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Pediatrics Flashcards

1
Q

Which of the following indicates hypoperfusion of of vital organs?

A) Low surface body temperature
B) Delayed capillary refill (>2s) J
C) Peripheral cyanosis v
D) Signs of dehydration
E) Impaired mental status

A

E) Impaired mental status

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2
Q

Which of the following is true for fetal and neonatal circulation?

A) Gas exchange occurs in lungs during fetal life

B) Ductus arteriosus closes after birth as a result of decreased and increased partial oxygen pressure prostaglandin level.

C) During fetal life blood passes from right atriyum to left atriyum via foramen ovale

D) During fetal life blood passes from umblical vein to the superior vena cava via ductus venosus

E) In fetal circulation right ventricle handles about the 45% of total cardiac output

A

C) During fetal life blood passes from right atriyum to left atriyum via foramen ovale

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3
Q

Soru Metni: Which of the following is not a sign of heart failure?
A) Absence of femoral artery pulses
B) Excessive sweating
C) Easy fatigability
D) Tachypnea
E) Failure to thrive

A

A) Absence of femoral artery pulses

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4
Q

Soru Metni: in which of the following ,a 1-3 month old baby with fever can be follow with close observation without antibiotics ?

1-WBC count of 5.000-15.000 cells m/uL( absolute neutrophyl count <1500, absolute neutrophyl ratio <0.2)

II- Urinalysis (>100 WBC/HPF)

III-While diarrhea is present , no RBC and < 5 WBC/HPF a in stool sample

IV-Infiltration on the chest radiograph

A

1-3

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5
Q

Soru Metni: Which of the following are associated with an immunodeficient disease?

1- Infections involving multiple anatomic locations

II- Mild infections with unusual pathogens

III-Increase in frequency and severity of infections with age

IV-Recurrent serious infections with common pathogens

A

1-3-4

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6
Q

When is postural control in sitting onserved in infants? (carliest)

A) 6. month

B) 12. month

C) 9. month

D) 18. month

E) 24. month

A

C) 9. month

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7
Q

Which is not used for growth

measurements?

A) Head circumference

B) Abdominal circumference

C) Pulse

D) Chest circumference

E) Mid arm circumference

A

C) Pulse

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8
Q

Which one is not a risk factor for occult bacteremia in a 3-36 month old

febrile infant

A. Temperature >or equal 39

B. WBC > or equal 15.000

C. Hypocalcemia

D. Elevated absolute neutrofil count

E. Elevated ESR or C-reactive protein

A

C. Hypocalcemia

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9
Q

81) Which one indicate hypoperfusion of viral organs
A. Oliguria
B. Low surface body temperature
C. Delayed capillary refill (>2s)
D. Peripheral cyanosis
E. Sing of dehydration

A

A. Oliguria

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10
Q

82) Which one is not a secondary immunodeficiency

A. HIV
B. X-linked a gammaglobulinemia
C. Removal of spleen
D. Immunosuppressed of transplant
E. Radiation and chemotherapy for cancer

A

B. X-linked a gammaglobulinemia

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11
Q

83)Which one is false for neonatal circulation
B. Ductus arteriosus closes after a birth result of decreased partial o2 pressure and increased prostaglandin level.

A
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12
Q

84) Which one is not a sing of heart failure
A. Excessive sweating
B. Easy fatigability
C. Tachypnea
D. Hypertension
E. Failure to thrive

A

D. Hypertension

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13
Q

85) not used for growth determination
A. Pulse
B. Head circumference
C. Chest C.
D. Abdominal C.
E. Mid-arm C.

