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Propaedeutics of Children's Diseases Quiz

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

Which factor most strongly influences the normal physical development of a newborn?

a)

Gender

b)

Nutrition

c)

Clothing

d)

Season

2.

The most reliable indicator of intrauterine growth is:

a)

Head circumference

b)

Birth weight

c)

Chest circumference

d)

Length of the body

3.

What is the normal respiratory rate for a newborn?

a)

10-15/min

b)

20-25/min

c)

30-50/min

d)

60-80/min

4.

A sunken anterior fontanelle usually indicates:

a)

Increased intracranial pressure

b)

Rickets

c)

Dehydration

d)

Macrocephaly

5.

The main purpose of general inspection in a child is to evaluate:

a)

Only skin color

b)

One organ system

c)

Overall physical and mental state

d)

Temperature only

6.

Which type of cry suggests intracranial pathology in infants?

a)

Weak cry

b)

Hoarse cry

c)

High-pitched cry

d)

No cry

7.

A child with chest indrawing during inspiration most likely has:

a)

Normal breathing

b)

Upper airway obstruction

c)

Respiratory distress

d)

Allergic rhinitis

8.

Normal heart rate for infants aged 6-12 months:

a)

60-80/min

b)

80-100/min

c)

100-160/min

d)

40-60/min

9.

A systolic murmur in the 2nd intercostal space on the right suggests involvement of:

a)

Mitral valve

b)

Tricuspid valve

c)

Aortic valve

d)

Pulmonary artery

10.

Hepatomegaly in children is defined as liver enlargement that:

a)

>1 cm

b)

>2 cm

c)

>3 cm

d)

Exceeds age-dependent norm

11.

Best indicator of hydration status:

a)

Blood pressure

b)

Capillary refill time

c)

Heart rate

d)

Respiratory rate

12.

Decreased skin turgor indicates:

a)

Hyperhydration

b)

Normal hydration

c)

Dehydration

d)

Shock only

13.

A sign of severe respiratory failure:

a)

Tachypnea only

b)

Nasal flaring and grunting

c)

Mild cough

d)

Slight fever

14.

Tympanic sound on percussion of chest suggests:

a)

Lung consolidation

b)

Pleural effusion

c)

Pneumothorax

d)

Atelectasis

15.

Crackles (crepitations) are typical for:

a)

Asthma

b)

Pneumonia

c)

Bronchospasm

d)

Foreign body aspiration

16.

The first stool of a newborn is called:

a)

Chyme

b)

Meconium

c)

Transitional stool

d)

Colostrum

17.

Cyanosis that improves with crying suggests:

a)

Choanal atresia

b)

Heart disease

c)

Lung disease

d)

Asthma

18.

Essential parameter for assessing physical development:

a)

Pulse oximetry

b)

Weight-for-age

c)

Capillary refill

d)

Respiration rhythm

19.

Bulging fontanelle in a febrile child suggests:

a)

Dehydration

b)

Intracranial hypertension

c)

Hypervitaminosis

d)

Malnutrition

20.

Correct order of abdominal examination:

a)

Palpation, inspection, percussion, auscultation

b)

Inspection, palpation, auscultation, percussion

c)

Inspection, auscultation, percussion, palpation

d)

Percussion, auscultation, palpation, inspection

21.

Gower sign is associated with:

a)

Rickets

b)

Muscular dystrophy

c)

Pneumonia

d)

Cardiac failure

22.

Normal hemoglobin for newborns:

a)

40-60 g/L

b)

80-90 g/L

c)

140-220 g/L

d)

240-300 g/L

23.

"Frog-like abdomen" is characteristic of:

a)

Obesity

b)

Rickets

c)

Hypotonia

d)

Hepatitis

24.

Which heart sound normally splits during inspiration?

a)

S1

b)

S2

c)

S3

d)

S4

25.

Strawberry tongue is typical for:

a)

Scarlet fever

b)

Measles

c)

Influenza

d)

Roseola

26.

Clubbing of fingers indicates chronic:

a)

Dehydration

b)

Hypoxia

c)

Hyperthermia

d)

Allergy

27.

Main sign of moderate dehydration:

a)

Normal turgor

b)

Sunken eyes

c)

Excessive urination

d)

Cyanosis

28.

Barrel-shaped chest is typical for:

a)

Pneumonia

b)

Asthma/chronic lung disease

c)

Pleural effusion

d)

Heart failure

29.

Symmetry of peripheral pulses helps detect:

a)

Fever

b)

Dehydration

c)

Coarctation of aorta

d)

Murmurs

30.

Most common cause of acute stridor:

a)

Croup

b)

Asthma

c)

Pneumonia

d)

Heart disease

31.

Umbilical cord normally falls off by:

a)

1 day

b)

3 days

c)

7-14 days

d)

30 days

32.

Tympanic abdomen percussion indicates:

a)

Free air

b)

Normal bowel gas

c)

Ascites

d)

Hepatomegaly

33.

Positive Babinski reflex in infants is:

a)

Normal until 1-2 years

b)

Pathological

c)

Trauma sign

d)

Meningitis sign

34.

Most reliable indicator of acute malnutrition:

a)

Length-for-age

b)

MUAC

c)

Head circumference

d)

Chest circumference

35.

Non-blanching petechiae indicate:

a)

Allergy

b)

Viral rash

c)

Purpura

d)

Sunburn

36.

Early sign of rickets in infants:

a)

Bow legs

b)

Craniotabes

c)

Short stature

d)

Muscle atrophy

37.

Normal urine output for infants:

a)

0.1 mL/kg/hr

b)

0.5 mL/kg/hr

c)

1-3 mL/kg/hr

d)

5 mL/kg/hr

38.

Tachypnea + chest retraction + nasal flaring indicates:

a)

Mild fever

b)

Respiratory distress

c)

Cold

d)

Dehydration

39.

Best method for nutritional assessment in infants under 6 months:

a)

BMI

b)

Weight-for-length

c)

MUAC

d)

Skinfold

40.

Harsh holosystolic murmur at left lower sternal border:

a)

ASD

b)

VSD

c)

Aortic stenosis

d)

Pulmonary hypertension

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