Pediatrics Board Exam Started: Jul 12, 2026 22:46 Page 4 of 69 Attempt #1246 Overall: 0 / 344 questions answered Question 16 / 344 Not answered During morning rounds: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1442) A. Give thrombolysis without glucose correction B. Treat hypoglycemia immediately and reassess neurologic deficit C. Start warfarin D. Discharge without treatment E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: B Explanation: [Pediatrics] Hypoglycemia can mimic stroke and should be corrected immediately while continuing appropriate assessment. Reference: AHA/ASA Stroke 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 17 / 344 Not answered In a rural clinic with limited resources: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 1427) A. Ignore allergy and give full dose unsupervised B. Aspirin desensitization if benefits outweigh risks C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: B Explanation: [Pediatrics] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. 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 18 / 344 Not answered In a rural clinic with limited resources: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1426) A. Intramuscular injection into the mid-anterolateral thigh B. Subcutaneous injection into forearm C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: A Explanation: [Pediatrics] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis 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 19 / 344 Not answered In a rural clinic with limited resources: A 4-year-old has wheeze, chest indrawing, and oxygen saturation 89%. What is the priority? A. Oral antihistamine only B. Discharge immediately C. Long-acting beta agonist alone D. No treatment until spirometry E. Oxygen and inhaled short-acting bronchodilator, with urgent assessment Show Answer & Explanation Correct Answer: E Explanation: [Pediatrics] Hypoxic acute wheeze/asthma exacerbation needs oxygen, inhaled SABA, systemic steroid when indicated, and urgent reassessment. Reference: GINA Strategy Report; BTS/SIGN Asthma 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 20 / 344 Not answered At a preventive-care consultation: 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. Renal stone D. Wilms tumor E. Minimal change disease Show Answer & Explanation Correct Answer: E 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 Cancel « ← Previous Page 4 of 69 Next → »