Final new

NICU is the abbreviation for:

A. Neonatal intensive care unit

B. Newborn infant child unit

C. Narnia in closet unleashed

D. none of them

A. Neonatal intensive care unit

2. Risk factors of RDS are all EXCEPT:

A. Male infants

B. Infants born to mothers with diabetes

C. Chronic maternal hypertension

D. Second-born twins

A. Male infants

Treatment of bronchiolitis should include all of the following except:

A. Supplemental oxygen for infants with hypoxia.

B. Intravenous fluids and close monitoring of nutritional status

C. Antibiotics

D. antipyretics

C. Antibiotics

Which one is the most common cause of bronchiolitis?

A. RSV

B. Adenovirus

C. Rhinovirus

D. Influenza virus

A. RSV

5. Which age group does pediatrics include?

6. A. 0-1 years

7. B. 13-18 years

8. C. 0-18 years

9. D. 1-3 years

C. 0-18 years

6. Omphalitis is:

A. Pathology of the small intestine

B. Liver pathology

C. Umbilical pathology

D. Anus pathology

C. Umbilical pathology

Choose the right answer - have the ability to generate a heartbeat:

A. Atrioventricular and sinoatrial nodes

B. His cone

C. Sympathetic nerves

D. All

C. Sympathetic nerves

Which of the following characteristics of upper respiratory tract disease is incorrect?

A. Adenovirus is characterized by the development of pharyngoconjunctivitis.

B. The most common cause of upper respiratory tract disease complicated by bronchiolitis Synthetic –RS virus

C. Parainfluenza virus is not characterized by false croup syndrome.

D. Rhinoviruses are the most common cause of acute nasopharyngitis.

B. The most common cause of upper respiratory tract disease complicated by bronchiolitis Synthetic –RS virus

Upper respiratory tract infection in children is not characterized by

A. dry cough

B. with a runny nose

C. rise in temperature, weakness

D. severe headache

D. severe headache

Inspirational breath and stridor are manifested

A. in bronchial asthma

B. in case of obstructive bronchitis

C. in pneumonia

D. in case of epiglottitis

D. in case of epiglottitis

A 3-year-old child suddenly began to have inspirational stridor in the morning, noisy breathing, change in tone of voice, aggressive cough ,, wheezing: tint, your diagnosis

A. Bronchospasm

B. Acute bronchitis

C. Acute pneumonia

D. Acute laryngitis (croup syndrome)

D. Acute laryngitis (croup syndrome)

Erythrocytes are mainly involved:

A. In tissue respiration

B. In hemostasis

C. Protect the body from the effects of a foreign body

D. In allergic processes

A. In tissue respiration

Which part of the lung experiences the most atelectasis during foreign body aspiration?

A. The upper part of the right lung

B. Lower part of right lung

C. The middle part of the left lung

D. lingual segment

B. Lower part of right lung

Hemorrhages on the skin during neonatal sepsis can be explained

A. by sensitization of the child's body

B. with angiitis and thrombovasculitis

C. with irrational antibacterial therapy

D. All of the above

B. with angiitis and thrombovasculitis

At what age is the normal pulse rate 100-140?

A. 1 year

B. 12 year

C. 7 year

D. Newborn

D. Newborn

16.The parent brought the child to the pediatrician, who has a fever up to 38 degrees, swelling and pain in the back lymph nodes of the neck, abdominal pain. On palpation of the abdomen, the doctor noticed an enlargement of the spleen and liver. In the general analysis of blood there is anemia, leukocytosis, but there is no significantly altered leukocyte formula with a leftward deviation. Which blood pathology do you suspect:

A. Thalassemia

B. Acute leukemia

C. Hodgkin's lymphoma

D. Infectious mononucleosis

D. Infectious mononucleosis

The parent called the pediatric brigade due to the following complaints. The 3-year-old child suddenly started having inspirational stridor at midnight, noisy breathing, change of tone of voice, aggressive cough with a "muffled" tinge. What diagnosis can we think of?

