Pediatrics final - 21/22
Pediatrics Final Exam Quiz
Test your knowledge in pediatric medicine with our comprehensive quiz, designed specifically for medical students and health professionals!
Key features:
- 21 challenging questions covering various pediatric topics
- Multiple choice format for ease of answering
- Ideal for exam preparation and self-assessment
Prophylactic dose of vitamin D in heathy newborn fed with formula is:
There is no need to supplement vitamin D in formula-fed newborn
1200 IU
400 IU
800 IU
1600 IU
Which symptom/sign (often confused with Kernig's symptom) is typical of sciatica?
Goldflam's symptom
Chvostek symptom
Blumberg symptom
Neck stiffness
Lasegue Sign
The classic history of appendicitis contains
Edema of lumbar region
Migration of the pain to the right lower quadrant of abdomen
Diarrhea
Migration of the pain to the left lower quadrant of abdomen
Pain is not worsened by coughing and sneezing
True information about nystagmus is
Different name for squint
Corneal light reflex test is used to detect nystagmus
Nystagmus is a symptom of high blood pressure
Nystagmus is always connected with brain tumor
At 7weeks old, a physiological optokinetic nystagmus might appear
The symptoms of heart failure in infants include:
Jaundice
Poor weight gain
Sweating
Gallop rhythm
Hepatomegaly
Healthy infant, at the age of 6 months should present:
Brudzinski’s sign
Elevating head above the horizontal level
Precise pincer grasp
Palmar grasp reflex (in hands)
Doll’s eyes sign
Which of the following vaccines contains living, atenuated pathogen:
BCG (against tuberculosis)
Hepatitis C vaccine
Hepatitis B vaccine
Vaccine against pertussis
Vaccine against tetanus
Round, hemorrhagic spots less in 2 mm in diameter (petechiae) are characteristic for:
Low platelets level
Low hemoglobin level
Low hematocrit
Healthy status
Low fibrinogen level
Elevated cranial pressure can lead to following symptoms:*
Babiński’s sing
Tense or bulging anterior fontanelle
Doll’s eyes sign
sunset eye” sign (eyes directed downwards)
Kernig sign*
The Schamroth test is used to diagnose:
Meningitis
Acute cholecystitis
Acute stage of pneumonia
Appendicitis
Cyanotic heart disease
Rapsberry tongue is often seen in:
Toxoplasmosis
Vit. D deficiency
Scarlet fever
Smallpox
Iron deficiency anemia
Blue sclera in an effect of it’s thinning due to a defect in collagen synthesis in:
Osteogenesis imperfecta
Menkes disease
Neurofibromatosis type 1
Tuberous sclerosis
Mononucleosis
Body Mass Index is used to assess the risk of metabolic disease. What is child’s BMI if his weight is 30 kg and height 100 cm?
30
15
130
20
70
An abnormally increased distance between two organs or bodily parts, usually referring to an increased distance between the orbits (eyes) is called:
Leucocoriaf
Entropion
Exophtalmus
Hypertelorism
Esotropia
Preterms are:*
Newborns born before 38 weeks of gestation
Newborns born before 36 weeks of gestation
Newborns with SGA
Newborns born before 36 weeks of gestation and with birth weight below 2500 grams
Newborns born with the weight below 2500 grams
Head circumference of term newborn is 34 cm. What circumference can be suspected in the 3rd month of age if the infant grows properly?
38cm
44cm
36cm
42cm
40cm
Increased work of breathing is judged by:
Nasal flaring
Sweating
Retraction (recession) of chest wall
Difficulty speaking or feeding
Posseting
** 4-year-old boy came to the Emergency Room with breathing difficulties, dry cough. No runny nose and no fever. Physical examinatiom revealed: HR 150/min., respiratory rate 40/min., auscultatory wheezing. The most likely diagnosis is:
Bilateral pneumonia
Bronchial asthma attack
Acute bronchiolitis
*Acute subglottic laryngitis
Obstructive bronchitis
False sentence:
Hepatomegaly is an important sign of heart failure in infants
An infant’s liver is normally palpable 1–2 cm below the costal margin
Third heart sound in mitral area is patological in young children
Sinus arrhythmia (variation of pulse rate with respiration) is normal
In splenomegaly haematological causes like leukaemia or lymphoma should be always consider
Choose one, which is not temporary status of the newborn.
