Pediatrics Board Exam Started: Jul 13, 2026 09:09 Page 15 of 69 Attempt #2504 Overall: 0 / 344 questions answered Question 71 / 344 Not answered Question 140: At a primary-care follow-up visit: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. No oxygen required E. Life-threatening asthma requiring urgent escalation Show Answer & Explanation Correct Answer: E Explanation: [Pediatrics] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 72 / 344 Not answered At a preventive-care consultation: A 5-year-old has polyuria, weight loss, vomiting, glucose 26 mmol/L, ketones, and acidosis. What is the diagnosis? A. Nephrotic syndrome B. Asthma C. Diabetic ketoacidosis D. Celiac disease E. Appendicitis only Show Answer & Explanation Correct Answer: C 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 73 / 344 Not answered In a rural clinic with limited resources: A 7-year-old has nephrotic-range proteinuria, edema, hypoalbuminemia, and normal complement. What is the most common cause? A. Post-streptococcal glomerulonephritis B. IgA nephropathy always C. Minimal change disease D. Renal stone E. Wilms tumor Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] Minimal change disease is the most common cause of nephrotic syndrome in children. Reference: KDIGO Glomerular Diseases 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 74 / 344 Not answered During an emergency department assessment: A 7-year-old has nephrotic-range proteinuria, edema, hypoalbuminemia, and normal complement. What is the most common cause? A. Post-streptococcal glomerulonephritis B. IgA nephropathy always C. Minimal change disease D. Renal stone E. Wilms tumor Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] Minimal change disease is the most common cause of nephrotic syndrome in children. Reference: KDIGO Glomerular Diseases 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 75 / 344 Not answered During an emergency department assessment: 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 Cancel « ← Previous Page 15 of 69 Next → »