WorksheetsQuiz No. 4 (2nd yr & 3rd yr)
Total questions: 20
Worksheet time: 20mins
A 2 year old female was brought to the OPD because of pallor of 2 mos duration. Except for the pallor, the physical examination was unremarkable. A CBC was done which revealed microcytic, hypochromic anemia. What is the most likely diagnosis?
Acute leukemia
Aplastic anemia
Autoimmune hemolytic anemia
Iron deficiency anemia
The most common cause of anemia unresponsive to iron is:
Diamond-Blackfan anemia
Paroxysmal nocturnal hemoglobinuria
Pure red cell aplasia
Thalassemia
The ff measures are appropriate in the management of a 5 month old infant with an 18 hour history of vomiting and diarrhea
Prescription of electrolyte preparation for 48 hours
Prescription of an oral metoclopramide to reduce vomiting
The cessation of current milk formula until return of normal formed bowel
Prescription of racecadotril to hasten the course of diarrhea
Maternal rubella in the first trimester is associated with
PDA
Subvalvar stenosis
Aortic stenosis
Congenital myocarditis
The cornerstone for the algorithm in the diagnosis of UTI is
A throrough history and physical examination
Urine culture
Proper collection of urine
All of the above
Neuroimaging studies may be routinely done in all first febrile seizure to rule out other causes especially if there is a family history of seizure
a. True
b. False
A cause of pseudohyponatremia is
Hyperlipidemia
Hyperglycemia
Diarrhea
Heart failure
The most common cause of hypovolemic hyponatremia in children is
Hyperlipidemia
Hyperglycemia
Diarrhea
Heart failure
A cause of hyponatremia due to hyperosmolality is
Hyperlipidemia
Hyperglycemia
Diarrhea
Heart failure
Control of volume status depends on
Control of water balance
Regulation of sodium balance
Concentration of glucose
Presence of ineffective osmoles
Which condition can cause hypernatremia
Hyperglycemia
Cerebral salt wasting
Improperly mixed formula
Hypothyroidism
The most devastating consequence of untreated hypernatremia is
Brain hemorrhage
Central pontine myelinosis
Nephrogenic diabetes insipidus
Ventricular fibrillation
Osmolality gap is present when the measured osmolality exceeds the calculated osmolality by
5 mOsm/kg
10 mOs/kg
15 mOs/kg
20 mOs/kg
The balance between these 2 forces regulates intravascular volume and is critical for proper tissue perfusion
Oncotic force and blood pressure
Hydrostatic and oncotic forces
Hydrostatic force and blood pressure
Stroke volume and cardiac output
During rapproachment, the toddler find ways of coping with new awareness of vulnerability thru consoling habits
Feeding self
Scribbling
Thumb sucking
Social interaction
The inevitable part in a toddler of perfecting his gross motor function of walking is
Falling
Crusing
Hopping
Jumping
Bed wetting is normal to a girl at 4years old and to boys at age
3 years old
4 years old
5 years old
6 years old
Julia is a normal child with 20 teeth and a visual acuity of 20/20 is attained at what age
2 years old
3 years old
4 years old
5 years old
Handedness is achieved at what age
1 year old
2 years old
3 years old
4 years old
A toddler who utters 1-2 words in a sentence with a lot of jargoning belongs to age
15 months
18 months
21 months
24 months
