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Revalida > Pedia PD > Flashcards

Pedia PD Flashcards

1
Q

It is very important to have the adolescent’s guardian to be present during the entire duration of the interview. Absolute confidentiality should be observed in all cases of adolescent interview.
a. Only statement 1 is true
b. Only statement 2 is true
c. Both statements are true
d. Both statements are false

A

d. Both statements are false

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2
Q

There should be a systematic approach to the adolescent interview starting from the most sensitive topics. An 11 year old is MOST likely to be an SMR 3.
a. Only statement 1 is true
b. Only statement 2 is true
c. Both statements are true
d. Both statements are false

A

d. Both statements are false

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3
Q

Question of sexual orientation
a. Early Adolescence
b. Middle Adolescence
c. Late Adolescence
d. None of the above

A

b. Middle Adolescence

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4
Q

Same-sex groups; conformity; cliques
a. Early Adolescence
b. Middle Adolescence
c. Late Adolescence
d. None of the above

A

a. Early Adolescence

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5
Q

Idealism; absolutism
a. Early Adolescence
b. Middle Adolescence
c. Late Adolescence
d. None of the above

A

c. Late Adolescence

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6
Q

Pubic hair becomes darker, hair begins to curl, small amount
A. Early Adolescence
B. Middle Adolescence
C. Late Adolescence
D. None of the above

A

B. Middle Adolescence

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7
Q

Areola and papilla form secondary mound
a. Early Adolescence
b. Middle Adolescence
c. Late Adolescence
d. None of the above

A

b. Middle Adolescence

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8
Q

In the techniques of diagnosis, which rule is most appropriate to use in the following findings: RISUS SARDONICUS
a. Rule 1a: a pathognomonic presenting manifestation
b. Rule 1b: a presenting manifestation pointing to the least number of diseases
c. Rule 1c: a presenting manifestation pointing to a definite organ or system
d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders
e. Rule 1e: a presenting manifestation whose mechanism is well understood

A

b. Rule 1b: a presenting manifestation pointing to the least number of diseases

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9
Q

In the techniques of diagnosis, which rule is most appropriate to use in the following findings: Hydrophobia in a patient with a history of dog bite 7 days prior to admission.
a. Rule 1a: a pathognomonic presenting manifestation
b. Rule 1b: a presenting manifestation pointing to the least number of diseases
c. Rule 1c: a presenting manifestation pointing to a definite organ or system
d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders
e. Rule 1e: a presenting manifestation whose mechanism is well understood

A

a. Rule 1a: a pathognomonic presenting manifestation

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10
Q

In the techniques of diagnosis, which rule is most appropriate to use in the following findings: Koplik’s Spots
a. Rule 1a: a pathognomonic presenting manifestation
b. Rule 1b: a presenting manifestation pointing to the least number of diseases
c. Rule 1c: a presenting manifestation pointing to a definite organ or system
d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders
e. Rule 1e: a presenting manifestation whose mechanism is well understood

A

a. Rule 1a: a pathognomonic presenting manifestation

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11
Q

In the techniques of diagnosis, which rule is most appropriate to use in the following findings: Murphy’s Sign
a. Rule 1a: a pathognomonic presenting manifestation
b. Rule 1b: a presenting manifestation pointing to the least number of diseases
c. Rule 1c: a presenting manifestation pointing to a definite organ or system
d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders
e. Rule 1e: a presenting manifestation whose mechanism is well understood

A

c. Rule 1c: a presenting manifestation pointing to a definite organ or system

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12
Q

In the techniques of diagnosis, which rule is most appropriate to use in the following findings: Acute Diarrhea
a. Rule 1a: a pathognomonic presenting manifestation
b. Rule 1b: a presenting manifestation pointing to the least number of diseases
c. Rule 1c: a presenting manifestation pointing to a definite organ or system
d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders
e. Rule 1e: a presenting manifestation whose mechanism is well understood

A

d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders

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13
Q

The patient’s presenting manifestations is similar to chief complaint
a. True
b. False

A

A. True

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14
Q

Data collected in thorough history and physical examination will help you come up with your:
a. Working diagnosis
b. Clinical diagnosis
c. Final diagnosis
d. AOTA
e. NOTA

A

b. Clinical diagnosis

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15
Q

In the techniques of diagnosis, which rule is most appropriate to use in the following findings: ANEMIA
a. Rule 1a: a pathognomonic presenting manifestation
b. Rule 1b: a presenting manifestation pointing to the least number of diseases
c. Rule 1c: a presenting manifestation pointing to a definite organ or system
d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders
e. Rule 1e: a presenting manifestation whose mechanism is well understood

A

e. Rule 1e: a presenting manifestation whose mechanism is well understood

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16
Q

In the techniques of diagnosis, which rule is most appropriate to use in the following findings: JAUNDICE
a. Rule 1a: a pathognomonic presenting manifestation
b. Rule 1b: a presenting manifestation pointing to the least number of diseases
c. Rule 1c: a presenting manifestation pointing to a definite organ or system
d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders
e. Rule 1e: a presenting manifestation whose mechanism is well understood

