PED FINAL 20_21

Type of nourishment changes in a first year of child’s life. Please choose when do we add first additional meals like vegetarian mixed soups or fruit puree:

Symptoms of FAT – Fetal Alcohol Symptom:

1. Short palpebral fissures.

Thin upper lip.

Short nose.

Flat midface.

Newborn after birth: - Has got heart rate below 100 beats per minute; its respiration is slow and irregular; no response to catheter in nostril; limbs are atonic; skin is pale. The Apgar score is:

Indicate the place of tricuspid valve auscultation.^^^^

Name the symptom: occurs when the patient feels resistance to straighten up knee > 135 degrees, with hip and knee joints bent at 90 degrees. The symptom is bilateral and painless opposed to the Lasègue symptom in sciatica

What is the name of following symptom? “When the sole of the foot is irritated, the big toe bends upwards, while the rest of the toes bends downwards. It may occur physiologically up to the age of 2. After the second year of life, it is evidence of damage to the pyramidal tract”

Newborn with visible spina bifida should be operated:

Moment of operation depends on parents’ decision

During first 24 hrs of life

After full genetical diagnosis

After the end of the neonatal period

Surgical intervention is not recommended

Head circumference of term newborn is 34 cm. What circumference can be suspected in the 3rd month of age if the infant grows properly?

Central cyanosis may be observed in all of the following, except

Gums’ edema, redness and pain are typical during dentition in some infants. But sometimes there can be also some other symptoms, except:

Mark the false sentence according to the posteriori urethral valve (PUV)

Voiding cystourethrogram is very useful in diagnostic process of PUV

If untreated can lead to chronic renal failure

In girls can be the reason of infertility

Can be the reason of recurrent urinary tract infections

In case of bilateral hydronephrosis in boys always consider diagnostic of PUV

17-year-old girl with fully developed breast, menstruating regularly, with pubic hair extending to the medial surface of the thighs would be graded in Tanner scale as:

Healthy infant, at the age of 6 months should present:

Knowing the Polish vaccination calendar, answer which vaccinations should be performed to healthy child before leaving from the neonatal unit (first 24h):

Preterms are:

Newborns born before 38 weeks of gestation

Newborns born before 36 weeks of gestation

Newborns with SGA

Newborns born before 36 weeks of gestation AND with the weight below 2.500 grams

Newborns born with the weight below 2.500 grams

Schamroth sign. Point the false answer:

It is also known as a diamond gap test

In clubbing a diamond gap is missing

It is associated with heart diseases

It is used to confirm cholecystitis

It is used to identify clubbing fingers

Elevated cranial pressure in infant can lead to following symptoms:

All of the following are symptoms of rickets, except:

Prophylactic dose of vitamin D in heathy newborn fed with formula is

Contraindications to breastfeeding:

Choose one, which is not temporary status of the newborn

A child is able to hold its head up steady, rolls over, follows the toys with eyes from side to side, begins to babble. How old is this child?^^^^

The classic history of appendicitis contains:

Oedema of lumbar region

Migration of the pain to the right lower quadrant of abdomen

Diarrhea

Migration of the pain to the left lower quadrant of abdomen

Pain is not worsened by coughing and sneezing

Which of the following conditions can not cause abnormal development and learning difficulties in children:

Choose the false sentence about gross motor development in children:

Walking unsteadily – 12 month

Sitting without support – 6-8 months

Raises head to 45o – 6-8 months

Crawling – 7-9 months

Walking steadily – 15 months

Choose the false sentence:

Genetic causes of visual impartment are retinal dystrophy and albinism

Strabismus persistent beyond 3 months should be referred for ophthalmological opinion

Hypermetropia is the rarest refractive error in children

Corneal light reflex and cover test are using in squint testing

Retinoblastoma is the most common malignancy of retina in children

Stridor is:

High-pitched, expiratory sound from distal airway obstruction

Discontinuous ‘moist’ sounds from the opening of bronchioles

Harsh, low-pitched, mainly inspiratory sound from upper airways obstruction

Abnormality of the vocal cords

Different name for bronchial breathing which is higher-pitched and the length of inspiration and expiration equal

Newborn with birth body weight 1500 g, born in the 38th week of gestation, should be described as:

Round, hemorrhagic spots less in 2 mm in diameter (petechiae) are characteristic for:

What would you ask patient to do to examine if 7th cranial nerve works correctly?

According to the Glasgow scale, count how many points a patient with the following symptoms will receive: patient doesn’t open eyes while pressing his nail plate, there is no vocal and motor response while irritating sternum:

Find a true sentence about the changes in circulatory system that occur in chromosomopathies and genetic disorders:

in Marfan syndrome one can most frequently observe regurgitation of the pulmonary valve

in Turner syndrome stenosis of pulmonary trunk is very common

In Marfan syndrome, stenosis of aorta may occur

In trisomy 21, a common atrioventricular canal occurs most frequently

In trisomy 21, a common atrioventricular block occurs most frequently

Possible causes of rickets are following, except

True information about nystagmus is:

Different name for squint

Nystagmus is always connected with brain tumor

Nystagmus is a symptom of high blood pressure

Corneal light reflex test is used to detect nystagmus

At 7weeks old, a physiological optokinetic nystagmus might appear

Indicate the true sentence about children with cleft palate:

Most often reason of cleft palate is alcoholism in pregnant women.

Breast feeding is difficult but possible if vacuum problem is resolved (naturally or artificial method)

Breast feeding is contraindicated because of possibility of choking.

Children with cleft palate need more protein in diet because of bone reconstruction necessity.

Oral feeding is forbidden.

A 2-year-old boy has a runny nose, mild fever, severe cough mainly at night, and only expiratory high pitch wheezes in physical examination. What can you suspect?

PED FINAL 20_21

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