HD 202 E3 Samplex 2105 Flashcards
Compared to adults, which of the ff. factors should be considered first when interviewing a child?
A. Developmental Stage
B. Gender
C. Culture
D. Family
A
At beginning of adolescent interview, the doctor should…
A. Introduce self
B. Give candies to attract attention
C. Put child to ease
D. Talk to parent for a long time
A
During the interview proper of the child, which of the following will be a technique in encouraging the child to respond, especially those with selective mutism?
A. Follow the lead of child’s response
B. Ask about the child’s interests and feelings
C. Ask about the child’s fears and anxieties
D. Remain silent and wait for the child to speak
B
In ending the child interview,
A. say time is up and you have to say goodbye
B. inform the child that he will answer remaining questions next meeting
C. ask for any information that they would like to add
D. end the interview with questions
C
Children who resist being interviewed should be dealt with by
A. offering food and promising to go to the mall
B. being calm and offer use of materials like paper/lego/crayons
C. asking the mother to talk to the child in your clinic
D. leaving the child to have time for himself
B
If a child has inconsistencies in his or her answers, the physician should
A. Probe by telling the child that you are confused with his/her answers
B. Challenge the child
C. Stop the session and continue next meeting
D. Inform the child that s/he is not telling the truth
A
You can offer opportunity to save face by
A. Questioning the child’s statement
B. Comparing his/her statement with the mother’s
C. Allowing for short breaks in questioning
D. Pointing out she was inconsistent in making the statement
C
If you notice that the child is nervous, you say:
A. “Don’t be nervous.”
B. “Why are you nervous?”
C. “It is normal to be nervous after being asked so many questions.”
B
According to Erik Erikson, during adolescence, the crisis to be resolved is:
A. Identity vs. Role confusion
B. Generativity vs. Stagnation
C. Intimacy vs. Isolation
D. Initiative vs. Doubt
A
Normal up to this age to sometimes talk to self and make believe stories like hallucinations
A. 6
B. 8
C. 10
D. 12
A
When noting the child’s affect, you observe his/her
A. Emotion
B. Facial expression
C. Mood
B
How will you elicit the problems of the child?
A. Asking directly
B. Asking the parent if something is wrong with the child
C. Projective measures
C
By asking a child to draw, you are evaluating the child’s
A. Approximate intelligence
B. Creative skills
C. Sexual orientation
D. Fantasies
A
Melissa, 7 y/o, has been depressed for 2 weeks after her mother’s death. After you conducted the MSE, this is the most common finding:
A. Impulsivity
B. Anger
C. Irritability
D. Anxiety
C
Which is not a component of KATZ ADL Scale?
A. Bathing B. Dressing C. Toileting D. Shopping E. Feeding
D
An MMSE score of 21 suggests
A. Mild cognitive impairment
B. Moderate cognitive impairment
C. Severe cognitive impairment
D. Dementia
A
Asking the patient to interpret a proverb measures
A. Recent memory B. Orientation C. Insight D. Planning E. None of the above
E
Mr. T, a right-handed 70 y/o patient, comes in for a geriatric assessment (for cognitive function). How will you conduct the 3-stage command test?
A. Ask the patient to take the paper with his right hand, fold it into half and return it to you
B. Ask the patient to take the paper with his left hand, fold it into half and return it to you
C. Ask the patient to take the paper using any of his hand, fold it into half and return it to you
D. Ask the patient to stare at the paper as long as he/she can
E. Ask the patient to write a sentence on the piece of the paper
B
A GDS score of 25 suggests
A. Mild depression
B. Moderate depression
C. Severe depression
D. Psychosis
C
[T/F] In examining the pediatric patient, one should always follow a head-to-toe sequence
F
[T/F] In examining the child, the tonsils are inspected first before palpating for possible neck masses.
