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Pediatric Board Review - Match your answers

Q. No Choice No. Correct Answer 
(e) Trachoma. It is an eye infection due to chlamydia.
2 (c) Flexion and extension lateral neck x-ray can detect atlantoaxial instability due to odontoid hypoplasia and joint laxity.
3 (b)  3-4 feedings per day.
4 (a)  Chromosome 7q11.23.
5 (b)  Macrophage activation syndrome is a rare complication of systemic JRA
6 (d)  Before birth with the planning and confirmation of pregnancy.
7 (e) Ecthyma gangrenosum.
8 (a) Benzodiazepines ( e.g., lorazepam, diazepam ) have a short half-life. Therefore, it must be followed with another long-acting agent ( e.g., phenobarbital, phenytoin ).
9 (c) 2 years for all children. BMI is used to measure obesity. 
10 (c) Emergency court order is indicated.
11 (b) Autosomal dominant. HDR syndrome includes hyperparathyroidism, nerve deafness, and renal dysplasia. 
12 (a) Loss of deep tendon reflexes is followed by decreased lower extremity vibratory and propioceptive senses and cerebellar signs ( e.g., ataxia, spastic gait, dysmetria ). 
13 (e) Only five-times washed ( in 200-mL volumes ) normal donor RBCs or blood from other IgA-deficient person.
14 (e) HSV causes Kaposi varicelliform eruption or eczema herpeticum.
15 (e) Urine specimen should be delivered to the laboratory immediately because gram-negative enteric pathogen ( e.g., E. Coli ) have doubling times of 20-30 minutes. 
16 (e) The last dose of hepatitis B vaccine should not be given before age 6 months.
17 (a) Isolation of M. tuberculosis from the sputum or gastric aspirate is the best method to diagnose pulmonary TB. 
18 (a) Please remember negative cultures never exclude the diagnosis of TB. If the child has history of exposure to an adult with infectious TB, has positive PPD and chest x-ray results, the diagnosis of TB should be made.
19 (e) C1q deficiency 
20 (a) High-dose of intravenous methylprednisolone within 8 hours of spinal cord injury improves the motor outcome. 
21 (c) Respiratory alkalosis decreases intracellular pH, stimulates glycolysis, and increases utilization of phosphorus which results in hypophosphatemia.
22 (e) Large amount of porphyrins in urine cause pink to brown stain in diapers.
23 (a) 0.5 mg/kg/day. 
24 (e) Neonatal RBCs have decreased deformability and filterability. 
25 (e) Weight-for-height 
26 (a)  Weight-for- height. All other parameters are below the normal curve. Decreased head growth can cause delayed cognitive development.
27 (d)  Aortic ultrasonography  
28 (c)  Chlamydia trachomatis and N. gonorrhoeae are the most common organisms causing cervicitis.  
29 (b) Selective absence of IgA, IgG, IgM, and IgE levels are usually decreased.
30 (a) Vocal cord myopathy