2ND BIMONTHLY Flashcards by SALI BABY

What diarrhea disease (WHO) lasts for 14 days or longer?

Acute watery diarrhea
Dysentery
Persistent Diarrhea
Diarrhea with malnutrition

Persistent Diarrhea

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What is the most common type of Malrotation?

Non-rotation
failure of the cecum to move into the RUQ
tube straighten up from stomach to rectum
elongation of the duodenum

failure of the cecum to move into the RUQ

-dapat RLQ-

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It is a common complication of pneumonia in children.

Lung abscess
Atelectasis
Bronchiectasis
Pneumothorax

Lung abscess

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Which is not an indication in getting a stool exam?

Viral Diarrhea
Diarrhea last more than 1 week
Bloody diarrhea
Epidemics

Viral Diarrhea

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A 1 year old female came in at the ER with a history of painless rectal bleeding, and a currant jelly stool, What is the possible diagnosis?

Acute Gastroenteritis
Meckels Diverticulum
Acute Appendicitis
Intussuception

Meckels Diverticulum

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A 3-year old female has cough for 2 weeks associated with night sweats, fever and poor intake of food. Took salbutamol syrup with no improvement. Your most likely diagnosis is:

Bacrerial pneumonia
Viral pneumonia
Endobronchial tuberculosis
Acute laryngotracheobronchitis

Endobronchial tuberculosis

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One of the following is a sign of right-sided heart failure:

edema
tachypnea
orthopnea
wheezing
pulmonary edema

edema

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Depending on the frequency and severity of hypercyanotic attacks in tetralogy of Fallot, all the following procedures are true EXCEPT

administration of oxygen
injection of morphine subcutaneously
intravenous administration of propranolol
placement of the infant in the knee-chest position
rapid correction with intravenous sodium bicarbonate irrespective of the spell severity

rapid correction with intravenous sodium bicarbonate irrespective of the spell severity

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Tuberculosis infection is suspected if your patient has the following sign/symptom:

Cough
Weigh loss
Positive tuberculin skin test
Hilar lymphadenopathy on CXR

Positive tuberculin skin test

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A 14-year old male was known to have VSD since she was 4 months old. Failure to comply with the regular cardiac follow-up led to easy fatigability associated with cyanosis on lips, nailbeds. On auscultation, noted a short systolic murmur with a very loud P2. This complication is most likely:

Infective endocarditis
Eisenmenger syndrome
Rheumatic heart disease
Congestive heart failure

Eisenmenger syndrome

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One of the following suggests a Possible Endocarditis.

a. intracardiac mass on valve by 2D ECHO, fever 38C
b. Conjunctival hemorrhages, fever 38C
c. a single blood culture of Staph. aureus, arthhritis
d. Positive blood cultures, intracardiac mass on valve by 2D ECHO

a. intracardiac mass on valve by 2D ECHO, fever 38C

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The most common manifestation of Laryngomalacia is:

Wheezing
Inspiratory stridor
Expiratory rhonchi
Failure to thrive

Inspiratory stridor

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Despite the use of antibiotic agents, mortality remains high, in the range of 20-25%. Serious morbidity occurs in 50-60% of children with documented infective endocarditis. Of the following, the MOST common morbidity is

heart failure
pulmonary emboli
mycotic aneurysms
acquired ventricular septal defect

heart failure

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How will you manage a patient with Some Signs of Dehydration?

ORS as volume per volume replacement
ORS 50-100ml/kg body weight in 3-4 hours
Lactated Ringers in 20ml/kg body weight Normal Saline in 20ml/kg body weight

ORS 50-100ml/kg body weight in 3-4 hours

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The most common valvular involvement in patients with Rheumatic fever would be:

Mitral stenosis
Mitral regurgitation
Mitral valve prolapse
Aortic regurgitation

Mitral regurgitation

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This is the most useful tool in determining the cardiac ryhthm.