A. Acute bronchitis.

B. Acute pneumonia.

C. Acute laryngitis.

D. Bronchospasm

C. Acute laryngitis.

18.A 3-year-old child swallowed a 5 tetri flat toy item. On radiography, the item is in the esophagus. Which method of patient management is most appropriate?

A. Expectations and observations

B. its endoscopic removal

C. induce vomiting therapeutically

D. Cleansing the intestines with saliva

B. its endoscopic removal

A 15-year-old girl with mucoviscidosis applied to the clinic with hemoptysis. An emergency life threatening complication for a given patient is:

A. Massive blood loss

B. worsening hypoxemia

C. broncho-tracheal obstruction

D. Bacterial sepsis

C. broncho-tracheal obstruction

20. A 2-year-old boy with a 3-day history of tactile fever and cough was brought to the emergency room. Deny contact with any disease. The history of reactive lung disease is negative. From the family history, asthma is noteworthy. Taste "T 38.9 C", "HR 144", "RR 44", "BP 120/78", saturation 94% of room air. Psycho-motor development is age-appropriate, manifested by moderate respiratory distress, cough supraclavicular retraction, bilateral impaired breathing on auscultation) Your diagnosis is a variant of bronchial asthma cough. Nebulizer therapy was performed with albuterol 3 times and the patient's condition remained unchanged. Which of the following is the next stage of management:

A. giving an additional dose of albuterol

B. oral or intramuscular dexamethasone

C. nebulizer therapy with epinephrine

D. chest radiographic examination

D. chest radiographic examination

21. A 7-year-old boy was brought to the clinic because he could not breathe. The child is agitated, speaks, utters individual phrases. Heart rate 114, respiratory rate 46. Auxiliary muscles are involved in respiration, suprasternal retractions are expressed. On auscultation, bronchospasm is diffuse. The severity of the child is assessed as:

A. Light

B. Medium severity

C. severe

D. Stopping breathing is inevitable

B. Medium severity

22. A 3-year-old child presents with a sore throat, fever, anorexia, and a change in tone of voice. Examination reveals unilateral neck wall bulging, anterior neck lymph node hypertrophy and pain, "T-38.9C". Probable diagnosis:

A. retropharyngeal abscess

B. Peritonsillar abscess

C. Ludwig's angina

D. Abscess of the masticatory muscle space

A. retropharyngeal abscess

23. Which method of tasting is most informative for assessing abdominal organs

A. Inspection

B. Palpation

C. Percussion

D. Auscultation

B. Palpation

24. Which of the following is not related to nephrolithiasis

A. Cystinuria

B. Thalassemia

C. Hereditary glycine

D. Primary hyperoxalia

B. Thalassemia

25. Poststreptococcal glomerulonephritis is most commonly manifested?

A. Against the background of streptococcal pharyngitis or streptococcal pyoderma

B. 7-14 days after the transfer of tonsillitis

C. Two months after the onset of pharyngitis and streptococcal pyoderma

D. Only 1 month after transmission of streptococcal pharyngitis

B. 7-14 days after the transfer of tonsillitis

26. What is meant by terming dysphagia

A. Pain on swallowing

B. Vomiting Pre-existing nausea

C. Increased salivation

D. Difficulty swallowing

D. Difficulty swallowing

27. A 2-year-old boy with a history of constipation is presented with a complaint: blood in the stool. During the examination you revealed an anal fissure. Treatment of the child includes:

A. Bacteriological analysis of feces

B. Apply topical steroid cream

C. application of topical antibacterial ointment

D. the use of fecal softeners and sedentary baths

D. the use of fecal softeners and sedentary baths

28. The most common cause of chronic enteritis in children is A. intestinal infections B. Dysbiosis C. Nutritional defects D. Uncorrected congenital or transient fermentopathies

D. Uncorrected congenital or transient fermentopathies

29. The most common cause of esophagitis is A. viral infection B. Bacterial infection C. Gastro-esophageal reflux D. Trauma

C. Gastro-esophageal reflux

30. You test a newborn, the mother notes that she thinks the baby has a big head, it is more than the circumference of the chest. What is your decision: A. The circumference of the newborn's head is above the norm as it should be equal to the circumference of the chest B. Anthropometric data are within the norm. The circumference of the newborn's head should be 2 cm larger than the circumference of the chest. C. The circumference of the newborn's head is small, as in the case of the norm it should exceed the circumference of the chest by 4 cm D. The circumference of the newborn's chest is small since it should be more than 2 cm above its circumference

B. Anthropometric data are within the norm. The circumference of the newborn's head should be 2 cm larger than the circumference of the chest.