Birthweight loss
Hyperthermia of the newborn
Toxic rush
Low level of the clotting factors
1st quarter anaemia
Indicate the place of tricuspid valve auscultation.
Left 2nd intercostal space
Right 2nd intercostal space
Right 4th intercostal space
Left 5th intercostal space
Right 5th intercostal space
In Bronchiolitis we can observe:
Labored breathing
Hyperinflated chest
Fine crackles in all zones
Wheezes
Respiratory distress
Which of the following sentence is true:
Chronic diseases of heart, lung and kidneys are contraindications to immunization
After administration of immunoglobulins, vaccination MMR (measles) and chickenpox shouldn’t be made earlier than 1 month
Toxoids is an inactivated toxin (for example vaccines against hepatitis B)
Anaphylactic reactions to previous dose of vaccine is a permanent contraindications to this vaccine
Progressive or uncontrolled CNS disease (uncontrolled epilepsy) is not contraindications to immunization
Kussmaul respiration is observed in cases of:
Respiratory distress
Asthma bronchiole
Metabolic acidosis
Physiologically - during sleeping
Pneumonia
16-year-old boy with fully pigmentated groin area, fully developed testicles and penis, with pigmented and curly pubic hair extending to the medial surface of the thighs would be graded in Tanner scale as:
Tanner I
Tanner V
Tanner 0
Tanner II
Tanner III
Which disease is not vaccinated against in the first year of life?
Hepatitis B
Whooping cough
Measles
Rotavirus
Pneumococcus
The primitive reflex is:
Labyrinthine righting
Lateral propping
Moro reflex
Postural support
Parachute reflex
** Choose the false sentence, describing children with trisomy of 21 chromosome.
They have heart defect, very often
They suffer from mild intellectual disability
They usually have specific dismorfic features, such as epicantal folds, monkey forrow on the palm
The risk of neoplasma is highly elevated, especially of leukemias
The hight is placed betwen 75 and 90 percentile for age
The full-term newborn immediately after birth is assessed due to Apgar score: heart rate is below the 100 beats/min, single breaths, some flexion of extremities, slight response to catheter in nostril, pale skin The Apgar scoring is:
7 points
6 points
4 points
5 points
3 points
Lished nodules are the melanocytis hamartomas found usually in:
Beckwith-Wiedemann syndrome
Retinoblastoma
Neurofibromatosis type 1
Down syndrome
Ehlers-Danlos syndrome
Urinary tract infections in children are usually of the following etiology:
Enterococcus
E. coli
Klebsiella pneumoniae
P. mirabilis
Chlamydia trachomatis
*Newborn with birth body weight 1500 g, born in the 38th week of gestation, should be described as:
Preterm with AGA (appropriate for gestational age)
Preterm with LGA
Term with AGA
Term with SGA
Preterm with SGA (small for gestational age)
The causes of microcephaly do not include:
Malnutrition
Down’s syndrome
Intracranial hypertension
Infections with pathogens from the TORCH group
Alcohol consumption by the pregnant mother
Posseting is typical for infants, usually takes to the end of third month. It is happened because:
Position of infant during feeding is not proper
Infants usually eats more than they should
Lower sphincter of oesophagus is not fully developed
Infants have very small volume of stomach
Formula is usually not in proper temperature
The first sign of pubertal development in boys is
Pubertal gynecomastia
Appearance of pubic hair
Enlargement of testicular volume
Acne
Pubertal growth spurt
Which sentence is false?* usikker
Child should walk independently at the age of 18 months
Child should sit unsupported at the age of 9 months
Median age for a child to smiles responsively is 6 months
* Healthy newborn child can fixes and follows face
Median age for a child to raises head to 45º in prone is 2 months
3 months old infant with big scab in the fontanel region, hard, not movable, consist of epidermis, sebum masses, dirt. What is a possible diagnosis?
