Pedia Spirits Block 8

10 year old boy complains of recurrent cough with breathlessness and chest tightness and wheezing, 2 year history. Sx 1-2x during cold months precipitated by exercise. Since ___, sx increased to 5-6x per during the day, breathless over past the past week, daily waking up during the night. 1. Classification of BA: A. Intermittent B. Mild persistent C. Moderate persistent D. Severe persistent 2. least helpful in diagnosing: A. chest xray 3. best description of late phase (hindi nalagay yung choices, basta aralin niyo yung early and late phase of asthma, kung ano yung time frame, nagmemediate, etc.) 10/M with ssx of cough, DOB, chest tightness. 1-2x/year esp. during the cold months. lately, he's been having ssx 56x/day, esp after play/activity, and has been roused from sleep daily during the past week because of cough. 4. what is the initial ER management for this patient? A. give oxygen using face mask B. give nebulized B2 agonist C. Montelukast D. request for CXR 5. Which of the following is not a controller medication? A. salbutamol B. montelukast C. budesonide D. omalizumab (anti-IgE) 3/F with severe dyspnea, productive cough, fever on the day of consult, difficulty of breathing, dysphagia, drooling. Immunization history is incomplete. 6. what is the most likely diagnosis? A. acute bronchiolitis B. acute laryngotracheobronchitis C. pneumonia D. acute epiglottitis 7. Etiology of Epiglottitis A. Parainfluenza B. RSV C. Hib D. Staph 8. NOT done for epiglottitis A. O2 B. Racemic C. antibiotics D. tracheostomy 12/F persistent knee swelling and pain. 3 weeks PTC moderate fever, left knee pain, followed by Right knee. Paracetamol relived fever and swelling. Sx recurred, persists now. Allergic to Beta lactam drugs. + CLAD, murmur, joint swelling. 10. Based on the revised Jones criteria, ff sx that the pt fulfilled:

A. Fever, ___, carditis B. Fever, arthritis, pallor C. Fever, arthritis, carditis 11. CXR revelased normal sized heart, pulmo markings. What is the severity of carditis? A. no B. mild C. moderate D. severe 12. What regimen would the appropriate for this patient: A. Pen and ASA B. Erythromycin and ASA 5/F 1 month history of on/off headache 13. What diseases to consider? A. primary headache B. CNS infection C. brain tumor D. AOTA 14. Headache accompanied by vomiting but not fever, rule out: A. primary headache B. CNS infection C. brain tumor D. NOTA 15. Neuro exam revealed bilateral papilledema and babinski sign. What to do next: A. give paracetamol, send home. B. request for neuroimaging, manage as OPD C. admit to hospital D. any Headache, no fever, +vomiting 16. CT scan Pseudohypothy in infants 17. ?? Congenital hypothy 18. poor feeding, lethargy, open fontanelles 19. 10 day old neonate screened positive for congenital hypothyroidism by Newborn screening. However, because of Ondoy, patient’s family was unable to follow up. The child was brought to clinic after 6 months. Which of the following will support dx of Congenital Hypothyroidism? A. sits without support B. length of 67 cm C. wide anterior fontanelle D. consumes 7-8oz of milk/day 20. 4-week old female with large tongue and lethargy, constipated and feeding poorly. Thyroid function test results would show: A. increased T4, decreased TSH B. normal T4, increased TSH C. decreased T4, increased TSH D. decreased T4, normal TSH 21. 9month old female, good diet and a good drinker, height and weight 50th percentile. Noted pallor, hemoglobin of 72

g/dl. PBS showed microscopic, hypochromic RBCs. Probable etiology of disease: A. thalassemia B. transient viral ____ of bone marrow C. anemia of chronic disease D. Iron deficiency

C. encephalopathy 7 days after D. seizures within 3 days

(Acute Post-strep GN yung mga sumusunod, ito na yung pinakamahirap na questions nung exam.) 28. 12/M, decreased urine output. BP 170/100, periorbital edema. Tachypnea. Which serologic titer is the best single antibody determination done? A. ASO B. antinicotinamide adenine dinucleotidase (anti-NAD) C. Streptokinase D. anti–DNAse B

40. To ensure safe complimentary foods, mothers must: A. wash own hands B. wash hands with soap C. wash hands before preparing and feeding the child D. refrigerate left over foods

29. Prognosis of APSGN in children: A. 3% still have renal lesions after 12 years. B. 0% recurrence rate C. A&B D. NOTA 30. Which of the following strep antibodies is _____ for preventing recurrence of APSGN? A. anti-IM protein B. anti-streptokinase C. anti-NAPir?? D. anti-neura___ 31. WHO child growth standard states the following growth indicator suggests normal growth: (weight for height, height for age) A. w – h 2+2 32. indicate pathologic growth: A. w -2 crossing 2 z-score lines down and towards median B. h -2 crossing 2 z-score lines down and towards median 33. 5/M w-h >-2 , h for age >-2 A. wasting and stunting B. severe wasting and stunting C. wasting and severe stunting D. severe wasting and severe stunting 34. True indication for BCG vaccine: A. baby record B. BCG scar C. mother’s knowledge 35. wt 65 kg, ht 144. BMI? 36. wt 73 kg, hg 156. BMI? w 37. What does BCG protect against? A. disseminated TB B. pulmo TB C. Koch’s infection D. ewan 38. True contraindication for DPT: A. inconsolable crying for 3 hours B. HHR within 48 hours

39. To encourage complimentary feeding: A. Offer small, frequent meals

41. Complimentary foods are properly fed if given in: A. infant feeding bottles B. dropper C. cup and spoon D. AOTA 42. A child with illness would require more food during: A. illness B. recovery C. illness and recovery D. depends on the nutritional status of child 43. Process of extinction: A. timeout B. reinforcement C. reward 44. Most common skin disease in babies: A. diaper dermatitis 45. Pt 2 weeks of age brought to OPD for well-baby care. A neonatal history if the format to fllow. The hx starts from general data, chief complaint and should be followed by: A. HPI B. Birth and maternal C. PMhx D. perinatal 49. Injury prevention technique for a 14-day old infant: A. smoking cessation B. proper temperature of bathing water C. choking. D. AOTA 50. Expected language dev at a 14-day old neonate A. crying B. Cooing C. babble D. jargon