31. Which statement do you disagree with in the case of malabsorption syndrome? A. The cause is a disorder of digestion and absorption. B. Steatorrhea is an initial change in the stool. C. Accompanied by constipation D. The leading cause of short bowel syndrome is

D. The leading cause of short bowel syndrome is

32. Biochemical tests are necessary to assess the functional state of the liver. Which of the following tests are informative in case of bile duct damage / obstruction? A. Bilirubin - total and direct, liver enzymes - AST, ALT. B. bilirubin - total and direct. C. urea and creatinine D. albumin

B. bilirubin - total and direct.

33. A 1-month-old girl was brought to the clinic for a 10-day cough. Parents do not report fever, nasal congestion, or rhinorrhea. The baby was examined by a pediatrician 2 weeks ago for conjunctivitis and local eye drops were prescribed. The child's cough is unproductive, periodically aggressive, sometimes followed by vomiting. Babies are well fed. Its "t" -37, "HR" -140, "RR" -28, "pOx" - 100% room air. Physical tasting: pronounced conjunctival initiation, small rash discharge, and conductive wheezing on both sides. What is the correct management of the patient described in the test? A. Apply at home with erythromycin eye ointment B. Discharge at home with oral erythromycin C. Discharge at home with oral azithromycin D. leave the hospital with oral erythromycin

D. leave the hospital with oral erythromycin

34. Which of the following is not considered a small intestine A. duodenum B. small intestine C. hip intestine D. cecum

D. cecum

35. What is the meaning of the term "hematemesis" A. bloody vomit B. bloody stools C. tarry stools D. bleeding gums

A. bloody vomit

36. At 11 o'clock in the evening, the mother was awakened by the screams of a 2-year-old child, 1 hour after going to bed. He sat cross-legged on the bed, then shouted, shivered, and sighed. The child was contactless and "could not be thrown into the mind." This episode lasted 5-10 minutes and then he fell asleep at once. The child is generally healthy and has not had any medical problems before. The mother's brother has epilepsy. Currently the child is sober and in contact, the results of the physical examination are within the norm. What is most acceptable in this case? A. Determination of electrolytes, plasma glucose and CT scan of the head B. Provide outpatient observations through a neurologist and EEG C. Conduct and further write research of EEG and its CT D. Calm down and then at home.

D. Calm down and then at home.

37. What does the term "akhalazia" mean? A. Greed B. Pain during feeding C. Loss of relaxation of the lower third of the esophagus (spasm) D. Disorders of taste

C. Loss of relaxation of the lower third of the esophagus (spasm)

38. Which of the following complications is not characteristic of cystic fibrosis? A. Chronic pneumonia, bronchiectasis B. Liver cirrhosis C. Polyhypovitaminosis D. Nephrotic syndrome with arterial hypertension

D. Nephrotic syndrome with arterial hypertension

39. An 8-year-old girl came in with the following complaints: Has had persistent low-grade fever and involuntary unintentional movements for the last 10 days, knee and elbow pain for the last 1 week. Throat swab taken 3 days ago on the recommendation of a pediatrician is negative for "A" group "Streptococcus". On tasting you hear a holistic hollow, predominantly on the apex, you see a rash on the torso and in the proximal part of the limbs. Which of the following diagnostic tests confirms the diagnosis the most: A. Echocardiogram B. ECG C. erythrocyte sedimentation rate D. antistreptolysin "0" test

D. antistreptolysin "0" test

40. Visceral leishmaniasis is characterized by all symptoms except: A. Hepatosplenomegaly B. Fever C. Anemia D. Leukocytosis

D. Leukocytosis

41. Does not cause bile clotting: A. disruption of the diet B. diarrhea C. pregnancy D. hypodynamics

B. diarrhea

42. Translation of community-acquired pneumonia Etiological agent is: A. Streptococcus Pneumoniae B. Staphylococcus aureus C. Mycoplasma Pneumoniae D. Legionella Pneumophila

