Preventive Pediatrics/ Policy statement/ immunization practices

Question 1

Pediatric Nephrology Society of the Phils. recommends routine blood pressure measurement annually for all children >3 years of age and adolescents. Stage I hypertension for age 1-13 years is defined as

Answer 1

BP >95 percentile to <95 percentile +12mmHg

BP 130/80 to 139/89 mmHg

Question 2

A 1 ½-year-old child came for a well child visit. After taking the weight standing on the weight scale, the secretary told the child to lie down so she can take his length but the boy refused so the height of the child was measured standing up and was noted to be 80 cm. What is the real length of the child?

Answer 2

80.7 cm

Question 3

perfect first food for the newborn

Answer 3

colostrum

Question 4

reliable growth indicator even when the age is not known

Answer 4

Weight for Length/ Height

Question 5

PPS Policy Statement on Neonatal Hearing Screening recommends screening for all newborns whether high risk or non-high risk. Infants who are not born in hospitals should be screened within

Answer 5

3 months

Question 6

following are true of iron supplementation recommended by the DOH

Answer 6

> In low birth weight infants, 0.3 ml elemental iron once a day to start at 2 months until 6 months is recommended
syrup preparation of iron in the Philippines contain 30 mg elemental iron per 5 ml of the solution
Children 1-5 years old need to be supervised when administering iron
Folic acid at 400 mcg is also part of the DOH recommendation

Question 7

cross over cover test should be performed as part of eye screening to check _______

Answer 7

Ocular misalignment

Question 8

What is the most appropriate reading distance when doing visual acuity testing using the Jaeger chart?

Answer 8

34-40cm

Question 9

following qualifies for ROP screening

Answer 9

> a 36-weeker infant of a diabetic mother with severe RDS and sepsis
a CS delivered 30-weeker preemie
a 32-weeker meconium stained infant
an extremely low birthweight preterm

Question 10

recommended breast milk storage

Answer 10

> Breast milk must be stored in sterile polypropylene container properly labeled
Breastmilk stored in a refrigerator at 4℃ is still good for baby’s consumption within 8 days

Question 11

red flags for a 2-year-old toddler

Answer 11

Unable to climb up or down the stairs
No 2-word phrases
Rocks back & forth in crib
Unable to stack five blocks

Question 12

National Filariasis Elimination Program of the DOH implemented in municipalities endemic for filariasis, utilizes the administration of the following drugs in mass treatment

Answer 12

Albendazole

Diethylcarbamazine citrate

Question 13

contraindications in deworming children

Answer 13

Severe malnutrition
profuse diarrhea
abdominal pain
Previous hypersensitivity to antihelminthic drug

Question 14

best studied effect of lead exposure

Answer 14

cognitive impairment

Question 15

True of preventive dental care

Answer 15

Twice daily use of fluoride-containing toothpaste is recommended
6-year-old child should be given 2 doses of 0.5 mg fluoride per day

Question 16

indication/s for immunoglobulin

Answer 16

Replacement therapy for children with antibody deficiency

measles & hepa a prophylaxis

Question 17

Intramuscular immunoglobulin can be used to prevent or modify measles if administered within ___ days of exposure

Answer 17

6 days

Question 18

The major recommended indication for IVIG approved by the FDA are the following

Answer 18

Replacement therapy for primary immunodeficiency disorder
Replacement therapy for prevention of serious bacterial infection in HIV
Kawasaki disease to prevent coronary artery abnormalities
Immune-mediated thrombocytopenia to increase platelet count

Question 19

Palivizumab is a monoclonal antibody that is used for the prevention of severe disease from

Answer 19

RSV

Question 20

Conjugate vaccines are better than polysaccharide vaccines because

Answer 20

• Polysaccharide antigens induce B-lymphocyte response in the absence of T-lymphocyte help thus inducing poor immune response in children less than 2 years of age
• Polysaccharide vaccines are associated with short-term immunity
• There is no enhanced or booster response on repeat exposure to the antigen

Question 21

Serum antibodies may be defected as soon as ____ days after injection of antigen

Answer 21

7-10 days

Question 22

Live-attenuated vaccine routinely recommended for older children and adolescents include the following

Answer 22

measles
mumps
rubella
varicella

Question 23

Characteristic of live-attenuated vaccines

Answer 23

Replicate often similarly to natural infections until an immune response inhibits reproduction

Question 24

following is/are conjugated vaccine/s

Answer 24

Pneumonococcal conjugated vaccine
Hemophilus influenza type B vaccine
Hepatitis B vaccine

Question 25

Vaccines for travelers include

Answer 25

Typhoid Vaccine
Hepatitis A & B vaccine
Japanese Encephalitis vaccine
Meningococcal conjugate vaccine

Question 26

For healthy infants >2 months who were not given BCG at birth, PPD prior to BCG vaccination is always not necessary. (T/F)

Answer 26

false

Question 27

In a child with clinical findings suggestive of TB &/or Chest x-ray suggestive of TB, a TST induration of ≥ 5 mm is considered positive. (T/F)

Answer 27

true

Question 28

final dose of hepatitis B vaccine is administered not earlier than 24 weeks. (T/F)

Answer 28

true

Question 29

The 5th dose of DTaP vaccine may not be given if the 4th dose was administered at age 4 years or older. (T/F)

Answer 29

true

Question 30

Preterm infants <2 kg who received 1st dose of hepatitis B vaccine at birth should be given 2 more doses at 30 days interval (T/F)

Answer 30

false

Question 31

The monovalent human rotavirus vaccine (RV 1) is given as a 3-dose series and the pentavalent human bovine rotavirus vaccine (RV 5) is given as a 2-dose series. (T/F)

Answer 31

false

Question 32

For pregnant adolescents who are fully immunized, the recommendation is to administer 2 doses of Tdap vaccine during 27 and 36 weeks regardless of previous Td or Tdap vaccination. (T/F)

Answer 32

false

Question 33

In children more than 12 years old, the second dose of Varicella vaccine given 4 weeks from the first dose is considered invalid and should be repeated after 6 months. (T/F)

Answer 33

false

Question 34

In a measles outbreak, measles vaccine may be given as early as 6 months age and this is considered a valid first dose. (T/F)

Answer 34

false

Question 35

Japanese encephalitis (JE) vaccine is given intramuscularly at 9 months to 18 years of age. (T/F)

Answer 35

false

Question 36

Healthy children 2 to 5 years old who do not have previous PCV vaccination may be given 1 dose of PCV 13 or 2 doses of PCV 10 (T/F)

Answer 36

true

Question 37

Unimmunized children more than 15 months of age and undergoing elective splenectomy should be given 1 dose of Hib-containing vaccine at least 14 days after the procedure. (T/F)

Answer 37

false

Question 38

Patients who have completed 3 doses of pre-exposure prophylaxis vaccine for rabies but were subsequently exposed need not receive rabies immunoglobulin (T/F)

Answer 38

true

Question 39

Men having sex with men (MSM) are recommended to receive Hepatitis A vaccine. (T/F)

Answer 39

true

Question 40

PCV and PPSV 23 should not be co-administered. (T/F)

Answer 40

true