Electrocardiography
Echocardiogram
Exercise Testing Cardiac
Catheterization

Electrocardiography

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Patients with a small PDA have the following criteria EXCEPT

normal peripheral pulses
risk for endocarditis is extremely low
asmptomatic and live a normal life expectancy
continuous murmur heard best at the left upper sternal border

risk for endocarditis is extremely low

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One of the following acyanotic congenital heart diseases is not associated with increased pulmonary blood flow:

Atrial septal defect
Ventricular septal defect
Patent ductus arteriosus
Pulmonary stenosis

Pulmonary stenosis

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Which is TRUE regarding Maternal Polyhydramnios?

Lower Gastrointestinal Tract Obstruction
Lack of Normal swallowing
Too much fats in the Amniotic Fluid
Always associated with Congenital Heart Defects

Lack of Normal swallowing

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You noted on inspection, left precordial bulge and on auscultation, a grade 3/6 systolic murmur, upper left 2nd ICS and widely split S2. 2D echo revealed a shunt measuring 4mm at the fossa ovalis area and enlarged right atrium and ventricle. Other PE findings are unremarkable. One of the following does not describe the disease:

Normal sized left atrium
Surgery is the definite management
Large defects may lead to pulmonary congestion
Spontaneous closure occurs in 87% of cases

Surgery is the definite management

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Which extraintestinal organ is not involve in Patients with Inflammatory Bowel disease?

Joint
Skin
Eye
Kidney

Kidney

ratio: Of the extraintestinal manifestations that occur with IBD, joint, skin, eye, mouth, and hepatobiliary involvement tend to be associated with colitis, whether ulcerative or Crohn.

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Which does not cause bile-stained vomitus?

Esophageal strictures
Repeated vomiting without obstructon Duodenal contents refluxed into the stomach
Obstruction below 2nd part of duodenum

Esophageal strictures

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A 15-year old male was brought to the ER because of dyspnea for 4 days now. He had cough and fever for 5 days. On PE, he was pale, tachycardic, rales
were noted on both lung fields, gallop rhythm was heard and liver was 5cms below the subcostal margin. Which of the following treatment modalities is appropriate?

Diuretics, digitalis
Oxygen, digitalis
Oxygen, diuretics, nebulization
Oxygen, antibiotics, diuretics, inotropes

Oxygen, antibiotics, diuretics, inotropes

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A 9-year old known to have RF with Carditis since he was 7 years old, failed to comply with his prescribed secondary prophylaxis. he was brought to the ER today because of high fever for almost 10 days now. He was toxic looking, with pallor, irritable and had poor appetite. On PE, patient was tachycardic, noted a systolic murmur at the apex. CBC showed anemia, leukocytosis and thrombocytopenia. The most likely complication is:

Infective endocarditis
Pulmonary hypertension
Congestive heart failure
Community acquired pneumonia

Infective endocarditis

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The following is a major **Duke criterion** for the diagnosis of endocarditis Osler nodes single positive blood culture serologic evidence of infection new valve regurgitant flow by echocardiography

new valve regurgitant flow by echocardiography

Baby M, 2 days old neonate is a confirmed Covid 19 - critical, intubated and hooked to a Mechanical ventilator. You checked the ABG of the patient after 1 hour hooking to the vent, results were as follows: pH 7.16, PCO2 101, PO2 45, HCO3 20, BE -3, O2sat 94%. Interpretation for this ABG is: Metabolic acidosis with overly corrected hypoxemia Respiratory acidosis with severe hypoxemia Metabolic acidosis with severe hypoxemia Respiratory acidosis with moderate hypoxemia

Respiratory acidosis with severe hypoxemia

6-month old presents with fever and cough. After 3 days, the patient becomes tachypneic, with chest indrawings. PE showed retractions, nasal flaring and crackles both lung fieds. You advised admission since patient is not feeding well. What is your most likely diagnosis? Bronchiolitis Viral pneumonia Acute Bronchitis Bronchial Asthma

