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 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.

2.

3.

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 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. ECG
b. MRI
c. Activation EEG
d. 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 Fever
Answer: 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
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 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: 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. 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: 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 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

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