Published	Question	Keywords	Link
02/10/2026	A 14-year-old male and his parents comes to your office for his annual well child visit. He tells you that he is interested in joining the school’s basketball team. He recently came out as bisexual to his parents but is concerned about coming out to his potential teammates. What is the most appropriate advice to give to your patient with this concern: A) Avoid coming out to his potential teammate because it would make the other children uncomfortable B) Encourage him to participate in other activities that are more “accepting” like performing arts C) Provide encouragement to participate in a sport to help build self-confidence and physical well-being regardless of if he decides to share his sexuality with others D) He should wait until after he graduates to start a sport because his older teammates are more likely to accept him	January 2026	Question/Explanation
01/13/2026	Which of the following is not true regarding SSRIs in pregnancy? A. Least studied class of antidepressant in pregnancy B. Most commonly used antidepressant class in pregnancy C. Not teratogenic D. Chance for neonatal withdrawal syndrome when used in late trimesters E. Risk of earlier birth and lower birth weight	December 2025	Question/Explanation
12/10/2025	You are seeing a 2-week-old in your office for a weight check. The baby was full term, and mom reported a history of hypothyroid, gestational DM and bipolar I disorder. Mom has older children and states she feels like this baby is sleepier than her others were at this age, barely waking to feed. She says she thinks the baby's lips and nails are blue. Vitals include HR 190, RR 55bpm, O2 sat 89%. On the exam, the baby is mildly hypotonic with cyanotic lips and nails. You appreciate a holosystolic murmur at the left lower sternal border and a loud 1st heart sound. You again inquire about the medications mom was on during her pregnancy. The one you are most concerned with is: A. Escitalopram B. Lithium C. Duloxetine D. Alprazolam	November 2025	Question/Explanation
11/11/2025	An 8-year-old child is seen for intermittent thigh pain that started seven months ago. She has difficulty sleeping but can fall back to sleep after her mother rubs her legs. She takes acetaminophen as needed. There is no history of trauma or recent illness. She has no change in her daily activities. On physical examination, she is afebrile. She has full range of motion of her lower extremities without joint tenderness. Her mother was recently diagnosed with an autoimmune disease and is concerned about the child’s pain. Of the following, the best next step in this child’s management is to: A. Order ANA testing B. Provide reassurance C. Recommend lower extremity radiographs D. Refer to Rheumatology	October 2025	Question/Explanation
10/13/2025	Your family joins your son’s best friend’s family on a camping trip and to do some river rafting. On the day of the river rafting, it is over 100 degrees with a heat index of 112. When your group pulls out of the river for lunch, they do so at a river bar and restaurant popular with rafters. Your child approaches you and states that his friend is really acting strange, not making sense. You go to investigate and find him with his parents. He does not seem to recognize them. He is hot to touch. No cough, no congestion. His face is erythematous. After taking a brief history from the parents, you find that he has not been sick other than significant allergies starting last week, for which he is taking diphenhydramine. He takes methylphenidate for ADHD and recently started on sertraline. Which of the following is the next best management step? A) Call 911 and transport for full septic work-up B) Move the patient to the shade and encourage cool oral fluids C) Ice packs to the groin and axilla to induce cooling D) Immediate ice bath on site	September 2025	Question/Explanation
09/9/2025	You are seeing a 10-year-old female in clinic for the first time. In reviewing the electronic medical record and history with the family, you note that the patient was born by spontaneous vaginal delivery, Apgars were 71 and 95. Parents report that their child did not pass the Critical Congenital Heart Disease screen prior to hospital discharge and subsequently had to have surgery for Tetralogy of Fallot. In addition she has had recurrent respiratory infections and has been treated for otitis media and has had tympanostomy tubes placed. Parents are concerned about her school performance and share that she has always seemed behind. On physical examination you notice: anteverted ears, growth chart at 5th%ile, low anterior hairline, hypertelorism, broad nose, smooth philtrum, thin upper lip. What genetic condition is top on your list of differential diagnoses? A. Fetal Alcohol Spectrum Disorder B. Mucopolysaccharidosis II C. 22q11.2 Deletion Syndrome D. Noonan spectrum disorder	August 2025	Question/Explanation
08/13/2025	A 7-year-old patient is found in a salt-water pool, unresponsive. The best first management step in attempted resuscitation is? A) Chest Compression B) Heimlich maneuver C) Oxygenation	July 2025	Question/Explanation
07/9/2025	A 4-month-old infant is seen for a health supervision visit. She is meeting her developmental milestones, and her mother has no concerns. On physical examination, there is a small bruise on her right buttock. The remainder of her examination is normal. Of the following, the best next step is to? A. Ask her mother about the bruise B. Make a report to child protective services C. Reassure her mother that the bruise will heal without complications D. Schedule a follow-up visit the next day	June 2025	Question/Explanation