Viral pneumonia

Paroxysmal hypercyanotic attacks (hypoxic, “blue,” or “tet” spells) are a particular problem during the 1st 2 yr of life. They are characterized by: metabolic alkalosis unpredictable onset early evening occurrence an increase in intensity of the systolic murmur more freguent spells in patients with marked cyanosis at rest

unpredictable onset ??? tama to sa book

When a 12-year old presents with sudden onset of intense chest pain, difficulty of breathing and fast breathing. You will most likely consider: Pneumothorax Pleural effusion Bronchiectasis Pulmonary sequestration

Pneumothorax

Which congenital defect is **not** associated with Pyloric Stenosis? TEF Hypoplasia frenulum agenesis of inferior labial frenulum Rectal Prolapse

Rectal Prolapse

The most severe form of extrapulmonary tuberculosis in children is: Pott's Disease Secondary TB Tuberculous lymphadenitis Tuberculous meningitis

Tuberculous meningitis

The following cardiac lesions are at increased risk for bacterial endocarditis EXCEPT aortic stenosis coarctation of the aorta patent ductus arteriosus atrial septal defect seccundum

atrial septal defect seccundum

One of the following criteria suggest **Definite** Endocarditis. Fever, a single blood culture, arthritis Abscess on 2D ECHO, arthritis, fever Fever, glomerulonpehritis, a single positive culture, arthritis Positive blood cultures, intracardiac mass on valve by 2D ECHO

Positive blood cultures, intracardiac mass on valve by 2D ECHO

Which is **not part** of the triple therapy for Peptic Ulcer disease treatment? Proton Pump Inhibiter Amoxicillin Cefuroxime Metronidazole

Cefuroxime

Which is the correct World Health Organization (WHO) oral rehydration solution composition? 95 mEq of sodium, 54 mEq of chloride, 20 mEq of potassium, and 75 mmol of glucose per liter, with total osmolarity of 250 mOsm/L 75 mEq of sodium, 64 mEq of chloride, 20 mEq of potassium, and 75 mmol of glucose per liter, with total osmolarity of 245 mOsm/L 75 mEq of sodium, 64 mEq of chloride, 20 mEq of potassium, and 85 mmol of glucose per liter, with total osmolarity of 250 mOsm/L 95 mEq of sodium, 54 mEq of chloride, 10 mEq of potassium, and 85 mmol of glucose per liter, with total osmolarity of 300 mOsm/L

75 mEq of sodium, 64 mEq of chloride, 20 mEq of potassium, and 75 mmol of glucose per liter, with total osmolarity of 245 mOsm/L

What is the most common esophageal disorder in children of all ages? Hiatal Hernia Tracheoesophageal Atresia Esophageal Stenosis Gastroesophageal Reflux.

Gastroesophageal Reflux.

In the Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome, this is considered an **Absolute contraindication** in performing Adenotonsillectomy: No adenotonsillar tissue Morbid obesity and small tonsils or adenoid Submucus cleft palate Bleeding disorder refractory to treatment

No adenotonsillar tissue

These cardiac sounds are brought about by the turbulent flow through the heart. Murmurs Thrills Venous hum Gallop rhythm

Murmurs

What could be the cause of Pulmonary sequestration? Result from abnormalities in the aortic arch complex Due to a non functioning pulmonary tissue that has no connection with the tracheobronchial tree Overepxansion of a pulmonary lobe caused by bronchial mucosa redundancy Insult occurs during the embryonic stage, resulting in the absence of bronchi, airways, pulmonary vasculature and lungs

Due to a non functioning pulmonary tissue that has no connection with the tracheobronchial tree

What is the Zinc Oxide requirement for patients with Acute Gastrointeritis? 20 mg/kg in 14 days 20 mg/kg in 7 days 10mg/kg in 10 days 10 mg/kg in 14 days

20 mg/kg in 14 days

A 12-yr old male with known CHD-VSD since 2 months old, started to have easy fatigability associated with cyanosis. On PE, she has short, harsh, systolic murmur, and a loud P2. She is most likely experiencing : Ebstein anomaly Infective endocarditis Eissenmenger syndrome Congestive heart failure

Eissenmenger syndrome

Hemoglobin in the red blood cells carrying oxygen is designated as: Oxygen saturation (O2 Sat) partial pressure of oxygen(PaO2) partial pressure of carbon dioxide (PaCO2) Oxygen conecentraton