A

e. Rule 1e: a presenting manifestation whose mechanism is well understood

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17
Q

In the techniques of diagnosis, which rule is most appropriate to use in the following findings: Direct tenderness on the right lower quadrant of the abdomen.
a. Rule 1a: a pathognomonic presenting manifestation
b. Rule 1b: a presenting manifestation pointing to the least number of diseases
c. Rule 1c: a presenting manifestation pointing to a definite organ or system
d. Rule 1d: a presenting manifestation that points to a group of diseases or disorders
e. Rule 1e: a presenting manifestation whose mechanism is well understood

A

c. Rule 1c: a presenting manifestation pointing to a definite organ or system

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18
Q

In pediatrics, we refer to growth as changes in weight, length, head circumference of the patient. There is only 1 set of normal values across all pediatric patients.
a. 1ST STATEMENT IS TRUE, 2ND STATEMENT IS FALSE
b. 1ST STATEMENT IS FALSE, 2ND STATEMENT IS TRUE
c. 1ST AND 2ND STATEMENTS ARE BOTH TRUE
d. 1ST AND 2ND STATEMENTS ARE BOTH FALSE

A

a. 1ST STATEMENT IS TRUE, 2ND STATEMENT IS FALSE

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19
Q

Anthropometric measurements include developmental milestones that a child should have achieved at a certain age. The pediatric history is longer compared to the adult history.
a. 1ST STATEMENT IS TRUE, 2ND STATEMENT IS FALSE
b. 1ST STATEMENT IS FALSE, 2ND STATEMENT IS TRUE
c. 1ST AND 2ND STATEMENTS ARE BOTH TRUE
d. 1ST AND 2ND STATEMENTS ARE BOTH FALSE

A

b. 1ST STATEMENT IS FALSE, 2ND STATEMENT IS TRUE

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20
Q

True for the development, EXCEPT:
a. Continuous process
b. Dependent on interaction between innate genetic factors and environmental factors
c. Intimately related to the maturation of CNS
d. None of the above.

A

d. None of the above.

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21
Q

Who has a red flag and needs evaluation/ referral?
a. Sasha, 8 years old, in constant motion, resists discipline
b. Martha, 6 months old, no object permanence
c. Matthew, 8 months old, does not play with other children.
d. None of them
e. All of them

A

a. Sasha, 8 years old, in constant motion, resists discipline

22
Q

Who has a red flag and needs evaluation/ referral?
a. Trisha, 3 years old, rides a bicycle with trainer wheels
b. Cole, 1 month old, lift head only momentarily
c. Nicole, 2 months old, hands are fisted most of the time
d. None of them
e. All of them

A

d. None of them

23
Q

Scaphoid abdomen is a common finding among newborns.
Anterior fontanelle closes at 9-18 months.
a. Only the 1st statement is true.
b. Only the 2nd statement is true.
c. Both statements are true
d. Both statement are false.

A

d. Both statement are false.

24
Q

A sunken fontanelle is indicative of dehydration.
A small anterior fontanel is sometimes associated with craniosynostosis.
a. Only the 1st statement is true.
b. Only the 2nd statement is true.
c. Both statements are true
d. Both statements are false.

A

c. Both statements are true

25
Q

Milia is hypothesized to be due to hypothalamic immaturity.
Harlequin color change is a form of skin infection.
a. Only the 1st statement is true.
b. Only the 2nd statement is true.
c. Both statements are true
d. Both statements are false.

A

d. Both statements are false.

26
Q

Caput succedaneum crosses the suture line. Ortolani ‘s click is not a normal finding in a newborn.
a. Only the 1st statement is true.
b. Only the 2nd statement is true.
c. Both statements are true
d. Both statements are false.

A

c. Both statements are true

27
Q

Acrocyanosis in a newborn can be a sign of poor perfusion.
Red orange reflex is determined by using penlight.
a. Only the 1st statement is true.
b. Only the 2nd statement is true.
c. Both statements are true
d. Both statement are false.

A

a. Only the 1st statement is true.

28
Q

The hypothesized pathogenesis of harlequin color change in a newborn involves temporary imbalance in the tone of cutaneous blood vessels secondary to hypothalamic immaturity. Initial PE of the newborn is performed on the 24th HOL.
a. Only the 1st statement is true.
b. Only the 2nd statement is true.
c. Both statements are true
d. Both statements are false.

A

a. Only the 1st statement is true.

