Professional Documents
Culture Documents
1028-1030)
1.* The advantages of breast feeding are the following, except for:
A. Mothers milk contains essential fatty acids for cerebral maturation
B. Mothers milk composition ins perfectly adapted to infants needs
C. Mothers milk contains allergic proteins
D. Mothers milk has an immune protective role
E. Mothers milk is important to mother-child bonding
R: C (pag.1028)
2.The following statements about breastfeeding are true:
A.
B.
C.
D.
E.
E: Iron 6 mg/day
R : D (pag. 1029)
6. *Nutritional needs of infants aged between 3 to 6 months are the following, except one:
A. Water: 150 ml/kg/day
B. Calories: 110 Kcal/Kg/day
C. Proteins: 2 g/Kg/day
D. Calcium: 400 mg/day
E. Iron: 50 mg/day
R : E (pag. 1029)
7.* Nutritional needs of children at 1 year of age are the following, except one:
A. Water: 110 kcal/Kg/day
B. Calories: 110 Kcal/kg/day
C. Proteins: 2 g/Kg/day
D. Calcium: 1000 mg/day
E. Iron: 10 mg/day
R : D (pag. 1029)
8. The following statements about introduction of solid foods are true:
A. Should be started after 4 months of age
B. Boiled vegetables after 4 months
C. Gluten from 4 months of age
D. Animal proteins (meat, fish, eggs) after 7-8 months
E. Recommended 4 meals/day after 6 months
R : A,B,D,E (pag. 1029)
9. The next types of milk are not recommended routinely in infancy:
A. Goat milk
B. Hypoallergenic milk
C. Antireflux milk
D. Lactose free milk
E. Sheep milk
R : A,E (pag. 1029)
10. *Childrens nutrition ranged 1 to 3 years should respect the next principles, except one:
A. Daily milk amount: 1000 ml
B. Daily milk amount: 500 ml
C. 4 meals/day
D. No carbohydrate beverages
E. New solid foods introduction
R: A (pag. 1030)
R: C (pag. 1040)
4. *The first choice treatment of fever in children is:
A. Ibuprofen
B. Paracetamol
C. Asprin
D. Antibiotics
E. Diclophenac
R: B (pag. 1041)
5.
*The most probable diagnosis in a child with fever, focal neurological signs, partial
seizures, altered conscioussnes is:
A.
B.
C.
D.
E.
Kawasaki diseases
Meningitis
Poisoning
Epilepsy
Herpetic encephalitis
R: E (pag. 1040)
6. Clinical manifestations of Kawasaki disease in children are:
A. Enanthema
B. Aseptic conjunctivitis
C. Fever more than 5 days
D. Cervical adenopathy
E. Prolonged seizures
R: A, B, C, D (pag. 1041)
7. Management of fever in children over 3 years of age include:
A.
B.
C.
D.
E.
R: A, D, E (pag. 1039)
8. Clinical manifestations of meningitis in children are:
A. Neck stiffness
B. Bulging fontanelle
C. Altered consciousness
D. Depressed fontanelle
E. Fever
R: A, B, C (pag. 1040)
Subiectul 3. Diareea acuta la copil (1049-1051). Varsaturile la copil (1062-1064)
1. Intracellular dehydration is charicterised by the next clinical signs:
A.
B.
C.
D.
E.
Thirsty
Neurological signs
Fever
Tachicardia
Collapsed jugular veins
R: A, B, C (pag. 1049)
2. Extracellular dehydration is charicterised by the next clinical signs:
A. Prolonged capillary refill
B. Oliguria
C. Persistent cutaneous fold
D. Neurological impairement
E. Sunken eyes
R: A, B, C (pag. 1049)
3. *Hospitalization criteria for acute diarrheal disease with acute dehydration are the
following, except for:
A. Watery stools
B. Severe digestive intolerance
C. Age under 3 months
D. Dehydration>10%
E. Pre-existing chronic disease
R: A (pag. 1050)
4. The next statements regarding the management of dehydration in children are true:
A. Oral rehydration in mild dehydration (<5% of initial weight)
B. Obligatory hospitalization
C. Intravenous rehydration in failure of oral rehydration in 5-10% dehidration
D. Oral rehydration in any type of dehydration
E. Emergency treatment in > 10% dehydration
R: A, C, E (pag. 1050)
5. *The most frequently involved etiological agent in acute diarrheal disease is:
A.
B.
C.
D.
E.
