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TIRED YEAR > PEDIA LQ2 > Flashcards

PEDIA LQ2 Flashcards

1
Q

The first sign of infection with Respiratory Syncytial Virus is

A. Dry cough
B. Rhinorrhea
C. Low grade fever
D. Fast breathing

A

B. Rhinorrhea

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2
Q

When do you consider the diagnosis of Kawasaki Disease? Basing from the criteria, one of
the following is NOT included:

A. strawberry tongue
B. measles-like rash
C. edema of the hands and feet
D. bilateral conjunctival injection with
purulent discharge

A

D. bilateral conjunctival injection with
purulent discharge

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3
Q
  1. Paroxysms of fever alternating with fatigue and wellness is characteristic of this infection:

A. Malaria
B. Typhoid fever
C. Leptospirosis
D. Japanese B infection

A

A. Malaria

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4
Q
  1. The following describes Chikungunya infection EXCEPT:

A. Muscle pains are more prominent
B. Characteristic rash are maculopapular
C. Primary infection confers lifelong
immunity
D. Chikungunya PCR best done during the
first four days of illness

A

A. Muscle pains are more prominent

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5
Q

A 3-year old, presented with small reddish papules with scratch marks mostly on the groin,
buttocks and lower extremity. Patient complained of intense pruritus at night. There was no
fever. Your most likely diagnosis is:

A. Rubella
B. Impetigo
C. Scabies
D. Herpes

A

C. Scabies

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6
Q

A 10-year old developed high grade, fever, coryza and sore throat. After 2 days, cough was
noted. Confirming the diagnosis entails identification of surface antigens: hemagglutinin and
neuraminidase. The most likely pathogen is:

A. Rhinovirus
B. Coronavirus
C. Influenza Virus
D. Respiratory Syncitial Virus

A

C. Influenza Virus

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7
Q
  1. A 2-year old female developed low grade fever, painful ulcers in the mouth with vesicular
    rashes on his hands and feet. Although, the same lesions were noted on her buttocks. What is
    the most likely cause of the infection?

A. Enterovirus 71
B. Herpesvirus 6
C. Coxsackie virus A16
D. Herpes Simplex Virus

A

C. Coxsackie virus A16

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8
Q

Children are less susceptible to Covid-19 infection because of the following EXCEPT:

A. less ACE2 receptors
B. reduced exposures
C. increased eosinophils
D. decreased circulating T cells

A

C. increased eosinophils

NOT SURE ANSWER THO

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9
Q

Ophthalmia neonatorum may may have a co-infection with this particular disease and will
manifest with the following EXCEPT:

A. Trachoma
B. Otitis media
C. Pneumonia
D. Follicular keratoconjunctivitis

A

B. Otitis media

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10
Q

The following are diagnostic procedures for Human Papillomavirus infection EXCEPT:

A. Biopsy
B. Cell culture
C. Pap smear
D. DNA test

A

B. Cell culture

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11
Q

The following clinical manifestations are common in COVID-19 disease in children
EXCEPT:

A. headache - 4.3
B. sore throat - 18.2
C. muscle pains - 18.7
D. runny nose - 20.0

A

A. headache - 4.3

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12
Q

One of the following is TRUE about Herpes Simplex Virus infection:

A. Genital Herpes is caused by Herpes
Virus Type-2
B. Herpes whitlow is a term for HSV
infection on the skin.
C. Hematogenous spread of the virus has an
effect in the immunocompetent host
D. HSV Encephalitis is the most common
cause of benign encephalitis in children.

A

A. Genital Herpes is caused by Herpes
Virus Type-2

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13
Q

A 16-year old male came due to fever and rash. 6 days ago, he self-medicated with
Amoxicillin due to a sore throat. On PE, he appeared weak, the tonsils were enlarged and
hyperemic. There were multiple, enlarged cervical lymph nodes. The following are TRUE
about the disease EXCEPT:

A. may give low dose Acyclovir with
steroids
B.associated more commonly with Burkitt’s
Lymphoma
C. Rash develops 5 days after intake of
Amoxicillin
D. those 3 year-old patients would present
with inapparent infection