A. Streptococcus Pneumoniae

43. An 18-month-old baby was sent to the clinic by a pediatrician after an outpatient screening for hemoglobin at 7 g / dL of microcytic, hypochromic erythrocytes. Which part of the anamnestic data is most useful for diagnosis? A. Family history B. Ethnicity C. Anamnesis of diet D. Birth history

C. Anamnesis of diet

44. A 3-year-old child has contact with a TB-infected grandfather. What are our tactics towards the child? A. We are observing B. We do TB skin C. We do not do X-ray examination D. We start prophylactic treatment with isoniazid and rimampicin

D. We start prophylactic treatment with isoniazid and rimampicin

45. The risk factors for diabetes belong to everyone except: A. Hereditary predisposition to diabetes B. Abnormal pregnancies, such as large fetuses, miscarriages C. Hypertensive disease D. Childbirth with a fetus weighing 3 to 4 kg

D. Childbirth with a fetus weighing 3 to 4 kg

46. Is the most common way of spreading inflammation during primary tuberculosis: A. Bronchogenic B. lymphogenic C. hematogenous D. lympho-hematogenous

D. lympho-hematogenous

47. Your patient is a 17-year-old boy who has been experiencing shortness of breath for the past 1 month. Complaints started after diarrhea. Currently complains of severe weakness, sweating and shortness of breath at rest. On auscultation you hear galloping, wet wheezing bilaterally in the lower extremities. On palpation, the lower edge of the liver extends up to 4 cm from the n / arc. Which of the following studies unequivocally confirms the diagnosis: A. serum troponin "T" B. Echocardiography C. endomyocardial biopsy D. ECG

C. endomyocardial biopsy

48. Which of the clinical manifestations of malaria is incorrectly indicated? A. Cold, limb chills, mild cyanosis B. High fever 40-41 degrees C. Profuse sweat flow D. Liver and spleen intact

D. Liver and spleen intact

49. Acquired cytomegalovirus infection is more common in adult children: A. With mononucleosis-like syndrome B. Hepatitis C. with prolonged pneumonia D. with gastroenteritis

A. With mononucleosis-like syndrome

50. Diseases of the immune complexes include all of the listed diseases except: A. Serum disease B. Anaphylactic shock C. Systemic lupus erythematosus D. Essential cryoglobulinemia

C. Systemic lupus erythematosus

51. A mother brought a 2-week-old newborn girl to the emergency room with a major complaint of vaginal bleeding. Says to notice a small amount of scarlet blood on the 2 diapers. The child is afebrile, well-nourished, with regular defecation and normal urination. Examination of the external genitalia is without pathology, only a small amount of blood can be seen on the vulva. Which of the following is the most appropriate treatment for cheese: A. General blood test, group and rhesus B. parent education and relaxation C. Internal vaginal examination under anesthesia D. Send the patient to the Child Protection Department and / or call a social worker

B. parent education and relaxation

52. Belongs to the organs of the immune system: A. Bone marrow B. Thymus C. Lymph nodes D. All listed

D. All listed

53. The following factors contribute to the development of acute leukemia: A. Viruses B. Ionizing radiation C. Chemical mutagens D. The combination of the above factors

D. The combination of the above factors

53. You are testing a 3-day-old newborn who is breastfeeding. The baby was born on time, weighing 3000 g and 50 cm long. At the moment he weighs 2800 g. The mother is worried about the weight loss of the baby and please ask for advice. What is your recommendation A. Explain to the mother that the child has lost more weight than normal and advise to switch the child to a nutritious diet. B. Explain to the mother that the baby has lost more weight than normal and you want to add artificial formula after breastfeeding. C. Explain to the mother that weight loss is physiological, advise to continue breastfeeding, the baby will regain weight in a maximum of 10-14 days. D. Explain to your mother that weight loss is physiological, you are advised to continue.

C. Explain to the mother that weight loss is physiological, advise to continue breastfeeding, the baby will regain weight in a maximum of 10-14 days.

