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WorksheetsG&D Summative 1
Total questions: 75
Worksheet time: 38mins
Toddlers in the age of 1-3 years need to have routine growth and development monitoring every 3 months
True
False
Child is defined from conception to 19 years old
True
False
Below are the determinants of physical growth, except..
Nutrition
Genetics
Hormones
Social
Let’s say, if Joe doesn’t give his baby affection, stimulation, and love like the parents should, also feeds his baby poorly. Referring to the image, which brain cells are expected to be found in the baby?
Left
Middle
Right
None of the above
If I have a 2 and a half years old child named Adnan Reva Gibraldy, what kind of stimulation can I give to him?
RKO from outta nowhere
Peekaboo
Teach him how to ride a bike
Teach him how to dress himself
In which follicular stage that antrum can be found?
Primary Follicle
Secondary Follicle
Pre-antral Follicle
Tertiary Follicle
Secondary oocyte produced the first polar body in oogenesis
True
False
In fertilization, the release hyaluronidase will break down zona pellucida for sperm to penetrate the egg
True
False
Which one of these statements is true regarding mesoderm?
Formed from the delamination of endoderm which create the layer next to the former layer
Formed from cells lining the blastocoel (blastocyst cavity)
Later on, mesoderm is potentially develop into organs of: cardiovascular system, urogenital system, nervous system, epidermis and it derivatives
Formed from the delamination of primitive knot
In gastrulation, epiblast will form into amniotic cavity. Meanwhile, hypoblast will form the yolk sac containing nutrients.
True
False
Based on the picture above, we can see a structure called Foregut which is responsible for;
Bladder, pelvic area
Distal part of duodenum, ascending colon, transverse colon
Lungs, liver, diaphragm, esophagus, duodenum, gaster
Primitive diaphragm
In which trimester abnormalities may occur?
1st trimester
2nd trimester
3rd trimester
4th trimester
What organ that functions first in the gestation period
Lungs
Liver
Heart
Kidneys
Definitive endoderm is formed by the mesenchymal cells from epiblast that will migrate to the hypoblast
True
False
It is safe to terminate a baby during the 26 weeks of pregnancy when the mother is suffering from eclampsia and threatens her life.
True
False
Melanocyte and end nerve corpuscle originated from:
ectoderm
endoderm
mesoderm
neural crest
What does the periderm consist of?
columnar epithelium
squamous epithelium
cuboidal epithelium
columnar epithelium
Which exocrine glands lose part of the cytoplasm to secrete products?
Merocrine
Apocrine
Holocrine
Group of chondrocytes is called?
isotonic
isomer
isogen
isoman
After birth, ossification occurs in the diaphysis until puberty hits
True
False
Foramen ovale connects the aorta and the pulmonary artery
True
False
How many weeks (gestation) is the fetus able to immaturely suck-swallow?
10-14
20
28
33-36
Why does GFR (glomerular filtration rate) increase between week 22 and 35?
The start of tubular reabsorption
The decrease of total body water and extracellular fluid
The increase in the number of nephrons
The start of urine production and glomerular function
Myelination begins during the second trimester and continues until adulthood
True
False
Aya is pregnant with her first child. Suddenly her friend, Hana, started shouting the lyrics to “Good 4 You” at 90 dB. How many decibels will the fetus hear?
The fetus will hear more than 90 dB
The fetus will hear 90 dB
The fetus will hear less than 90 dB
The fetus will not hear at all
What kind of reflex is shown in the picture?
Palmar grasp reflex
Sucking and rooting reflex
Tonic neck reflex
Moro reflex
Among these, what are the stimuli of respiratory system adjustment?
Mechanical stimuli, due to gravitational push, forcing neonates to breathe.
Chemical stimuli, due to low blood pH and hypoxia, initiating respiratory centres to breathe.
Light stimuli, due to low light that increased IGF-1 secretion, stimulating respiratory centres.
Mechanical stimuli, due to upregulated Ca2+ pump in alveoli, draining amniotic fluid to GI tract.
