PED FINAL 2015
Choose the correct sequence of pubertal development in girls
Menarch, thelarch, pubarache, pubertal growth spurt
Pubarach, growth spurt, menarch, thelarch
Thelarche, pubarche, menarche, growth spurt
Pubertal growth spurt, thelarche, pubarche, menarche
In the course of normal puberty in girls, adenarche is responsible for the following signs
Pubarche
Body odor
Thelarche
Menarche
Mark clinical features of hydroecephalus
Increased head circumference
Sunken fontanels, without pulsation
"sun - setting" sign
Scalp vein distention
Microcytic anemia in children may be caused by
Iron deficency
Folic acid deficiency
Chronic infection
Vitami B12 deficiency
Which of the following are primitive, involuntary reflexes in a full term newborn
Moro reflex
Stepping reflex
Grasp reflex
Startle reflex
Glasgow coma scal refers to
Blood pressure
Best eye opening response
Best verbale response
Temperature
Which of these are temproarly physiologic in newborn
Physiological jaundice
Physiological hypoglycemia
Physiological pseudomensturation in girls
Physiological weight gain
Webbed neck (pterygium colli) extra skin fold in neck may suggest
Turner syndrome
Hyperthyroidism
Cushing syndrome
Addison syndrome
Wheezes are heard in following dieases
Bronchial asthma
Bronchiolitis
Hydrothorax
Foreing body into bronchus
Support reflex
Disappears between 4 - 6 months
It persist, child has psychomotor pathological development
Neonates us held under arms with feet pressed to surface
All above
An inability to passivly flex the neck forward is named
Flataua sign
Upper kering sign
Neck stiffness (nuchal rigidit)
Nuchal brudzinisk
Diaphragmatic hernia complications
Asymetric movement when breathing
Cyanosis
Lung hypoplasia
Tachypnea and tachycardia
Gastroschisis
Defect present in abdominal wall, usually on right lateral side of umbilicus
Have membrane covering
Malrotation is frequent
Abdominal wall defect that occurs at the base of the umbilical cord
Which of the following findings indicate the increase work of breathing in infants
Nasal flaring
Retraction of intercostal muscle
Retraction of diaphragm
Fever
Find the correct sentences
The 3rd sound is increased of loudness in diseases with large left - to right shunt
Pathological 3rd sound produced protosystolic gallop rythm
The 4th heart sound is the quitests sound among all physiological sounds
The 3rd and 2nd sounds are systolic sounds
In order to check the newborns hearing you may use
Whisper test
Detection of otocustic emission
Aurico-palperbral reflex
Audiometry
A 3 y/o boy suffers from high fever, tachypnea, and stridor
Epiglottis inflammation
Laryngitis
Pharyngitis
Obturative bronchitis
Risk factor of battered child syndrome
Mental impairment of child
Lack of acceptance by mother new partner
Low socio - economical status
Abuse in childhood
What is false about neonates and hematopoietic system
Hb levels is 12 - 14 g/dL
Hematrocrit 3 ml/100 ml
RBC count is 3 million/mm3
Ross classification
Feeding (quantitiy/time per meal)
Breaths (frequency/type of respiration)
Heart rythm (frequency/gallop rythm)
Hepatomegaly (cm)
Peripheral perfussion
Newborn with 100 beats/min, good cyring, active motion, cough response to catheter in nostril and skin colour is completely pink, what kind of score would this give after Apgar scoring system
3
5
8
10
Characteristics of innocent murmurs
Intensity is commonly 1 - 3 degree of Levin scale
Not associated with anatomical or physiological cardiovascular dysfunction
Usually systolic murmur
Intensity depends of position of body, fever, effort and the like
Which is responsible for the development of external genitalia in boys
MIH
DHT
Testosterone
All of the above
You asses the following in congestive heart failure, except
Liver
Type of respiration
Frequency of respiration
Edemas in distal extremities
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