1. A 59-year-old is having a follow-up evaluation two years after the successful conclusion of radiation

therapy for leukemia. He tells you that he has been feeling run-down and reports unexplained weight

loss and night sweats. Upon examination, you determine that he also has a fever and pain below his ribs

and the left side. You know that he is at risk for chronic lymphotic leukemia. Which of the following

results is considered the hallmark of this disease?

A. Philadelphia chromosome in leukemic cells

B. Lymphocytosis

C. Non-circulating blast cells in bone marrow

D. Pancytopenia with circulating blasts.

2. A 28-year-old single mother arrives at your office inquiring about alternative options for contraception.

The woman mentions that she has been having an oral contraception for the last 10 years but is curious

about the hormonal intrauterine device (IUD) option she read about in an article. Which of the following

is one of the advantages of using a hormonal IUD?

A. Prevention of depression

B. Prevention of Asherman’s syndrome

C. Increased menstrual loss

D. Spotting

3. You are monitoring a toddler who has serous otitis media. The patients want to understand the treatment

their child will receive. Which of the following would be the appropriate way to manage this condition?\

A. Oral antibiotics

B. Antihistamines

C. Decongestants

D. Monitor and re-evaluate in 3 months

4. Which of the following seizure patients would most likely benefit from lumbar puncture?

A. Any child with a tonic-clonic seizure

B. An 11 year old with a fever of 101.5 F

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C. A four-month-old without fever

D. A two-year-old with a known seizure disorder

5. You take a serological test on a patient with hepatitis. Checking over the results, you discover the

patient’s serology is positive for the following: surface antigen of the Hepatitis-B (HbsAg), antibody to

the antigen of the hepatitis B virus (Anti-Hbe), immunoglobulin M (IgM0, immunoglobulin G (IgG0.

What is the proper diagnosis?

A. Chronic hepatitis B

B. Recovered hepatitis B

C. Acute hepatitis A

D. Acute hepatitis B

6. Robert, a good friend of your, has called you to advice on obtaining a medical certification. He wants to

know his various options. Which statement is true regarding the difference between licensure and

certification?

A. Certification signifies that a person is qualified to perform a particular role and is granted by a

government agency.

B. Licensure signifies mastery of specialized knowledge and is granted by a government

agency.

C. Certification signifies mastery of specialized knowledge and is granted by a non-governmental

agency.

D. Licensure signifies that a person is qualified to perform a particular role and is granted by a nongovernmental agency.

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7. A mother brings her 3-month-old baby to your clinic to screen for failure to thrive (FTT). Which of the

following is not a sign or symptom that would cause you to associate the infant with FTT?

A. Absolute length/width are below the 5

th percentile

B. Weight falling greater than 2

nd percentiles below the standard

C. Avoids eye contact

D. Commonly cries for more food or milk

8. Which of the following is not true of progestin-only birth control?

A. It has excellent reversibility

B. It most likely changes tubal transport of female and male gametes

C. Its mechanism of action affects the cervical mucus and the endometrium

D. It is typically more effective than combination pulls but has more side effects

9. The parents of a 1-year-old patient presents to you with concerns regarding their daughter’s health. At

birth, they were told that their daughter had abnormal features and decreased muscle tone. They hope

that their daughter would “grow out” of some these defects but, to their disappointment, she has not.

They report that their daughter is having trouble walking and sitting up by herself. Furthermore, they

state that no matter how much they feed their baby, she is always crying out for more food and, as a

result, has been rapidly gaining weight. You suspect a chromosomal condition. Which of the following

would be most likely?

A. Prader-Willi Syndrome

B. Hurler syndrome

C. Down syndrome

D. DiGeorge syndrome

10. The mother of a toddler complains that her 2-year-old child is picky eater, and despite evidence of a

healthy growth pattern, she is concerned about her child’s appropriate food intake. Which of the

following is the most accurate regarding toddler nutrition?

A. Your toddler’s diet is appropriate if he consumes 70 to 100 kcal/kg/day

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B. Toddlers should consume more protein and a total of 120 kcal/kg/day

C. Toddlers must consume a least 45 kcal/kg/day

D. Parent of toddlers should insist that their children clean their plate and consume 100 to 110

kcal/kg/day

11. During a check-up with a 6-year-old, you wish to conduct an interview the child and his parents. He is a new

patient, and you want to establish the proper doctor-patient relationship. Which of the following is a necessary

component of your interview?

A. Assess child’s cholesterol

B. Informing the parents ahead of time if you are recording data

C. Assess liver function

D. Measure the child’s hematocrit

12. According to Jean Piaget, between the age of seven and 11, a child’s psychological development will be marked

by:

A. Development of intuitive thought

B. Capability of logical thought

C. Trial and error learning

D. Capable of complex problem solving

13. After years of not conceiving, Kelly and Ed finally have a child, a girl named Beverly. They often check with you

about what to expect as Beverly ages. In a month she will be 2 ½ years old. Which of the following is typically

present in a 2 ½ -year-old child?

A. All primary teeth have erupted

B. Birth weight has doubled

C. Anterior fontanel is open

D. The child will be in the industry versus inferiority stage of psychosocial development

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