HD 202 E2 Samplex 2018

Question 1

Newborn period

a. conception to birth
b. birth to day 7 of life
c. birth to day 28 of life
d. birth to 12th month of life

Answer 1

C

Question 2

At the OPD, you were assigned an 18-month old boy brought by his mother for a well-being checkup. History starts from the general data followed by the chief complaint. This will be followed by the:

a. HPI
b. Family History
c. Personal and Social History
d. Maternal History

Answer 2

A

Question 3

At the OPD, you were assigned an 18-month old boy brought by his mother for a well-being checkup. While you were taking the history, the toddler was very anxious and started crying. Which of the following can be used as a distraction technique

a. Swaddle him
b. Imagine something pleasant
c. Sing a nursery Rhyme
d. NOTA

Answer 3

C

Question 4

The age of adolescence encompasses

a. 11-20 years
b. 13-21 years
c. 10-18 years
d. 10-19 years

Answer 4

D

Question 5

The key to good newborn care is anticipation. Which of the following is true regarding risk assessment?

a. careful risk assessment prior to delivery will identify all newborns that will require resuscitation at birth
b. many difficult neonatal courses can be detected by careful and “thoughtful” history taking
c. absence of risk factors predicts the birth of a normal newborn
d. NOTA

Answer 5

B

Question 6

This stream of development is pre-programmed myelination dependent:

a. Gross Motor Domain
b. Adaptive domain
c. Social Domain
d. Cognitive Domain

Answer 6

A

Question 7

The adequacy of pubic hair and genitalia can be best assessed by:

a. HEADSSS
b. Sexual Maturity Scale
c. Height
d. Growth Spurt

Answer 7

B

Question 8

Factors that make development possible

a. Genes, environment, social class
b. environment and a well functioning nervous system and genes
c. environment, social class and health
d. environment, behavior and growth

Answer 8

B

Question 9

Normal change during transition

a. Umbilical cord clamped immediately to initiate blood flow to the lungs
b. fetal lung fluid in alveoli are suctioned out via mouth and nose
c. level of O2 inc due to supplemental O2 given to baby
d. previously constricted pulmonary arterioles relax

Answer 9

D

Question 10

Growth spurt in males occurs coincidentally at this SMR with the majority of cases?

a. SMR 2
b. SMR 3-4
c. SMR 4-5
d. SMR 4

Answer 10

B

Question 11

The definition of a median age in a range of developmental skills

a. Age 50 % manifest
b. Age 75 percent manifest
c. Age at which few manifest
d. Age at which most manifest

Answer 11

A

Question 12

Which of the following is immediately needed function for a newborn

a. To be suctioned
b. To be bathed
c. To breathe
d. to be resuscitated

Answer 12

C

Question 13

The following is true regarding blood
pressure determination among adolescents

a. BP measurement should be initiated at 13 years old age or at onset of adolescence
b. Annual BP determination should be done for all adolescents
c. Smoker should have BP measurements taken monthly
d. BP Measurements is done only for symptomatic patients

Answer 13

B

Question 14

The following examination requires the state of wakefulness and cooperation:

a. Pulmonary examination
b. Cardiac examination
c. Abdominal exam
d. Cranial nerve function

Answer 14

D

Question 15

Carlos is born 3200g, Head circumference is 40 cm. What can you say about him?

a. Carlo’s growth parameters are within the expected norms for a Filipino infant
b. Carlo’s birth weight is not proportional to his other measurements
c. Carlo’s growth parameters are within expected norms of a Caucasian
d. Head is too big for expected Filipino Infant

Answer 15

D

Question 16

Percent of newborns requiring initial assessment to identify if resuscitation is required

a. 1% (1 in 100)
b. 5% (1 in 20)
c. 10% (1 in 10)
d. 100% (all)

Answer 16

D

Question 17

Situation: 1 15-year old with weight of 148 lbs, height of 60 inches. BMI?

