| Q.
No |
Choice
No. |
Correct Answer |
| 1 |
(e) |
CNS abnormalities; a 1-month-old normal child has rooting reflex that facilitates sucking. |
| 2 |
(b) |
8 months of age |
| 3 |
(a) |
Questionable |
| 4 |
(e) |
Questionable. The long-term benefits of early accomplishments are questionable. |
| 5 |
(d) |
Enlargement of breast buds (between 8 to 13 years of age) |
| 6 |
(d) |
9 years 6 months of age |
| 7 |
(e) |
DHEAS may appear as early as 6 years of age. |
| 8 |
(d) |
Rumination disorder is characterized by weight loss or failure to gain weight because of repeated regurgitation of food
without nausea or other GI problems. |
| 9 |
(a) |
Tachycardia, hypotension, and decreased oxygen saturation |
| 10 |
(a) |
Drowning most commonly occurs in bathtubs or swimming pools; most children are older than 5 years of age. |
| 11 |
(e) |
Hepatitis (e.g., elevated liver enzymes, jaundice, or acute hepatic necrosis) rarely occurs in children. |
| 12 |
(e) |
The physician should not remove the infant from a mechanical ventilator but arrange for meeting with the parents and social worker. The grade 2 IVH is a benign condition and does not cause brain injury. A 26-week-gestational age preterm infant can survive without a major problem. |
| 13 |
(d) |
Running causes more fire; rolling is indicated if clothes catches fire. |
| 14 |
(e) |
Control of hot water thermostat (maximum water temperature 120°F) |
| 15 |
(a) |
VAS (Visual Analog Scale) is used in patients who are 8 years of age and older. Answers (d) and (e) are used in patients who are 4 years of age and older. Answers (b), (c) and behavioral or combined behavioral-physiologic scales can be used in all age groups. VAS is a vertical 10-cm line, patient marks on line between “no pain” and “worst pain imaginable” (or sad face). |
| 16 |
(d) |
Faces scales (e.g., Wong-Baker, Oucher, Bieri, McGrath scales) are used in patients who are 4 years of age and older. In
faces scale, patients compare their pain to line drawings of faces or photos of children. |
| 17 |
(c) |
Autonomic measures (e.g., heart rate, BP, heart rate spectral analysis) are used in all ages especially those who are
receiving a mechanical ventilation. Behavioral scales are facial expressions and limb movements. Physiological scales are
heart rate and BP. Hormonal-metabolic measures are plasma or salivary samples of hormones (e.g., cortisol, epinephrine). |
| 18 |
(b) |
VAS (Visual Analog Scales), color and other analog scales cannot be used in children with cognitive limitations. |
| 19 |
(a) |
Glucose-6-phosphatase deficiency or absence is noted in patients with type Ia glycogen storage disease (Von Gierke) |
| 20 |
(b) |
Pompe disease (or type II glycogen storage disease) |
| 21 |
(a) |
Autosomal recessive |
| 22 |
(e) |
Acid maltase (acid alpha-glucosidase) |
| 23 |
(b) |
Muscle biopsy or liver biopsy specimen reveals decreased quantity of acid maltase activity. |
| 24 |
(a) |
Hyperinsulinemia and large for gestational age (LGA) may be present in patients with erythroblastosis fetalis like IDM
(infant of diabetic mother). |
| 25 |
(e) |
Microcephaly, macroglossia, and islet cell hyperplasia are also present in Beckwith-Wiedemann syndrome. |
| 26 |
(a) |
Retinoblastoma |
| 27 |
(b) |
Chromosome 11p |
| 28 |
(e) |
Bilirubin encephalopathy (kernicterus) can cause choreoathetotic cerebral palsy and sensorineural hearing loss. |
| 29 |
(c) |
Gentamicin, furosemide, high serum bilirubin, and hypoxia with or without hyperventilation |
| 30 |
(e) |
ROP |