Oxygen saturation (O2 Sat)

Which is not a correct association? Pyloric Stenosis – olive shaped Intussuseption – sausage shaped Malrotation – shoulder sign Duodenal Atresia – double bubble sign

Malrotation – shoulder sign shoulder sign for pyloric stenosis

A 3-year old male with fever, throat pain, drooling of saliva, assuming an **upright sitting** position with his chin up and mouth open, bracing himself on his hands is a classic example of: Croup Epiglottitis Bacterial Tracheitis Diptheric Laryngitis

Epiglottitis

What is the **hallmark** clinical manifestation in diagnosisng **Duodenal Atresia? ** Billous vomitus with abdominal distention Billous vomitus without abdominal distention Non-Billous vomitus with abdominal distention Non-Billous vomitus without abdominal distention

Billous vomitus without abdominal distention

Joseph a 5 year old child was brought to the emergency room manifesting the following signs and symptoms: VS: Temp 38.5C, HR 102 bpm, RR 55 cpm, O2 sat 95% (room air). By history he had fever and cough for 4 days, decreased appetite, no post tussive vomiting or loose bowel movement. PE findings of alar flaring, crackles with intercostal and subcostal retractions. Based on the WHO organization for pneumonia, which classifications does the patient belong? Moderate pneumonia Severe pneumonia Nonsevere pneumonia Very severe pneumonia

Severe pneumonia

This is an absolute contraindication to performing cardiac catheterization Myocarditis Ebstein Animaly Bacterial Endocarditis Rheumatic Heart Disease

Bacterial Endocarditis

A 2 month old infant presents with mild upper respiratory tract infection associated with **sneezing and rhinorrhea**. There was positive **exposure** to a close contact a week prior. On PE, he was febrile and irritable. There was wheezing all over lung fields . Your most likely diagnosis will be: Acute epiglottitis Spasmodic croup Acute Bronchiolitis Acute bacterial tracheitis

Acute Bronchiolitis

A newborn presents with respiratory distress, choking, cyanosis due to persistent aspiration of pooled oral secretions. Chest xray showed coiling of the nasal catheter at the esophageal pouch. Your most likely diagnosis is: Choanal atresia Subglottic stenosis Tracheoesophageal fistula Vascular ring anomalies

Tracheoesophageal fistula

A child diagnosed to have Rheumatic Heart Disease is best treated with 0/1 benzathine penicillin given intramuscularly at 1.2 million units at an interval of every ? 14 days 21 days 28 days 30 days

21 days

The Pneumonics for a Rapid Cardiopulmonary assessment is: Airway flow, Breathing pattern, Circulation Airway patency, Breathing rate, Circulation Circulation, Airway flow, Breathing rate Circulation, Airway patency, Breathing pattern

Airway patency, Breathing rate, Circulation

Which is not a route of transmission of Hepatitis B Virus? Parenteral Fecal-Oral Sexual Perinatal

Fecal-Oral

A 3 year old presents with fever, irritabilty, drooling and poor oral intake. He **refuses to move his neck.** PE showed **bulging** of the pharyngeal wall. Your most likely diagnosis is: Acute epiglottitis Foreign body aspiration Retropharyngeal abscess Acute laryngotracheobronchitis

Retropharyngeal abscess

Where is the usual location of gastric ulcers in the stomach? Greater curvature of the stomach Lesser curvature of the stomach Crura Antrum

Lesser curvature of the stomach

Medication associated to be a risk factor of Intussuception Erythromycin Cefuroxime Salicylate Acid Penicillin

Erythromycin

A 13-year old male complained of nasal congestion, headache, facial pain particularly on the forehead. The purulent discharge persisted for more than 2 weeks already. Your most likely diagnosis is: Common colds Acute rhinitis Acute sinusitis Acute epiglotittis

Acute sinusitis

If a patient has positive tuberculin skin test, with stable healed lesion, and had exposure to an adult with PTB , you're most likely to give: 3 months INH 6 months INH 9 months INH 12 months INH