a. 30.3
b. 29.2
c. 18.2
d. 21.3

Answer 17

B

Question 18

A 2-week old infant came into the OPD for a well-baby visit. History taking will start which the general data, chief complaint and _________

a. HPI
b. Birth and Maternal History
c. Review of Systems
d. Nutritional History

Answer 18

B

Question 19

A 2-week old infant came into the OPD for a well-baby visit. You will ask the following pertinent symptoms in assessming his well being EXCEPT:

a. good suck and activity
b. 6-8 times bowel movement and micturition
c. weight gain
d. social smile

Answer 19

D

Question 20

Child can sit with support, hold a spoon, responds to the bell and has started to babble

a. 4 mos
b. 5 mos
c. 6 mos
d. NOTA

Answer 20

C

Question 21

After a thorough drying and assessment of breathing, which among the following is the next step?

a. Foot printing
b. APGAR
c. Skin-to-skin contact
d. Vit K administration

Answer 21

C

Question 22

The adolescent should have a regular over-all checkup

a. Annually
b. Biannually
c. One for every stage of adolescence
d. Whenever sick

Answer 22

A

Question 23

Child has object permanence, can walk, say a word or two and point

a. 3 mos
b. 6 mos
c. 9 mos
d. 12 mos

Answer 23

D

Question 24

While observing the newborn attached to the breast, one can assess the following newborn capabilities

a. sucking reflex
b. swallowing reflex
c. cranial nerve reflex
d. AOTA

Answer 24

D

Question 25

Which of the following is routinely done for a newborn? a. Arm length b. Height c. Head circumference d. Abdominal circumference

Answer 25

C

Question 26

The following statements are true for puberty except: a. Strength spurt and height spurt in males is a late event b. Puberty occurs earlier in girls than in boys c. Menarche occurs 2 years prior to thelarche d. Erythrocyte mass also increases more in males than in females

Answer 26

D

Question 27

Pap Smear is recommended to screen for HPV among females. One of the following is true regarding timing of a PAP smear a. After first sexual encounter and every six months thereafter b. 3 years after first sexual encounter or at age 21 whichever comes first c. When signs of STD are noted such as dysturia and vaginal discharge d. recommended monthly for those who have multiple partners

Answer 27

B

Question 28

Which among the following statements about development is true? a. During 1st year, beginning of walking starts to evolved b. Language formation starts at 1 year. c. School-age children exhibit a very active imagination and often exaggerate thoughts d. Emotional development is observed as early as infancy

Answer 28

B

Question 29

The following best describes the Philippine Health Situation: a. It ranks 11th among the world’s most populated countries b. It shows an inverted triangle which depicts an age range of elderly people c. Autism is among the top ten causes of mortality d. Infectious diseases is among the leading causes of infant mortality

Answer 29

D

Question 30

Overarching themes of development according to Shonkoff include the following, except a. all children are wired for feeling and ready to learn b. early environments matter c. human relationships are least likely to create any impact d. society is constantly changing and needs of children are not being addressed

Answer 30

C

Question 31

The following is least useful in the PE of a newborn a. Percussion b. Auscultation c. Palpation d. Inspection

Answer 31

A

Question 32

Which of the ff is a capability of a full-term newborn? a. Can discern pastel colors b. Recognize familiar faces c. Have a 20-20 vision d. NOTA

Answer 32

B

Question 33

A one-year old boy came in for consult at the OPD, which of the following is an ideal technique in taking anthropometric measurements? a. Using an upright weighing scale b. Taking his length with the help of a second person c. Removing only his shoes before weighing d. NOTA

Answer 33

B

Question 34

Which part of the history would you most likely ask, “May iba pa bang nararamdaman ang anak mo?” a. Chief Complaint b. HPI c. Review of Systems d. Past Medical History

Answer 34

C

Question 35

During PE, the following step is best a. Keep a running dialogue with patient while doing your PE b. Have the patient fully undress c. Observe silence and respect patient’s privacy d. Do a pelvic exam on all female adolescents who are sexually active whenever you elicit this data

Answer 35

A

Question 36

Which of the following is a visual capability of a normal full term newborn? a. Sees dark and white contrasts b. Fixates for prolonger periods c. Sees objects 3 feet away d. Visual tracking 180 degrees (from left to right)

Answer 36

A

Question 37

Life-saving intervention that can be done in the immediate period after birth a. exclusive breastfeeding b. complementary feeding c. Measles vaccination d. Hemophilus influenza vaccine

