Pediatric Board Review Multiple Choice Questions & Answers Vol. 4

Q11. The most recognized toxicity of halothane inhalation anesthetic agent is:

1. Nephritis
2. Pancreatitis
3. Pneumonitis
4. Myocarditis
5. Hepatitis

Q12. A 26-week-gestational age preterm infant is placed on a mechanical ventilator. The infant is less responsive to stimulation. Head sonogram reveals a grade 2 intraventricular hemorrhage. The parents want to remove the baby from a ventilator and let him die. What should the doctor do in this situation?

1. The physician should remove the infant from a mechanical ventilator.
2. The physician should get a court order.
3. The parents should get a court order.
4. The physician should avoid the parents and continue patient’s care.
5. The physician should not remove the infant from a mechanical ventilator and arrange for a meeting with the parents and social worker.

Q13. All of the following methods can be used to prevent injuries from burn except:

1. Crawling beneath smoke if indoors
2. Practising escape procedures
3. Wrapping with blanket
4. Running if clothes catches fire
5. Using materials for education

Q14. All of the following methods can be used to prevent fires except:

1. Use flame retardant-treated clothing
2. Stop cigarette smoking inside the house
3. Use fire-matches-lighter
4. Install smoke detectors
5. Control of hot water thermostat (maximum temperature 128° F)

Q15. A physician wants to measure the clinical assessment of pain in a 5-year-old girl. All of the following pain measurement tools can be used except:

1. Visual Analog Scale (VAS)
2. Hormonal-metabolic measures
3. Autonomic measures
4. Faces scale
5. Color and other analog scales

Q16. A physician wants to measure the clinical assessment of pain in a 3-year-old boy. All of the following pain measurement tools can be used except:

1. Autonomic measures
2. Behavioral scales
3. Hormonal-metabolic measures
4. Wong-Baker faces scale
5. Combined behavior-physiological scales

Q17. A conscious child is on a mechanical ventilator. A physician wants to measure the clinical assessment of pain. The following pain measurement tool is useful in patients who are on a mechanical ventilator:

1. Behavioral scales
2. Hormonal-metabolic measures
3. Autonomic measures
4. Oucher faces scale
5. Behavioral-physiological measures

Q18. A child has congnitive limitations. All of the following pain measurements tools can be used except:

1. Autonomic measures
2. Visual Analog Scales
3. Hormonal-metabolic measures
4. Behavioral scales
5. Behavioral-physiological scales

Q19. A 3-month-old boy appears with hypoglycemic seizures. A physical examination reveals short stature, hepatomegaly, protruberant abdomen, and doll-like facies. The laboratory findings reveal hypoglycemia, lactic acidosis, hyperuricemia, and hyperlipidemia. The most likely enzyme deficiency is:

1. Glucose-6-phosphatase
2. Acid maltase
3. Galatose-1-phosphate uridyltransferase
4. Myophosphorylase
5. Fructokinase

Q20. A 4-month-old girl appears with hepatomegaly, massive cardiomegaly, pulmonary atelactasis with a secondary infection. ECG reveals prominent P waves, short P-R intervals, massive QRS voltages, biventricular hypertrophies, and intraventricular conduction delays. The most likely diagnosis is:

1. Endocardial cushion defect
2. Pompe disease
3. Myocarditis
4. Pericarditis
5. Pneumonia causing cardiac failure

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