4 (Oct 19-Nov 13) Block 6_Pedia

Pedia Exam Sprits Block 6 – 50-item exam Note: Some of us had a hard time getting the full question and answers since during the feedback, hindi na talaga binabasa ni ma’am yung question and letter na lang yung sinasabi na sagot. We are sorry if hindi masyadong complete ito, pero I’m 100% na ito yung answers na binigay ni Ma’am. 1.

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7-year old male, with 2 year history of jerking of the left arm and leg, without loss of consciousness, especially during TV watching. Which is important to note? a. Loss of consciousness b. Laterality of the jerking c. Watching television provokes his seizure d. All of the above Answer: D Which is an important info regarding the nature of the event? a. Presence of aura b. Time of the day c. Personality changes d. All of the above Answer: D In epilepsy, what factor is not of major concern? a. Duration of illness b. Age c. Seizure type and etiology d. NOTA Answer: A – Accdg to ma’am hindi daw ito masyadong important

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True of the guidelines of seizure treatment a. Seizure treatment is lifelong b. Single most important guideline is the recurrence of seizures c. Missing d. Missing Answer: B

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In the guidelines followed in epilepsy, diagnostic management of epilepsy? a. ECG b. MRI c. Activation EEG d. AOTA Answer: D

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Knee pain, malaise, tachycardia, pallor, febrile, muffled heart sounds, murmur at apex, no joint swelling a. Acute Rheumatic w/ carditis b. Acute Rheumatic w/ carditis + arthritis c. RHD d. Scarlet Fever Answer: AR w/ carditis

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Chest xray revealed Normal heart and pulmonary markings. What is the severity of carditis? a. No carditis b. Mild carditis c. Moderate carditis d. Severe carditis Answer: B

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Therapeutic Regimen for question #7? a. Penicillin and ASA b. Penicillin, furosemide, digoxin, prednisone c. Penicillin, ASA, digoxin, captopril d. Erythromycin, furosemide, prednisone Answer: A (note: mild carditis lang siya, yung sa past samplices, mas severe yung carditis)

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After 6 days, px was discharged. What is the preferred secondary RF prophylaxis? a. Oral pen 250 mg 2x/day b. Erythromycin 50mg 2x/day c. Benz pen 1.2m units deep IM every 21 days d. Benz pen 1.2m units deep IM every 28 days Answer: C (remember: 21 days!)

10. What is not a complication of RHD? Answer: Brain Abscess 11. The following statement is false about cerebral palsy: a. Not progressive b. Motor, cognitive, sensory are affected c. CP is commonly associated with epilepsy d. Temporary and reverts back Answer: D 12. The following factors are important in cerebral palsy patients, except? a. presence of spasticity b. Intellect of child c. Age of caregiver d. Age of child Answer: Feedback answer is B but we contested it and C yung dapat 13. 4-yr old child with developmental delay and unstable gait. What is the possible type of CP? a. Spastic b. Hemiplagia c. Ataxic d. Extrapyramidal Answer: C 14. Which is a sign that headache is benign?

a. acute in onset b. recurrent c. symptoms are more chronic d. with concomitant vomiting Answer: C (Ang pagkaexplain ni ma’am, in comparison sa acute symptoms, mas benign ang chronic na headache) 15. Therapy for ICP Answer: Mannitol 16. 10 year old male drooling, assuming a tripod position, with a thumb sign on chest Xray. Answer: Epiglottitis (key word: drooling, tripod, thumb sign) 17. What is the cause of laryngotracheomalacia? A. Parainfluenza B. HibV C. RSV D. Rotavirus Answer: A 18. Increase probability of GERD of chronic cough a. symptomatic after activity b. vomiting after feeding c. wheezing Answer: B 19. The following pathogen of acute gastric require antibiotic use: a. Enterotoxicogenic E. coli b. Shigella c. Salmonella d. AOTA Answer: B (Yes, Shigella lang among the choices, others daw ay cholera, Amoeba, Giarda) 20. Non bloody diarrhea, thirsty, irritable, sunken eyeball. What is the degree of dehydration? a. No dehydration b. Some dehydration c. Severe dehydration Answer: B. 21. Treatment for #20 include: a. Antibiotic b. Zinc c. IV fluid Answer: B 22. Which factor is relied most in determining degree of dehydration? a. Mental status b. Thirst c. Eye sunken d. Skin turgor Answer: B

