302 Flashcards
- An infant who appeared heal I
thy at birth developed sensorineural hearing loss with first year of life. Viral culture on urine from this child is positive for a relatively growing virus. With which virus was this infant most likely infected at birth?
A. HSV type 2
B. Rubella virus Measles virus C.
D. Cytomegalovirus Parvovirus B19
Cytomegalovirus
Which of the following is the correct definition of small for gestational ago .
Weight <5% according to the gestational age
• Weight <10% according to the gestational age . Weight <15% according to the gestational age
p. Weight <20% according to the gestational age . Weight <25% according to the gestational age
Weight <10% according to the gestational age .
Which of the following diseases is not within the neonatal screen
Turkiye?
A. Hypothvroidia
B. Phenylketonuria
C. Biotinidase deficiency
D. Cystic fibrosis
E. Congenital pneumonia
Congenital pneumonia
- Which of the following sentence is wrong about macrocephaly?
A. Macrocephaly describes a head that is smaller than expected size for
B. Hydrocephalus can cause macrocephaly
C. Genetic disorders can cause macrocephaly
A. Macrocephaly describes a head that is smaller than expected size for
- Which one of the following is not a highlight of fetal period?
A. Production of surfactant
B. Formation of brown adipose tissue
C. Formation of vernix caseosa
D. Urine formation
E. Formation of primitive streak
E. Formation of primitive streak
A morphological defect of an organ, part of an organ or a large region intrinsically abnormal developmental process
Malformation
- Which of the following is the malign skin finding of the newborn sepsis
A. Milia
B. Sclerema
C. Erythema toxicum
D. Salmon patch
E. Mongolian spots
Sclerema
- Which of the following parameter is not included in APGAR scoring
A. Heart rate
B. Respiration
C. Muscle tone
D. Reflex response
E. Consciousness
Consciousness
Complete the definition with the correct one below.
“Communication in obstetrics is …….
A. Listening the pregnant, and not to talk.
• Giving knowledge to the pregnant, and not to listen her.
Wasting time. If the physician examines the pregnant well, wants the lab t the results: It is enough for wellbeing of the pregnant. No need to talk.
Minimum two sided communication. Communication with the husband a pregnant may be needed.
A risk for the physician’s dignity: It should be strictly limited.
Minimum two sided communication. Communication with the husband a pregnant may be needed.
A male child was born at 35 weeks, and microcephaly confirmed with abnormalities. The mother had gone on a holiday to Brazil at 12 we During her 2-week holiday she describes a short illness of headache swelling in her small joints of her hands. The illness self-resolved. Whit do you want to test first?
A. HIV
B. Zika virus
C. Herpes simplex viruses
D. Varicella zoster virus
E. Cytomegalovirus
B
- Which of the following sentence is wrong about growth?
A. Growth is a physical change and increase in the size of organs
B. The indicators of growth are height, weight and bone size
C. Growth can be considered a vital sign in children
D. Nutrition, illness, hormonal imbalances and genetic can affect growth
E. Fetal growth is the slowest phase of growth
E
- What is the most common cause of acute gastroenteritis in children
A. Bacterial infections
B. Parasitic infections
C. Viral infections
D. Food poisoning
E. Chemical poisoning
C
- Which of the following problem is not expected in preterm babies?
A. Hyaline membrane disease
B. Apnea
C. Hyperbilirubinemia
D. Intraventricular hemorrhage
E. Polycythemia
E
- Which of the following finding is not expected in babies with hyal
A. Tachypnea (>60/min)
B. Dyspnea
C. Moaning breathing
D. Cough
E. Cyanosis
D
- Which of the following is not within the diagnostic criteria for physio
A. It appears in the first 2 days after birth
B. Serum bilirubin is rising at a rate slower than 5 mg/dL/24 hr
C. Serum bilirubin is <12 mg/dL in full-terms or <10-14 mg/dL in pretern
D. Jaundice not persists after 10 days at terms and -14 days at preterms
E. Direct bilirubin fraction is <2 mg/dL at any time
A
- Which of the following is the usual way to contract rotavirus
A. Droplet transmission
B. Air-borne transmission
C. Vertical transmission
D. Fecal-oral transmission
E. Blood-bore transmission
D
- At what age should a child be referred to a pediatrician if the child cannot walk
A. 8 months
B. 10 months
C. 12 months
D. 14 months
E. 18 months
E
- Which of the followings is wrong regarding to congenital toxoplasmosis?
A. Clinical signs in the infected infant were more likely observed in offspring of worm infection was acquired early in gestation.
B. The majority of children bor of women who acquire their infection during
trimester are born with the subclinical form of the infection
C. Clinical manifestations of congenital toxoplasmosis vary.
D. To identify all women at risk, serologic screening should be perform women, along with other routine screening tests.
E. There are always sequelae at birth.
E
- Fill in the blank.
A(n) ..
…._… is any agent that can produce a birth defect or increase the defect in a population.