A

A. Pulse

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14
Q

Hangisi periodic fever da gorúlür benzeri bir soru(Which one is associated with periodic fever)?-PFAPA (periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis)

A
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15
Q

49-Which one is incorrect about the fetal circulation?
-in fetal circulation
partial oxygen saturation is highest in right atrium

A
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16
Q

50-When does hearing develop?
-neonatal period

A
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17
Q

51-How many temporary teeth are there?_-

A

20

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18
Q

53-Which one is the cause of secondary immunodeficiency(Primer immunodeficiency olmayan)?-

A

HIV

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19
Q

54-When does the posterior fontanelle close?- _

A

1-2 months

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20
Q

55-Which one of the below is not of the symptoms associated with heart failure?- absence of femoral artery pulses

A
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21
Q

56-Which one is incorrect?- during treatment of acidosis, hypoglisemia may occur

A
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22
Q

57-Which one is correct?

  • in septic shock clinical features of other shock types can occur
A
23
Q

60-çocuklar hipermetropi ne zaman kaybolur? ( çıkmış)

A

Cevap: 5-6 years

24
Q

61-hangisi congenital heart diseases bulgusu değildir ?

Cevap: vomiting after feeding

A
25
Q

62-earlier cellular dusfunct? (Çıkmış)

A

Cevap: septic shock

26
Q

64-hangisi decompensated shockların özelliğidir?

Cevap: presence of hypotension

A
27
Q

66- bebekte sok ve periferal yetmezlikte hangisi görülür ? (SikmIs)

A

Cevap: decrease in surface body temperature

28
Q

Fetal dönemde sag atrium ile sol atrium arasindaki kan geçisi asagidakilerden hangisiyle saglanir?

A

Cevap: Foramen ovale

29
Q

Cocuklarin büyüme hizinin en yüksek oldugunu dönem asagidakilerden hangisidir?

A

Cevap: Postnatal first year

30
Q

Kaç aylik bir bebek basit Kelimeler konusup, destek almadan yürtyip, bir bardagi tutup

A

Cevap: 13 months

31
Q

Congenital patient with aort coarctation

Cevap: Aortic coarctation

A
32
Q

Which of the following is wrong?
A-) Blood that come from right pulmonary artery goes to descending aorta via ductus arteriosus

B-) Blood returning from placenta by the umblical vein reaches to IVC.via ductus venous

C- 1/3 of the blood from IC goes to left atrium via foramen ovale

D-) Ductus venosus always remains patent after the birth.

A

D-) Ductus venosus always remains patent after the birth.

33
Q

Hypovolemic shock is result of
A-) Decrease in intravascular volume
B-) Decrease in vascular tone
C-) Depression of muscle contractility
D-) Increase of intravascular volüme
E-) Increase of vascular tone

A

A-) Decrease in intravascular volume

34
Q

In fetal circulation what is the function of ductus arteriosus?

A) Blood coming from pulmonary artery passes to descending aorta via ductus arteriosus
B) Blood coming from umblical vein passes to am the inferior vena cava via ductus arteriosus
C) Blood passes from right atrium to the left atrium via ductus arteriosus
D) Blood passes from pulmonary artery to the right and left pulmonary arteries via ductus arteriosus
E) Blood goes to plasenta from aorta via ductus arteriosus

A

A) Blood coming from pulmonary artery passes to descending aorta via ductus arteriosus

35
Q

In which type of shock cellular dysfunction occurs earlier?
A) Distributive shock
B) Septic shock
C) Hypovolemic shock
D) Obstructive shock
E) Cardiogenic shock

A

B) Septic shock

36
Q

Dilated cardiomyopathy may result in which type of shock?
A) Distributive shock
B) Septic shock
C) Hypovolemic shock
D) Obstructive shock
E) Cardiogenic shock

A

E) Cardiogenic shock

37
Q

No: 33458 Yanit:bYazar.Zerrin Orbak
59. When does newborn’s weight reach doubled ?

A) 3. month
B) 5. monta
C) 6. month
D) 9. month
E) 12. month

A

B) 5. monta

38
Q

When does physiological hypermetropia disappeared in childhood?
A) 8-10 vTs
B) 2-3 yrs
C) 12-14 yrs
D) 7-8 yrs
E) 5-6 yrs

A

E) 5-6 yrs

39
Q

Which one is generally the first pubertal sign im males?

