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Course 3 Rickets

Total questions: 25

Worksheet time: 14mins

Name
Class
Date
1.

" Rickets rosary»- is:

a)

Thickening at the interface of bone and cartilage of the radius

b)

Thickening at the interface of bone and cartilage of the femur

c)

Prominent costochondral junctions

d)

Thickening at the interface of bone and cartilage of the sternum

2.
"String of pearls " - is:
a)
Thickening of the femoral epiphysis
b)
Thickening of the epiphyses of the humeral
c)
Thickening of the epiphyseal phalanges
d)
Thickening of the epiphyses of long bone
3.

By the first signs of rickets does not apply:

a)

fever

b)

hyper excitability

c)

sweating

d)

Alopecia of backhead

4.
Calciferol is not prescribed as a prevention of rickets:
a)
In the summer, fall
b)
When adaptive feeding mixtures
c)
When breast-feeding
d)
During the course of UV-radiation
5.

Causes of rickets are not:

a)

Insufficient insolation

b)

Artificial feeding with non-adaptive mixtures

c)

Malabsorption syndrome

d)

Chronic infectious processes

6.
Changes associated with hypotonia:
a)
Spin lumbar kyphosis
b)
Chest deformity
c)
scoliosis
d)
Froggy abdomen
7.

Changes in the chest with rickets include all mentioned below, except:

a)

Funnel breast

b)

Chicken breast

c)

Emphysematous chest

d)

Barrel shaped chest

8.

Children of the following age do not have rickets:

a)

Premature babies

b)

Infants

c)

Young children

d)

Adolescence

9.
Craniotabes is:
a)
Compliance of fontanels
b)
Softening the flat bones of the skull
c)
Divergence of seams
d)
The protrusion of the frontal eminence.
10.

Daily prophylactic dose of cholecalciferol:

a)

100-200 IU

b)

400-500 IU

c)

600-1000 IU

d)

1000-2000 IU

11.

Disorders of bone formation and bone mineralization deficiency can occur with:

a)

Diathesis

b)

Anemia

c)

Bronchitis

d)

Rickets

12.

Forming of “rosary” on the ribs, “chicken breasts” are observed with:

a)

Birth trauma

b)

Rickets

c)

Bronchial asthma

d)

Dysbiosis

13.

Normal level of phosphorus in the blood serum:

a)

0.5-0.9 mmol / l

b)

1.0-1.4 mmol / l

c)

1.5-1.9 mmol / l

d)

2.0-2.4 mmol / l

14.

Normal level of total Ca in serum:

a)

0.5-0.9 mmol / l

b)

1.0-1.4 mmol / l

c)

2.0-2.4 mmol / l

d)

2.2-2.7 mmol / l

15.
Rachitic bracelets - is:
a)
Thickening of the femoral epiphysis
b)
Thickening of the epiphyses of the humeral
c)
Thickening of the epiphyseal phalanges
d)
Thickening of the epiphyses of the forearm bones
16.
Symptoms of rachitis are all mentioned below, except:
a)
Cyanosis of arms and legs
b)
Minor softening of the edges of a large fontanel
c)
Anxiety
d)
Crying
17.
Symptoms of rachitis are all mentioned below, except:
a)
Cough
b)
Alopecia
c)
Irritability
d)
Tearfulness
18.

Which of the followings is not considered as a source of vitamin D?

a)

UV light

b)

Egg yolk

c)

Orange

d)

Fortified milk

19.

In how many steps does Vitamin D undergo hydroxylation in organism?

a)

1 step

b)

2 steps

c)

3 steps

d)

4 steps

20.

(a)   is a disease of growing organism due to defective mineralization of bones.

21.

Vitamin D undergoes 1st step hydroxylation in__________, and the 2nd step hydroxylation in_____________?

a)

kidney, liver

b)

skin, liver

c)

liver, kidney

d)

skin, bone

22.

How does calcitriol(1,25 dihydroxyvitamin D) regulate calcium metabolism?

a)

promotes absorption of calcium and phosphorus from the intestine

b)

increases reabsorption of phosphate in the kidney

c)

acts on bone to release calcium and phosphate

d)

All answers are correct

23.

Which of the followings is not one of the postnatal factors of rickets?

a)

Poor son exposure

b)

Mother’s diseases during the pregnancy

c)

Chronic feeding disorders

d)

Covered body

24.

Iatrogenic factors of rickets include the use of all following medications, except

a)

Diuretics

b)

Anticonvulsants

c)

Corticosteroids

d)

NSAIDs

25.

Please, write the skeletal changes which are seen in children with rickets:

(a)