PED FINAL 2015

Choose the correct sequence of pubertal development in girls

Menarch, thelarch, pubarache, pubertal growth spurt

Pubarach, growth spurt, menarch, thelarch

Thelarche, pubarche, menarche, growth spurt

Pubertal growth spurt, thelarche, pubarche, menarche

In the course of normal puberty in girls, adenarche is responsible for the following signs

Pubarche

Body odor

Thelarche

Menarche

Mark clinical features of hydroecephalus

Increased head circumference

Sunken fontanels, without pulsation

"sun - setting" sign

Scalp vein distention

Microcytic anemia in children may be caused by

Iron deficency

Folic acid deficiency

Chronic infection

Vitami B12 deficiency

Which of the following are primitive, involuntary reflexes in a full term newborn

Moro reflex

Stepping reflex

Grasp reflex

Startle reflex

Glasgow coma scal refers to

Blood pressure

Best eye opening response

Best verbale response

Temperature

Which of these are temproarly physiologic in newborn

Physiological jaundice

Physiological hypoglycemia

Physiological pseudomensturation in girls

Physiological weight gain

Webbed neck (pterygium colli) extra skin fold in neck may suggest

Turner syndrome

Hyperthyroidism

Cushing syndrome

Addison syndrome

Wheezes are heard in following dieases

Bronchial asthma

Bronchiolitis

Hydrothorax

Foreing body into bronchus

Rigidity and tenderness in McBurneys point suggest

Acute appendicitis

Not appendicitis

Support reflex

Disappears between 4 - 6 months

It persist, child has psychomotor pathological development

Neonates us held under arms with feet pressed to surface

All above

Folic acid deficiency

Megalobastic anemia

Thrombocytopenia

Neuropsychomotor

Diarrhea

An inability to passivly flex the neck forward is named

Flataua sign

Upper kering sign

Neck stiffness (nuchal rigidit)

Nuchal brudzinisk

Diaphragmatic hernia complications

Asymetric movement when breathing

Cyanosis

Lung hypoplasia

Tachypnea and tachycardia

Gastroschisis

Defect present in abdominal wall, usually on right lateral side of umbilicus

Have membrane covering

Malrotation is frequent

Abdominal wall defect that occurs at the base of the umbilical cord

Loss of peristalsis

Mechanical ileus

Adynamic ileus

Peritonitis

None

Closure of anterior fontanelle

Perisit until approximately 18 months

What causes caput medusa

Due to obstruction to portal circulation

Which of the following findings indicate the increase work of breathing in infants

Nasal flaring

Retraction of intercostal muscle

Retraction of diaphragm

Fever

Find the correct sentences

The 3rd sound is increased of loudness in diseases with large left - to right shunt

Pathological 3rd sound produced protosystolic gallop rythm

The 4th heart sound is the quitests sound among all physiological sounds

The 3rd and 2nd sounds are systolic sounds

In order to check the newborns hearing you may use

Whisper test

Detection of otocustic emission

Aurico-palperbral reflex

Audiometry

A 3 y/o boy suffers from high fever, tachypnea, and stridor

Epiglottis inflammation

Laryngitis

Pharyngitis

Obturative bronchitis

Risk factor of battered child syndrome

Mental impairment of child

Lack of acceptance by mother new partner

Low socio - economical status

Abuse in childhood

What does not belong to history taking

Sosical status

Family history

Vital signs

Cheif complaint

What is false about neonates and hematopoietic system

Hb levels is 12 - 14 g/dL

Hematrocrit 3 ml/100 ml

RBC count is 3 million/mm3

What respiratory tract disease are more common in children than adults

Laryngitis

Otitis media

Ross classification

Newborn with 100 beats/min, good cyring, active motion, cough response to catheter in nostril and skin colour is completely pink, what kind of score would this give after Apgar scoring system

Characteristics of innocent murmurs

Intensity is commonly 1 - 3 degree of Levin scale

Not associated with anatomical or physiological cardiovascular dysfunction

Usually systolic murmur

Intensity depends of position of body, fever, effort and the like

Sunken fontanelles seen in

Dehydration

Increased intracranial pressure

Hyperbilirubinemia

Which is responsible for the development of external genitalia in boys

MIH

DHT

Testosterone

All of the above

You asses the following in congestive heart failure, except

Liver

Type of respiration

Frequency of respiration

Edemas in distal extremities

An edematous swelling of the scalp in newborn caused by prolonged of the occipit against cervix durig labor is called

Physiologic craniotabes

Cephallhaematoma

Erythema toxicum

Caput succedaneum

PED FINAL 2015

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