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Pedriatrics > History and PE of the New Born, Infant, Toddler, Preschool > Flashcards

History and PE of the New Born, Infant, Toddler, Preschool Flashcards

1
Q

At the OPD, you were assigned an 18-month old boy brought by his mother for a well-being checkup. History starts from the general data followed by the chief complaint. This will be followed by the:

a. HPI
b. Family History
c. Personal and Social History
d. Maternal History

A

D

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2
Q

At the OPD, you were assigned an 18-month old boy brought by his mother for a well-being checkup. History starts from the general data followed by the chief complaint. While you were taking the history, the toddler was very anxious and started crying. Which of the following can be used as a distraction technique

a. Swaddle him
b. Imagine something pleasant
c. Sing a nursery Rhyme

A

C

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3
Q

The key to good newborn care is anticipation. Which of the following is true regarding risk assessment?

a. careful risk assessment prior to delivery will identify all newborns that will require resuscitation at birth
b. many difficult neonatal courses can be detected by careful and “thoughtful” history taking
c. absence of risk factors predicts the birth of a normal newborn
d. NOTA

A

B

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4
Q

The definition of a median age in a range of developmental skills

a. Age 50 % manifest
b. Age 75 percent manifest
c. Age at which few manifest
d. Age at which most manifest

A

A

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5
Q

The following examination requires the state of wakefulness and cooperation:

a. Pulmonary examination
b. Cardiac examination
c. Abdominal exam
d. Cranial nerve function

A

D

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6
Q

A 2-week old infant came into the OPD for a well-baby visit. History taking will start which the general data, chief complaint and …

a. HPI
b. Birth and Maternal History
c. Review of Systems
d. Nutritional History

A

B

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7
Q

A 2-week old infant came into the OPD for a well-baby visit. You will ask the following
pertinent symptoms in assessing his well being EXCEPT:

a. good suck and activity
b. 6-8 times bowel movement and micturition
c. weight gain
d. social smile

A

D

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8
Q

The following is least useful in the PE of a newborn

a. Percussion
b. Auscultation
c. Palpation
d. Inspection

A

A

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9
Q

Which of the following is routinely done for a newborn?

a. Arm length
b. Height
c. Head circumference
d. Abdominal circumference

A

C

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10
Q

A one-year old boy came in for consult at the OPD, which of the following is an ideal technique in taking anthropometric measurements?

a. Using an upright weighing scale
b. Taking his length with the help of a second person
c. Removing only his shoes before weighing
d. NOTA

A

B

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11
Q

Which part of the history would you most likely ask, “May iba pa bang nararamdaman ang anak mo?”

a. Chief Complaint
b. HPI
c. Review of Systems
d. Past Medical History

A

C

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12
Q

During a pediatric interview, the doctor should:

a. Sit down to the parent and child and face them directly
b. With the child in a comfortable position, preferable in the mother’s lap
c. When the child clings to the parent, the doctor should attempt to interact with him
d. AOTA

A

B

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13
Q

What do you not ask about Nutritional Development in a 3-month-old infant?

a. Type of feeding
b. Vitamin Intake
c. Exclusively breastfeeding
d. Complementary feeding

A

B

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14
Q

The best time to examine a newborn is during this state of consciousness

a. Deep sleep, post prandial
b. Drowsy, pre-prandial
c. Light sleep, pre-prandial
d. Quiet alert/awake, post prandial

A

D

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15
Q

The following are counter for a full minute

a. RR
b. HR
c. Bowel sounds
d. AOTA

A

D

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16
Q

Thorough assessment of the newborn is done in the

A. neonatal intensive care unit
B. newborn transition area
C. well baby nursery
D. company of the mother

A

D

17
Q

Compared to adults, which of the following factors should be considered first when interviewing a child?

A. Developmental stage
B. Gender
C. Culture
D. Family

A

A

18
Q

At beginning of child interview doctor should

a. ask child if has fears
b. give candies to attract attention
c. put child at ease
d. talk to parent for a long time

A

C

19
Q

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 lead of child’s response
b. ask about child’s interest, feelings
c. ask about fear and fantasy
d. remain silent and wait for the child to speak

A

B

20
Q

In ending the child interview,

a. say time is up and you have to say goodbye
b. inform child he will answer questions next meeting
c. ask for any information you would like to add
d. end the interview with questions

A

C

21
Q

Children who resist being interviewed should be dealt with by:

a. offer food, promise to go to the mall
b. being calm and offer use of materials like paper/ lego/ crayons
c. asking mother to talk to the child in your clinic
d. leaving child to have time for himself

A

B

22
Q

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

A

23
Q

You can offer opportunity to save face by

a. questioning the child’s statement
b. comparing his/her statement with the mother’s statement
c. allowing for short breaks in questioning
d. pointing out she was inconsistent in making the statement

A

C

24
Q

During the early part of the child interview, you should,

a. immediately advise the parent regarding discipline issues
b. talk about all secrets of the child without asking permission from the child
c. get informed consent
d. assure parent you’re going to find out there’s something wrong with the child

A

C

25
Q

When noting the child’s affect, you observe

a. emotion
b. facial expression
c. mood

A

B

26
Q

To evaluate symbolic representation, the physician can use:

a. Ask about the parent
b. Ask about the fantasies and dreams
c. Ask about the teacher
d. Ask about daily activities

A

B

27
Q

If you were to see a 6-year old, which sitting arrangement would you use?

a. A child’s chair same level as the doctor’s
b. A child’s chair lower than the doctor’s
c. A child’s chair higher than the doctor’s
d. Child seated at floor, doctor at chair

A

A

28
Q

Melissa, 7 years old, has been depressed for 2 weeks after grandfather’s death. After you conducted MSE, this is the most common finding:

a. Impulsivity
b. Anger
c. Irritability
d. Anxiety

A

C

29
Q

Average Filipino anthropometric measurement at 1 year of age

A. 3x birth weight, +4 in head circumference
B. 3x birth weight, +5 in head circumference
C. 3x birth length, x2 head circumference
D. 3x birth length, x3 head circumference

A

A

30
Q

Ano po ipinapakain niyo noong sanggol pa siya?

A. Past medical history
B. Nutritional history
C. Developmental history
D. Birth and maternal history

A

B

31
Q

What are the landmarks in taking the head circumference?

A. Glabella to most prominent part of occiput
B. Vertex to most prominent part of occiput
C. Ext. auditory meatus to most prominent part of frontal bone
D. Mastoid process to most prominent part of frontal bone

A

A

32
Q

Vision is best tested with the infant:

a. prone
b. supine
c. on the side
d. NOTA

A

B

33
Q

The following statements regarding hearing are true EXCEPT

a. It can be tested using voice, rattle or bell.
b. Stilling to sound is the earliest response to
demonstrate at 6 months.
c. It is easy to carry out adequate assessment
in a 4 week old.
d. Movement of the eyes and head in the direction of the sound occurs when head is supported.

A

C

34
Q

First modality in the PE of a newborn infant?

A. Palpation
B. Auscultation
C. Percussion
D. Inspection

A

D

Pedriatrics (6 decks)

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