Answer 37

A

Question 38

After a baby is born, what should be done first? a. Cut and clamp the cord b. Dry the baby thoroughly c. Suction mouth and nose d. Do foot printing

Answer 38

B

Question 39

Exclusive breastfeeding of the healthy newborn should start as a. the newborn shows feeding cues b. mother is awake c. mother signs consent d. pediatrician makes rounds

Answer 39

A

Question 40

Normal Anthropometric measures of Filipino Newborn a. W: 3000g, L: 55cm, HCL 45cm b. W: 3500g, L: 50cm, HCL 35cm c. W: 3500g, L: 55cm, HCL 45cm d. W: 3000g, L: 50cm, HCL 35cm

Answer 40

D

Question 41

Object Permanence is an important concept that develops during the a. 5th year b. 4th year c. 2nd year d. 1st year

Answer 41

D

Question 42

A normally developing 5 year old can do the following EXCEPT: a. Run, skip, jump b. Draw a square c. Pedal a two wheeler bike d. Speak in sentences

Answer 42

NO ANSWER IN SAMPLEX

Question 43

Which statement is TRUE of Behavior and development? a. Behavior and development are synonymous b. Development refers to an increase in Physical maturity c. Behavior is an interaction of child and family factors d. Development refers to a regression of skills

Answer 43

NO ANSWER IN SAMPLEX

Question 44

In an adolescent interview: a. First talk to parent alone, then talk to adolescent alone b. Talk to parent + adolescent, then adolescent alone c. Ask parent if s/he wants to the present during the interview d. Ask adolescent if s/he wants the parent to be present during the interview

Answer 44

NO ANSWER IN SAMPLEX

Question 45

Education status is part of: a. Personal and social b. Developmental c. Nutritional d. Maternal

Answer 45

B

Question 46

During a pediatric interview, the doctor should: a. Sit down to the parent and child and face them directly b. With the child in a comfortable position, preferable in the mother’s lap c. When the child clings to the parent, the doctor should attempt to interact with him d. AOTA

Answer 46

B

Question 47

According to the guidelines of Preventive Services, serum cholesterol analysis should be done for adolescents if the following history is obtained: a. Multiple risk factor such as obesity, hypertension, DM b. In any patient who is 19 years and older c. Parent with serum cholesterol of >240gm/dl d. AOTA

Answer 47

NO ANSWER IN SAMPLEX

Question 48

In the average girl, growth spurts at what age? a. 10.5 years b. 11 years c. 11.5 years d. 12.0 years

Answer 48

A

Question 49

During brain maturation at adolescence: a. The brain development develops from occipital to frontal b. There is pruning with loss of white matter c. The emotional outbursts and mood lability manifested by adolescents may be explained by late development of the frontal area d. Clumsiness suggests lack of cerebellar coordination.

Answer 49

A

Question 50

A genogram is part of the following: a. HPI b. Family medical history c. Personal and social history d. System Review

Answer 50

B

Question 51

What do you not ask about Nutritional Development in a 3-month-old infant? a. Type of feeding b. Vitamin Intake c. Exclusively breastfeeding d. Complementary feeding

Answer 51

A

Question 52

The preliminary assessment of the newborn is done in the first 30 seconds while drying the baby; the second, more thorough, physical examination is done a. before the first breastfeed b. during the first breastfeed c. after the first breastfeed

Answer 52

C

Question 53

Cord is clamped a. after the first breastfeeding b. as soon as the cord pulsations stop c. right after the baby is delivered d. right after the placenta is delivered

Answer 53

B

Question 54

Normal for toddler except a. Imitates activities and mannerisms of mother b. Uses 900 words and sentences c. Masters walking and starts to climb d. Parallel play

Answer 54

B

Question 55

The following safety issues are recommended EXCEPT a. teaching children the danger of chasing a ball or dog in the street b. selecting toys that are cheap, easily broken in small pieces c. locking up knives, matches and electrical tools d. padding sharp corners of tables