54. The major part of iron is absorbed by the human body: A. In the stomach B. In the descending part of Colling C. 12 in the small intestine and small intestine D. In the intestine of the thigh

C. 12 in the small intestine and small intestine

55. Develops during enhanced blood breakdown: A. Iron deficiency anemia B. Hemolytic anemia C. Aplastic anemia D. Posthemorrhagic anemia

B. Hemolytic anemia

56. Hemopoiesis is characterized by acute leukemias: A. By increasing the number of myelocaryocytes B. With a sharp decrease in erythrocytes and granulocytes C. With an abundance of undifferentiated blast cells D. With hyperplasia of all three branches

C. With an abundance of undifferentiated blast cells

57. A 10-year-old boy, a baseball team star, had a sore throat about 2 weeks ago but did not tell his parent because he was afraid he would miss the play-offs. Since several children in this region had rheumatic fever. The mother worries that she too may be in danger. You tell the mother that there are several criteria needed to make a diagnosis. Which is the most common of the following? A. Carditis B. Polyarthritis C. Marginal erythema D. Subcutaneous nodules

B. Polyarthritis

57. A 10-year-old boy, the star pitcher for the Salt Lake City Little League baseball team, had a sore throat about 2 weeks ago but did not tell anyone because he was afraid he would miss the play-offs. Since several children have been diagnosed with rheumatic fever in the area, his mother is worried that he may be at risk as well. You tell her that several criteria must be met to make the diagnosis but the most common finding is which of the following? A. Carditis B. Arthralgia C. Erythema marginatum D. Chorea E. Subcutaneous nodules

B. Arthralgia

58. Thalassemia is found: A. In the North American Indians B. In Eastern Europe C. In equatorial Africa D. In the Mediterranean region

D. In the Mediterranean region

59. The presence of bilirubin in the urine indicates: A. Gilbert's disease B. On mechanical jaundice C. On hemolytic jaundice D. All of the above are correct

B. On mechanical jaundice

60. An increase in ALT (alanine aminotransferase) is observed in the blood: A. During necrosis of hepatocytes of any etiology B. In fatty hepatosis C. In diseases of the kidneys D. In hemolytic anemias

A. During necrosis of hepatocytes of any etiology

61. Which vitamin helps in blood coagulation? A. Vitamin K B. Vitamin C C. Vitamin A D. Vitamin D

A. Vitamin K

62. Two weeks after a viral syndrome, a 2-year-old child develops bruising and generalized petechiae, more prominent over the legs. No hepatosplenomegaly or lymph node enlargement is noted. The examination is otherwise unremarkable. Laboratory testing shows the patient to have a normal hemoglobin, hematocrit, and white blood cell (WBC) count and differential. The platelet count is 15,000/μL. Which of the following is the most likely diagnosis? A. Von Willebrand disease B. Acute leukemia C. Idiopathic (immune) thrombocytopenic purpura (ITP) D. Aplastic anemia

C. Idiopathic (immune) thrombocytopenic purpura (ITP)

63. The heart is covered by A. epicardium B. pericardium C. supracardium D. endocardium

B. pericardium

64. Investigation of choice for detection and characterization of interstitial lung disease is A. MRI B. Chest X-ray C. HRCT D. Ventilation perfusion scan

A.MRI

65. A 4-year-old previously well African American boy is brought to the office by his aunt. She reports that he developed pallor, dark urine, and jaundice over the past few days. He stays with her, has not traveled, and has not been exposed to a jaundiced person, but he is taking trimethoprim sulfamethoxazole for otitis media. The CBC in the office shows a low hemoglobin and hematocrit, while his “stat” serum electrolytes, blood urea nitrogen (BUN), and chemistries are remarkable only for an elevation of his bilirubin levels. His aunt seems to recall his 8-year-old brother having had an “allergic reaction” to aspirin, which also caused a short-lived period of anemia and jaundice. Which of the following is the most likely cause of this patient’s symptoms? A. Hepatitis B B. Hepatitis A C. Hemolytic-uremic syndrome D. Glucose-6-phosphate dehydrogenase deficiency

