PNCB Drill Practice test

pt. presents with tachycardia, fever, chills, and diarrhea. History reveals that the child has been frequently refusing doses of propylthiouracil (PTU) therapy. The symptoms are MOST likely due to:

Which of the following tests should be monitored during warfarin therapy?

Which of the following statements by caregivers shows an understanding of managing their child's diabetes insipidus during an acute diarrheal illness?

A school-age child with trisomy 21 presents for an anesthesia evaluation prior to surgery. What is the MOST important preoperative screening test to order?

Cyanide toxicity is an adverse effect of which of the following drugs?

In addition to fever, which of the following findings would be MOST indicative of mastoiditis in a 5 year old?

Prolonged intubation puts a neonate at increased risk for which of the following?

Which of the following symptoms is associated with anticholinergic toxicity?

Hypomagnesemia is associated with:

A 6 year old has severe impetigo of the face, extremities, and torso. Cultures are positive for group A beta-hemolytic streptococci. The MOST likely complication is:

An 18 month old presents with delayed ambulation and a Babinski reflex. What is the MOST likely diagnosis?

A 15 year old is noted to have persistent, severe upper abdominal and mid-abdominal pain occasionally radiating to the back with vomiting, tender abdomen, and diminished bowel sounds. In addition to a CBC, which of the following tests should be ordered?

Which of the following diagnostic studies would definitively diagnose Hirschsprung disease?

2 month old with hypoplastic left heart syndrome, who underwent a Norwood procedure at birth, presents with respiratory distress and increasing cyanosis. Which finding is the MOST concerning?

oncology patient in full arrest has a serum potassium level of 7.8 mg/dL. Which of the following pharmacological agents should be given IMMEDIATELY to protect the heart?

With respect to a routine developmental assessment, a 24-month-old child should be able to

6-year-old male presents with worsening symptoms of headache, nausea, vomiting, and fever. After the initial workup, which of the following antibiotics would be MOST appropriate?

Which of the following is the MOST likely cause of cyanosis in an 8 month old with uncorrected tetralogy of Fallot?

Conductive hearing loss is MOST commonly a complication of:

Which of the following cardinal findings is consistent with increased intracranial pressure in a 6 year old with complaints of early morning headache and vomiting?

Which of the following is the MOST likely clinical presentation in an adolescent diagnosed with T-cell lymphocytic lymphoma with thymic involvement?

Extrapyramidal reaction in a 3 year old observed to hold his head in a tilted position and to have stiff, hypertonicity of his hands and arms is associated with which of the following drugs?

Which of the following precautions is required for a child with asplenia?

Which of the following is a CONTRAINDICATION to performing a lumbar puncture?

typically include:

Which of the following cephalosporins increases the risk of hyperbilirubinemia in neonates?

Which of the following is the diagnosis of this child?

6 week old presents with a heart rate of 170, poor feeding, irritability, lethargy, and failure-to-thrive. An echocardiogram reveals a large perimembranous ventricular septal defect (VSD). In addition to digoxin and diuretics, which of the following medications would be appropriate at this time?

2 month old presents with jaundice, hepatomegaly, failure-to-thrive, a significantly elevated bilirubin, and stools that are light beige in color. Which of the following is the MOST likely cause of these symptoms?

In addition to vision loss, which of the following is a complication associated with a hyphema?