Base Pediatrics 51-
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 51 of 187
51. Question
A 7 y.o. boy has crampy abdominal pain and a rash on the back of his legs and buttocks as well as on the extensor surfaces of his forearms. Laboratory analysis reveals proteinuria and microhematuria. He is most likely to be affected by:
1. Polyarteritis nodosa
2. Dermatomyositis
3. Systemic lupus erythematosus
4. Poststreptococcal glomerulonephritis
5. Anaphylactoid purpura
5 pr
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 52 of 187
52. Question
A 5-year-old boy was progressively getting worse compared to the previous 2 months. A chest x-ray has shown right middle lobe collapse. A tuberculin skin test was strongly positive. What is the most characteristic finding in primary tuberculosis?
1. Miliary tuberculosis
2. Hematogenous dissemination leading to extrapulmonary tuberculosis
3. Hilar or paratracheal lymph node enlargement
4. Atelectasis with obstructive pneumonia
5. Cavity formation
3pr 1 ne
Question 53 of 187
53. Question
A girl is 12-year-old. Yesterday she was overcooled. Now she is complaining on pain in suprapubic area, frequent painful urination by small portions, temperature is 37.8°C. Pasternatsky symptom is negative. Urine analysis: protein – 0.033 g/L, WBC- 20-25 in f/vis, RBC- 1-2 in f/vis. What diagnosis is the most probable?
1. Dysmetabolic nephropathy
2. Urolithiasis
3. Acute pyelonephritis
4. Acute cystitis
5. Acute glomerulonephritis
4pr
54. Question
The girl of 11 y.o. She is ill for 1 month. She has “butterfly”-type rash on face (spots and papules), pain and swelling of small joints on arms and legs, signs of stomatitis (small-sized ulcers in mouth). CBC: Hb– 80 g/L, RBC– 2.9;1012/L, WBC– 15;109/L, ESR- 40 mm/hour. Urinalysis: protein– 0.33 g/L. What is the most probable diagnosis?
1. Dermatomyositis
2. Acute rheumatic fever
3. Juvenile rheumatoid arthritis, systemic type
4. Systemic lupus erythematosus
5. Periarteriitis nodosa
4pr 5 ne
55. Question
An infant aged 1 year on the third day of common cold at night developed inspiratory stridor, hoarse voice and barking cough. Physical examination revealed suprasternal and intercostal chest retractions. There is a bluish skin discoloration moistly seen over the upper lip. The respiratory rate is 52 per min and pulse- 122 bpm. The body temperature is 37.5°C. What disease does the infant have?
1. Acute laryngitis
2. Acute bronchiolitis with respiratory distress
3. Acute epiglottitis
4. Acute infectious croup due to viral laryngotracheitis
5. Bronchopneumonia without complications
4pr 1 ne
56. Question
A newborn aged 3 days with hyperbilirubinemia (428 mkmol/L) developed following disorders. From beginning there were severe jaundice with poor suckling, hypotomia and hypodynamia. Little bit later periodical excitation, neonatal convulsions and neonatal primitive reflexes loss are noted. Now physical examination reveals convergent squint, rotatory nystagmus and setting sun eye sign. How to explain this condition?
1. Encephalopathy due to hyperbilirubinemia
2. Spastic cerebral palsy
3. Hydrocephalus
4. Skull injury
5. Brain tumour
1pr
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 57 of 187
57. Question
A child is 2 years old. The child complains of hoarse voice, dyspnea with obstructed inspiration. The disease started 3 days ago from dry cough and nose stuffiness. Objectively: general condition is unbalanced, stridor is present. The childs skin is pale. Body temperature is 37.7°C. The palatine arches are hyperemic. There is no deposit. Heart sounds are rhythmic. Auscultation of lungs reveals rough breathing sounds, crepitation is absent. Parainfluenza virus has been detected in nasopharynx lavage. What is the most likely diagnosis?
1. Diphtheria
2. Acute laryngotracheitis
3. Epiglottitis
4. Foreign body
5. Laryngospasm
2right 1 no
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 58 of 187
58. Question
A 3-year-old child has been admitted to a hospital because of ostealgia and body temperature rise up to 39°C. Objectively: the patient is in grave condition, unable to stand for ostealgia, there is apparent intoxication, lymph nodesare enlarged up to 1.5 cm. Liver can be palpated 3 cm below the costal margin, spleen – 2 cm below the costal margin. In blood: RBCs – 3.0;1012/l, Hb- 87 g/l, colour index – 0.9, thrombocytes – 190;109/l, WBCs – 3.2;109/l, eosinophils – 1, stab neutrophils – 1, segmented neutrophils – 0, lymphocytes – 87, monocytes – 2, ESR – 36 mm/h. What examination should be conducted in order to specify the diagnosis?
1. Sternal puncture
2. Ultrasound
3. Computer tomography
4. Lymph node biopsy
5. Lymph node puncture
1right
Krok2 – 2014 Base(Pediatrics)
‘Foundation Course’ for FMGE Preparation
Question 59 of 187
59. Question
Apgar test done on a newborn girl at 1st and 5th minute after birth gave the result of 7-8 scores. During the delivery there was a short-term difficulty with extraction of shoulder girdle. After birth the child had the proximal extremity dysfunction and the arm couldn’t be raised from the side. The shoulder was turned inwards, the elbow was flexed, there was also forearm pronation, obstetric palsy of brachial plexus. What is the clinical diagnosis?
1. Right hand osteomyelitis
2. Duchenne-Erb palsy
3. Trauma of right hand soft tissues
4. Trauma of thoracic spine
5. Intracranial haemorrhage
2pr 1ne
Question 60 of 187
60. Question
Examination of a 9-month-old girl revealed skin pallor, cyanosis during excitement. Percussion revealed transverse dilatation of cardiac borders. Auscultation revealed continuous systolic murmur to the left of the breastbone in the 3-4 intercostal space. This murmur is conducted above the whole cardiac region to the back. What congenital cardiac pathology can be suspected?
1. Pulmonary artery stenosis
2. Coarctation of aorta
3. Defect of interventricular septum
4. Defect of interatrial septum
5. Fallots tetrad
3pr 4 ne