06/6/2025	You are an OMS-4 on your NICU rotation and are currently talking to a family about feeding options for their newborn baby. The new son is 3 days old and was born at 24 and 6/7 weeks gestation and currently weighs 750g. The lactating parent states that she has been attempting to pump but has not been getting really any milk yet and both parents had questions about the advantages of starting feeds with Pasteurized Donor Human Milk (PDHM) while waiting for Expressed Human Milk (EHM). Which of the following is NOT a potential advantage to starting feeds with PDHM in this infant as opposed to a preterm formula? A. Decrease risk of necrotizing enterocolitis (NEC) B. Improved weight gain C. Higher likelihood of continuing a human milk diet following discharge D. Improved feeding tolerance	May 2025	Question/Explanation
05/13/2025	Studies show that children with disabilities do not have which of the following? A. Higher rates of chronic conditions B. Higher rates of difficulties in accessing care C. Higher rates of hospitalizations D. Higher rates of preventable medical complications E. Higher rates of full vaccination	April 2025	Question/Explanation
04/9/2025	A 4th grade student has been having difficulty with academic performance in school and was recently diagnosed with Attention Deficit Hyperactivity Disorder. The child also has a diagnosis of Type I Diabetes and at times need assistance with managing their medications for Diabetes at school. What plans or programs should you talk to the family about having the child evaluated for to have in place at the school? A. Individualized Education Program (IEP) B. 504 Plan C. Individualized Family Support Plan (IFSP) D. Both an IEP and a 504 Plan	March 2025	Question/Explanation
03/5/2025	Which of the following is true about transition of care from pediatrics to adult care? 1) All internists are capable of caring for young adults with complex healthcare needs originating in childhood. 2) Transition of care should be a planned, deliberate process. 3) In all transitions of care, the role of the adult specialists is the same as the pediatric specialist. 4) The patient should assume a developmentally appropriate role in their healthcare transition early in the process. A. 1 & 2 B. 3 & 4 C. 1 & 3 D. 2 & 4 E. All the above	February 2025	Question/Explanation
02/11/2025	A 13-year-old male presents with approximately 25 raised papules to the forehead and cheeks. The majority of the papules have dark centers, others are white raised pustules. They are not overtly erythematous. The most appropriate management step is? A. Clindamycin oral B. Topical adapalene C. Clindamycin topical D. Isotretinoin oral E. Intralesional Corticosteroid	January 2025	Question/Explanation
01/7/2025	Who is more at risk of bullying? 1) A girl 2) A boy 3) Student with acne 4) Cis gender female 5) Overweight male _____________________________________________ A. 1 & 4 only B. 3 & 5 only C. 2, 3, & 5 D. 1, 3, & 4 E. 1, 3, & 5	December 2024	Question/Explanation
12/4/2024	Which of the following are associated with obesity? 1) Hirsutism 2) Atopic dermatitis 3) Keratosis pilaris 4) Plantar hyperkeratosis 5) Inverse psoriasis	November 2024	Question/Explanation
11/12/2024	You are a pediatric resident rotating in your regional Neonatal Intensive Care Unit (NICU). You are assigned to care for 1-day-old infant born at 26 weeks estimated gestational age (EGA). As you approach the incubator you ask if you can open the top for several minutes to do an exam, and are quickly directed to the side portholes by the friendly bedside nurse. What mechanism of heat loss was the nurse MOST attempting to prevent by this action? A: Conductive heat loss B: Evaporative heat loss C: Convective heat loss D: Radiative heat loss E: All of the above	October 2024	Question/Explanation
10/9/2024	A 5-year-old child and their parent come to your office for a well checkup. You observe the child as the nursing staff and medical assistant are completing the intake. The intake includes the child’s temperature, weight, height, and blood pressure. Upon visual assessment, the child appears to be doing well. In your chart review, you note that the parent has verbalized concerns about their child related to their reading abilities and asthma. You decide to screen for food insecurity in addition to the vital signs already obtained by your office staff. The gold standard in screening for food insecurity is: A. The Hunger Vital Sign (2 item screen) B. GAD 7 C. Household Food Security Scale Short Form 6 item screen D. Household Food Security Scale (HFSS) 18 item screen	September 2024	Question/Explanation
