2026 Joint Pediatric Conference MOC Quiz

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Which of the following most accurately describes IgE testing for food allergens?

1 point

If there is any concern for food allergy, a panel should be obtained to check for common allergens

Infants with atopic dermatitis should stop eating foods that have elevated IgE levels

The size of the IgE result indicates the likelihood of allergy being present, not the severity of future reactions

IgE testing is not reliable in infants due to their young age

Clear selection

A 12 month old boy experiences generalized hives after eating 1 teaspoon of peanut butter. Which advice should you offer to his parents?

1 point

Oral immunotherapy can increase his tolerance, decrease risk for anaphylaxis through accidental ingestion and potentially help him develop tolerance if started now

Trace amounts can cause severe reactions and peanut should be removed from the home

There is zero chance he will outgrow his peanut allergy

They need to avoid all nuts, including coconut

Clear selection

Complete the following statement: An aerodigestive patient may have multiple or interrelated ____________.

1 point

A. congenital conditions affecting airway, breathing, swallowing, or growth

B. acquired conditions affecting airway, breathing, swallowing, or growth

C. congenital and/or acquired conditions affecting airway, breathing, swallowing, or growth

D. congenital and/or acquired conditions affecting coordination.

Clear selection

Gastroesophageal reflux disease may occur because of:

1 point

A lack of exercise

Eating food that is too cold

Drinking too much water with meals

A poorly functioning esophagogastric junction

Clear selection

An 11 year old female volleyball player presents with several months of right knee pain. She denies any injury, but states the pain is worse with activity. She points to her distal thigh as the site of pain. Mom has noticed she tends to walk with her right foot externally rotated slightly. What is the proper course of action?

1 point

Send to physical therapy

Refer to orthopedics/sports medicine

Order MRI of right knee

Obtain xray of right knee and hip

Clear selection

Which of the following has not been shown to decrease medial epicondyle injuries in adolescent baseball players?

1 point

Mandatory rest days between pitching in games

Throwing less than 75 pitches / game

Alternate positions from catcher to pitcher

Refrain from throwing curveballs / sliders until growth plates are closed

Clear selection

At what age can a GLP1 medication be started for the treatment of obesity?

1 point

Clear selection

What is the most common side effect of GLP1 medications?

1 point

Tachycardia

Nausea

Headaches

Gastroesophageal reflux

Clear selection

A physician reviews all of her Medicaid patients between ages 1 and 3 and finds that only 38% have ever received a blood lead test, despite Indiana's universal testing recommendation for this population. Which of the following best explains why lead testing rates remain low and what intervention is most likely to improve them?

1 point

Lead exposure is no longer a significant concern in Indiana due to updated water infrastructure, so testing has been appropriately deprioritized by families and providers.

Low testing rates primarily reflect parental refusal, which can best be addressed through public awareness campaigns targeting families.

Systemic barriers including lack of point-of-care testing, poor integration of lead screening into well-child visit workflows, and inadequate Medicaid reimbursement awareness contribute to low rates.

Indiana exceeds the national average for lead testing rates, so the 38% figure likely represents a coding error rather than a true gap in care.

Clear selection

During a well-child visit, the parent of a 13-year-old reports their child spends 6–8 hours per day on social media and has gained 18 pounds over the past year. The child’s BMI is now in the 97th percentile. The parent asks, “Is this really that big a deal? All kids are on their phones.” Drawing on Indiana’s childhood obesity data and current evidence on social media’s role in pediatric health outcomes, which of the following is the most accurate and clinically appropriate response?

1 point

Social media use and obesity are not directly linked; the weight gain is most likely explained by genetic predisposition and should be evaluated with endocrine workup before addressing screen time.

Indiana’s childhood obesity rate mirrors the national average, and while social media can displace physical activity, the effect size is too small to address as a primary concern in this visit.

Indiana has one of the higher childhood obesity rates in the Midwest, and evidence shows that excessive social media use contributes to obesity through displaced physical activity, disrupted sleep, and exposure to food marketing; addressing screen time is an evidence-based component of obesity management.

The AAP recommends no limits on social media for adolescents over 12 since restriction may harm social development, so this level of use is within guidelines.

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