F
[T/F] In examining a pediatric patient, auscultation should generally come first before palpation
F
[T/F] One should not allow a child to touch your stethoscope or otoscope as these are delicate instruments and are easily destroyed
F
[T/F] In examining a pediatric patient, the first thing to do is to establish rapport
T
DS, a 39 y/o patient with the ff. information:
Weight: 69 kg
Height: 5’0”
BP: 140/100
What is the patient’s BMI? A. 28 B. 29 C. 30 D. 31
C
DS, a 39 y/o patient with the ff. information:
Weight: 69 kg
Height: 5’0”
BP: 140/100
The patient is considered as A. Underweight B. Normal C. Overweight D. Obese
D
DS, a 39 y/o patient with the ff. information:
Weight: 69 kg
Height: 5’0”
BP: 140/100
BP Chart shows that her BP is in the 90th percentile based on her gender and age. What is the next best step?
A. Give antihypertensive agents and guide her through lifestyle modification
B. Lifestyle modification, prescribe a low-salt, low-carbohydrate diet, and instruct her to exercise
C. Repeat measurements 3x in a month and lifestyle modification
D. White-coat hypertension, no intervention needed
C
DS, a 39 y/o patient with the ff. information:
Weight: 69 kg
Height: 5’0”
BP: 140/100
As her doctor, you would request for the ff. tests at least once during the whole span of her consultation A. lipid profile, CT scan, MRI B. CBC, chest x-ray, pelvic exam C. Total chol., chest x-ray, ECG D. Lipid profile, chest x-ray, ECG
D
When is the most appropriate time to request for a PAP smear?
A. Every 5 years since start of sexual activity
B. Annually after initiation of sexual activity
C. 3 years after sex initiation
C
Tanner Stage wherein the breast and nipple forms the second mound
A. Tanner Stage I B. Tanner Stage 2 C. Tanner Stage 3 D. Tanner Stage 4 E. Tanner Stage 5
D
Which statement about the adult PE is FALSE?
A. It should be done methodologically and thoroughly, taking note of the patient’s comfort and modesty
B. Though the focus is the diseased organ, the PE should still be done from head to toe
C. Results should be recorded at the they were taken to prevent information distortion
D. Results are often static and should not be taken repeatedly
D
These things cause anxiety in older persons during PE:
A. Anticipation of pain
B. Feeling of vulnerability
C. Feeling of being physically exposed
D. All of the above
D
Skills of the clinician
A. Thorough history taking
B. Observes proper sequence of PE
C. Systematic conduct of PE
D. All of the above
D
General survey of the patient includes inspection of the patient’s
A. Vocal fremitus
B. Gait
C. Blood pressure
D. Weight
B
To be able to formulate a care plan, information from the following is/are very important
A. Results of functional tests
B. Results of functional tests, laboratory results, and home visit assessment
C. Results of functional tests, clicnical impressions and laboratory results
D. Results of comprehensive geriatric evaluation, laboratory tests and clinical impressions
D
Proper sequence of abdominal examination
A. Inspection, auscultation, percussion, palpation
B. Palpation, inspection, auscultation, percussion
C. Inspection, palpation, percussion, auscultation
D. Inspection, percussion, palpation, auscultation
A
Directions for maneuver of ear during inspection with otoscope
A. Upward, backward, inward
B. Downward, forward, outward
C. Upward, forward, inward
D. Upward, backward, outward
D
True about measurement using BP cuff
A. Aneroid BP apparatus should be calibrated regularly and periodically
B. Length of the BP cuff should be 60% of the patient’s arm
C. Width of the cuff should be 70% of the patient’s arm
D. All of the statements are correct
A
True about the proper conduct of abdominal examination EXCEPT
A. Place a pillow at the patient’s back to relax the patient
B. Ask the patient to slightly flex the legs to relax the abdominal muscles
C. Distract the patient during percussion and palpation by asking many questions
D. None of the above
A
Which is NOT TRUE regarding percussion of the chest?
A. Percussion is done using the index, middle or both finger of the dominant hand while striking the middle finger of the other hand
B. The tapping should involve a smooth but brisk wrist motion
C. Differences in percussion sounds such as dullness or resonance should be noted down
D. If there is a need to elicit a louder sound, a stronger finger tapping motion is needed.
D
Which of the ff. is matched CORRECTLY?
A. Aortic – 2nd ICS parasternal
B. Pulmonary – 3rd ICS midaxillary
C. Tricuspid – 5th ICS midclavicular
D. Mitral – 4th ICS parasternal
A