9 months INH

A newborn at 34 weeks AOG was noted to be tachypnic. There was a continuous murmur noted at the left upper sternal border. Pulses were bounding. Your most likely diagnosis will be: Atrial septal defect Ventricular septal defect Patent Ductus Arteriosus Tetralogy of Fallot

Patent Ductus Arteriosus

A chest xray findings of moderate to severe cardiomegaly involving the right atrium and ventricle( **Snowman** sign) and prominent pulmonary vascular markings show what type of cyanotic CHDs? TOF TAPVR TGA DOuble outlet right ventricle

TAPVR

Which is not a good sleeping position in patients with GERD? Elevate Head Left Sided Position Excessive Pillows Supine Position

Excessive Pillows

A Chest xray finding of an **egg-shaped** cardiac silhouette with a narrow superior mediastinum is characteristic of what cyanotic CHD? Tetralogy of Fallot (TOF) Transposition of Great Arteries (TGA) T AP VR Tricuspid Atresia

Transposition of Great Arteries (TGA)

Miko, is a 15 year old male, with a history of jaundice; Blood test for Hepatitis Panel shows the following: Anti-HBs (+), HBsAg (-), Anti-HBc IgG (+), Anti HBc IgM (-). Please Interpret. Chronic Infection with Hepatitis A Past Infection with Hepatitis B Active Infection with Hepatitis B Vaccine Response with Hepatitis A

Past Infection with Hepatitis B

This is the primary defect of Tetralogy of Fallot . Anterior deviation of the infundibular septum Obstruction to right ventricular outflow Overriding of the aorta Ventriclar Septal Defect

Anterior deviation of the infundibular septum

Respiratory failure is considered when the partial pressure of arterial oxygen is < ____ mmHg in a patient breathing room air at sea level. 50 55 60 65

This is the most important factor in controlling ductus arterioles closure. Oxygen Prostaglandin E Prostaglandin E2 Carbon dioxide

Oxygen

The most common infectious cause of upper airway obstruction in infants and children is: Bacterial tracheitis Acute epiglottitis Acute laryngotracheobronchitis Membranous laryngotracheobronchitis

Acute laryngotracheobronchitis

What is the primary mechanism behind the hypoxic/tet spells in patients with Tetralogy of Fallot? Increased left to right shunting Increased pulmonary blood flow Increased systemic venous return Increased systemic vascular resistance

Increased systemic venous return

Chest pain in the pediatric patient often generates a significant amount of 1/1 patient and parental concern.Of the following, the MOST common cause is: myocarditis pericarditis pleurisy pneumothorax pneumonia

pneumonia

It is the most common clinically significant form of disseminated tuberculosis. Miliary TB Secondary TB Pott's Disease Tuberculous meningitis

Miliary TB

In Acute Appendicitis, Which is not an Uncomplicated patient? pain ≤48 hours ultrasonographic or CT documentation of a nonruptured appendix appendiceal diameter ≤1.1 cm without phlegmon, abscess, or fecalith Fever of < 24 hours

Fever of < 24 hours

This is NOT a clinical manifestion in patients with Infective Endocarditis: Roth spots Osler's nodes Janeway lesions Subcutaneous nodules

Subcutaneous nodules

Which is not part of the criteria in diagnosisng children with Acute Pancreatitis? abdominal pain Billous Vomitus serum amylase and/or lipase activity at least 3 times greater than the upper limit of normal imaging findings characteristic with acute pancreatitis

Billous Vomitus

During a routine cardiac physical examination of A 3 year old male child, the point of maximal impulse is usually located on this area. 4th left intercostal space parasternal line 4th intercostal space within left midclavicular line 5th left parasternal line 5th left intercostal space

5th left intercostal space

Mother Nelia’s 29 weeks Age of gestation ultrasound was noted to have 1/1 Maternal Polyhramnios. What are the possible Fetal complication that you will not expect with this maternal ultrasound finding? Esophageal Atresia Tracheoesophageal Fistula Meckel’s Diverticulum Pyloric stenosis