A

A. may give low dose Acyclovir with
steroids

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14
Q

A 9-month old infant came in due to 3 days fever, mild eye redness, maculopapular rash
from the head to chest. The infant was feeding well. The rashes appeared after the fever
resolved. Your initial diagnosis would be:

A. Rubeola infection
B. Roseola infantum
C. Rubella infection
D. Erythema infectiosum

A

B. Roseola infantum

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15
Q

Rotaviruses are in the Reoviridae family and cause disease in virtually all mammals and
birds.All the following statements are true EXCEPT

A. Infection typically begins after an
incubation period of <48 hr
B. fever, vomiting and frequent watery stools
are present in about 50-60% of cases
C. vomiting and fever typically abate after
the 4th day of illness
D. Dehydration may develop and progress
rapidly particularly in infants
E. Most severe disease typically occurs
among children 4-36 mo of age

A

C. vomiting and fever typically abate after
the 4th day of illness

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16
Q

The following are typical manifestations of the Acute Neurologic Phase, Furious type in
Rabies infection EXCEPT:

A. Combative
B. Hydrophilic
C. Focal paralysis
D. Hypersalivation

A

B. Hydrophilic

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17
Q

The following are the apparent clinical manifestations of Dengue Fever EXCEPT:

A. Arthralgia
B.Muscle pains
C. Headaches
D.Bleeding dyscrasia

A

D.Bleeding dyscrasia

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18
Q

Typhoid fever is one of the common bacterial infections caused by Salmonella typhi. The
following statements are true EXCEPT:

A. High grade fever is a major sign
B. Decreased CBC is often a common finding
C. Watery stools often manifest on the 1st
week of illness
D. Isolation of virus in the blood during the 1st
week of illness is diagnostic

A

C. Watery stools often manifest on the 1st
week of illness

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19
Q
  1. A 2-month old male infant developed watery nasal discharge and mild fever. On the 7th
    day, he developed paroxysms of cough at night. Post tussive vomiting was noted. There was
    history of incomplete immunization. The most likely causative agent is:

A. Bordetella pertussis
B. Respiratory Syncitial virus
C. Streptococcal pneumoniae
D. Haemophilus infkuenzae type B

A

A. Bordetella pertussis

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20
Q

Remdesevir is used in one of the following case?
A. Child with severe respiratory distress, non
invasive ventilation
B. Child with respiratory failure, hypotension,
rash, reduced urine output
C. Child with fast breathing, chest indrawing
but no signs of severe pneumonia
D. Child with fast breathing, grunting,
cyanosis, poor oral intake; O2 saturation of
88%

A

D. Child with fast breathing, grunting,
cyanosis, poor oral intake; O2 saturation of
88%

21
Q

Poliomyelitis is a fatal infection. The following are true EXCEPT:

A. Transmitted fecal-oral
B. Aseptic meningitis is the nonparalytic type
C. Isolation of virus in the blood on the 2nd
week of illness is diagnostic
D. Inactivated polio vaccine is NOT effective
against viral transmission

A

C. Isolation of virus in the blood on the 2nd
week of illness is diagnostic

22
Q

A 4-year old developed 3 day-fever, strawberry-appearance of the tongue and
goose-pimple, rough appearance of the skin on the trunk and extremities with circum-oral
pallor. The rash desquamates. The enanthem of the said infection are the following EXCEPT:

A. Palatal petechiae
B. Strawberry tongue
C.Tonsillopharyngeal congestion
D. Vesicles on the posterior pharynx

A

D. Vesicles on the posterior pharynx

23
Q

The usual watery type of diarrhea, associated with fever, abdominal pain is common
among these pathogens EXCEPT:

A. Enteroinvasive E coli
B. Enterotoxigenic E. coli
C. Enteroaggregative E. coli
D. Enteropathogenic E. coli

A

C. Enteroaggregative E. coli

24
Q

A 7 year-old female came in for fever, with slightly hyperemic eyes and sore throat. After
1 week, she developed a facial rash with circumoral pallor followed by a lacey-pattern of rash,
which was pruritic, over the body that waxes and wanes with heat and bathing. Which is the
most likely pathogen?