A) Increased penile growth
B) Pubarche
C) Increased growth velocity
D) Increased testicular growth
E) Facial hair

A

D) Increased testicular growth

40
Q

Which one is generally the first pubertal sign in females?
A) Telarche
B) Pubarche
C) Adrenarcho
D) Menarche
E) Increased Growth velocity

A

A) Telarche

41
Q

Which of the followings indicate that the cause of cyanosis is respiratory
A) Decreased oxygen saturation while crying
B) Increasing oxygen saturation while oxygen inhalation
C) Abnormal heart shadow in chest X ray
D) Normal partial carbondioxide pressure
E) Normal lung sounds

A

B) Increasing oxygen saturation while oxygen inhalation

42
Q
  1. What are the major developmental landmarks for motor skills during the first 3 years of life?Choose wrong landmark?

A) smile 2-3 months

B) transferring objects from hand to hand 5-7 months

C) Walking alone 11-15 months

D)Sleadniness of head when placed in supported sitting 5-6 months

E) Cruising or walking holding on 7-13 months

A

A) smile 2-3 months

43
Q
  1. In fetal circulation: gas exchange occurs in
    A) Fetallungs
    B) Fetal heart
    Ductus arteriozus
    D) Placenta
    E)Ductus venozus
A

D) Placenta

44
Q
  1. Which of the followings causes distributive shock?

Blood loss

Dilated cardiomyopathy

Anaphylaxis

Burn

Supraventricular tachycardia

A

Anaphylaxis

45
Q
  1. Which conditions are assoclated with premature closure of the fontenelle except one?
    A) Microcephaly
    B) Craniosynostosis
    c) Vitamin D deficiency
    D) Normal variant
    E)Familial
A

E)Familial

46
Q
  1. Which one is false about growth?
    A) At 1st year, infant’s birthweight is tripled
    B) At 1st year, infant’s lenght is doubled
    C) Newborn lose up to 10% of their weight in the first few days of life
    D) Newborn regain birthweight by 3 weeks of life
    E) Postnatal Growth velocity is the highest during 1st year of life
A

D) Newborn regain birthweight by 3 weeks of life

2weaks

47
Q
  1. Which one is the first examination sign of puberty in females ?
    A) Height velocity
    8) Telarche
    C)Menarche
    D) Weight gain
    E) Increased arm span
A

8) Telarche

48
Q
  1. Which of the following permits the passage of blood from pulmonary artery to descending orta during fetal life?
    Placenta
    Ductus arteriosus
    Foramen ovale
    Umblical arteries
    Ductus venous
A

Ductus arteriosus

49
Q
  1. Which of the following permits the passage of blood from right atrium to left atrium during fetal life?
    A)
    Ductus venous
    B)
    Ductus arteriosus
    C)
    Foramen Ovale
    D)
    Placenta
    E)
    Umblical arteries
A

Cevap: Foramen Ovale

50
Q

Which of the following is wrong?
A) Mainly there are three types of shock; hypovolemic shock, cardiogenic shock, distributive shock
B) During the compansaled shock, the blood supply of the central organs are maintained. So blood~ pressure, urine output and cardiac functions are romal.
C) Anaphylaxis due to any reason can result in cardiogenic shock
D) During the decompansated shock, signs of impaired functions of all organ systems can appear.
E) Hypovolemic shock can occur with loss of all components of the blood.

A

C) Anaphylaxis due to any reason can result in cardiogenic shock

51
Q

Which type of shock developes due to significant blood loss?

A) Distributive shock
B) Cardiogenic shock
C) Hypovoleric shock
D) Septic shock
E) Obtructive shock

A

C) Hypovoleric shock

52
Q

Which radiological evolution is used when
determining bone age in 2-year-old child?
A) Hand Wrist
B) Skull
C) Vertebrae
D) Knee
E) Femur

A

A) Hand Wrist

53
Q

Which of the followings is the most stronger stimulant for ductal construction after birth ?

A) prostaglandin level
B) Gestational age
C) Lung disease
D) Altitude
E)Rise in oxygen saturation

A

E)Rise in oxygen saturation

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