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GD CLINICAL
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GD CLINICAL
Pediatric Development and Health
Study
1
Question
2 CUBES
Answer
15 MONTHS
2
Question
6 CUBES
Answer
24 MONTHS
3
Question
All of the following are associated with Klinefelter syndrome EXCEPT: **** a. 47 XXY karyotype b. precocious puberty c. small testes and penis d. mental retardation
Answer
precocious puberty
4
Question
A 5-year-old can do the following, EXCEPT: a. Draw a triangle b. Understand the concept of time c. Handle a pencil well d. Hop
Answer
Understand the concept of time
5
Question
The length of upper body segment is equal the length of the lower body segment is noted at the age of:
Answer
3 years old and above
6
Question
All of the following statements are true about adolescents, EXCEPT: a. Male peak weight velocity occurs at the same time with peak height velocity b. Weight gain is about 50% of the final adult weight c. Adult male has 3x lean body mass compared to female d. Female growth spurt occurs prior to menarche
Answer
Adult male has 3x lean body mass compared to female
7
Question
A 2-day-old infant is requiring phototherapy for hyperbilirubinemia. Which of the following risk factors best predict the occurrence of ABO isoimmune hemolysis disease in the newborn? a. Had siblings who underwent phototherapy b. Maternal blood is type O+ and paternal blood type is A+ c. Maternal blood is type O+ and infant blood is type A+ d. Maternal blood is type A+ and infant blood type O+
Answer
Maternal blood is type O+ and infant blood is type A+
8
Question
All of the following statements are true about vaccines, EXCEPT: a. Increasing the interval between doses of a multidoses vaccine diminished the effectiveness of the vaccines. b. All vaccines can be administered at the same time. c. Different vaccines should not be mixed in the same syringe. d. It two live parenteral vaccines are given less than 4 weeks apart, the vaccine given second should be repeated.
Answer
Increasing the interval between doses of a multidoses vaccine diminished the effectiveness of the vaccines.
9
Question
Match the gross/fine motor skills to the appropriate age: goes up alternating feet
Answer
30
10
Question
Match the gross/fine motor skills to the appropriate age: walks backward
Answer
15
11
Question
You are explaining the motor development to a mother with a baby with Down syndrome. You told her that there is a wide range of time to achieve his milestone and as example the baby can walk between:
Answer
15-50 months.
12
Question
All of the following are commonly associated with congenital hypothyroidism, EXCEPT: a. absence of symptoms at birth b. frequent prolongation of physiologic jaundice c. temperature instability d. a palpable goiter
Answer
a palpable goiter
13
Question
These facts are TRUE regarding developmental stage of preschool children, EXCEPT: a. knowing gender by age of 4 b. ecocentric thinking like masturbation c. boys are usually later than girls in achieving bladder control d. handedness is achieved by 3 years of age
Answer
knowing gender by age of 4
14
Question
Program for early detection of congenital hypothyroidism in the newborn period?
Answer
TSH determination through screening
15
Question
All of the following are commonly associated with congenital hypothyroidism, EXCEPT: a. absence of symptoms at birth b. frequent prolongation of physiologic jaundice c. temperature instability d. a palpable goiter
Answer
a palpable goiter
16
Question
Which of the following vaccines is/are live and attenuated viral vaccines? a. Oral Polio vaccine b. Measles vaccine c. Varicella vaccine d. All of the above
Answer
AOTA
17
Question
Match the gross/fine motor skills to the appropriate age: Draw square
Answer
48/ 4y
18
Question
TRUE about newborn babies, EXCEPT: a. Thermoregulated b. near sighted c. immediately after birth, they are alert d. well-developed hearing
Answer
Thermoregulated
19
Question
A normal infant may cry for up to 3 hours a day during the developmental peak time of this behavior. The peak of crying is at about what age?
Answer
6 weeks
20
Question
The bone most commonly fractured in newborns due to a traumatic vaginal delivery:
Answer
Clavicle
21
Question
The child who continues to search for a hidden object has achieved the development age of:
Answer
9 months
22
Question
Laboratory evidence of classic congenital hypothyroidism in a sample blood taken on the third day of life includes:
Answer
elevated TSH, low T4
23
Question
A chromosomal abnormality characterized with a clenched hand, short sternum, overlapping of the index finger, failure to thrive and mental deficiency.
Answer
Trisomy 18 (EDWARD)
24
Question
You are on your pediatric rotation. A male teenager has come to the clinic regarding possible delay of puberty. At what point is puberty considered delayed in boys?
Answer
No testicular enlargement beyond age 14.
25
Question
Which of the following statements is INCORRECT? a. Fetal blood has a much higher concentration of haemoglobin compared to older infant and children. b. The oxygen content of fetal blood is almost equal to the oxygen content in older infant and children. c. Fetal hemoglobin has a lower affinity for oxygen. d. Fetal oxygenated blood has a low PaO2 level
Answer
Fetal hemoglobin has a lower affinity for oxygen.
26
Question
Which statement is TRUE regarding newborn breathing? a. As breathing begins, air replaces lung fluid, maintaining the functional residual capacity. b. Most normal infants do not require pressure to spontaneously open the lungs after birth c. Fluid leaves the lung, in part, through the trachea; it is either swallowed or squeezed out during vaginal delivery or suction right after delivery d. Clamping the umbilical cord eliminates the high-pressure system of the placenta and decreases systemic blood pressure
Answer
As breathing begins, air replaces lung fluid, maintaining the functional residual capacity.
27
Question
A baby girl was has a birthweight of 3 kg. What is her expected weight at 5 months of age?
Answer
6 kg
28
Question
Your friend brought her 3-year-old child at your home for consult for her diarrhea. Your weighing scale is not at home and you have to estimate her weight based on her ideal weight for age. What is her weight?
Answer
14 kg.
29
Question
What is the most common cause of congenital hypothyroidism?
Answer
Thyroid dysgenesis
30
Question
Match the following primitive reflexes to the age of disappearance. a. Palmar grasp reflex b. Plantar grasp reflex c. Moro reflex d. Rooting reflex e. Tonic
Answer
a. 6 b. 9-10 c. 5 d. 3 e. 5-6