2025 Indiana Joint Pediatric Conference MOC Evaluation Quiz Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Date of Birth (dd/mm/yyyy) Question Title * 4. ABP Number (required for credit) Question Title * 5. How often does a 4 y/o child in foster care need to be seen in their medical home for Preventative Health Care? Once a month Once a year Twice a year As needed Question Title * 6. What is the ideal skin pH - referred to as the "acid mantle"? 7.0 6.5 5.5 4.2 Question Title * 7. What is the fetal coating formed in the last trimester primarily composed of? proteins, collagen and elastin keratin, sloughed skin cells and sebum water-containing corneocytes in a lipid matrix ceramides, free fatty acids, cholesterol and carnauba wax Question Title * 8. In the skin analogy of "bricks and mortar," what is the "mortar"? sweat glands lipid lamellae collagen fibers hair follicles Question Title * 9. Sarah, a 6-year-old girl with a history of asthma, is brought in for a visit as she has been waking at night because of wheezing and coughing. Sarah also becomes short of breath more frequently while playing. Which of the following might you do next to differentiate difficult-to-treat from severe asthma? Ask Sarah’s mother how often Sarah is using her rescue inhaler Carefully observe Sarah’s inhaler technique Increase the dose of Sarah’s inhaled ICS-LABA treatment Ask Sarah’s mother how many nights per week she is awakening Question Title * 10. A 10-year-old boy, Jamie, has been brought in for a visit for uncontrolled asthma. Jamie has experienced two exacerbations requiring oral corticosteroids (OCS) in the past year and is on the maximum dose of ICS-LABA treatment, for which his inhaler technique is confirmed to be correct. What would you do next? Recommend a low-dose maintenance course of OCS Continue the regimen as is Add a macrolide 3 days per week to the treatment regimen Refer to a specialist for additional workup and phenotypic assessment Question Title * 11. Michael, a 7-year-old boy with a history of asthma, has been referred from his primary care physician after having had 4 ED visits and at least 4 courses of OCS in the past year. He is currently on a regimen that includes high-dose ICS-LABA. Which of the following steps would you take next? Recommend a low-dose maintenance course of OCS rescribe a leukotriene receptor antagonist Conduct phenotypic assessment Continue the current regimen Question Title * 12. Bobby, a 2-year-old boy, comes to your office with a history of fevers for 6 days. Highest temperature has been 103.50F. Parents bring him to you because he has developed a rash involving most of his body. The rash is erythematous, non-pruritic, and non-vesicular. Child has no palpable lymph nodes. Conjunctivae are slightly injected. Point of care influenza and COVID19 assays are negative. You suspect that patient may have incomplete Kawasaki disease. Your closest medical center is 2 hours away.Which laboratory tests [and results] would NOT help you best decide the need for echocardiogram and initiation of therapy? CBC with anemia, leukocytosis and thrombocytosis Low albumin and elevated transaminitis Urinalysis with pyuria FilmArray multiplex respiratory viral panel Question Title * 13. A 5-month-old infant is brought to your office with fevers and foul-smelling urine. No vomiting reported. Infant is fussy but consolable. Eating well with no vomiting. A urinalysis >100/mm3 WBC with protein and 21-50/mm3 RBC. Bacteria are observed as well. Urine culture yields >100,000 CFU/mL of Klebsiella pneumoniae. Susceptibility data demonstrates that the organism is multi-drug resistant [extended-spectrum beta-lactamase-producer, ESBL]. The infant has been receiving amoxicillin as prophylaxis after a prior urinary tract infection two months ago. Infant had been found to have grade 2 hydronephrosis and vesicoureteral reflux [VUR].Which of the following statements is true about antimicrobial prophylaxis for urinary tract infections. Prophylaxis is an effective strategy to prevent renal scarring and recurrent urinary tract infections. Ciprofloxacin is an effective agent to prevent urinary tract infections. VUR resolves with the use of antimicrobial prophylaxis. Selection of antimicrobial resistant pathogens is common in infants and children receiving antibiotic prophylaxis. Question Title * 14. The combination MMR and Varicella vaccine is associated with about 1 excess febrile seizure per 2,500 doses in: 12-15 month olds 4-6 year olds 8-10 year olds 14-16 year olds Question Title * 15. CDC defined risk factors for severe COVID-19 disease include all but which of the following: Physical Inactivity Pregnancy or recent pregnancy Depression Tree nut allergy Done