Burn
Crandle cap
Bacterial infection
Normal status
Bleeding
Possible causes of rickets are following, EXCEPT:
Cholestatic liver diseases
Light skin color
Living in the geographical far north
Strict vegan diet
Vitamin D deficiency in a diet of breastfeeding mother
2-days full term newborn, good general condition with petechiae on the skin, hemorrhage from rectus, good result of blood counting. What can you suspect first?
Pancytopenia
Blood group incompatibility
Thrombocytopenia
Temporary low level of clotting factors
Leukemia
7 months old boy, good fed, healthy till now, suddenly present symptoms of abdominal pain, intensive crying. In ER, after per rectum examination doctor found raspberry jelly symptom. What can you suspect in a first line?
Colic
Bleeding from lower part of digestive system
Constipation
Intusseseption
Appendicitis
12 months old child with no teeth. No other symptoms. What should you do? **ikke sikker på denne
Send child to the orthopaedist
Laboratory test for diagnosis of rickets
Laboratory test for diagnosis of hypothyreosis
Nothing. Just wait. It is physiological
Send child to the dentist
The most frequent reason of death in childhood are:
Respiratory failure
Trauma/accidents
Circulatory failure – HEART DEFECTS!
Inborn diseases
Neoplastic diseases
Please assess the patient's age, based on psychomotor skills. He runs and jumps, draws, speaks 3–4 word sentences, takes part in parallel play.
2 years
4 years
18 months
12 months
2½ years
Which component of a cow milk is a one of the strongest allergen for human infant?
Lactose
Beta-lactoglobulin
R-carnitine
L-carnitine
Alfa-lactoalbumin
Which of the following IS NOT meningeal signs:
Murphy's sign
Herman’s sign
Ammos’ sign
Flataua’s sign
Buccal Brudziński’s sign
Newborn after birth: - Has got heart rate below 100 beats per minute; its respiration is slow and irregular; no response to catheter in nostril; limbs are atonic; skin is pale. The Apgar score is:
2 points
1 points
3 points
0 points
4 points
Hirschberg test is performed for evaluation of:
Dentition
Hearing problem
Maxillary sinusitis
Latent strabismus
Otitis media
Normal respiratory rate in infants (breaths/min):
15–20, tachypnoe > 40
20–30, tachypnoe > 50
30–50, tachypnoe > 60
20–30, tachypnoe > 40
20–30, tachypnoe > 60
According to the WHO, feeding infants with breast milk only is acceptable until around:
18th month of life
6th month of life
1st month of life
12th month of life
3rd month of life
Which of the sentence (-s) concerning fontanels is true?* vet ikkje då
If PF is closed in the moment of delivery, problem with a brain growing can be expected
Anterior fontanel size depends on vitamin D
If anterior fontanel is closed in 6th month of age, problem with a brain growing can be expected
Posterior fontanel (PF) can’t be closed in the day of delivery
Anterior fontanel (AF) should be closed in 12 month of age
Choose the false sentance about innocent murmurs in children:
Murmurs in children are usually loud (⅚ in levine scale)
Loudness changes as the body position changes
They do not need treatment
Still’s systolic murmur is the most common in children
Murmurs increase during fever
Which of the following is contraindication to the breast feeding:
Hepatitis B after administration HBIG (specific immunoglobulins) and I-st dose of vaccination for baby
Active tuberculosis
Inflammations of mammary glands
Hepatitis C
Chickenpox
What score on the patient’s consciousness scale (Glasgow Pediatric Scale) will you give to the child who is unconscious, not active and unresponsive to pain stimulation?
3
6
0
9
15
Central cyanosis may be observed in all of the following, EXCEPT:
Congenital heart diseases with left-to-right shunt
Some chronic pulmonary diseases
Polycythaemia
Iron deficiency
Asthma
Choose symptom, which IS NOT typical for Hirschprung disease.
Constipations
Watery stools
Pencil-like stools
Abdominal pain
Vomiting
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