Pediatrics Board Exam Started: Jul 12, 2026 23:37 Page 7 of 69 Attempt #1322 Overall: 0 / 344 questions answered Question 31 / 344 Not answered In a rural clinic with limited resources: A 5-year-old has polyuria, weight loss, vomiting, glucose 26 mmol/L, ketones, and acidosis. What is the diagnosis? A. Diabetic ketoacidosis B. Nephrotic syndrome C. Asthma D. Celiac disease E. Appendicitis only Show Answer & Explanation Correct Answer: A Explanation: [Pediatrics] Hyperglycemia, ketosis, and acidosis in a child diagnose DKA. Reference: ISPAD Clinical Practice Consensus Guidelines. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 32 / 344 Not answered In a rural clinic with limited resources: A 3-year-old has perianal itching at night. What is the usual treatment? A. IV ceftriaxone for all B. Mebendazole for child and household hygiene measures C. Topical steroid alone D. No household advice E. Insulin Show Answer & Explanation Correct Answer: B Explanation: [Pediatrics] Enterobiasis causes nocturnal perianal itch; mebendazole/albendazole plus hygiene and household management reduces reinfection. Reference: CDC Pinworm Clinical Overview. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 33 / 344 Not answered During morning rounds: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1444) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Antibiotic D. Second-generation H1 antihistamine E. Warfarin Show Answer & Explanation Correct Answer: D Explanation: [Pediatrics] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 34 / 344 Not answered In a rural clinic with limited resources: A 15-month-old is behind immunizations. What is the principle of catch-up vaccination? A. Restart all vaccines from birth B. Give no vaccines after 12 months C. Avoid all inactivated vaccines D. Do not restart series; continue using minimum intervals and age-appropriate vaccines E. Use antibiotics instead Show Answer & Explanation Correct Answer: D Explanation: [Pediatrics] Interrupted vaccine series should not be restarted; catch-up schedules use age-appropriate minimum intervals. Reference: CDC/WHO Catch-up Immunization Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 35 / 344 Not answered During morning rounds: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1443) A. Live intranasal influenza vaccine B. BCG vaccine C. Inactivated influenza vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] Inactivated influenza vaccine is recommended in pregnancy; live attenuated intranasal vaccine is avoided. Reference: CDC/ACIP Immunization in Pregnancy Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 7 of 69 Next → »