Answer 55

B

Question 56

The following are normal findings except: a. My 12 week old infant doesn’t have teeth b. My 4 month old infant won’t look at me c. My 3 month old baby has head control d. My 12 month old baby can already walk

Answer 56

B

Question 57

The following is true regarding language development EXCEPT: a. Is it a system of communication b. It includes comprehension and expression c. Pointing to body parts is an example of expressive language d. Speech is the production of sounds

Answer 57

C

Question 58

What is an appropriate question to ask when going a personal-social history a. Sino-sino ang nakatira sa bahay ninyo? b. Mayroon bang iba sa pamilya na may ganito ding sakit? c. Ano ang mga kadalasang kinakain niya? d. Ilang taon siya nagismulang maglakad mag-isa?

Answer 58

A

Question 59

When examining a 10-year old girl, the following is a useful guideline to follow? a. You may ask about her favorite nursery rhyme to help establish rapport b. Undress her including her underwear to ensure thorough exam c. Stay in the room when she is undressing d. Ask permission before performing an exam to lesser her anxiety

Answer 59

D

Question 60

Lucas is 2 years old, he is expected to do the following a. Balance on 1 foot b. 2 word phrases c. identigy 8 colours d. Copy a square

Answer 60

B

Question 61

Gary, your 4 y/o boy can name a few colours, follow-multistep commands and engages in fantasy play. He tries to work out his own solution and already begins to take turns. However, there are times when he comes physical when angry. The best way to approach this is to: a. Restrain him from hurting others by reprimanding him b. Tell him to just stop what he is doing c. Talk to him about his feelings and ask why he is upset d. Distract him with another toy

Answer 61

C

Question 62

Which of the following should a parent NOT worry about? a. A child who cannot control his head at 5 month b. A child who cannot give attention to gestures at 9 month c. A child who cannot reach for objects at 5 months d. A child who cannot write his name at 2 years

Answer 62

NO ANSWER IN SAMPLEX

Question 63

This is an expected occurrence in puberty a. Boys physically and cognitively develop earlier than girls b. The appearance of acne and development of body odor are due to androgenic factors c. Anovulatory cycles after menarche is common up to 3 years d. Gynecomastia is seen in 40-65% of boys between SMR 1-2

Answer 63

NO ANSWER IN SAMPLEX

Question 64

Regarding screening for depression and suicide among teens using HEADSSS: a. Screening should be done only for teens who exhibit signs of depression b. All adolescents should be screened regardless of reason for consultation c. Questions should be subtle, indirect and roundabout so as not to trigger suicidal ideas d. If adolescent admits that he has plans to commit suicide, this information should be kept confidential to strengthen trust between doctor and adolescent patient

Answer 64

B

Question 65

Which of the following are the most appropriate anthropometric measurements to take in a 8 y/o girl? a. BMI, HC, height b. BMI, Weight, Height c. BP, Weight, Height d. BP, BMI, Height

Answer 65

NO ANSWER IN SAMPLEX

Question 66

Piaget assumes that children are ___ in constructing an understanding of the world a. Passive b. Active c. Neutral d. Bystanding

Answer 66

B

Question 67

The ability to think abstractly and systematically solve problems belong to what stage of Piaget’s theory of development a. Concrete b. Sensorimotor c. Formal Operational d. Preoperational

Answer 67

C

Question 68

By what age does the body length double a. 3 years old b. 4 years old c. 5 years old d. 6 years old

Answer 68

B

Question 69

Long standing relatively fixed behavior problems in children include the following EXCEPT: a. Continued, too frequent night walking at 2 y/o b. Temper tantrums in 18 month old c. Picky eating in 2-4 year olds d. Poor eye contact and hand flapping in 2 ½ y/o

Answer 69

D

Question 70

A healthy newborn demonstrates various states of wakefulness depending on eye opening, respiratory efforts, spontaneous movements and vocalization; according to Brazelton, if a baby’s eyes are closed or half-open with slight activity, the baby is in a. deep sleep b. light sleep c. quiet, awake state d. fully awake state

Answer 70

C

Question 71

12 month old, approx. how may teech should he have? a. 4 teeth b. 6 teeth c. 8 teeth d. 10 teeth