Why does pulmonary vascular resistance reduce in neonates?
Due to blood clot formation in hepatic sinuses when the umbilical cord is clamped, pulmonary vascular resistance is reduced.
Due to increasing pressure in the right atrium, pulmonary vascular resistance is reduced.
Due to blood oxygen levels being increased once pulmonary respiration is established, pulmonary vascular resistance is reduced.
Due to increased secretion of growth hormone, vasodilation is achieved, thus reducing pulmonary vascular resistance.
Which of the following statements are correct?
Neonates have higher red blood cell count than adults, amounting to ⅔ more than that of adults by comparison
Due to immature liver, neonates are prone to having hyperbilirubinemia on account of increased bilirubin count.
Neonates are more immune to adults due to higher immunoglobulin count.
Neonates that have tachypnea (RR 30-60/min) are considered abnormal upon birth.
Most blood coming from the umbilical vein diverts to the ductus venosus to the hepatic system.
True
False
Activation of thyroid hormone (T3) can cause lower basal metabolic rate, disrupting thermogenesis in neonate
True
False
Which of the following is normal in neonates?
Increased catecholamine level
Intermittent grunting
Bradycardia
Decrease in SpO2 from 100% to 80-85%
Which of the following are the risk factors for transitional problems?
Gestational age is 38 weeks
Mother is not having preeclampsia
Mother is having multiple gestation
Sudden decrease of pressure in intrapleural cavity
Mrs. Smith, a woman with a pregnancy age of 43 weeks, came to the clinic to give birth. Upon hours after birth the baby has difficulty breathing, grunting and retractions. The amniotic fluid appearance is stained. What is the most plausible diagnosis?
Respiratory Distress Syndrome
Pneumonia
Persistent pulmonary hypertension of newborn
Meconium aspiration
Mrs John just gave birth in your clinic. Examination of baby’s oxygen saturation shows fluctuation. The baby shows difficulty breathing. What is the most plausible diagnosis?
Pneumonia
Meconium aspiration
Respiratory distress syndrome
Persistent pulmonary hypertension of newborn
Maternal pre-eclampsia may cause encephalopathy, which manifested as seizure, with eye pointing only towards one direction
True
False
The picture above is showing a baby with clubbed feet, clenched hands and a small head. Karyotype is performed and trisomy in chromosome 18 is observable. What is the most plausible diagnosis?
Down syndrome
Patau Syndrome
Edward syndrome
Turner syndrome
The function of HOX genes related to growth and development is..
develop and regulate the body axes
proliferate the progenitor cells of organ
transcripted into growth factors
provide matrix for organs
Mutation in SOX gene may cause defects marked by..
impaired TGF-beta signalling pathway
inability of male to develop its genitalia
inability to proliferate female gonads
inability to develop ovary
Mutation in TGF-beta gene caused multiple sclerosis, which is marked by tall stature and arachnodactyly
True
False
If activated, TGF-beta receptor superfamily will conduct serine/threonine signaling pathway
True
False
Which of this is not apart of the 6 focuses of antenatal care
information
lifestyle consideration
laboratory tests
clinical conditions
autonomy
Which of these is the purpose of antenatal care ?
to help mothers approach pregnancy and childbirth as a positive experience
to encourage parents to have children
to convince the mother everything is fine
to try out and develop a new screening technique
Which of this is true
without antenatal care, fetus will definitely be born abnormal
abnormal perinatal conditions are linked to type 2 diabetes
fetal programing happens after birth
to try out and develop a new screening technique
Which condition doesn’t affect fetus in pregnancy
placental malaria infection
hypertensive mother during pregnancy
low protein diet of mother during pregnancy
eating broccoli during pregnancy
Why is proper antenatal care important?
so we don’t know if the baby has defects
to force the mother to do eat vegetables
to detect and treat conditions that may be a threat to the mother of fetus early
to help deliver the baby
Which is not a criteria for affectional bonds between individuals
bond is persistent and not transitory
relationship is emotionally significant
an individual wants to maintain proximity or contact with the person with whom he or she has an affectional tie
they feel happy at involuntary separation from the other person
Which is a sign of unresolved lack of initial infant attachment?
