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AAP test: practice with sample questions

Quick AAP practice test to check your knowledge. Instant results.

Editorial: Review CompletedCreated By: Lado SharadzeUpdated Aug 23, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration showing AAP test quiz study cards and practice questions on teal background

This AAP test quiz helps you check core concepts and practice under exam-like conditions. Work through realistic questions with instant feedback, then review what to improve. For more health-focused practice, try our AST practice test or AP Psychology practice quizzes. It is a quick way to prep for the AAP exam without pressure.

At what age does the AAP recommend starting routine blood pressure screening in children?
12 years
5 years
3 years
10 years
The AAP guidelines emphasize early detection of hypertension to prevent long-term cardiovascular damage. Routine blood pressure measurement should begin at age 3 years during annual well-child visits. This standard is based on data showing reliable measurements at this age and beyond. Early screening allows for timely interventions.
The first dose of the MMR vaccine is recommended at which age according to AAP guidelines?
18 months
12 months
15 months
9 months
The AAP recommends administering the first MMR vaccine dose at 12 to 15 months of age to ensure optimal immune response and minimize interference from maternal antibodies. Delaying vaccination beyond this window can leave children vulnerable to measles, mumps, and rubella. Early immunization has been shown to reduce disease incidence effectively.
When should the newborn metabolic screen be performed?
On day 5 after birth
24 to 48 hours after birth
Within 12 hours after birth
At 72 hours after birth
Newborn metabolic screening is ideally performed between 24 and 48 hours of age because sufficient protein intake and metabolic activity are required to detect abnormalities. Collecting samples too early may result in false negatives, while collecting too late can delay critical interventions. Early detection through timely screening improves outcomes for inborn errors of metabolism.
For how long does the AAP recommend exclusive breastfeeding in infants?
4 months
6 months
9 months
12 months
Exclusive breastfeeding for the first 6 months is recommended by the AAP to provide infants with optimal nutrition, immune protection, and gastrointestinal development. Studies have demonstrated reduced risks of infections, allergies, and chronic conditions in exclusively breastfed infants. Introducing complementary foods after 6 months while continuing breastfeeding supports healthy growth and development.
According to the AAP, what BMI percentile defines overweight in children?
75th to 85th percentile
50th to 75th percentile
85th to 95th percentile
Above 95th percentile
The AAP and CDC define pediatric overweight as BMI ?85th and <95th percentile, reflecting increased risk of metabolic complications. This classification helps identify children who may benefit from early intervention. The 85th percentile cutoff balances sensitivity and specificity for predicting future obesity.
What is the AAP-recommended primary management approach for infants with bronchiolitis?
Supportive care with hydration and oxygen as needed
Empiric antibiotics
High-dose corticosteroids
Routine use of bronchodilators
The primary treatment is supportive measures - maintain hydration, ensure adequate ventilation, and administer supplemental oxygen if hypoxic. Routine use of bronchodilators, steroids, or antibiotics is not recommended by the AAP for typical cases without complications. This approach focuses on symptom management and monitoring.
At which ages does the AAP recommend autism screening during well-child visits?
12 and 24 months
15 and 24 months
18 and 30 months
18 and 24 months
Early identification of autism spectrum disorders improves access to interventions that enhance developmental outcomes. The AAP specifies screening at 18 and 24 months using standardized tools like the M-CHAT. This schedule aligns with critical periods of social and communication development.
How much daily screen time does the AAP recommend for children aged 2 to 5 years?
Unlimited screen time
No more than 1 hour per day
No more than 3 hours per day
No more than 2 hours per day
Excessive screen time in young children can impair language development and physical activity. The AAP recommends limiting media use to no more than one hour per day of high-quality programming, with parental engagement. This guideline supports healthy cognitive and social development.
Kawasaki disease diagnosis requires fever for at least how many days plus how many principal clinical features?
Fever ?4 days plus ?4 features
Fever ?3 days plus ?2 features
Fever ?5 days plus ?4 features
Fever ?7 days plus ?3 features
The AAP defines classic Kawasaki disease by persistent fever for at least 5 days plus at least four of five clinical criteria, including rash, conjunctivitis, and lymphadenopathy. This diagnostic threshold balances specificity and sensitivity for early treatment to prevent coronary aneurysms. Recognition of incomplete cases may require echocardiography.
In pediatric diabetic ketoacidosis (DKA), what is the recommended initial fluid therapy?
Lactated Ringer's with dextrose
0.9% sodium chloride (isotonic saline)
Dextrose 5% in water
0.45% sodium chloride (half-normal saline)
Initial resuscitation in pediatric DKA uses isotonic saline (0.9% NaCl) to restore intravascular volume and correct dehydration without causing rapid osmotic shifts. Hypotonic fluids increase risk of cerebral edema, while dextrose-containing solutions are introduced later. Careful monitoring of electrolytes guides subsequent fluid adjustments.
According to AAP guidelines, at what total serum bilirubin level should phototherapy be initiated in a term newborn aged 48 to 72 hours?
>18 mg/dL
>10 mg/dL
>15 mg/dL
>20 mg/dL
AAP guidelines recommend initiating phototherapy in term infants aged 48 to 72 hours when total serum bilirubin exceeds approximately 15 mg/dL, considering risk factors and nomograms. Treating at this threshold reduces risk of kernicterus without unnecessary intervention. Clinical judgment includes age, weight, and comorbidities.
What criteria define Stage 2 hypertension in children according to AAP blood pressure guidelines?
Blood pressure >85th percentile
Blood pressure >99th percentile
Blood pressure >90th percentile + 10 mm Hg
Blood pressure >95th percentile + 12 mm Hg
Stage 2 pediatric hypertension is defined by systolic or diastolic blood pressure more than the 95th percentile plus 12 mm Hg, indicating moderate to severe elevation requiring prompt evaluation. This threshold distinguishes higher risk children needing diagnostic workup and potential medical therapy. Early classification prevents end-organ damage.
How many stages are included in the AAP's graduated return-to-play protocol following a concussion in adolescents?
7 stages
6 stages
5 stages
4 stages
The graduated return-to-play protocol recommended by the AAP comprises five stages, starting with symptom-limited activity and ending with return to full-contact practice. Each stage should last at least 24 hours, progressing with no symptom recurrence. This structured progression minimizes risk of repeat injury.
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Study Outcomes

