Krok2 – 2014 Base(Pediatrics)
35. Question
A 9-year-old girl has attacks of abdominal pain after fried food. No fever. She has pain in Cera point. The liver is not enlarged. Portion B [duodenal probe] – 50 ml. What is your diagnosis?
1. Hepatocirrhosis
2. Chronic duodenum
3. Peptic ulcer
4. Biliary tracts dyskinesia, hypotonic type
5. Acute colitis
4 pr 3 ne
Question 36 of 187
36. Question
A baby was born at 36 weeks of gestation. Delivery was normal, by natural way. The baby has a large cephalohematoma. The results of blood count are: Hb- 120g/l, Er- 3.5;1012/l, total serum bilirubin – 123 mmol/l, direct bilirubin – 11 mmol/l, indirect – 112 mmol/l. What are causes of hyperbilirubinemia in this case?
1. Mechanical obstruction of the bile outflow
2. Disturbance of the conjugative function of liver
3. Bile condensing
4. Erythrocyte hemolysis
5. Intravascular hemolysis
4pr 2 ne
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 37 of 187
37. Question
A 4-month-old girl with blond hair and blue eyes has “mousy” odor of sweat and urine, delayed psychomotoric development. The most typical laboratory data for this disorder is:
1. High level of oxyproline in urine
2. High concentration of chlorides in sweat
3. Low level of thyroid gland hormones in blood
4. High level of glycosaminoglycanes in urine
5. Positive urine ferric chloride test
5pr 1 ne
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 38 of 187
38. Question
A neonate is 5 days old. What vaccination dose of BCG vaccine (in mg) is necessary for vaccination of this child?
1. 0.075 mg
2. 0.05mg
3. 0.1 mg
4. 0.2 mg
5. 0.025 mg
2pr 1 ne
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 39 of 187
39. Question
7 y.o. boy with chronic sinusitis and rercurent pulmonary infections has chest X-ray demonstrating a right-sided cardiac silhouette. What is the most likely diagnosis?
1. Kartagener syndrome
2. Bronchiolitis obliterans
3. alpha-antitrypsin deficiency
4. Laryngotracheomalacia
5. Cystic fibrosis (mucoviscidosis)
1
Question 40 of 187
40. Question
A 2.9-kg term male infant is born to a mother who developed polyhydramnios at 34 weeks gestation. At birth, the Apgar scores were 9 and 9. The infant develops choking and cyanosis with the first feed. In addition, is unable to place a nasogastric tube. What is the most likely diagnosis?
1. Esophageal atresia
2. Respiratory distress syndrome
3. Choanal atresia
4. Tracheal atresia
5. Laryngomalacia
1pr 2 ne
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 41 of 187
41. Question
Full term newborn has developed jaundice at 10 hours of age. Hemolytic disease of newborn due to Rh-incompatibility was diagnosed. 2 hours later the infant has indirect serum bilirubin level increasing up to 14 mmol/L. What is most appropriate for treatment of hyperbilirubinemia in this infant?
1. Phenobarbital
2. Phototherapy
3. Intestinal sorbents
4. Infusion therapy
5. Exchange blood transfusion
5 pr 2 ne
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 42 of 187
42. Question
A 4 year old girl was playing with her toys and suddenly she got an attack of cough, dyspnea. Objectively: respiration rate – 45/min, heart rate – 130/min. Percussion revealed dullness of percutory sound on the right in the lower parts. Auscultation revealed diminished breath sounds with bronchial resonance on the right. X-ray picture showed shadowing of the lower part of lungs on the right. Blood analysis revealed no signs of inflammation. The child was diagnosed with foreign body in the right bronchus. What complication caused such clinical presentations?
1. Bronchitis
2. Emphysema
3. Pneumothorax
4. Pneumonia
5. Atelectasis
5pr 4 ne
Question 43 of 187
43. Question
A man, 42 years old, died in a road accident after the hemorrhage on the spot, because of acute hemorrhagic anemia. What minimum percent of the whole blood volume could result in death by acute hemorrhage?
1. 25-30%
2. 35-50%
3. 15-20%
4. 10-14%
5. 6-9%
1pr
44. Question
A 6 week old child is admitted because of tachypnea. Birth had been uneventful, although conjunctivitis developed on the third day of life and lasted for about 2 weeks. Physical examination reveals tachypnea, bilateral inspiratory crackles and single expiratory wheezing. Bilateral pneumonia is evident on chest X-ray. The child is afebrile and has no history of fever. White blood cell count is 15;109/l, with 28% of eosinophils. The most likely cause of this childs symptoms is:
1. Varicella
2. Clamydia trachomanis
3. Mycoplasma pneumoniae
4. Pneumocystis carinii
5. Visceral larva migrans
2pr
45. Question
A 6 y.o. asthmatic child was taken to the emergency hospital because of severe coughing and wheezing for the last 24 hours. Physical examination reveals that the child is excitable, has intercostal and suprasternal retractions, expiratory wheezing throughout all lung fields, RR- 60/min. Initial treatment may include the prescription of:
1. Parenteral phenobarbital
2. Parenteral gentamicyn
3. N-acetyl cysteine and cromolyn by inhalation
4. Subcutaneous epinephrine
5. Intravenous fluids in the first 2 h to compensate water deficiency
4pr5ne
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 46 of 187
46. Question
A full term infant was born after a normal pregnancy, delivery, however, was complicated by marginal placental detachment. At 12 hours of age the child, although appearing to be in good health, passes a bloody meconium stool. For determining the cause of the bleeding, which of the following diagnostic procedures should be performed first?
1. Platelet count, prothrombin time, and partial thromboplastin time
2. An Apt test
3. An upper gastrointestinal series
4. Gastric lavage with normal saline
5. Barium enema
5pr
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 47 of 187
47. Question
In the 43rd week of gestation a long, thin infant was delivered. He is apneic, limp, pale, and covered with “pea soup” amniotic fluid. The first step in the resuscitation of this infant at delivery should be:
1. Suction of the trachea under direct vision
2. Catheterization of the umbilical vein
3. Administration of 100% oxygen by mask
4. Artificial ventilation with endotracheal tube
5. Artificial ventilation with bag and mask
1pr 4 ne
48. Question
A newborn infant has mild cyanosis, diaphoresis, poor peripheral pule, hepatomegaly and cardiomegaly. Respiratory rate is 60 breaths per minute, and heart rate is 230 beats per minute. The child most likely has congestive heart failure caused by:
1. Paroxysmal atrial tachycardia
2. Hypoplastic left heart syndrome
3. A large atrial septal defect and valvular pulmonary stenosis
4. A ventricular septal defect and transposition of the great vessels
5. Atrial flutter and partial atrioventricular block
1pr4nne
49. Question
A 6-year-old boy was brought to the emergency room with a 3-hour history of fever up to 39.5°C and sore throat. The child looks alert, anxious and has a mild inspiratory stridor. You should immediately:
1. Order a chest x-ray and lateral view of the neck
2. Prepare to establish an airway
3. Obtain an arterial blood gas and start an IV line
4. Examine the throat and obtain a culture
5. Admit the child and place him in a mist tent
2pr 1ne?
Question 50 of 187
50. Question
A 7 d.o. boy is admitted to the hospital for evaluation of vomiting and dehydration. Physical examination is otherwise normal except for minimal hyperpigmentation of the nipples. Serum sodium and potassium concentrations are 120 meq/L and 9 meq/L respectively. The most likely diagnosis is:
1. Congenital adrenal hyperplasia
2. Pyloric stenosis
3. Hyperaldosteronism
4. Secondary hypothyroidism
5. Panhypopituitarism
1pr 5 ne