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TIRED YEAR > Pedia LQ3 > Flashcards

Pedia LQ3 Flashcards

1
Q

The following is TRUE of SARS CoV1 infection EXCEPT:

Cytokine storm usually occurs
Ciliated cells of human airway are the target cells
most of the patients present with fever and headache
the pathogen causes damage to the vascular endothelial cells

A

the pathogen causes damage to the vascular endothelial cells

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2
Q

The following are the apparent clinical manifestations of Dengue Fever EXCEPT:

Arthralgia
Muscle pains
Headaches
Bleeding dyscrasia

A

Headaches -severe headache

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3
Q

It is the only vaccine-preventable disease that is highly infectious but is non-transmissible.

Tetanus
Pertussis
Diphtheria
Hemophius Influenzae Type B

A

Tetanus

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4
Q

The following are TRUE of Poliomyelitis EXCEPT

The virus is excreted in stools within 1 month
Aseptic meningitis is a nonparalytic type
Isolation of virus from throat is best at the end of the 2nd week
Inactivated polio vaccine is protective in transmitting the virus

A

Inactivated polio vaccine is protective in transmitting the virus

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5
Q

All the following are true, regarding pathology of neonatal necrotizing enterocolitis (NEC) EXCEPT

in most situations, a pathogen is identified
the greatest risk factor for NEC is prematurity
NEC in term infants is often a “secondary” disease
NEC is much less common in infants fed human milk

A

in most situations, a pathogen is identified

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6
Q

Tetanus is an acute spastic paralytic illness historically called lock-jaw. One of the following is TRUE

tetanus is most often localized
incubation period typically is 2-6 weeks
patient remains conscious and there is no pain
cephalic tetanus occurs in association with chronic otitis media

A

cephalic tetanus occurs in association with chronic otitis media

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7
Q

The following are true regarding respiratory distress syndrome (RDS) EXCEPT:

signs of RDS usually appear within minutes of birth
apnea and irregular respirations are ominous signs
mixed respiratory-metabolic acidosis may be seen
in most cases, the symptoms and signs reach a peak within 7 days

A

in most cases, the symptoms and signs reach a peak within 7 days

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8
Q

Common respiratory tract manifestations of neonatal bacterial infections is: *

otitis media
otitis externa
empyema
retropharyngeal cellulitis

A

empyema

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9
Q

Regarding diagnosis of typhoid fever, one of the following is TRUE:

blood cultures are positive in 65-80% of the patients
urine culture results become positive within the 1st wk
thrombocytosis may be a marker of severe illness
diagnosis by Widal test alone is prone to error

A

diagnosis by Widal test alone is prone to error

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10
Q

A 10-month old female infant developed fever and rashes after she was exposed to his brother. A month ago, she was given measles vaccine. She might be having the so-called:

3-day measles infection
Atypical measles infection
Modified measles infection
Inapparent measles infection

A

Inapparent measles infection

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11
Q

The risk for developing Respiratory Distress syndrome (RDS) increases with the following EXCEPT:

maternal diabetes
multiple births
precipitous delivery
prolonged rupture of membranes

A

prolonged rupture of membranes

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12
Q

Focal infections of Streptococcus agalactiae infections in the neonate include the following EXCEPT

Impetigo
Omphalitis
Osteomyelitis
Chorioretinitis

A

Chorioretinitis

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13
Q

Kawasaki disease closely resembles toxic shock syndrome clinically. However, many of the clinical features of toxic shock syndrome are usually absent or rare in Kawasaki disease like:

Desquamation
diffuse myalgia
fever unresponsive to antibiotics
erythematous rash
hyperemia of mucous membranes

A

diffuse myalgia

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14
Q

Nibbling of uncovered skin by a rabid dog would warrant : *

wound dressing only
Immediate immunoglobulin administration
Immediate administration of Rabies vaccine
Immediate giving of prophylactic antibiotics

A

Immediate administration of Rabies vaccine

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15
Q

One of the following is/are common findings in patients with Influenza infection EXCEPT

Sneezing
Myalgia
Headache
chest discomfort

A

Sneezing

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16
Q

All the following matching are true EXCEPT: *

Shigella dysenteriae— febrile seizures
Enterohemorrhagic —– traveler’s diarrhea
Cholera- “rice water stools”
Salmonella typhi —- “Rose-spots” skin lesions

A

Enterohemorrhagic —– traveler’s diarrhea

17
Q

One of the following pathogens commonly causes nosocomial neonatal infection. *

Chlamydiae
Group A Streptococci
Group B streptococci
Coagulase-negative staphylococci

A

Group B streptococci

18
Q

One of the following is TRUE of Japanese B infection :

presents also with rhinorrhea, cough
incubation period lasts for 21 days
can be prevented by an inactivated vaccine
flaccid paralysis and focal seizures are common

A

presents also with rhinorrhea, cough

19
Q

Typically, the first sign of infection in infants with respiratory syncytial virus (RSV) would be:

Cough
Rhinorrhea
low-grade fever
increased respiratory rate

A

Rhinorrhea

20
Q

The least common clinical feature of typhoid fever in children would be;

Diarrhea
abdominal pain
Pallor
headache

A

headache

21
Q

All the following are clinical features of shigellosis EXCEPT

an incubation period of 12 hr to several days
most children never progress to the stage of bloody diarrhea
untreated diarrhea can last more than 4 weeks
neurologic findings are the most common extraintestinal manifestations

A

untreated diarrhea can last more than 4 weeks

22
Q

One of the following represent a major criterion for the diagnosis of Staphylococcal Toxic Shock Syndrome?

