1. A 10 month old child has been diagnosed with gas- troenteritis.He attends a child care facility.What is themost likely cause of his illness? 2. In a healthy, 8 month old with diarrhea but no dehy- dration,what would be the most appropriate advice togive parents? 3. When evaluating a child with abdominal pain, whatsymptom would lead to a likely organic etiology? 4. Vomiting in infancy has a long list of differential di- agnoses.Which accompanying symptom would mostlikely point to pyloric stenosis? 5. Which of the following is the appropriate regimen forpinworm medication? 6. Mrs. Doyle is upset. Two month old John's frequent vomiting has her convinced that "something is seri- ously wrong".Which of the following is most sugges-tive of GER (gastroesophageal reflux).? 7. You see Jack, a 20 month old toddler with normal growth and development, in your office for diarrhea.His mother tells you that he is passing up to three loose stools a day and that he drinks 20 oz of apple juice a day.What is the most likely diagnosis? 8. Baby Sally was inyour office last week for her 6monthcheckup. Her weight was 7 kg. Today she presents with diarrhea and vomiting for 4 days, her weight is 6.5 kg.What is her percentage of dehydration? 9. What clinical signs would you expect to see in Sallyon your examination? Rotavirus Give bananas andcereal as tolerated Night waking Acts hungry after vomiting Albendazole 400 mg PO. 1 dose/1 time, repeat in 2 weeks if needed. He drinks 7-8 ozevery 3-4 hours Nonspecific "tod-dler" diarrhea 7% Dry mucous membranes 10. 10. Family Nurse Practitioner Certification Gastrointestinal Sloan Exam 2022 2 / 3 Sally's vomiting and diarrhea have stopped. If she needs oral replacement therapy (ORT) today, what would be the appropriate amount to recommend? 600-700 over 4 hours 11. Pinworms can cause which of the following? Anal itching 12. In evaluating Billy, a child with bloody diarrhea, whichof the following would not be an appropriate first ac-tion? 13. Billy's family eats at fast food restaurants four to fivetimes each week.If you suspect the diarrhea is infec-tious in nature, what is a causative organism? 14. Which of the following conditions would be most like-ly to occur in a 4 year old boy? 15. Which of the following findings could be expected tooccur in a baby with inussusception? 16. Which of the following may occur with suspected ap-pendicitis? 17. In the US, parasitic gastroenteritis is most commonly caused by which organism? 18. Which of the following serological findings indicateschronic HBV infection? 19. Children in child care facilities are at greater risk ofbeing exposed to which of the following infections? 20. Infant immunization for hepatitis B often raises manyparental questions about the disease. Which of the following is not true about Hepatitis B virus? Upper GI E. Coli Giardia infection Inconsolable screaming Pain not relievedwith ambulation Giardia lamblia Anti-HBc positive and HBsAg posi-tive HAV Contaminated wa-ter and shellfish are the major sources. 21. Hirschprung disease