09/4/2024	You are seeing a 10-year-old in the office with one of their parents. When asking about recent changes or concerns the family has, the parent shares with you that the grandmother that was living with them recently died from cancer. The parent shares with you that their child has begun to experience nightmares, difficulty concentrating, and grade changes. You want to offer some ways the parent can help with their child’s grieving process. Based on the presentation, some recommended ways to help this 10-year-old include which of the following sets of activities: A. Include the child in family rituals around mourning, offer simple truthful and concrete information about the death using books as a resource, reassure the child that they are not the cause of grandma’s death, keep routines, assist the child in creating arts and crafts to memorialize grandma, let the child create storybooks, or give them a special stuffed animal that represents grandma. B. Offering to have them help plan a memorial, use books to help answer questions truthfully and in concrete terms, encourage the child to express their feelings, attend groups and/or individualized counseling, keep routines, participate in planting of a tree or a garden, ask them to write a story about the grandmother, and continuing to talk about their grandmother. C. Including the child in family rituals of mourning, provide safe outlets for aggression, support the child’s involvement in planning of activities for anniversaries and birthdays, welcome the child to create art work to memorialize the grandmother such as writing a goodbye letter, journaling, or creating a memory box of important items they want to save. D. Including the child in family rituals of mourning, making time for 1:1 opportunities with key adults/caregivers, allow the child to fully express their feelings which may at times be contradictory and inconsistent, look for peer support groups, create a playlist of music that the grandmother loved.	August 2024	Question/Explanation
08/6/2024	On prenatal ultrasound, a fetus was noted to be small for gestational age. Cleft lip is present, as are overlapping digits with clinched fists on both hands. Rocker bottom feet are present, along with an atrial septal defect. Genetic analysis is returned showing complete trisomy of chromosome 18. Which of the following is true regarding Trisomy 18? A. This condition was first described in 1892 by Dr John Hilton Edwards. B. This is the most common autosomal trisomy syndrome. C. This condition has a 3:1 female to male ratio for live births. D. This syndrome occurs in 1:2500 live births.	July 2024	Question/Explanation
07/26/2024	A 17-year-old female presents to your office during walk-in hours on Monday morning. Parental permission has previously been granted to allow her to seek out her own healthcare. She states that she had unprotected sex two nights before. She is concerned about getting pregnant. Vitals are normal. Height is 5’7”, weight is 197 lbs (BMI 31, obesity). In addition to STI screening, you suggest emergency contraception as follows: A) Etonogestrel implantable device and schedule insertion for 1 week from today B) Ulipristal Acetate 30 mg po once C) Levonorgestrel 1.5 mg po once D) Levonorgestrel 0.75 mg po every 12 hours for 48 hours E) Copper IUD and schedule insertion 4 days from today.	March 2024	Question/Explanation
07/26/2024	You are concerned about a patient you are seeing who has recently completed a PHQ9 depression screen during a wellness checkup and scored 13. The adolescent has responded ‘No’ to all questions on the ASK Suicide Risk Screening Tool questions. In addition, the parent has concerns and has shared with you some recent changes in the household and school, including recent separation of parents and the child being bullied at school. Upon further discussion with the father, he shares that he does own a firearm which he reports keeping around for protection in case of an intruder. What would be the best recommendation to give to this father regarding storage of his firearm? A. The firearm should be stored unloaded and locked. Additionally, the ammunition should be locked and stored separately from the firearm. B. Keeping the firearm hidden and out of reach where his child would be unable to find it is appropriate. C. The father should keep it close by and ready to use should there be an intruder. D. You should refrain from discussing recommendations regarding the safe storage of firearms.	April 2024	Question/Explanation
07/26/2024	You are talking with a family of a 30-month-old during a well child checkup. You have assessed the child’s growth and development and are discussing important anticipatory guidance with the family before completing the visit. They have a question about when they should transition their child from a rear facing to a forward-facing car seat. Some of their friends and family members have already transitioned their children and are unsure if they should also. Your best recommendation is to tell them: A. They could have transitioned the child from rear to forward facing in the backseat of the car once the child turned 1 year and 20 lbs. B. They should wait until the child has outgrown the highest weight or height limit for the seat to be used rear facing as allowed by the car seat manufacturer before transitioning to either a convertible car seat or forward-facing car seat. answer) C. They could have transitioned their child to forward facing in the backseat of the car once the child turned 2 years of age. D. They should wait until the child is 4 years of age before transitioning from rear to forward facing in the backseat of the car.	May 2024	Question/Explanation
07/26/2024	A former 29-week GA infant is in the NICU where they have been receiving treatment for respiratory distress syndrome. A consult is placed for music therapy to offer specialized music therapy techniques. The potential positive effects on the infant include: A. Decreased heart rate B. Decreased respiratory rate C. Increased suck reflexes D. All of the above, A, B, and C	June 2024	Question/Explanation
Published	Question	Keywords	Link