D. Glucose-6-phosphate dehydrogenase deficiency

66. Which one of the following vitamins is not fat soluble? A. A B. B C. D D. E

B. B

67. Which one of the following vitamins is anti-hemorrhagic? A. Vitamin B12 B. Vitamin B5 C. Vitamin C D. Vitamin K

D. Vitamin K

68. Name the blood cells, whose reduction in number can cause clotting disorder, leading to excessive loss of blood from the body. A. Erythrocytes B. Leucocytes C. Neutrophils D. Thrombocytes

D. Thrombocytes

69. A father brings his 3-year-old daughter to the emergency center after noting her to be pale and tired and with a subjective fever for several days. Her past history is significant for an upper respiratory infection 4 weeks prior, but she had been otherwise healthy. The father denies emesis or diarrhea, but does report his daughter has had leg pain over the previous week, waking her from sleep. He also reports that she has been bleeding from her gums after brushing her teeth. Examination reveals a listless pale child. She has diffuse lymphadenopathy with splenomegaly but no hepatomegaly. She has a few petechiae scattered across her face and abdomen and is mildly tender over her shins, but does not have associated erythema or joint swelling. A CBC reveals a leukocyte count of 8,000/μL with a hemoglobin of 4 g/dL and a platelet count of 7,000/μL. The automated differential reports an elevated number of atypical lymphocytes. Which of the following diagnostic studies is the most appropriate next step in the management of this child? A. Epstein-Barr virus titers B. Serum haptoglobin C. Antiplatelet antibody assay. D. Reticulocyte count

C.Antiplatelet antibody assay

70. The main cause of fever in Hodgkin's lymphoma A. Infectious complications B. The underlying disease C. Autoaggression D. All

B. The underlying disease

71. The condition "where bone marrow stops producing WBCs" is called A. anaemia B. leukemia C. leucopenia D. leukoplakia

C. leucopenia

72. A child is brought to your clinic for a routine examination. She can put on a T-shirt but requires a bit of help dressing otherwise. She can copy a circle well but has difficulty in copying a square. Her speech is understandable and she knows four colors. She balances proudly on each foot for 2 seconds but is unable to hold the stance for 5 seconds. Which of the following is the most likely age of this child? A. 1 year B. 2 years C. 3 years D. 5 year

C. 5 years

73. Select the incorrect statement out of the following A. Neutrophils constitute the majority of leucocytes. B. Eosinophils resist infection. C. Basophils secrete histamine and serotonin. D. RBCs in mammals are enucleated and biconvex in shape.

C. Basophils secrete histamine and serotonin..

74. The adolescent shown presents with a 14-day history of multiple oval lesions over his back. The rash began with a single lesion over the lower abdomen (A)the other lesions developed over the next days (B). These lesions are slightly pruritic. Which of the following is the most likely diagnosis? A. Contact dermatitis B. Pityriasis rosea C. Seborrheic dermatitis D. Lichen planus

B. Pityriasis rosea

75. Most of our cells are surrounded by— A. Blood B. fluid equivalent to sea water in salt composition C. interstitial fluid D. pure water

C. interstitial fluid

76. A previously healthy 5-year-old boy has a 1-day history of low-grade fever, colicky abdominal pain, and a rash. He is well appearing and alert. His vital signs, other than a temperature of 38°C (100.5°F), are completely normal. A diffuse, erythematous, maculopapular, and petechial rash is present on his buttocks and lower extremities, as shown in the photograph. He has no localized abdominal tenderness or reboundbowel sounds are active. Laboratory data demonstrate Urinalysis: 30 red blood cells (RBCs) per high-powered field, 2+ protein Stool: Guaiac positive Platelet count: 135,000/μL These findings are most consistent with which of the following? A. Anaphylactoid purpura B. Meningococcemia C. Child abuse D. Leukemia

