General peds Flashcards
Bone age is advanced:
A) in case of hypothyreoidism
B) amongst children living in bad social conditions
C) in congenital adrenal hyperplasia
D) in familiar dwarfism
E) as a result of glucocorticoid application
C) in congenital adrenal hyperplasia
How much is the daily maintenance fluid requirement of a child who weighs 14 kg?
A) 700 ml
B) 900 ml
C) 1200 ml
D) 2000 ml
E) 2800 ml
C) 1200 ml
The minimum daily fluid requirement of a 6-month-old baby with mild diarrhea is:
A) 50 ml/ttkg
B) 75 ml/ttkg
C) 150 ml/ttkg
D) 300 ml/ttkg
E) 400 ml/ttkg
C) 150 ml/ttkg
Assuming dehydration of 5%, which is the easiest way to check for improvement?
A) measuring the child’s weight
B) determining serum osmolality
C) measuring central venous pressure
D) monitoring blood pressure
A) measuring the child’s weight
For moderate degree of dehydration, what is the initial optimal therapy in diarrhea?
A) 0.9% saline
B) half-isotonic sodium-chloride-dextrose solution
C) 10% dextrose solution
D) oral rehydration fluid
D) oral rehydration fluid
When should a child with severe hard-of-hearing get an audiphone?
A) When the hearing deficit is discovered, preferably in infancy
B) From the age of 3, in order to proper speech evolvement
C) Before going to school, because hard-of-hearing would be a disadvantage in school
D) Audiphone is contraindicated in childhood, because it is worsening the hearing
E) Never, it should be waited until the hearing loss can be corrigated with surgery
F) If the child would be bullied because of the audiphone, it would be a severe psychical handicap/disadvantage. In this case, it is better to seated the child in front of the teacher and speak with him/her well articulated.
A) When the hearing deficit is discovered, preferably in infancy
In what time should strabism be treated?
A) At the age of 1
B) In 3-4 years old age
C) Before going to school
D) At the time it is discovered
D) At the time it is discovered
To prevent teeth impairment, the following rules should be observed, except one. Which one is that?
A) Eat less sweets
B) Giving Vitamin D
C) Giving fluorid
D) Giving food which provides proper chewing
E) Regular tooth brushing
B) Giving Vitamin D
All of the following statements are true for the bilirubin transport, except for:
A) It is transported primarily by binding to albumin
B) The neurons are impaired by the albumin-linked bilirubin
C) The blue-light therapy has no effect of bilirubin’s bond to albumin
D) Bilirubin binding to albumin protects against central nerve system impairment
B) The neurons are impaired by the albumin-linked bilirubin
A 4-year-old child is suffering from salicylate intoxication. Which one is the most typical first symptom at this intoxication?
A) petechias and gingiva bleeding
B) diplopia and peripherial blindness
C) hyperventilation
D) diarrhoea and vomiting
E) convulsions
C) hyperventilation
The parents bring a 4-month-old infant to the ER. His/her body cooled down and is hypotonic. The parents said that at night, when they had taken him/her to the bed, everything was fine with him/her. When they picked up him/her in the morning, they found no sign of life. During physical examination except for the lack of vital signs, there wasn’t another deviation. The rutinely ordered whole body X-ray showed 3 bone fractures, which were in a different period of healing. Which is the most likely diagnosis?
A) Scurvy
B) Syphilis
C) SIDS – sudden infant death syndrome
D) Osteogenesis imperfecta
E) Battered child syndrome
E) Battered child syndrome
The followings are true for the data of the body length percentiles, except for:
A) There are distinct curves for the data of the boys and girls body length
B) The 50th percentile is the average body length for the exact age
C) Values/data between 25th and 75th percentiles indicate detailed further examination
D) Body length below 3 percentile indicates severe growth retardation
C) Values/data between 25th and 75th percentiles indicate detailed further examination
How high is the prevalence of neonatal HIV infection with HIV-positive mothers without antiviral treatment?
A) 20–30%
B) 100%
C) 80–90%
D) less than 10%
A) 20–30%
Which of the following increases the chance of the infection of a HIV positive mother’s child?
A) if the father is also infected
B) twin pregnancy
C) breastfeeding
D) Rh incompatibility
C) breastfeeding
Mother’s milk contains relatively high concentrations of antibodies of the following types:
A) IgG
B) IgA
C) IgE
D) IgM
B) IgA
If yellow amniotic fluid is detected during delivery, first to do is:
A) early umbilical cord ligature
B) termination of the delivery
C) UH examination of the mother’s liver after delivery
D) UH examination of the newborn liver after delivery
A) early umbilical cord ligature
Which statement is true for the childhood schizophrenia?
A) prevalence decreases with age
B) prevalence increases after the age of 7 years
C) the pathogenic role of stress is not likely
D) the syndrome is different from the adult form
E) there are no hereditary factors
B) prevalence increases after the age of 7 years
Neonatal skin candidiasis can be confused clinically with the following disease:
A) acne neonatorum
B) scabies
C) seborrheic dermatitis
D) miliaria rubra
E) erythema toxicum neonatorum
C) seborrheic dermatitis
Which of the following is true of infants’ scabies?
A) the diagnosis cannot be confirmed when the scabies examination of sample is negative
B) secondary superinfection of the lesion is common
C) the rash does not occur on the head or on the face
D) connatal form is also known
E) steroid-containing ointment results in permanent healing
B) secondary superinfection of the lesion is common
Causes an annular skin erythema:
A) Borrelia burgdorferi
B) Mycobacterium leprae
C) Nickel allergy
D) Mycoplasma pneumoniae
E) Sarcoptes scabiei
A) Borrelia burgdorferi
The child drank gasoline. After the arrival at the hospital, the following procedures are required, except one:
A) drinking paraffin
B) careful physical examination
C) chest x-ray
D) gastric lavage
E) fever measurement
D) gastric lavage
A confused and somnolent six-year-old child was found in a gas-smelling room. The first thing to do is:
A) starting infusion in the room
B) gastric lavage in the room
C) antibiotic administration
D) immediate release to air
E) artificial ventilation in the room
D) immediate release to air
What to do if a newborn’s breast enlargement is detected?
A) antibiotic administration immediately
B) if it is detected without hyperaemia, it is a consequence of maternal hormone effect, there is nothing to do with it
C) gently press the breast to make sure that there is no secretion
D) cold pack
B) if it is detected without hyperaemia, it is a consequence of maternal hormone effect, there is nothing to do with it
In a six-week-old infant, we are thinking of muscle tone disturbance when:
A) does not raise his head
B) does not turn
C) crosses the lower extremities during the elemental walk
D) do not sit
C) crosses the lower extremities during the elemental walk
