Pedia 3rd LE

1.
A nine-month-old baby was brought to you for well-baby checkup. His birth weight was 2800 grams, birth length 50 cm, head circumference 35 cm. At present his weight is 8.5 kg and length of 65 cm. How can you tell if his weight is within normal range?
a. compute based on his weight for age
b. plotting his weight and length on the Z score table
c. compute it based on Gomez classification
d. compute based on his weight for length

b. plotting his weight and length on the Z score table

2.
Up to what age in years should the head circumference be monitored unless the child has neurological problems?
a. 3
b. 10
c. 5
d. 1

a. 3

3.
A 9-month-old male was brought to the ER because of seizure; diazepam needs to be given to control the seizure. Based on his age, what is his approximate weight in kg since you can’t get his exact weight right away?
a. 6
b. 10
c. 7.5
d. 9

c. 7.5

4.
The expected head circumference in cm of an 8-month-old, if HC at birth is 35 cm?
a. 43
b. 38
c. 44
d. 40

b. 38

5.
Fine motor skills during the infancy period focus on:
a. Mature pincer grasp
b. Hands remain fisted
c. Voluntary release of object
d. A and C

d. A and C

6.
Based on the Z-score her weight falls between 0 and minus 1, how would you interpret this?
a. Malnourished
b. Over nourished
c. Obese
d. Normal for age

d. Normal for age

7.
An increase in physical size with multiplication of component cells pertains to:
a. Development
b. Growth
c. Maturation
d. All the above

b. Growth

8.
The main hormone responsible for uterine preparation and accommodation of pregnancy is:
a. Testosterone
b. Estrogen
c. Progesterone
d. All the above

c. Progesterone

9.
A 40-year-old G1P0 mother went for a prenatal check-up with her obstetrician. She is in her second trimester, though this is her first prenatal visit. A significant question that her doctor should inquire from the mother would be:
a. illness incurred during pregnancy
b. intake of teratogenic drugs
c. exposure to radiation
d. all the above

d. all the above

10.
What factor should be taken into consideration with a primigravida G1P0 mother that would make her a high-risk pregnancy?
a. multigravida
b. late prenatal check-up
c. elderly primi
d. exposure to radiation

c. elderly primi

11.
The 40-year-old mother had a fever and maculopapular rash during the first trimester; she took paracetamol and an antihistamine as self-medication. She was diagnosed with Rubella. What is the probable outcome for the baby?
a. congenital anomaly
b. healthy baby
c. rubella
d. sepsis

a. congenital anomaly

12.
The average birth weight in kg of a Filipino baby is?
a. 5
b. 2
c. 4
d. 3

d. 3

13.
An expectant mother developed high-grade fever with cough five days prior to her expected delivery. She was admitted and diagnosed to have pneumonia; how could this affect the outcome of the baby?
a. Large for gestational age
b. Might develop clinical sepsis
c. Small for gestational age
d. Might have congenital anomaly

b. Might develop clinical sepsis

14.
A 12-month-old baby is expected to?
a. Sits with support
b. Run around
c. Stands alone
d. Roll over

c. Stands alone

15.
Temporary teeth usually start to erupt at 6 months of age, a 10-month-old child is expected to have how many teeth?
a. 6
b. 2
c. 4
d. 3

c. 4

16.
This concept in older children suggests that the voice of the patient must be heard:
a. Parental Permission
b. Child Affirmative Agreement
c. Assent
d. Autonomy

c. Assent

17.
It is the right of a rational person to make his or her own decisions and provides a moral justification for the doctrine of informed consent:
a. Assent
b. Autonomy
c. Child’s affirmative agreement
d. Parental Permission

b. Autonomy

18.
This respect encompasses both the protective role of parental permission and the developmental role of child assent:
a. Assent
b. Parental Permission
c. Autonomy
d. Child’s affirmative agreement

d. Child’s affirmative agreement

19.
This concept reflects a constraint both by the child's best interest and the independent surrogate or proxy decision made by a parent on behalf of a child:
a. Parental Permission
b. Child’s affirmative agreement
c. Assent
d. Autonomy

a. Parental Permission

20.
In 7 Steps to Protect Children, you offer support. Encourage the child to talk but don’t ask leading questions:
a. Act on any suspicion of abuse
b. Stay alert
c. Get involved
d. Learn how to react to the knowledge of abuse

d. Learn how to react to the knowledge of abuse

21.
In 7 Steps to Protect Children, you will teach your children what parts of their body others should not touch and mention that the abuser can be a family member, a friend, or an older youth:
a. Minimize the opportunity for sexual abuse by eliminating or reducing one-adult/one-child situations
b. Learn the Facts
c. Talk about it
d. Act on any suspicion of abuse

c. Talk about it

22.
In 7 Steps to Protect Children, the future well-being of a child is at stake. If the child is not helped, the abuse will continue:
a. Minimize the opportunity for sexual abuse by eliminating or reducing one-adult/one-child situations
b. Learn the Facts
c. Talk about it
d. Act on any suspicion of abuse

d. Act on any suspicion of abuse

23.
In 7 Steps to Protect Children, you will use your voice and your vote to make your community a safer place for children. Demand that the government put their resources into protecting children from sexual abuse and into responding to reports of sexual abuse:
a. Stay alert
b. Get involved
c. Learn how to react to the knowledge of abuse
d. Act on any suspicion of abuse

b. Get involved

24.
In 7 Steps to Protect Children, emotional and behavioral signs are more common, such as “too perfect behavior”, withdrawal, depression, unexplained anger, or rebellion, running away, falling in school, unusual interest in or knowledge of sexual matters, fear of a person, intense dislike at being left somewhere or with someone:
a. Learn how to react to the knowledge of abuse
b. Get involved
c. Act on any suspicion of abuse
d. Stay alert