29
Q

True for the red orange reflex (ROR):
a. Absence can be normal
b. A white color can be seen when flashing the ophthalmoscope light
c. Present only until 6 months old
d. None of the above

A

d. None of the above

30
Q

True for the posterior fontanel:
a. Normally remains open until 18 months
b. Admits tip till 4 months
c. A, B
d. None of the above

A

b. Admits tip till 4 months

31
Q

Commonly seen in newborns born via scheduled cesarean section:
a. Microcephaly
b. Subconjunctival hemorrhages
c. Macroglossia
d. None of the above

A

d. None of the above

32
Q

Present in newborn:
a. Social smile
b. Hand regard
c. Posterior fontanelle is closed
d. None of the above

A

d. None of the above

33
Q

Inspection is always the 1st maneuver in physical examination. A pediatric patient must always be examined in a head-to-toe fashion.
a. 1ST STATEMENT IS TRUE, 2ND STATEMENT IS FALSE
b. 1ST STATEMENT IS FALSE 2ND STATEMENT IS TRUE
c. 1ST AND 2ND STATEMENTS ARE BOTH TRUE
d. 1ST AND 2ND STATEMENTS ARE BOTH FALSE

A

a. 1ST STATEMENT IS TRUE, 2ND STATEMENT IS FALSE

34
Q

The first maneuver to be elicited will always be inspection and as for the order of maneuvers in pediatrics, head-to-toe fashion is not always done. In viewing the tympanic membrane and ear drum, use an otoscope with the smallest ear speculum that the canal will accommodate.
a. 1st statement is true, 2nd statement is false
b. 1st statement is false, 2nd statement is true
c. 1st and 2nd statements are both true
d. 1st and 2nd statements are both false

A

a. 1st statement is true, 2nd statement is false

35
Q

Chest percussion on the chest area with pleural effusion will be
a. Hyperresonant
b. Dull
c. Resonant
d. None of the above

A

b. Dull

36
Q

Sound elicited when palpating solid structures under the chest cavity.
a. Hyperresonant
b. Dull
c. Resonant
d. Tympanitic

A

b. Dull

37
Q

The following PE findings is elicited/observed using what physical examination maneuvers: CRACKLES ON BOTH LUNG FIELDS
a. Inspection
b. Palpation
c. Percussion
d. Auscultation

A

d. Auscultation

38
Q

Possible cardiac finding in a patient with cardiomegaly:
a. Hyperdynamic precordium
b. Precordial bulge
c. Apex beat displaced to the right
d. B, C

A

b. Precordial bulge

39
Q

Adventitious breath sounds. Monophasic noise. Can be heard without stethoscope
a. Stridor
b. Crackles
c. Tubular breath sound
d. Grunting

A

a. Stridor

40
Q

Adventitious breath sounds. Explosive non-musical sounds occurring in bursts, resembling popping of bubbles. It is associated with inflammation, edema or infection of small bronchi, bronchioles and alveoli.
a. Stridor
b. Crackles
c. Tubular breath sound
d. Grunting

A

b. Crackles

41
Q

If you want to check shoulder symmetry, what Cranial nerve is involved
a. VIII
b. IX
c. X
d. XI

A

d. XI

42
Q

Asymmetric moro reflex can be indicative of the following except:
a. Nerve damage
b. Musculoskeletal defect
c. Brain injury
d. Prematurity

A

d. Prematurity

43
Q

In using the ophthalmoscope, view the patient’s left eye using the physician’s right eye. Fundoscopic examination is best done in a well-lit room.
a. First statement is true, second statement is false
b. First statement is false, second statement is true
c. 1st and 2nd statements are both true
d. 1st and 2nd statements are both false

A

d. 1st and 2nd statements are both false

44
Q

The stadiometer is used to measure recumbent length. To see the ear canal and drum, otoscope with the smallest ear speculum that the canal will accommodate.
a. First statement is true, second statement is false
b. First statement is false, second statement is true
c. 1st and 2nd statements are both true
d. 1st and 2nd statements are both false

A

d. 1st and 2nd statements are both false

45
Q

Indications for lumbar puncture
a. CSF examination
b. Instillation or intratechal chemotherapy
c. Measurement of opening pressure
d. All of the Above
e. None of the Above

A

d. All of the Above

46
Q

Location for lumbar puncture in pediatric patient
a. L2-L3
b. L3-L4
c. L4-L5
d. L1-L2

A

b. L3-L4
c. L4-L5

47
Q

Contraindications of CSF analysis except:
a. Anemia
b. Platelet of > 60,000 uL
c. Infection
d. AOTA
e. NOTA

A

e. NOTA

48
Q

True for Allen’s test:
a. Performed before venipuncture procedure
b. Check for patency of radial artery
c. Test adequacy of brachial artery flow
d. None of the above

A

b. Check for patency of radial artery

49
Q

Procedure used for collecting blood sample for newborn screening:
a. Venipuncture
b. Heelstick
c. Lumbar Puncture
d. Fingerstick

A

b. Heelstick

50
Q

Procedure used for collecting blood sample for blood gas analysis:
a. Arterial blood gas
b. Venipuncture
c. Lumbar puncture
d. Fingerstick

A

a. Arterial blood gas

Revalida (11 decks)

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