A. Dysplasia
B. Stenosis
C. Teratogen
D. Disruption
E. Atresia
Teratogen
- Which of the following is not a medical indication of formula supplementation in newbor period?
A. Clinical/laboratory signs of severe dehydration due to inadequate intake despite prop lactation counseling
B. Asymptomatic hypoglycemia that does not improve despite frequent breastfeeding symptomatic hypoglycemia
C. Excessive weight loss and together with neonatal jaundice in 2-5th day of life desp proper lactation counseling
D. Neonatal jaundice with inadequate stool and urine output, pink rate crystals in diap despite proper breastfeeding counseling
E. Clinical/laboratory signs of mild dehydration due to inadequate intake, despite pro lactation counseling
E. Clinical/laboratory signs of mild dehydration due to inadequate intake, despite pro lactation counseling
- Complete the definition with the correct one below
“Self history of the patient/pregnant and family story’
A. is important in internal medicine. No need in obstetrics
B. can be reported : if the patient has insisted to talk about
C. self history may be important; but not the family history
D. to learn about obstetric history is enough for pregnants. No need to le
E. must be questioned and answers must be reported in all cases:
E
- What is the best management when the pregnant woman is curious and s about pregnancy on her own?
A. There is no need to talk about pregnancy and birth.
B. She has learned many wrong things. She must be advised to forget ever the physician.
C. The physician must inform about basic knowledge and then inform the much is needed and asked.
D. All the risks of birth must be explained to the pregnant woman to pregnancy; so she can choose termination.
E. No risk must be explained, that is not necessary.
C
- Which of the following is a sign of dehydration?
A. Sunken fontanelle
B. Reduced thirst
C. Increase in urination
D. Capillary refill time <2 second
E. Normal heart rate
A
- Which of the following is breastmilk insufficiency criteria in early post
A. Lactogenesis (milk let-down) occurs until third day of life
B. Daily 25 gr /day weight gain after birth weight regaining
C. Till passing dark stool/meconium on 7th day of life
D. Postnatal weight loss lower than %7
E. Regaining birthweight until 14th day of life
C
- Fill in the blank.
Different from polygenic and multifactorial traits, if a couple with th cystic fibrosis child go on to have another child, the risk of havin
•_.. for the new pregnancy.
A. Higher
B. Lower
C. Same
D. Varied
E. Unknown
C
- Which of the following statements concerning rubella is wrong?
A. Congenital abnormalities occur primarily when a pregnant woman is i first trimester.
B. It is a vaccine preventable disease.
C. In a 6-year-old child, rubella is a mild, self-limited disease with few co
D. Acyclovir is effective in the treatment of congenital rubella syndrome.
E. Postnatal infection with rubella has an excellent prognosis.
D
- Which of the following is not one of the findings in fetal hydrops cases?
A. Fluid accumulation in generalized or isolated form
B. Enlargement of the liver and spleen
C. Hypogonadism
D. Extramedullary hematopoiesis
E. Presence of immature erythroblasts in peripheral blood
C
- Which of the following is not one of the findings in fetal hydrops cases?
A. Fluid accumulation in generalized or isolated form
B. Enlargement of the liver and spleen
C. Hypogonadism
D. Extramedullary hematopoiesis
E. Presence of immature erythroblasts in peripheral blood
C
- Which is evaluated during vaginal examination for birth (fetal)?
A. Fetal heart rate
B. Fetal age
C. Fetal sex
D. Fetal ribs
E. Fetal presentation
E
- Which is evaluated during vaginal examination for birth (fetal)?
A. Fetal heart rate
B. Fetal age
C. Fetal sex
D. Fetal ribs
E. Fetal presentation
E
- Which is evaluated during vaginal examination at birth (maternal)?
A. Maternal blood pressure
B. Maternal pelvis
C. Maternal psychology
D. Maternal systemic diseases
E. Maternal fever
B
- Which is the first step in the treatment of acute gastroenteritis?
A. Starts antiviral medications
B. Start anti-motility medication
C. Start rehydration solution
D. Start antibiotics immediately
E. Start juice or sweet
C
- Which of the following is the most common complication of gasterenteritis
A. Dehydration
B. Heart attack
C. Eruptions on the skin
D. Sore throat
A
- Which presentation of fetus is seen mostly in term delivery?
A. Hand and arm
B. Foot and leg
C. Breech and foot
D. Breech only
E. Head
E
- Which of the following is a single-gene disease described below?
I. There is a deletion in the 12g band of the short arm of the 15th chromosome from the m II. Its clinical findings are mental retardation, inappropriate laughter, ataxia, and epileps III. Neurological findings develop mainly due to the absence of UBE3A expression.
IV. Because of the laughter and ataxia, this syndrome has been called the happy syndrome.
A. Fragile X syndrome
B. Prader-Willi syndrome
C. Fragile X tremor/ataxia
D. Angelman Syndrome
E. Leber hereditary optic neuropathy
D