)

2-3 months

b)

5-6 months

c)

9-18 months

d)

2-3 years

15.

Contralateral frontal bossing with ipsilateral occipitoparietal flattening may be indicative of?

a)

Plagiocephaly

b)

Craniosynostosis

c)

Brachycephaly

d)

Hydrocephaly

16.

One of the most common presentations of chromosomal abnormality syndromes is alteration of features of the ____

a)

face

b)

hands and feet

c)

arms and legs

d)

abdomen

17.

During the cover-uncover test for strabismus the affected eye moves to normal position when covered, but after uncovering the eye deviates to its abnormal position again.

a)

True

b)

False

18.

Pulling of the auricle ____ and ___ during should be done for any pediatric patient older than 1 year for evaluation of the ears.

a)

Down

b)

Out

c)

Up

d)

Forward

e)

In

19.

During an acute illness visit for a URI, which of the following may be seen on nasal exam?

a)

crusting/sores

b)

nasal discharge

c)

swollen turbinates

d)

boggy nasal mucosa

20.

During the nasal exam of infants it is important to test the patency of nasal passages as they are primary nose breathers.

a)

True

b)

False

21.

During the mouth exam, which of the following should be noted for infants who are teething?

a)

timing and sequence of eruption

b)

position

c)

number

d)

characteristics

e)

condition

22.

Small white/yellow nodules that appear on the gingiva and disappear in 1-2 weeks are known as ____ pearls

a)

Epstein

b)

Eruption

c)

Aphthous

d)

Teething

23.

A few reactive lymph nodes following birth is a normal finding on PE.

a)

True

b)

False

24.

A webbed neck (pterygium colli) may be associated with which of the following?

a)

Turner syndrome

b)

Down syndrome

c)

Klinefelter syndrome

d)

Marfan syndrome

25.

Many children have one or more functional/benign heart murmurs at some point in time.

a)

True

b)

False

26.

Murmur found on PE should be evaluated in which of the following positions?

a)

Lying

b)

Sitting

c)

Squatting/Valsalva

d)

Trendelenburg

27.

Part of the Turner staging can be evaluated when performing which portion of the exam?

a)

Lung/Thorax

b)

Abdominal

c)

MSK

d)

Neuro

28.

GU exam of male infants may be difficult by the presence of ____ reflex

a)

cremasteric

b)

stretch

c)

withdrawal

d)

Achilles

29.

A common abnormal GU finding found in female infants and children is the presence of labial adhesions

a)

True

b)

False

30.

During the GU exam it is important to discuss with procedure and exam findings with?

a)

Patient

b)

Parent

c)

RN

d)

Supervisor

31.

Most infant abdomens are ____ to palpate while most children are ____ as they tend to be ticklish.

a)

easy, easy

b)

difficult, difficult

c)

easy, difficult

d)

difficult, easy

32.

Much like adults, during children's skin exam it is important to evaluate and document

a)

Texture

b)

Appearance

c)

Color

d)

Turgor

33.

To assess both development and neurologic function it may be beneficial to turn the exam into a game.

a)

True

b)

False