children are able to trust their friends
as adults, they are demanding and controling to their significant other
they are careless and freewilled
they are able to form loving and intimate relationships
Which of these is not a type of attachment
secure
avoidant
compliance
resistant
A preschooler cries when his mother leave him alone and when his mother returns back, he quickly runs and hugs her mother and stops crying. which attachment style does the boy have ?
insecure avoidant attachment
secure resistant attachment
secure attachment
insecure disorganised attachment
Which of these is not a factor that contribute to impaired attachment
premature birth
adoption by another family
term birth
congenital defects requiring surgery
The construction of thought process or a development process of the way we think includes :
remembering, predicting imagination
remembering, problem solving, imagination
problem solving, decision making predicting
remembering, problem solving, decision making
Which is not a factor of determination of one’s intellectual capacity ?
genetics
nutrition
learning factors
gender
A kid watching tv sees dinosaurs for the first time. Then she went to universal studios and saw another dinosaur at a jurassic park ride and told her mom that is a dinosaur. what did she do ?
accommodate new info
facilitate new info
asses new info
assimilate new info
6 year old kid is able to make up stories about unicorns and tell it to his mom. which stage of development is he in
concrete operational stage
preoperational stage
sensorymotor stage
formal operational stage
Which of these are true?
4 month baby has a preference which toys he’she likes
2 year old child cannot recognise his/her self in the mirror
5 year olds know that it is wrong to hit other people
you can make deals with 2 year olds (if they do something they get a reward)
Baby didn't pass meconium in 3 days and was brought to the hospital. they found out there is no anal opening and have anal atresia. What is a possible cause of this ?
abnormal gut bacteria
failure of rupture of anal membrane
abnormal neural crest
failure of gut rotation
During development the midgut is supplied by the ….
celiac trunk
mesenteric vein
mesenteric artery
inferior vena cava
Which type of nutrient can be absorbed by the intestines earliest ?
glucose
amino acid
fatty acid
protein
The midgut will develop into ….. EXCEPT
lower duodenum
small intestines
ascending colon
stomach
When does a normal baby pass their first meconium after birth ?
first week
first month
first 24-48 hours
during birth
Pneumonia as a result of heavy infection ascaris lumbricoides in what stage?
Embryogenated egg
Female adult worms
Male Adult worms
Larvae
Correct treatment for ascaris lumbricoides infection
500 mg albendazole
400 mg mebendazole
400 mg albendazole
15mg/kg of pyrantel pamoat
We use wet smear method to determined the severity of infection in ascaris lumbricoides infection
True
False
In which part of the human body that the trophozoites will undergoes the encystation
Liver
Small intestine
Stomach
Colon
Giardia lamblia can be infected through air (Air borne)
True
False
Axial length of a newborn is 23-24mm
True
False
At what age does accommodation occurs?
3 Months
Birth
6 Months
9 Months
Corneal in newborn is thicker than adult
True
False
Which process occurs during 12 weeks of prenatal period
Ciliary body and iris formation
160 degree eye rotation
Layers of retina are organizing
Appearance of optic vesicles
What congenital eye anomalies is shown in the picture?
Anterior Segment Dysgenesis (ASD)
Iris hypoplasia
Congenital cataracts
Congenital rubella
Which are the following answer is the dominant inheritance pattern
Sickle cell anemia
Cystic fibrosis
Huntington disease
Tay-Sachs disease
Which are the following congenital malformation are NOT caused by Aminopterin
IUGR
Skeletal defects
CNS malformation
Cleft lip
Which teratogen does not cause the occurence of microcephaly?
CMV
Herpes simplex virus
Toxoplasma gondii
Treponema pallidum
Penicillin could be used as an alternative for….
Warfarin
Trimetropin
Retinoids
Cytotoxics