Meckel’s Diverticulum

The following are signs of Coarctation of the Aorta (CoA) EXCEPT bounding pulses of the arms femoral pulses are weak or absent femoral pulse occurs slightly before the radial pulse blood pressure in the legs is lower than that in the arms

femoral pulse occurs slightly before the radial

Primary management of the hypoxic spells in Tetralogy of Fallot involves the following EXCEPT: O2 inhalation Phenylephrine Morphine sulfate Sodium bicarbonate

Phenylephrine

In the fetal circulation, one of the following are existing shunts EXCEPT: Placenta Foramen ovale Foramen magnum Ductus venosus

Foramen magnum

Tonsillectomy is usually warranted for the chronic or recurrent 1/1 tonsillopharyngitis; . Based on the Paradise Criteria for Tonisllectomy, how many minimum frequency of sore throat episodes a child must have to qualify for the said procedure? At least 5 episodes in the previous year, at least 3 episodes in each of the previous 2 years or at least 2 episodes in each of the previous year At least 7 episodes in the previous year, at least 3 episodes in each of the previous 2 years or at least 3 episodes in each of the previous year At least 5 episodes in the previous year, at least 5 episodes in each of the previous 2 years or at least 3 episodes in each of the previous year At least 7 episodes in the previous year, at least 5 episodes in each of the previous 2 years or at least 3 episodes in each of the previous year

At least 7 episodes in the previous year, at least 5 episodes in each of the previous 2 years or at least 3 episodes in each of the previous year

Carlo is a 19 month old male who came in to be pale looking. As you asked his history, mother claimed that she noted blood in his stool for 5 days already. It took her 5 days to seek Medical Help since Carlo does not complain of any pain on defecation, and he has a history of Milk allergy. What is the most sensitive study to confirm the diagnosis of this Gastrointestinal anomaly? Ultrasonography CT Scan CT Scan with contrast Radionucleic scan

Radionucleic scan

The changing hemodynamics in the newborn is reflected in the wave in EEG P wave QRS wave QT interval T wave

T wave

This component determines the degree of cyanosis in a patients with Tetralogy of Fallot: Size of the VSD Pulmonary stenosis Overriding of aorta Right ventricular hypertrophy

Pulmonary stenosis

What is the most common congenital anomaly in the GIT? Pyloric Stenosis Meckels Diverticulum Billiary Atresia Duodenal Atresia

Meckels Diverticulum

A Primary Tuberculosis Disease consists of the following EXCEPT: Primary focus Lymhangitis Lymphadenitis Lymphadenopathy

Lymphadenopathy

Prenatally what could be a significant finding that could lead to a diagnosis of Congenital Cystic Adenomatoid Malformation (CCAM)? Presence of oligohydramnios and decreased fetal movement Findings of decreased fetal breathing due to CNS lesions Polyhydramnios and an abnormally small stomach Fetal ultrasonography shows multiloculated cysts within the lung parenchyma

Fetal ultrasonography shows multiloculated cysts within the lung parenchyma

Which is the CORRECT pairing regarding the disorder and possible diagnostic evaluation? Lactose Intolerance - Abdominal Ultrasound Chronic Constipation - CT Scan Inguinal Hernia - Abdominal Xray Peptic Ulcer - MRI Enteroscopy

Peptic Ulcer - MRI Enteroscopy

Tiffany, a 5 year old female, came in for cough, with colds associated with fever (Temp range: 38 - 38C) with sensation of lump when swallowing and hyposmia noted 4 days prior to consult. Physical examination revealed swollen nasal turbinates, hypertrophic tonsils without exudates with clear breath sounds on auscultation. Other examination findings were unremarkable. What would be your working diagnosis for this patient? Allergic rhinitis Acute rhinitis Acute pharyngitis Sinusitis

Allergic rhinitis

The classic continuous murmur described as "machinery-type" is best heard in patients with: Tetarlogy of Fallot Atrial Septal Defect Ventricular Septal Defect Patent Ductus Arteriosus

