Incorrect MCQ for repetition Flashcards
Which of the following statements about “routine” screening tests is accurate?
A. All children undergo tuberculosis skin testing at age 12 months.
B. Lead testing is obtained on all 12- and 14-month-old infants.
C. Pelvic examinations are part of the examination of a sexually
active adolescent.
D. Screening hematocrit levels are obtained on all infants at age
2 months.
E. Universal cholesterol screening begins at age 11 months.
C
An 8-year-old, mentally delayed child ingests the contents of a mercury thermometer. Which of the following symptoms are most likely to be seen?
A. Ataxia, dysarthria, and paresthesias
B. Chest pain and dyspnea
C. Gingivostomatitis, tremor, and neuropsychiatric disturbances
D. No symptoms
E. Pulmonary fibrosis
D
A 4-year-old child is found with a bottle of insecticide that contains arsenic. Which of the following symptoms is most likely to occur?
A. Bradycardia with third-degree heart block
B. Constipation
C. Hemorrhagic gastroenteritis with third spacing of fluids
D. Hyperreflexia
E. Hypothermia
C
Exposure to environmental toxins can occur in a number of ways. Which of the following is the most likely mechanism of exposure?
A. Asbestos exposure from hazardous arts and crafts materials
B. Exposure of a child to beryllium from the child’s parents’ clothing
C. Iron intoxication from vehicular emissions
D. Lead toxicity from ingesting pieces of a pencil
E. Transplacental exposure to benzene
B
An 8-year-old boy has severe pain with ear movement. He has no fever, nausea, vomiting, or other symptoms. He has been in good health, having just returned from summer camp where he swam, rode horses, and water-skied. Ear examination reveals a somewhat red pinna that is extremely tender with movement, a very red and swollen
ear canal, but an essentially normal TM. Which of the following is the
most appropriate next course of therapy?
A. Administration of topical mixture of polymyxin and corticosteroids
B. High-dose oral amoxicillin
C. Intramuscular ceftriaxone
D. Intravenous vancomycin
E. Tympanocentesis and culture
A
Three days after beginning oral amoxicillin therapy for OM, a 4-yearold boy has continued fever, ear pain, and swelling with redness behind his ear. His ear lobe is pushed superiorly and laterally. He seems
to be doing well otherwise. Which of the following is the most appropriate course of action?
A. Change to oral amoxicillin-clavulanate
B. Myringotomy and parenteral antibiotics
C. Nuclear scan of the head
D. Topical steroids
E. Tympanocentesis
B
A 37-week-gestation boy is born after an uncomplicated pregnancy to a 33-year-old mother. At birth he was lethargic and had a slow HR. Oxygen was administered via bag and mask, and he was intubated; his
HR remained at 40 bpm. Which of the following is the most appropriate
next step?
A. Administer IV bicarbonate.
B. Administer IV atropine.
C. Administer IV epinephrine.
D. Administer IV calcium chloride.
E. Begin chest compressions.
E
A 5-year-old girl is somewhat short and has mild leg bowing. Her medical history is significant only for well-controlled seizure disorder. Serum calcium, phosphorus, and alkaline phosphatase levels and urinary
amino acid concentration are normal. A bone age is notable for
abnormal distal radius and ulna mineralization. Which of the following
is the most likely diagnosis?
A. Cystic fibrosis
B. Fanconi syndrome
C. Genetic primary hypophosphatemia
D. Rickets associated with anticonvulsive drug use
E. Schmid metaphyseal dysplasia
E
A healthy, well-developed 6-year-old child arrives as a new patient to your clinic. His immunization card reveals that he received an immunization at birth and some when he was 2 months old, but none since.
Which of the following statements about him is correct?
A. He should receive the live oral poliovirus vaccine rather than the
inactivated (injectable) poliovirus vaccine (IPV).
B. The pertussis vaccine is contraindicated at his age and is replaced
with the tetanus-diphtheria vaccine.
C. He is too old to receive the H influenzae type b vaccine.
D. His vaccinations at birth and 2 months are repeated because too
much time has elapsed for them to be effective.
E. He is too young for the varicella vaccine.
C
Which of the following statements about “routine” screening tests is accurate?
A. All children undergo tuberculosis skin testing at age 12 months.
B. Lead testing is obtained on all 12- and 14-month-old infants.
C. Pelvic examinations are part of the examination of a sexually
active adolescent.
D. Screening hematocrit levels are obtained on all infants at age
2 months.
E. Universal cholesterol screening begins at age 11 months.
C
A 14-year-old has ataxia. He is brought to the local emergency department,
where he appears euphoric, emotionally labile, and a bit disoriented.
He has nystagmus and hypersalivation. Many notice his abusive
language. Which of the following agents is most likely responsible for
his condition?
A. Alcohol
B. Amphetamines
C. Barbiturates
D. Cocaine
E. Phencyclidine (PCP)
E
A previously healthy adolescent male has a 3-month history of increasing
headaches, blurred vision, and personality changes. Previously he
admitted to marijuana experimentation more than 1 year ago. On
examination he is a healthy, athletic-appearing 17-year-old with
decreased extraocular range of motion and left eye visual acuity. Which
of the following is the best next step in his management?
A. Acetaminophen and ophthalmology referral
B. Glucose measurement
C. Neuroimaging
D. Trial of methysergide (Sansert) for migraine
E. Urine drug screen
C
An 11-year-old girl has dizziness, pupillary dilatation, nausea, fever,
tachycardia, and facial flushing. She says she can “see” sound and
“hear” colors. The agent likely to be responsible is which of the following?
A. Alcohol
B. Amphetamines
C. Ecstasy
D. Lysergic acid diethylamide (LSD)
E. PCP
D
A 15-day-old infant has respiratory distress. A quick observation suggests
she has slight cyanosis, hepatosplenomegaly, and features consistent
with DS. The cardiac examination demonstrates a loud first heart
sound, a wide and fixed split second heart sound, a low-pitched, middiastolic
murmur at the lower left sternal border, and a harsh apical
holosystolic murmur in the mitral area. An echocardiogram is likely to
demonstrate which of the following?
A. Complete atrioventricular (AV) canal (endocardial cushion defect)
B. Hypoplastic left heart
C. Total anomalous venous return
D. Transposition of the great vessels
E. Tricuspid atresia
A
A 7-year-old boy with MR was born at home at 26 weeks’ gestation to
a 28-year-old mother who had received no prenatal care. An evaluation
is likely to suggest his MR is related to which of the following?
A. Brain tumor
B. Chromosomal aberration
C. Complications of prematurity
D. Congenital infection with cytomegalovirus
E. Elevated serum lead levels
C
