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Pediatrics > Old Exams > Flashcards

Old Exams Flashcards

1
Q

Q1: a 2-year-old boy known case of sickle cell disease presented with one day history of cough, severe chest pain and increasing pallor. On examination, he is febrile 39.5C, pale, and tachypneic. Oxygen saturation= 86 and his hemoglobin is 5mg/dl Which of the following is your initial management?

a. IV hydration
b. IV analgesic
c. Packed RBC transfusion
d. Exchange transfusion
e. Broad spectrum antibiotic

A

D

  • Give Exchange since Hgb is low. (Less than 10)
  • Broad spectrum: azithromycin + 3rd generation cephalosporin
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2
Q

Q4: In addition to an annual influenza vaccination, which of the following vaccination is the most appropriate for an 8-year-old boy known case of sickle cell disease and already received all childhood vaccination and pneumococcal polysaccharide vaccine?

a. BCG
b. Serogroup B meningococcal vaccine
c. Herpes simplex vaccine
d. Quadrivalent meningococcal conjugate vaccine

A

D

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3
Q

Q7: A 12-year-old girl with severe short stature. Found to have weight on the 10th centile for age and sex. Which of the following is true in regard to her assessment? a. Bone age is expected to be advanced

b. Hypothyroidism is unlikely diagnosed
c. Celiac disease is likely diagnosed
d. Cushing disease is likely diagnosis
e. Chromosome analysis is not mandatory

A

C

Chronic diseases: thin and short
Endocrine diseases: chubby and short
Constitutional growth delay: decreased bone age

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4
Q

Q8: A 5-year-old boy with history of bleeding tendency discovered at the age of 1 year. He has recurrent hemarthrosis. Which of the following lab results is affected in this patient’s clinical condition?

a. Prothrombin time
b. Activated partial thromboplastin time
c. Platelets
d. Bleeding time
e. Fibrinogen level

A

b

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5
Q

Q10: The commonest cause of death in patients with beta thalassemia major is:

a. Hepatic failure
b. Myocarditis
c. Renal failure
d. Myocardial hemosiderosis
e. Sepsis

A

D

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6
Q

Q11: One of the following is not characteristic of scarlet fever and children:

a. Red strawberry tongue b. Red lines of confluence petechiae found in the skin creases c. Circum-oral pallor d. Exudative tonsillitis e.conjunctivitis

A

E

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7
Q

Q16: Delivery of hypotonic baby with dysmorphic features including up-slanting eyes, flat nasal bridge, low set ears, simian crease and increased distance between first and second toes. What is the most common risk of trisomy 21? a. Parenteral translocation b. Maternal translocation c. Increase maternal age d. Previous baby with same condition e. History of previous abortion

A

B

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8
Q

Q17: what is true regarding physiological jaundice: a. Can be treated with phototherapy b. Neurological sequelae are common c. Starts the 2nd day of life d. Direct bilirubin more than 2 mg/dl e. Occurs in the first 6 hours of delivery

A

C

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9
Q

Q19: a 6-month-old boy presented to the ER with diarrhea and fever for 10 days. The mother gave history of 2 episodes of pneumonia and 3 attacks of otitis media. Examination revealed chronic suppurative otitis media. What is the MOST LIKELY underlying condition? a. Chronic granulomatous disease b. Agammaglobulinemia c. Severe combined immunodeficiency d. Celiac disease e. Lactose intolerance

A

C

Diarrhea + pneumonia

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10
Q

Q24: A teenage girl has become fatigued; she has developed a picture that habit of chewing ice cubes and gnawing on her pencil while she is studying. You document that the patient is anemic with Hgb of 7 g/dL. What other lab values fit best with this clinical presentation? MCV = mean corpuscular volume; MCHC = mean corpuscular hemoglobin concentration; TIBC = total iron binding capacity. a. MCV 110 fL, MCHC* 33 g/dL, TIBC* normal b. MCV 110 fL, MCHC 27 g/dL, TIBC low c. MCV 110 fL, MCHC 33 g/dL, TIBC high d. MCV 65 fL, MCHC 27 g/dL, TIBC low e. MCV 65 fL, MCHC 27 g/dL, TIBC high

A

E

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11
Q

18-year-old presented with profuse bleeding following dental extraction. Suffered from muscular bleeding as a child. His brother, maternal cousin and maternal grandfather suffer from the same bleeding condition. His labs: Normal bleeding time, normal platelets, normal INR, prolonged PTT.

a. Hemophilia A
b. Hemophilia C
c. Von Willebrand
d. Vitamin K deficiency

A

A

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12
Q

All are causes of cyanosis except:

a. Ventricular septal defect
b. Transposition of the great vessels
c. Teratology of Fallot
d. Pulmonary atresia
e. ALCAPA

A

A

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13
Q
  1. The most common congenital anomaly causing recurrent UTI is?
    a. Reflux
    b. Posterior urethral obstruction
    c. Hydronephrosis
A

A

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14
Q
  1. Which of the following scenarios will result in a positive combs test?
    a. Mother blood type O, fetal blood type AB
    b. Mother blood type O, fetal blood type A
    c. Mother blood type A, fetal blood type AB
    d. Mother blood type B, fetal blood type A
    e. Mother blood type AB, fetal blood type B
A

B?

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15
Q
  1. A case regarding a 3-year-old boy with active pulmonary TB. What type of isolation would you advise?
    a. Negative pressure room isolation
    b. Droplet isolation
    c. Contact isolation
    d. Airborne isolation
    e. No need for isolation
A

They answered e but i think its a

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16
Q
  1. Patient presents to primary care complaining of periorbital swelling. He was given antihistamines and sent home. A few days pass and the patient comes in complaining of generalized swelling. What is the best initial procedure?
    a. Do liver and renal function tests
    b. Do a urine dipstick
    c. Give subcutaneous epinephrine
    d. Give IV methylprednisolone
A

B

17
Q

A 4 year older admitted due to hemolytic anemia. Peripheral blood smear revealed Heinz bodies and bite cells. What is your diagnosis?

a. G6PD
b. Sickle cell anemia
c. Alpha thalassemia
d. AIHA
e. Elliptocytosis

A

A

18
Q
  1. All of the following are features of cephalohematoma except:
    a. No skin discoloration
    b. Resolves in weeks to months
    c. Crosses suture lines
    d. Collection of blood
    e. Causes hyperbilirubinemia
A

C

19
Q
  1. All of the following are risk factors for DHH except:
    a. Female
    b. First born baby
    c. Family history
    d. Cephalic presentation
    e. Oligohydramnios
A

D

20
Q
  1. A one-month old female infant born at term noted to have an ejection systolic murmur heard on the upper left sternal border. She is not cyanotic and does not have hepatosplenomegaly or tachypnea at rest. There is no cardiomegaly.
    a. VSD
    b. ASD
    c. Pulmonary stenosis
    d. PDA
A

B

21
Q

A child presents to the clinic and you suspect varicella. What of the following findings in history would support this diagnosis?

a. Incubation period of 2 weeks
b. Prodrome period of conjunctivitis, cough and rhinorrhea
c. High fever precedes the rash

A

A

Pediatrics (41 decks)

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