PNCB Primary Care Actual Exam

PNCB Primary Care Actual Exam

Questions and Answers 1.If a 1 month old continues to show symptoms of fussiness and blood in stools after switching to a hydrolysate formula, what would be the next best step in management?Further evaluation for potential allergies or gastrointestinal issues Prescribing hyoscyamine drops for colic relief Switching to a soy formula immediately Adding probiotics to the current formula 2.During a wellness visit, an adolescent asks about daily use of laxatives. Which history MOST supports a need for further assessment?trying out for the lead role in the school play exercising three to four times a week recent adoption of a strict vegetarian diet new interest in cooking classes 3.Describe the two-step process recommended by the CDC for 1 / 4

diagnosing Lyme disease. 2 / 4

The CDC recommends immediate treatment without testing.The CDC recommends an initial ELISA test followed by a Western immunoblot if the ELISA is positive.The CDC recommends only blood cultures for diagnosis.The CDC recommends IgM and IgG titers at presentation only.

4.If a primary care provider needs to discuss a child's treatment plan with a mental health provider, what steps should they take to ensure compliance with HIPAA?They should obtain written consent from the child's guardian before discussing any details.They should only share information via secure email to comply with HIPAA.They should wait for the child to turn 18 to discuss treatment plans.They should confirm that both providers are involved in the treatment of the child, allowing for information sharing without consent.

5.An adolescent presents for evaluation of chest pain that occurs during gym class, with episodes happening several times over the past month. Which of the following HPI components is MOST specific for differentiating a cardiac etiology? 3 / 4

quality is sharp and stabbing resolves with rest associated with syncope location is midsternal 6.Why is superficial irrigation considered the most appropriate initial management for a puncture wound?Antibiotics are needed before any cleaning can occur.Superficial irrigation helps to clean the wound and reduce the risk of infection.Probing is essential to ensure no foreign material is left behind.Debridement is necessary to remove all tissue immediately.

7.What is the primary goal of initiating a motivational interview with an adolescent patient?To assess the patient's family medical history. To persuade the patient to follow a strict diet.To engage the patient in discussing their health and lifestyle changes.To inform the patient about their medical conditions.

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