A. Anaphylactoid purpura

77. Bundle of His' is a part of which one of the following organs in humans? A. Heart B. Brain C. Kidney D. Liver

A. Heart

78. A 6-year-old boy is often teased at school because he has stooled in his underwear almost daily for the last 3 months. He was toilet trained at 2 years of age without difficulty, but over the last 2 years he has developed ongoing constipation. His family is frustrated because they cannot believe him when he says, “I didn’t know I had to go.” He is otherwise normal

school is going well, and his home life is stable. His only significant finding on examination is stool in the rectal vault. The plain radiograph of his abdomen is shown. Initial management of this problem should include which of the following? A. Barium enema and rectal biopsy B. Family counseling C. Time-out when he stools in his underwear D. Clear fecal impaction and short-term stool softener use

D. Clear fecal impaction and short-term stool softener use

79. Asthma may be attributed to— A. inflammation of the trachea B. accumulation of fluid in the lungs C. bacterial infection of the lungs D. allergic reaction of the mucous cells in the lungs.

D. allergic reaction of the mucous cells in the lungs.

80. A patient comes to your office for a hospital follow-up. You had sent him to the hospital 3 weeks earlier for persistent fevers to no other symptoms. He was diagnosed with tuberculosis and is currently being treated appropriately. Advice to his family should now include which of the following? A. Restrict the child from all strenuous activities. B. Give the child a no-salt added diet. C. Prophylax the child with antituberculosis prophylaxis for dental procedures. D. Test all family members in the home with repeated blood cultures.

C. Prophylax the child with antituberculosis prophylaxis for dental procedures.

81. The trachea terminates into? A. Bronchi B. atrium C. Bronchiole D. alveoli

D. Alveoli

82. A 5-month-old child with poor growth presents to the ER with generalized tonic-clonic seizure. Activity of about 30-minute duration that stops upon the administration of lorazepam. Which of the following historical risk of information gathered from the mother is most likely to lead to the correct diagnosis in this patient? A. The child has had congestion without fever for the past 3 days B. The child is developmentally normal, as far as she knows C. The mother has been giving the infant's formula more than it last longer D. The mother reports there are no signs of one as well to make

C. The mother has been giving the infant's formula more than it last longer

84. 2-year-old boy has been having intermittent fever for 3 weeks and has been irritable, listless, and anorectic. He “feels warm” to his parents. His urine of language has remained to appetite simple words. In your evaluation of this patient, which of the following is the most reasonable diagnosis to consider? A. Expanding spinal meningocele B. Kawasaki disease C. Tuberculous meningitis D. Food allergy

C. Tuberculous meningitis

83. Hypoxia corresponds to?

A. any change in the relative rates of development of different cell lines in body

B. hardening and loss of elasticity of arteries

C. deficiency of oxygen in body tissues

D. sudden interruption of blood flow to a portion of brain due to blockage of cerebral blood vessel

C. deficiency of oxygen in body tissues;

85. Vermiform appendix arises from A. caecum B. colon C. rectum D. ileum

A. caecum

86. You are seeing an established patient, a 4-year-old girl brought in by her mother for vaginal itching and irritation. She is toilet trained and has not complained of frequency or urgency, nor has she noted any blood in her urine. Her mother noted she has been afebrile and has not complained of abdominal pain. Mom denies the risk of inappropriate contact

the girl also denies anyone “touching her there.” Your physical examination of the perineum is significant for the lack of foul odor or discharge. You do note some erythema of the vulvar area but no evidence of trauma. Which of the following is the most appropriate course of action? A. Refer to pediatric gynecology for removal under anesthesia of a suspected foreign body in the vagina B. Counsel mother to stop giving the girl bubble baths, have the girl wear only cotton underwear, and improve hygiene C. Refer to social services for suspected physical or sexual abuse D. Swab for gonorrhea and plate on chocolate agar, and send urine for Chlamydia

B. Counsel mother to stop giving the girl bubble baths, have the girl wear only cotton underwear, and improve hygiene

87. A patient with bleeding gums is advised to take fresh fruits and vegetables in diet specially because he suffers from? A. Scurvy B. night blindness C. beri-beri D. anaemia

C. beri-beri

88. A 15-year-old is participating in high school football practice in August in Texas. He had complained of headache and nausea earlier in practice, but kept playing after a cup of water. He is now confused and combative. He is dizzy and sweating profusely. His temperature is 41°C (105.8°F). Therapy should consist of which of the following? A. Provide oral rehydration solutions B. Administer acetaminophen rectally C. Order to rest on the bench until symptoms resolve D. Initiate whole body cold water immersion