Patent Ductus Arteriosus

You received a baby with Apgar score of 4,6,7 in respiratory distress with 1/1 episodes of cyanosis and apnea, which you eventually intubated. Further digging in the patient’s history, mother was noted to have oligohydramnios prior delivery with decreased fetal movements. Physical examination revealed: breath sounds diminished on both sides, dull to percussion, with desaturations despite being hooked to a mechanical ventilator. Chest xray revealed small lung with mediastinal ipsilateral shift and compensatory hyperinflation. With these findings, what could be your working impression? Congenital lobar emphysema Pulmonary sequestration Pulmonary aplasia Tracheoesophageal fistula

Pulmonary aplasia

Which is not part of the rule of 2s in patients with Meckels Diverticulum? 2% of the general population located 2 feet distal to the ileocecal valve 2 inches in length contain 2 types of ectopic tissue (pancreatic or gastric)

located 2 feet distal to the ileocecal valve

Jen, 12 years old female, was admitted for cough of 2 weeks with afternoon 1/1 fever for a week already. Upon further digging of the patient’s history, you were able to extract that she lives with her grandmother who was currently treated for Pulmonary TB and that she was also treated for Pulmonary TB 6 months ago. According to her mother they were able to give her medications for TB taken with good compliance. Knowing the patient’s history, you worked up the patient for Pulmonary TB, sputum culture revealed growth for M. tuberculosis. With these findings, how would you categorize Jen? PTB, previous treatment outcome unknown PTB, relapse PTB, treatment after lost to follow-up PTB, treatment after failure

PTB, treatment after failure

A 12-year old male had 5 days intermittent fever with swollen, painful knee and ankle joints. On PE, patient was tachycardic, a grade 3/6 murmur was noted on the apex and rashes on the trunk were visible. ASO titer result showed 800TU. One of the following best describes the Jone's criteria for Rheumatic fever. Fever, rashes, swollen joints Fever, tachycardia, painful joints, ASO 800 TU Murmur, swollen and painful joints, ASO 800 TU Fever, rashes, painful and swollen joints, ASO 800 TU

Murmur, swollen and painful joints, ASO 800

In MOST patients with an Atrial Septal Defect(ASD), the characteristic physical finding is: a right ventricular systolic lift a mild left precordial bulge a fixed splitted 2nd heart sound a systolic ejection murmur a short, rumbling mid-diastolic murmur

a fixed splitted 2nd heart sound

The most affected area on the trachea when the child has Tracheomalacia is the: Proximal 3rd Middle Distal third The base of the trachea

Distal third

This is the MOST common cause of syncope in children : myocarditis atrioventricular block prolonged QT syndrome neurocardiogenic syncope

neurocardiogenic syncope

The adequacy of the blood flow of this blood vessel is crucial in the treatment of tricuspid atresia . Aorta Pulmonary artery Pulmonary vein Right Subclavian vein

Pulmonary artery

Spirometry measures both forced vital capacity and expiratory flows. The respiratory flows that can be measured are the following EXCEPT: Forced expiratory volume Maximal mid-expiratory flow Forced Inspiratory volume Peak expiratory flow rate

Forced Inspiratory volume

Which is a character of patient with Biliary Atresia? Cone shaped sign on ultrasound Enlarged liver on Physical Examination Associated with intussusception Can occur in the same family

Cone shaped sign on ultrasound

In truncus arteriosus, a single arterial trunk arises from the heart and supplies 1/1 the systemic, pulmonary, and coronary circulations. All the following are true EXCEPT VSD is always present clinical cyanosis is usually mild the truncus overriding the defect both ventricles are at systemic pressure heart failure ensues immediately after birth

heart failure ensues immediately after birth

Any of the following can serve as evidence of preceding infection in patients with Rheumatic fever EXCEPT: Positive throat culture Elevated anti streptolysin-O Rapid antigen test for Grp. B streptococcus Recent infection with sandpaper rash, fever and sore throat

Rapid antigen test for Grp. B streptococcus

The normal pH for arterial blood is slightly basic at this range: 7.32-7.42 7.35-7.45 7.45-7.50 8.7.47-7.57

7.35-7.45