A. Measles virus (Parvovirus B19)
B. Togavirus virus
C. Parvovirus B19
D. Epestein- Barr virus

A

C. Parvovirus B19

25
Q

The following are major criteria for Toxic Shock Syndrome from recent Staphyloccal
infection EXCEPT:

A. Hyperemic, inflammed pharynx
B.Blood pressure of 60/40 mmHg
C. Temperature of 39 C for 3 days
D. Areas of epidermis separate on gentle force
(Nikolsky’s sign)

A

A. Hyperemic, inflammed pharynx

26
Q

A 2-year old presented with frequent sneezing. After 1 day, he developed runny nose and
loss of appetite because of pain on the throat. The causative agent for the patient’s condition
would be:

A. Rhinovirus
B. Coronavirus
C. Influenza virus
D. Respiratory Syncytial virus

A

A. Rhinovirus

27
Q

The following are true of Mumps infection

A. Incubation period ranges from 7-11 days Incubation Period: 12-25 days (16-18days)
B. Unilateral parotitis rarely becomes bilateral
C. Pale opening of the Stensen duct
D.Parotid swelling peaks in approximately
3 days

A

D.Parotid swelling peaks in approximately
3 days

28
Q

One of the following organisms is a nosocomial infection and highly resistant to
antibiotics.

A. Escherichia coli
B. Enterococcus faecalis
C. Corynebacterium diphtheriae
D. Hemophilus influenzae type B

A

B. Enterococcus faecalis

29
Q

Reactivation of a latent infection of this pathogen will result to vesicular lesions clustered
within one dermatome.

A. Herpes-Zoster Virus
B. Varicella-Zoster Virus
C. Herpes SImplex Virus-1
D. Herpes Simplex Virus

A

A. Herpes-Zoster Virus

30
Q

An 18-month old was brought to your clinic for failure to thrive and developmental delay.
The patient also has a history of recurrent ear infections, oral thrush and chronic diarrhea. On
chest xray, cardiomegaly were noted. Your patient most likely belongs to:

A. Symptomatic , Category B HIV
B. Symptomatic, Category C HIV
C. Acute Retroviral Syndrome
D. Acquired Immunodeficiciency Syndrome

A

A. Symptomatic , Category B HIV

31
Q

A 27-year old, primigravid patient developed a 3-day measles on her 8th week of
pregnancy. The most likely abnormality/ies to the fetus would be the following EXCEPT:

A. abortion
B. cataracts
C. deafness
D. hydrocephalus

A

D. hydrocephalus

32
Q

When a newborn acquire the Varicella infection from their mothers during the 8th week of
gestation, the most likely sequela would be:

A. Varicella-Zoster infection
B. Herpes-Zoster infection
C. Congenital Varicella infection
D. Disseminated Neonatal Varicella

A

C. Congenital Varicella infection

33
Q

The following statement on fever without localizing signs are true EXCEPT:

A. High risk infant will show leukocytosis of
10-15,000/mm3
B. All neonates with fever without localizing
signs should be hospitalized.
C. E. coli causes infection in the 2 week-old
neonate and low risk 2 month-old with fever
D. Viruses are the main cause of fever in
those older infants with a temperature of
>39C
E. Elevated pus cells in the urine are the main
cause of infection in both low risk and high
risk infants

A

E. Elevated pus cells in the urine are the main
cause of infection in both low risk and high
risk infants

34
Q

The most common cause of the Classic Fever of unknown origin is :

A. HIV
B. Cancer
C. Drug fever
D. Post-op complication

A

B. Cancer

35
Q

A 3-year old waded on flood water. Patient come to you because of a wound on the sole
of the right foot. You are expecting the possibility of Leptospirosis You are most likely to give
the ff. prophylaxis:

A. Penicillin IV
B. Oral Rifampicin
C. Oral Doxycycline
D. Oral Amoxicillin

A

D. Oral Amoxicillin

36
Q

The three (3) major risk factors of necrotizing enterocolitis are:

A. prematurity, formula feeding, bacterial
colonization of the gut
B. prematurity, breastfeeding, bacterial
colonization of the gut
C. postterm, formula feeding, bacterial
colonization of the gut
D. postterm, breastfeeding, bacterial
colonization of the gut

A

A. prematurity, formula feeding, bacterial
colonization of the gut

37
Q

The clinical spectrum of Coagulase negative Staphylococcus include the following
EXCEPT:

A. Myocarditis
B. Bacteremia
C. Central Venous Catheter infection
D. Cerebrospinal Fluid shunts infection

A

A. Myocarditis

38
Q

When a patient will present with fever, watery stools, abdominal cramps and pain on the
rectal area , the particular pathogen would be:

A. Enteroinvasive
B. Enteropathogenic
C.Enterotoxigenic
D. Enteroaggregative

A

A. Enteroinvasive

39
Q

The following are true about Meningococcemia
EXCEPT:

A. Penicillin is the drug of choice
B. Humans are the ONLY known reservoir of
the pathogen
C. Rash would range from maculopapular
to lacey pattern
D. may mimic viral infection with fever and
pharyngitis

A

C. Rash would range from maculopapular
to lacey pattern (Erythema Infectiosum)

40
Q

A 3-year old presented with punctured wound on the right foot by a common nail bought
by his father that day. Mother immediately clean the wound with soap and water. Mother
claimed complete primary immunizations. Your next step would be:

A. IV antibiotics
B. Give tetanus immunoglobulins
C. Give Tetanus toxoid like Td or Tdap
D. Observe and advice mother to continue
wound dressing

A

D. Observe and advice mother to continue
wound dressing

41
Q
  1. A 3-day measles would involve the following lymph nodes EXCEPT:

A. preauricular
B. retroauricular
C. post-occipital
D. posterior cervical

A

A. preauricular

42
Q

When a patient presents with high fever, bloody mucoid stools, tenesmus, abdominal
cramps, and vomiting, you would consider:

A. Cholera
B. Shigellosis
C. Amoebic Colitis
D. Shiga-toxin E. coli infection

A

B. Shigellosis

43
Q
  1. A 5-year old has watery stools. Stool examination is foul smelling and positive for mucus,
    blood, and leukocytes. You managed the patient as Amoebiasis. The ff are true of EXCEPT:

A. abdominal pain is colicky
B. fever is common at this age group
C. some are asymptomatic cyst passers
D. usual affected population are between 1-5
years of age

A

B. fever is common at this age group

44
Q

The following statements regarding neonatal infections are true, EXCEPT:

A. Premature rupture of membranes for 20
hours can cause early and late onset
infections.
B. Ascending infections by E. coli would
cause late onset infections
C. Close contacts may transmit the pathogen,
causing late-onset infections.
D. Streptococcus agalactiae causes both early
and late neontal infections

A

B. Ascending infections by E. coli would
cause late onset infections

45
Q

The following are true of Cytomegalovirus infection EXCEPT:

A. may present with jaundice, liver
enlargement
B. most of the affected newborns are
asymptomatic
C. causes congenital malformations during
the second trimester
D.involves the central nervous system and
causes mental retardation

A

C. causes congenital malformations during
the second trimester

46
Q

A 2-month old came with whitish , macular lesions in the buccal mucosa. He was treated
for Amoxicillin for a Respiratory tract infection. He is on dropper feeding but with poor suck.
The most likely etiologic agent would be:

A. Candida Albicans
B. Streptoccus pyogenes
C. Group A Streptococcus
D. Corynebacterium diphtheriae

A

A. Candida Albicans

47
Q

A 10-year old developed high grade fever, pain on swallowing with cervical lymphadenitis.
The tonsils were inflammed described as “beefy-red” with exudates. The most likely pathogen
would be:

A. Streptococcus agalactiae (Group B)
B. Streptococcus pneumoniae(Pneumococcus)
C. Streptococcus pyogenes (Group A)
D. Corynebacterium diphtheriae

A

C. Streptococcus pyogenes (Group A)

48
Q

A 1-year old presented with fever, rhinorrhea , productive cough and hyperemic eyes with
purulent discharge. Patient also has a rash which began from the face down to the abdomen.

A. Rubeola virus
B. Rubella virus
C. Roseola virus
D. Ebstein-Barr Virus

A

A. Rubeola virus

49
Q

Japanese B encephalitis manifests with the following signs and symptoms EXCEPT:

A. Fever
B. Tremors
C. Focal paralysis
D. Cog-wheel rigidity

A

C. Focal paralysis

TIRED YEAR (16 decks)

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