D. Initiate whole body cold water immersion

89. Cyanocobalamine is required for the maturation of? A. RBC B. Platelets C. WBC D. lymph

A. RBC

1. Two weeks after a viral syndrome, a 9-year-old boy presents to your clinic with a complaint of several days of weakness of his mouth. In addition to the drooping of the left side of his mouth, you note that he is unable to completely shut his left eye. His smile is asymmetric, but his examination is otherwise normal. Which of the following is the most likely diagnosis? A. Guillain-Barré syndrome B. Botulism C. Cerebral vascular accident D. Brainstem tumor E. Bell palsy

E. Bell palsy

2. A 4-year-old girl's grandmother noticed she was limping and had a swollen left knee. The parents report that the patient occasionally complains of pain in that knee. An ophthalmologic examination reveals findings as depicted in the photograph. Which of the following conditions is most likely to be associated with these findings? A. Juvenile idiopathic arthritis (JIA) B. Slipped capital femoral epiphysis C. Henoch-Schönlein purpura D. Legg-Calvé-Perthes disease E. Osgood-Schlatter disease

A. Juvenile idiopathic arthritis (JIA)

3. A previously healthy 4-year-old child pictured below presents to the emergency room (ER) with a 2-day history of a brightly erythematous rash and temperature of 40°C (104°F). The exquisitely tender, generalized rash is worse in the flexural and perioral areas. The child is admitted and over the next day develops crusting and fissuring around the eyes, mouth, and nose. The desquamation of skin shown in the photograph occurs with gentle traction. Which of the following is the most likely diagnosis? A. Epidermolysis bullosa B. Staphylococcal scalded skin syndrome C. Erythema multiforme D. Drug eruption E. Scarlet fever

B. Staphylococcal scalded skin syndrome

4. A mother calls you on the telephone and says that her 4-year-old son bit the hand of her 2-year-old son 2 days ago. The area around the injury has become red, indurated, and tender, and he has a temperature of 39.4°C (103°F). Which of the following is the most appropriate response? A. Arrange for a plastic surgery consultation at the next available appointment. B. Admit the child to the hospital immediately for surgical debridement and antibiotic treatment. C. Prescribe penicillin over the telephone and have the mother apply warm soaks for 15 minutes four times a day. D. Suggest purchase of bacitracin ointment to apply to the lesion three times a day. E. See the patient in the ER to suture the laceration

B. Admit the child to the hospital immediately for surgical debridement and antibiotic treatment.

5. The mother of a 3-day-old infant brings her child to your office for an early follow-up visit. The mom notes that the child has been eating well, has had no temperature instability, and stools and urinates well. She notes that over the previous 3 days the child has had a progressive "rash" on the face as pictured here. Which of the following is the most likely diagnosis? A. Herpes simplex infection B. Neonatal acne C. Milia D. Seborrheic dermatitis E. Eczema

B. Neonatal acne

6. Seven-year-old boy arrives in clinic with a chief complaint of fever and left facial swelling. His mother reports that 2 days ago the area surrounding his left eye became red and swollen. He denies insect bites and trauma. Upon examination of his left eye, you note markedly swollen upper and lower lids, proptosis, and limitation of movement of the eye. His sclera is mildly hyperemic. The next step in managing this patient is which of the following? A. Parental reassurance and close follow-up B. CBC, blood culture, IM ceftriaxone, and follow-up the next day in clinic C. Ocular antibiotic drops for 7–10 days D. Oral antibiotics for 7–10 days E. Referral to a local hospital for admission, and IV antibiotics

E. Referral to a local hospital for admission, and IV antibiotics

7. A child can walk well holding on to furniture but is slightly wobbly when walking alone. She uses a neat pincer grasp to pick up a pellet, and she can release a cube into a cup after it has been demonstrated to her. She tries to build a tower of two cubes with variable success. She is most likely at which of the following age? A. 2 months B. 4 months C. 6 months D. 9 months E. 1 year

E. 1 year