Pedia LE 1

A history of a neonate should start with an account of the: Birth of the patient; Maternal-obstetrical history; Onset of the signs and symptoms; Immunization history

Maternal-obstetrical history

According to the British Medical Research Council (BMRC), muscle strength of 3/5 means: Normal strength; Moves part full range of motion against resistance more than gravity by examiner can overcome the action; Moves part full range of motion against resistance more than gravity but not against any resistance; Moves part with gravity eliminated

Moves part full range of motion against resistance more than gravity but not against any resistance

TRUE about the Babinski sign: Babinski sign is seen normally in the majority of year-old children and in many up to 2 1⁄2 years old and should be always symmetric; It is elicited by stroking the medial border of the sole crossing the base of the great toe and over the distal end of the metatarsals; Positive Babinski response is immediate plantarflexion of the big toes and fanning of the other toes; All of the above

Babinski sign is seen normally in the majority of year-old children and in many up to 2 1⁄2 years old and should be always symmetric

A child who runs well, makes tower of 7 cubes and can put 3 words together are achieved at what age?: 30 months; 36 months; 21 months; 24 months

36 months

Normal birth head circumference for a term neonate is: 30-35 mm; 33-35 mm; 30-35 cm; 33-35 cm

33-35 cm

Abdominal shape that gives clue of the presence of diaphragmatic hernia: Scaphoid; Flat; Distended; Globular

Scaphoid

Outward turning of the eyes is called: Hypertropia; Exotropia; Hypotropia; Esotropia

Exotropia

The average time of closure (month/s) of the posterior fontanel is: 1; 2; 3; 4

2

In doing an abdominal examination in a 15-year-old male, the technique in physical examination follows this sequence: Inspection, auscultation, percussion, palpation; Inspection, auscultation, light palpation, deep palpation; Inspection, auscultation, palpation, percussion; Inspection, percussion, auscultation, light and deep palpation

Inspection, auscultation, percussion, palpation

Which of the following statements is INCORRECT about proper BP monitoring in a pediatric patient?: A more accurate cuff size is one whose inflatable width is 40% of the arm circumference midway between the olecranon and the acromion; Children over the age of 2 years who are seen in medical care settings should have their BP measured at least once during every health care episode; Appropriate cuffs should be used. Using too large or too small a cuff can lead to falsely low or high BP readings respectively; Elevated BP must be confirmed or repeated visits before characterizing a child as having hypertension

Children over the age of 2 years who are seen in medical care settings should have their BP measured at least once during every health care episode

Carol, an 11-month-old girl came to the pediatric ER due to diarrhea. Which of the following are important to note in the history of present illness?: Onset, timing and severity of the symptom; Course and development of the symptom; Associated signs and symptoms; All of the above

All of the above

Esther, 3-year-old girl diagnosed with Down Syndrome. During consult, important part of the family history should include: Maternal and obstetric history; Family pedigree; Personal and social history; Nutritional history

Family pedigree

A 14-year-old male was brought to you by his mom due to behavioral issues encountered during this pandemic. He was noted to have depressed mood, withdrawal from family activities and has been trying to smoke and drink alcohol. What component in pediatric history would be best to screen these issues?: Personal and social history; Review of systems; Environmental history; HEADSSS

HEADSSS

This variation of the Babinski reflex wherein you squeeze the calf muscle: Gonda; Oppenheim; Ring; Gordon

Gordon

The preferred method in measuring the blood pressure is: Auscultation; Palpation; Oscillometric; All of the above

Auscultation

Decreased fremitus may indicate the following conditions EXCEPT: Atelectasis; Pleural effusion; Pneumothorax; Consolidation

Consolidation

Head circumference is routinely measured in a well-child up to this age (in years): 1; 2; 3; 4

3

10-year-old male came in for routine check-up. You noted obesity. On skin inspection, there is velvety hyperpigmented grayish coarsened skin at the neck and axilla. This is consistent with: Café au lait; Normal for age; Hypersensitivity reaction; Acanthosis nigricans

Acanthosis nigricans

A component of pediatric history taking wherein it answers why the patient was brought in for consult to the hospital or clinic: Review of systems; General data; Chief complaint; History of present illness

Chief complaint

Match the following PE findings with the techniques in physical examination: flat soft anterior fontanel of a neonate = Inspection; Tympanic abdomen = Percussion; Point of maximal impulse = Palpation; Cardiac thrill and heave = Palpation; Shamroth sign = Inspection

flat soft anterior fontanel of a neonate = Inspection; Tympanic abdomen = Percussion; Point of maximal impulse = Palpation; Cardiac thrill and heave = Palpation; Shamroth sign = Inspection

Which of the following is not a landmark in measuring the head circumference?: Supraorbital ridge; Glabella; Inion or occipital prominence; Temporal areas

Temporal areas

Mary, 16-year-old adolescent female came to the clinic for recurrent headache for 5 months. What part of the history will full elaboration of the headache be recorded?: Personal, social, and environmental history; Review of systems; History of present illness; HEADDSSS

History of present illness

The age of the child and the stage of brain development are important factors to consider during the evaluation: True; False

True

Which of the following conditions does not warrant routine BP monitoring in a child less than 3 years old: Infant with cough and colds and looks well; Urinary tract infection, recurrent; Child with generalized hypotonia with history of prematurity; A child with clubbing of nails

Infant with cough and colds and looks well

Physical examination starts with the: General survey; Anthropometric measurement; Vital signs; Ideal measurements

General survey

Observation is the first phase of the neurologic examination in children. Evaluation of the following should be included in this phase: Neurocutaneous lesions; Facial dysmorphisms; Head shapes; All of the above

All of the above

What is the landmark for measuring chest circumference in infants?: Umbilicus; Manubrium; Xiphoid process; Pubis symphysis

Xiphoid process

Pediatric history taking is unique because of some relevant elements that may have an impact to the holistic management of the child. These unique elements are the following, EXCEPT: Growth and developmental history; Immunization history; Personal, social, and environmental history; Review of systems

Review of systems