Rash
Vomiting
conjunctival hyperemia
thrombocytopenia

A

Rash

23
Q

An important pathogen in the respiratory tract causing bronchiolitis in children 3mos old:

Influenza
Rhinovirus
Bordetella pertussis
Respiratory syncitial virus

A

Respiratory syncitial virus

24
Q

Candidal infection would manifest with the following conditions EXCEPT:

Oral thrush
Vulvovaginitis
Atopic dermatitis
Diaper dermatitis

A

Atopic dermatitis

25
Q

The following manifestations are true of the Acute Neurologic Stage-Furious type in Rabies infection EXCEPT:

Confusion
Restlessness
genaralized paralysis
excessive excitement

A

genaralized paralysis

26
Q

This is the basic defect requiring treatment in RDS . *

metabolic acidosis
circulatory insufficiency
electrolytes disturbance
inadequate pulmonary exchange of oxygen and carbon dioxide

A

inadequate pulmonary exchange of oxygen and carbon dioxide

27
Q

A 6-year old male patient came in with an abrasion from a rusty sharp needle on her right arm. Her mother is not sure if he completed her son’s primary immunization. Your most likely intervention would be: *

Clean the wound and give antibiotics
Clean the wound, give antibiotics and tetanus toxoid
Clean the wound, give antibiotics and give tetanus immunoglobulin
Clean the wound, give antibiotics and give both tetanus vaccine and immunoglobulin

A

Clean the wound, give antibiotics and give both tetanus vaccine and immunoglobulin

28
Q

The following characterized Weil’s Syndrome or Icteric Leptospirosis EXCEPT:

Hemorrhage
Endocarditis
Elevated serum bilirubin
Elevated serum creatinine

A

Endocarditis

29
Q

The preferable antibiotic in neonate with pertussis would be

azithromycin
erythromycin
clarithromycin
amoxycilline

A

azithromycin

30
Q

The following are TRUE of Human Papilloma Virus Infection EXCEPT: *

can be transmitted perinatally
low risk type are HPV type 6,11
HPV type 6, 11 cause genital warts
increased risk for vaginal cancer

A

increased risk for vaginal cancer

31
Q

Febrile paroxysms in Plasmodium malariae would occur :

24 hours
48 hours
52 hours
72 hours

A

72 hours

32
Q

Toxic shock syndrome is an acute and potentially severe illness characterized by all the following EXCEPT:

Myalgias
strawberry tongue
conjunctival hyperemia
focal neurologic abnormalities
desquamation on the hands and feet

A

focal neurologic abnormalities

33
Q

Rotaviruses are in the Reoviridae family .All the following statements are true EXCEPT

infection typically begins after an incubation period of <48 hr (range: 1-7 days)
fever, vomiting and frequent watery stools are present in about 50-60% of cases
vomiting and fever typically abate after the 4th day of illness
dehydration may develop and progress rapidly particularly in infants
most severe disease typically occurs among children 4-36 mo of age

A

vomiting and fever typically abate after the 4th day of illness

34
Q

Patients with amoebic infections would manifest with the following EXCEPT: *

cyst passers
nodular densities
tenesmus, fever
liver abscess on left lobe

A

liver abscess on left lobe

Right love

35
Q

This is the MOST common complication of measles *

Pharyngitis
otitis media
Comjunctivitis
aseptic meningitis

A

otitis media

36
Q

This is the MOST common complication of mumps : *

Meningitis
optic neuritis
Pneumonia
thrombocytopenia

A

Meningitis

37
Q

Licks on broken skin or single transdermal abrasions would warrant:

Advised admission
giving Rabies vaccine
giving Rabies Immunoglobulin
giving the Rabies vaccine and immunoglobulin

A

giving the Rabies vaccine and immunoglobulin

38
Q

Mumps virus is in the family Paramyxoviridae and the genus Rubulavirus. It is characterized by:

incubation period ranges from 7-11 days
pale opening of the Stensen duct
parotid swelling peaks in approximately 7 days
a morbilliform rash is rarely seen

A

a morbilliform rash is rarely seen

39
Q

The major pathogen for Otitis media in patients presenting initially with frequent sneezing, runny nose would be:

Influenza
Rhinovirus
Coronavirus
Respiratory Syncitial Virus

A

Rhinovirus

TIRED YEAR (16 decks)

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