  1. Understand Core AAP Test Concepts -

    After completing the quiz, you will be able to clearly define and explain essential topics frequently featured on the AAP test, ensuring a solid foundation for further study.

  2. Apply Effective Test-Taking Strategies -

    Use proven approaches during the AAP exam quiz to manage time, eliminate incorrect answers, and boost accuracy under exam conditions.

  3. Identify Strengths and Weaknesses -

    Analyze your performance on the AAP practice test to pinpoint areas of mastery and topics that require additional review.

  4. Analyze Question Formats -

    Recognize common patterns and structures in AAP exam practice questions, preparing you to tackle similar items with confidence.

  5. Create a Targeted Study Plan -

    Leverage insights from your quiz results and aap study questions to develop a focused revision schedule tailored to your individual needs.

Cheat Sheet

  1. Pediatric Immunization Schedule -

    Memorize the AAP-recommended immunization timeline (e.g., DTaP at 2, 4, 6 months and MMR at 12 - 15 months) using the mnemonic "2-4-6, 12 - 15" to recall timing quickly. Accurate knowledge of vaccine types and intervals can boost your aap test score on prevention questions (CDC & AAP Guidelines).

  2. Growth and Development Milestones -

    Review key developmental milestones at 2, 6, and 12 months - lifting the head, sitting without support, and walking - using "Sits - Stands - Walks" as a memory aid. Questions on these milestones often appear on the aap exam to assess developmental screening knowledge (AAP Official Policy).

  3. Pediatric Dosage Calculations -

    Use the weight-based dosing formula (dose = mg/kg × weight in kg) and remember Clark's Rule for pediatric dose estimation: (Weight in lb ÷ 150) × adult dose. Mastery of these calculations will help you breeze through pharmacology items on your aap test (Nelson Textbook of Pediatrics).

  4. Fluid and Electrolyte Management -

    Apply the Holliday-Segar method: 4 mL/kg/hr for the first 10 kg, 2 mL/kg/hr for the next 10 kg, and 1 mL/kg/hr for each additional kg. This formula is a staple on fluid management questions in the AAP exam and helps ensure safe maintenance therapy (AAP Guidelines).

  5. Pediatric CPR & BLS Algorithm -

    Internalize the Pediatric Basic Life Support sequence and compression-to-ventilation ratios (15:2 for two rescuers; 30:2 for single rescuer) as outlined by AHA/AAP. AAP test scenarios often feature emergency response questions where this knowledge is critical for prompt decision-making.

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