d. Stay alert

25.
In 7 Steps to Protect Children, most sexual offenders of children are family members, friends, and neighbors—people that the child and the child’s family trust:
a. Minimize the opportunity for sexual abuse by eliminating or reducing one-adult/one-child situations
b. Act on any suspicion of abuse
c. Learn how to react to the knowledge of abuse
d. Learn the Facts

d. Learn the Facts

26.
A 17-year-old female was brought to the “Resbakuna site” for COVID-19 vaccine. She was diagnosed with congenital heart disease (CHD) with aspirin as maintenance medication. How would you manage this patient?
a. Defer vaccination because of CHD
b. Ask the patient to come back at 18 years of age
c. Discontinue aspirin for 3 days before vaccination
d. Give COVID-19 vaccination

d. Give COVID-19 vaccination

27.
A 2-year-old child was diagnosed with Kawasaki disease and was given IVIG at 2 g/kg four weeks ago. She was brought to the OPD clinic for MMR. How would you manage this patient?
a. Give MMR 3 months after IVIG
b. Give MMR
c. Defer MMR for life
d. Administer MMR 7 months post IVIG

d. Administer MMR 7 months post IVIG

28.
A premature neonate with BW of 1,800 g was born to HBsAg positive mother. Which of the following statements is correct?
a. Give Hep B vaccine and immunoglobulin within 12 hours of life, 2nd and 3rd dose at 1 month and 6 months after the first dose
b. Give Hep B immunoglobulin only since baby is LBW
c. Give Hep B vaccine only since baby is LBW
d. Give Hep B vaccine and immunoglobulin within 12 hours of life, then 1 month, 2 months and 7 months of age

d. Give Hep B vaccine and immunoglobulin within 12 hours of life, then 1 month, 2 months and 7 months of age

29.
A 10-year-old female was brought to the clinic for MMR vaccine. The mother requested that Varicella vaccine also be given but no combination vaccine (MMRV) is available. Which of the following is the best management for this patient?
a. Give MMR and Varicella at different sites
b. Give MMR only and give Varicella after a month
c. May give both MMR and Varicella at same site
d. Give Varicella only and MMR after 1 month

a. Give MMR and Varicella at different sites

30.
Which of the following pair of vaccines and earliest age of administration is NOT CORRECT?
a. Pneumococcal Polysaccharide Vaccine – 2 years old
b. Varicella vaccine – 9 months
c. Hepatitis A – 6 months
d. DPT-OPV – 6 weeks

b. Varicella vaccine – 9 months

31.
Which of the following conditions require comprehensive ophthalmologic examination?
a. Infants of a mother with herpes genitalis
b. Healthy borderline premature neonates
c. Neonates with BW of 2 kg
d. Full term infant with transient tachypnea

b. Healthy borderline premature neonates

32.
Which of the following patients has a positive tuberculin test?
a. Induration of 5 mm with pneumonia by CXR
b. Induration of 5 mm with lymphadenopathy
c. Induration of 8 mm
d. Induration of 5 mm with history of exposure to TB patient

d. Induration of 5 mm with history of exposure to TB patient

33.
A 3-year-old unvaccinated child was brought to the clinic because he was exposed to a cousin with varicella infection one day prior. How would you manage this patient?
a. Advice and reassurance
b. Give varicella vaccine
c. Treat as Varicella infection to modify the illness
d. Give Varicella Immunoglobulin

b. Give varicella vaccine

34.
The following must be done in a 1-year-old child for well-baby check-up EXCEPT:
a. Determine baseline blood pressure
b. Developmental surveillance
c. Anthropometric measurements
d. Nutritional counseling

a. Determine baseline blood pressure

35.
Which of the following vaccines require a booster dose?
a. Rotavirus
b. MMR
c. Hepatitis B
d. HPV

b. MMR

36.
Which of the following is NOT a characteristic of a live vaccine?
a. Cell mediated and humoral immune response
b. Multidose series are necessary
c. Administered via subcutaneous route
d. Inactivated by passive immunization

b. Multidose series are necessary

37.
A 5-year-old child was given MMR vaccine two weeks prior to onset of severe Acute Immune Thrombocytopenia. The hematologist suggested that IVIG be given. How would you manage this case?
a. Defer IVIG until 7 months after MMR
b. Give IVIG and repeat MMR once patient recovers
c. May give IVIG at required dose for ITP
d. Defer IVIG

c. May give IVIG at required dose for ITP

38.
A patient with thalassemia was given washed red cells but is scheduled to receive Varicella vaccine. How would you approach this patient?
a. Wait for 2 weeks prior to giving Varicella
b. Wait for 3 months prior to giving Varicella
c. Wait for 7 months prior to giving Varicella
d. May give Varicella with no interval needed

d. May give Varicella with no interval needed

39.
A 6-month-old child received his 2 primary doses of DPT, Hepa B, Hib, and oral polio vaccine at 6 and 10 weeks of age. But due to Covid-19 pandemic, was unable to finish the 3rd dose. How would you manage this case?
a. Repeat the 3-dose series
b. Give the vaccine but count as the 2nd dose
c. Give the third dose and schedule for booster 6 months after
d. Give the 3rd dose with booster dose after a month

c. Give the third dose and schedule for booster 6 months after

40.
Which of the following patients may receive live vaccines?
a. A well child with a sibling with cancer and ongoing chemotherapy
b. A patient with leukemia off treatment for 3 months
c. A HIV patient with CD4+ lymphocytes of 10%
d. Patient with renal disease and on Prednisone at 60 mg/day for 3 months

a. A well child with a sibling with cancer and ongoing chemotherapy