Answer 71

B

Question 72

This stage of development, according to Piaget, lasts to about 2 years of age and is responsible for the development of object permanence? a. Sensorimotor b. Pre operational c. Concrete operational d. Formal operational

Answer 72

A

Question 73

A 12-year old adolescents diagnose to have Systemic Lupus which presents with alopecia and a “butterfly rash on her face. Considering her developmental stage, what would be the most likely concerns? a. Impact of medications on fertility b. Effects on her body image c. Impact on future romantic relationships d. Effect on career choice

Answer 73

B

Question 74

A 17-year old adolescent girl has tonic clonic seizures while she was out with her boyfriend and classmates. Considering her developmental stage, what would be the most likely concerns? a. Effect on her romantic relationship and career choice b. Impact of medication on weight c. Effect on use of computers d. Limitation on sports participation

Answer 74

A

Question 75

Among the 4 streams of development, this is environment dependent? a. Eye and Hand coordination b. Social adaptive c. Nonverbal performance d. Practical Reasoning

Answer 75

B

Question 76

The best time to examine a newborn is during this state of consciousness a. Deep sleep, post prandial b. Drowsy, pre-prandial c. Light sleep, pre-prandial d. Quiet alert/awake, post prandial

Answer 76

D

Question 77

The following are counted for a full minute a. RR b. HR c. Bowel sounds d. AOTA

Answer 77

D

Question 78

When performing the Ballard, full term infants are scored as early as possible but reliably up to a. 24 hrs b. 36 hrs c. 48 hrs d. 72 hrs

Answer 78

D

Question 79

In the Ballard, criteria most prone to change in extremely preterm newborns if they are scored beyond 12 hours a. skin b. muscle tone c. lanugo d. eye

Answer 79

A

Question 80

Lanugo appears first over the a. lumbosacral area b. scapular area c. shoulders d. legs

Answer 80

A

Question 81

Screening for scoliosis is best done a. Late childhood b. Early adolescence c. Middle adolescence d. Late adolescence

Answer 81

B

Question 82

In the screening of adolescents using the CRAFTS questionnaire… not included: a. Have you ridden a car while under the influence of drugs or alcohol? b. Do you have Fun? c. AOTA d. NOTA

Answer 82

A

Question 83

For adolescents, the most effective method to prevent pregnancy, HIV, AIDS is: a. Abstinence b. Abstinence and the use of condoms of those already sexually active c. AOTA d. NOTA

Answer 83

B

Question 84

The first sign of puberty in males a. Change in voice b. Increase in testicular size c. Height spurt d. Weight spurt

Answer 84

B

Question 85

Violet is turning one year old and is in the 90th percentile. She appears to understand two languages, preferentially using her right hand and has just learned to sit by herself. a. This is normal b. Mom should be worried about her motor development c. Mom should be worried about her weight

Answer 85

B

Question 86

General Baustista heard a loud noise in his house. His house help started running but the General calmly went to the area. a. Neocortex b. Vegetative c. Reticular formation d. NOTA

Answer 86

A

Question 87

Pons, medulla oblongata is responsible for: a. Respiration, heartbeat, vasomotor activity b. Digestion, Respiration, Sphicter Control c. Urination and defecation d. Sphincter control

Answer 87

A

Question 88

Which of the following is true regarding stress? a. Inc protein synthesis b. Inc deamination in the liver c. AOTA d. NOTA

Answer 88

B

Question 89

Which of the following reactions can be observed in a person who is distressed? a. ACTH is increased b. ACTH is decrease c. ACTH stays the same d. ACTH is impossible to predict

Answer 89

A

Question 90

What is the correct sequence of secretion during stress a. ACTH > CRH > Cortisol b. Cortisol > ACTH > CRH c. CRH > ACTH > Cortisol d. CRH > Cortisol > ACTH

Answer 90

C

Question 91

Which of the following can be observed in individuals in stress? a. Decreased blood flow to the kidney b. Increased blood flow to the kidney c. Blood flow to the kidney does not change d. NOTA

Answer 91

A

Question 92

What controls water retention? a. ACTH b. Vasopressin c. Prolactin d. Thyroxine

Answer 92

B