Pedia Exam Sprits Block 6 50-item examNote: Some of us had a hard time getting the full question and answers since during the feedback, hindi na talaga binabasa ni maam yung question and letter na lang yung sinasabi na sagot. We are sorry if hindi masyadong complete ito, pero Im 100% na ito yung answers na binigay ni Maam.1. 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 consciousnessb. Laterality of the jerkingc. Watching television provokes his seizured. All of the aboveAnswer: D

2. Which is an important info regarding the nature of the event?a. Presence of aurab. Time of the dayc. Personality changesd. All of the aboveAnswer: D

3. 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 maam hindi daw ito masyadong important

4. 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

5. In the guidelines followed in epilepsy, diagnostic management of epilepsy?

a. ECGb. MRI

c. Activation EEGd. AOTA

Answer: D

6. 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 FeverAnswer: AR w/ carditis

7. 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

8. 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)

9. 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 epilepsyd. Temporary and reverts back

Answer: D

12. The following factors are important in cerebral palsy patients, except?

a. presence of spasticityb. Intellect of child

c. Age of caregiver

d. Age of childAnswer: 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. Hemiplagiac. Ataxic

d. ExtrapyramidalAnswer: C

14. Which is a sign that headache is benign?a. acute in onset

b. recurrentc. symptoms are more chronic

d. with concomitant vomitingAnswer: C

(Ang pagkaexplain ni maam, 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: A18. 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 fluidAnswer: B

22. Which factor is relied most in determining degree of dehydration?a. Mental status

b. Thirst

c. Eye sunken

d. Skin turgor

Answer: B23. What is a complication of diarrhea?a. lactose malabsorption

b. metabolic alkalosis

c. hyperkalemia

Answer: A24. False regarding treatment with severe malnutrition and some dehydration.a. Replacement of fluid is done in hospital

b. IV hydration preferred over oral rehydrationc. Missing

Answer: B

26. Not a treatment in non infectious diarrhea:a. Instructing patient about indefinite duration of parenteral feeding

b. Monitor volume of fluidsc. IV nutrition

Answer: A dapat hindi indefinite yung duration

27. Which is a signs/symptom of typhoid fevera. biphasic fever

b. Maculopapular rash on 1st 2 days

c. relative bradycardia

Answer: C

28. Lab function of typhoid except:a. Leukopenia

b. Thrombocytopeniac. Hemoconcentration

Answer: C29. True regarding management of typhoid

Answer: Patients are in isolation and standard contact tracing procedures are done31. 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, 1st 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 illnessb. Birth & Maternal history c. Past Medical historyd. PerinatalAnswer: 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 activityb. 6-8 bowel movements & micturationc. cyanosisd. weight gain Answer: D35. 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 rattleb. suckingc. offering of stuff toyd. 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. babys 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: C37. 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 mothers 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

39. The anticipatory guidance that should begiven 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. righttemperature of water during bathing

c. choking prevention

d. AOTA Answer: D41. 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 doseb. BCGc. DPT 1st dosed. H. influenza BAnswer: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 doseb. BCGc. H. influenza type Bd. MeaslesAnswer: 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: C44. Which of the following vaccine is NOT part of the Expanded Program of Immunization?

a. BCG

b. Polio

c. Varicella

d. PertussisAnswer: C45. 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 recoveryd. depending on the nutritional status of child prior to illnessAnswer: 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 monthsd. 48 months

Answer: C