23. What is a complication of diarrhea? a. lactose malabsorption b. metabolic alkalosis c. hyperkalemia Answer: A 24. False regarding treatment with severe malnutrition and some dehydration. a. Replacement of fluid is done in hospital b. IV hydration preferred over oral rehydration c. Missing Answer: B 26. Not a treatment in non infectious diarrhea: a. Instructing patient about indefinite duration of parenteral feeding b. Monitor volume of fluids c. IV nutrition Answer: A – dapat hindi indefinite yung duration 27. Which is a signs/symptom of typhoid fever a. biphasic fever b. Maculopapular rash on 1st 2 days c. relative bradycardia Answer: C 28. Lab function of typhoid except: a. Leukopenia b. Thrombocytopenia c. Hemoconcentration Answer: C 29. True regarding management of typhoid Answer: Patients are in isolation and standard contact tracing procedures are done 31. Laboratory results not consistent with IDA Answer: low total Iron binding capacity 32. 6 year old girl, 2 mo history of cough, (+) family history of TB, (+) PPD result, (+) Xray for TB. How to treat? Answer: 2 mo HRZ, 4 mo HR 33. Clinical history of 14 day old, 1 st well baby clinic. A neonatal history is the proper format to follow in this case. The history starts from the general data, chief complaint, and should be followed by: a. History of Present illness b. Birth & Maternal history c. Past Medical history d. Perinatal Answer: B. 34. The pertinent symptoms that should be elicited from the mother at the time of consult

to assess general well being of the newborn does not include: a. good suck and activity b. 6-8 bowel movements & micturation c. cyanosis d. weight gain Answer: D 35. During the PE, the newborn was crying. What should be the age appropriate distraction technique that you should do to calm the patient: a. use of rattle b. sucking c. offering of stuff toy d. hugging Answer: B 36. You asked the mother to breastfeed her baby to observe if her breastfeeding techniques are correct. 1 of the ff is not recommended as a criterion. a. baby’s head and entire body are supported b. position of the baby is face to face, chest to chest, tummy to tummy with the mother c. chin is away from the breast and lower lip is turned inward d. baby grasps the entire nipple plus 1 inch of the surrounding areola. Answer: C

37. Further advise the mother to continue breastfeeding due to its advantage which does not include 1 of the ff: a. promotes emotional bonding between mother and baby b. protects mother’s health against cancer (breast, uterine, ovary) c. promotes early return to prepregnancy weight d. low financial savings for the family Answer: D 38. You should reiterate to the mother the benefits of breastmilk which include a. adequate nutrients b. safe, sterile, always available c. easily digested and absorbed d. AOTA Answer: D

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The anticipatory guidance that should be given to the mother include: a. health b. Nutrition c. development/behavior d. AOTA Answer: D

40. Injury prevention and safety that should be advised to the mother: a. smoke avoidance b. right temperature of water during bathing c. choking prevention d. AOTA Answer: D 41. At birth the baby was given Hep B.The regular vaccines that you can give at the time of consult is: a. Hep B 2nd dose b. BCG c. DPT 1st dose d. H. influenza B Answer:B 42. Advice the mother to follow up 4 weeks after for growth monitoring as well as administering of the ff vaccine: a. Hep B 2nd dose, DPT first dose, OPV first dose b. BCG c. H. influenza type B d. Measles Answer: A 43. The intramuscular route is followed for the admission of: a. Hep B, BCG, measles b. Hep B, H infuenza, BCG c. Hep B, DPT, Infuenza type B d. Hep B, DPT, BCG Answer: C 44. Which of the following vaccine is NOT part of the Expanded Program of Immunization? a. BCG b. Polio c. Varicella d. Pertussis Answer: C 45. Guiding principle of complimentary feeding based on: Answer: Global Strategy for Infant and Young Child feeding

46. Unfortunately, complementary foods that are predominant plant based have insufficient amounts of: a. Iron b. Vitamin B6 c. Vitamin B12 d. Folate Answer: C 47. Which is not considered a reason why complementary foods are started at 6mos of age? Answer: decrease in breastmilk production 48. Child with illness will require more food during: a. illness b. recovery c. illness and recovery d. depending on the nutritional status of child prior to illness Answer: C 49. Which of the ff warrant further developmental assessment: a. 3 month old who can't roll over b. 6 month old who can't sit with support c. 4 month old who can't babble d. 12 month old who can't say "dada" Answer: D 50. When (what age) is the best time to give a tricycle as a gift to a child? a. 18 months b. 24 months c. 36 months d. 48 months Answer: C