Preventative Pediatrics from Final Exam Samplex

Developmental screening test that can be done to 5-year-old to evaluate his milestone:
a. Denver developmental screening test
b. Newborn screening test
c. Hearing test
d. A and C

a. Denver developmental screening test

One of these is NOT a leading cause of neonatal mortality
a. prematurity
b. intrapartum factors
c. neonatal infections
d. congenital anomalies

d. congenital anomalies

A 9 month old infant was brought to the clinic for immunization update. Which of the following vaccines should NOT be given to this patient?
a. Measles
b. Tetanus
c. Diphtheria
d. Rotavirus

d. Rotavirus

A 15 year old adolescent female was brought to Jonelta Clinic for varicella vaccine. He has no previous immunization with the said vaccine and therefore should receive:
a. Two doses, the second dose should at least 6 months from the first dose
b. Two doses at least 3 months apart
c. One dose only since passive exposure to varicella could have occurred.
d. Two doses at least one month apart

d. Two doses at least one month apart

A 6 year old child was brought to the clinic due to chronic cough of 4 weeks not relieved by antibiotics and cough preparation. He is presently on chemotherapy for acute lymphocytic leukemia (ALL). Surveillance for relapse ALL was negative. The father has PTB and on his 2nd month of antiKoch. Tuberculin testing has an induration of 5 mm. Which of the following is the appropriate management?
a. No treatment required since grandmother is already noninfectious.
b. Repeat PPD after 6 months and treat if induration is 10mm or more
c. Anti-Koch therapy should be given
d. No treatment since PPD is negative

c. Anti-Koch therapy should be given

A full term neonate was born to a 27 year old mother who was positive for Hepatitis B Ag but negative for anti-HBs. Immunoglobulin and vaccination for Hepatitis B were given within 12 hours of birth. At 9 months of age, Hepatitis B Ag and anti-HBs of the infant were negative. Which of the following is the most appropriate next step?
a. No further vaccination for Hepatitis B is needed since patient is already immune
b. Give Hepatitis B immunoglobulin and Hepatitis B vaccine
c. Give 3 dose series of hepatitis B vaccine
d. Parent counselling and refer patient to pediatric gastroenterologist

c. Give 3 dose series of hepatitis B vaccine

A full term neonate was born to a G2P2 mother via vaginal delivery. The mother requested to be discharge the next day. Which of the following conditions need deferral of discharge?
a. Has passed out urine and meconium
b. Delivered by caesarian section.
c. Normal physical examination and vital signs
d. Mother has no comorbidity with the no illnesses during pregnancy

b. Delivered by caesarian section.

A 2 year old child was diagnosed with Kawasaki Disease and was given IVIG. After 3 months, he was brought to the clinic for MMR vaccine. Which of the following is the most appropriate step?
a. Give MMR at least 7 months after IVIG
b. Advise the patient to come back after a month.
c. Determine Immunoglobulin level prior to MMR.
d. May give MMR

a. Give MMR at least 7 months after IVIG

A 4 year old child with anemia from blood loss was given washed red cells, the only available type specific red cells in the blood bank at that time. She was scheduled for Varicella after two weeks. Which of the following is the most appropriate management of this case?
a. Defer giving of Varicella and advise to come back after 3 months
b. Give Varicella 7 months after blood transfusion
c. May give Varicella anytime
d. May give Varicella 11 months after transfusion

a. Defer giving of Varicella and advise to come back after 3 months

Jessielyn is 10 year old patient with thalassemia with massive splenomegaly and needs undergo splenectomy in 2 weeks. The following vaccines must be given prior to splenectomy except:
a. Hib
b. Pneumococcal
c. Influenza
d. Meningococcal

c. Influenza

Sian was given Prednisone for 5 days due to bronchial asthma attack. He was brought to the clinic for Measles vaccine. The physical examination was essentially normal. Which of the following is the most appropriate management of this case?
a. Administer Measles vaccine 3 months post Prednisone
b. Wait for one month prior to Measles vaccination
c. Give Measles vaccine
d. Advise to come back after 2 weeks for Measles vaccine

c. Give Measles vaccine

Which of the following is a primary preventive measure?
a. Safe drinking water to Barrio Malaban.
b. Expanded newborn screening at 24 hours of life.
c. A patient with Hemophilia joined Hemophilia Association of the Philippines support group.
d. Pap's smear done in a female with family history of cervical cancer.

a. Safe drinking water to Barrio Malaban.

The following patients require comprehensive ophthalmologic examination EXCEPT:
a. healthy newborn with a sibling who is being treated for retinoblastoma.
b. A full term infant who was born to a mother with syphilis
c. A premature neonate with birthweight of 2 kg with uneventful course.
d. A neonate with MI of 30 weeks who was intubated for several days.

c. A premature neonate with birthweight of 2 kg with uneventful course.

Which of the following statements is FALSE regarding active immunization?
a. It offers partial protection so that booster doses are administered at interval
b. Complete protection is provided of some vaccines.
c. It induces transient protection or temporary protection
d. Whole or part of organisms are administered to prevent infectious diseases

c. It induces transient protection or temporary protection

Routine blood pressure monitoring in a child with no cardiovascular problem is started at this age:
a. 6 years old
b. 10 years old
c. 3 years old
d. 1 year old

c. 3 years old