PEDIA 4th LE SAMPLEX

Immunoglobulin A in breastmilk is highest in:
a. Mature
b. Colostrum
c. Transitional milk
d. Transitional milk Hind milk

b. Colostrum

The frequency of breastfeeding should be:
a. Determined by hospital procedures
b. Determined by the baby's desires
c. Determined by the rate at which the mother produces milk
d. Ideal is three-hour intervals

b. Determined by the baby's desires

A food contains 5 grams of carbohydrates, 10 grams of fat and 10 grams of protein. How many Calories (kcal) does this food provide?
a. 170
b. 180
c. 190
d. 200

None of the given options (correct total = 150 kcal)

All pregnant women should be informed about the benefits of breastfeeding. Rooming in should be done within:
a. 24 hours
b. 12 hours
c. 1 hour
d. 2 hours

c. 1 hour

Which is the most important hormone your body uses to produce breastmilk?
a. Progesterone
b. Insulin
c. Estrogen
d. Prolactin

d. Prolactin

An absolute contraindication to breastfeeding:
a. Chemotherapy
b. TB infection
c. Hepatitis B infection
d. Hepatitis C infection

a. Chemotherapy

The best indicator of nutritional status in an infant is:
a. Food records
b. 24-hour diet recall
c. Growth
d. Mental capabilities

c. Growth

A 5-year-old child was diagnosed as having megaloblastic anemia. This is most likely to be secondary to deficiency in:
a. Vitamin K
b. Vitamin B6
c. Vitamin B12
d. Folate

d. Folate

Deficiency of Zinc is usually associated with the following conditions:
a. Increased risk of respiratory and diarrheal diseases
b. Increased linear growth
c. Increased immune function
d. All of the above

a. Increased risk of respiratory and diarrheal diseases

The following are true regarding carbohydrates EXCEPT:
a. Glycemic index has predictable effects on blood sugar
b. Requirements are based on the amount of glucose utilized by the brain
c. Chronic low intake may lead to acidosis
d. Serve as major energy source

a. Glycemic index has predictable effects on blood sugar

Which of the following is NOT generally a TRUE statement about fat-soluble vitamins?
a. Excess amount is readily excreted from the body
b. They can be consumed less frequently than the water-soluble vitamins
c. They may accumulate to toxic amounts in the body
d. They are bound to proteins when circulating in the blood

a. Excess amount is readily excreted from the body

Which one of the following fatty acids is considered essential from a nutritional point of view?
a. Docosahexaenoic acid
b. Linoleic acid
c. Linolenic acid
d. Arachidonic acid

b. Linoleic acid

Protein allowances for infants are about how many gram(s) per kilogram of body weight per day?
a. 0.8 grams
b. 1.5 grams
c. 4 grams
d. 9 grams

c. 4 grams

Vitamin K deficiency is a possible result of:
a. Presence of phytates
b. Insufficient intake of citrus fruits
c. Kidney disease
d. Antibiotic therapy

d. Antibiotic therapy

Water requirements are usually increased with the following conditions EXCEPT:
a. Insensible losses through the skin
b. Increased caloric consumption
c. Watery diarrhea
d. Respiratory losses due to tachypnea

a. Insensible losses through the skin

Which of the following is NOT an indication for doing a lumbar tap?
a. Guillain-Barré Syndrome
b. Suspected meningitis
c. High-grade fever
d. Subarachnoid hemorrhage with normal CT scan

c. High-grade fever

Relatively common complication of lumbar tap:
a. Headache
b. Local back pain
c. Apnea
d. Infection

a. Headache

If the initial CSF sample is bloody during the lumbar tap, the best thing to do is:
a. Move to one lower space
b. Move to one higher interspace
c. Discontinue since it may cause further bleeding
d. Continue collection because it will clear anyway

b. Move to one higher interspace

A fatal complication in IV cannulation:
a. Air embolism
b. Bruising
c. Hematoma
d. Extravasation

a. Air embolism

A complication of IV cannulation wherein there is redness and pain at the infusion site:
a. Hematoma
b. Bruising
c. Phlebitis
d. Extravasation

c. Phlebitis

Best way to check if NGT is in proper position is:
a. Listening with a stethoscope for gurgling sound
b. Aspirating air
c. Injecting air down the tube and listening for a gust of air in the stomach
d. Injecting air down the tube and patient sneezes

c. Injecting air down the tube and listening for a gust of air in the stomach

Which of the following is not an indication for artificial manual breathing unit?
a. Guillain-Barré Syndrome
b. Perinatal asphyxia
c. Respiratory distress syndrome
d. Diaphragmatic hernia

d. Diaphragmatic hernia

Use of peak flow meter:
a. To classify asthma
b. To decide when to add or stop medicine
c. To check whether the management plan is working or not
d. All

d. All

In doing ambu bag which is NOT correct:
a. Ring and middle finger to maintain a seal
b. Hyperextend the neck
c. Thumb finger under the mandibular symphysis
d. Ring and little finger under the angle of the mandible

c. Thumb finger under the mandibular symphysis

In the newborn screening, critical congenital heart disease is screened by:
a. Prick at the sole
b. Pulse oximeter on the foot and right hand in first 24 hours of life
c. Pulse oximeter on the thumb
d. Blood extraction

b. Pulse oximeter on the foot and right hand in first 24 hours of life

Which of the following is not a urinary indication for Foley catheter insertion?
a. Collection of uncontaminated urine specimen
b. Intravesical chemotherapy
c. Relieve urinary retention
d. Bladder irrigation

b. Intravesical chemotherapy

_ catheter is inserted into the bladder through a surgical incision in the abdominal wall above the pubic symphysis:
a. Indwelling
b. Foley
c. Suprapubic
d. Three-way catheter

c. Suprapubic

Ideal position of an 18-year-old female during insertion of Foley catheter:
a. Prone
b. Dorsal recumbent
c. Knee chest
d. Supine

b. Dorsal recumbent

Which is not an indication in doing lumbar tap:
a. Encephalitis/Subarachnoid hemorrhage
b. Increased intracranial pressure
c. SLE
d. Bacterial meningitis

b. Increased intracranial pressure

During lumbar tap, the position of the needle is:
a. Forward and straight
b. Downward and slightly toward the feet
c. Forward and slightly towards the head
d. None

c. Forward and slightly towards the head

Main indication of endotracheal intubation is:
a. Obtain aspirate for culture
b. Endotracheal medication
c. Alleviate subglottic stenosis
d. Provide mechanical ventilatory support

d. Provide mechanical ventilatory support

Which of the following is not true in ET tube insertion:
a. Insert ET on the left side of the mouth
b. Pre-oxygenation with low flow oxygen for 2 minutes
c. Avoid suctioning of oropharynx during COVID-19 pandemic
d. Size of ET tube in infant up to 1 year is 4 mm

a. Insert ET on the left side of the mouth

Which of the following is a high flow oxygen delivery device?
a. Nasopharyngeal catheter
b. Nasal catheter
c. Oxygen hood
d. Nasal prong

c. Oxygen hood

Standard flow rate of nasal cannula for older children is:
a. 2 to 5 L
b. 1 to 2 L
c. More than 5 L
d. 0.5 to 1 L

a. 2 to 5 L
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