Adenovirus
Rotavirus
Enteropathogenic E. coli
Giardia
Clostridium difficile
R: B (pag 1053)
6. *The most encountered cause of acute diarrheal disease in children is:
A.
B.
C.
D.
E.
Viral
Bacterial
Parasitary
Feeding errors
Secondary to other infections
R: A (pag 1053)
7. The next statements regarding infantile hypertrophic pyloric stenosis are true:
A.
B.
C.
D.
E.
R: B, C, E (pag 1063)
8. Digestive causes of chronic vomiting in infants and toddlers are the following:
A.
B.
C.
D.
E.
Appendicitis
Hypertrophic pyloric stenosis
Milk protein intolerance
Gastroesophageal reflux
Intestinal intussusception
R: B, C, D (pag. 1063)
9. Treatment of acute diarrheal disease in children includes:
A. Early realimentation
B. Antibiotics in all cases
C. Racecadotril
D. Late realimentation
E. Lactose free milk in persistent diarrhea
R: A, C, E (pag 1054)
10. *Infantile hypertrophic pyloric stenosis manifests after a free interval of:
A. 7 days
B. 24 hours
C. 48 hours
D. 2-8 weeks
E. 6 months
R: D (pag 1063)
11. *Etiologic agent of hemolytic uremic sndrome is:
A. Enteropathogenic E. coli
B. E coli O157 H7
C. Clostridium difficile
D. Shigella
E. Salmonella
R: B (pag. 1053)
Subiectul 4. Convulsiile si epilepsia la copil (pag. 1079-1085)
1. Simple seizures in children are characterised by:
A. Associated with fever
B. Duration less than 15 minutes
C. Previous neurological history
D. Associated intracranial infection
E. Appear at the age of 3 months to 5 years.
R: A, B, E (pag. 1080)
*The next statements regarding the treatment of herpetic encephalitis are true, except for:
A. Is an emergency treatment
B. Treatment after etiological confirmation
C. Aciclovirum 500mg/m2/8 hours, 15-21 days
D. Treatment of cerebral edema and seizures
E. Nursing measures
R: B (pag. 1079)
5. Management of simple seizures in children includes:
A. Antipyretic treatment
B. Positioning the child on the lateral side
C. Antibiotics if is necessary
D. Bronchodilators
E. Antiemetic treatment
R: A,B,C (pag 1079)
6.
*The indication for computed magnetic resonance for epilepsy in children is:
A.
B.
C.
D.
E.
Infants
Before surgical intervention
Generalized epilepsy
To detect a focal cause for partial epilepsy
Febrile seizures
R: D (pag. 1082)
7.
R: B (pag. 1083)
8.
West syndrome
Dravet syndrome
Doose syndrome
Grand mal epilepsy
Petit mal epilepsy
R: A (pag.1083)
9.
R: C (pag. 1083)
10. *Grand mal epilepsy crises in children are characterized by:
A. Atonic seizures
B. Appears in infants
C. partial seizures
D. Bad prognosis
E. Generalized tonic and clonic seizures
R: E (pag. 1083)
11. The next statements about Lennox Gastaut syndrome are true, except for:
A. Severe form of epilepsy
B. Onset at 3-5 years of age
Rhinorrhea
Cough
Nasal obstruction
Bronchial rales
Modified chest X-ray
R: A,B,C (pag.1068)
3. Complications of streptococcal angina in children are:
A. Rheumatic fever
B. Acute glomerulonephritis
C. Retropharingeal abscess
D. Acute hepatitis
E. Adenitis
R: A,B,C,E (pag.1068)
4. *The next statements about angina in children are true, except for:
A.
B.
C.
D.
E.
Inflammation of tonsils
High fever
Odynophagia
Secondary digestive involvement
Bacterial etiology frequently
R: E (pag. 1068)
5. *The next statements about acute bronchiolitis are true, except one:
D. Total proteins
E. Serum electrolytes
R: D (pag. 1101)
Subiect 6. Alergiile respiratorii la copil: Rinita alergica si asmul(1092-1094), (1095-1098)
1. *Allergic asthma in children could be accompanied by the following conditions, except for:
A. Atopic dermatitis
B. Allergic rhinitis
C. Food allergy
D. Congenital stridor
E. Family atopy history
R: D (pag. 1092)
2. Exogenous risc factors for asthma in children are:
A. Pneumallergens
B. Polution
C. Cigarette smoke
D. Genetic factors
E. Obesity
R: A,B,C (pag.1092)
3. Intermitent asthma is characterised by:
A. Diurnal symptoms < 1 day/week
B. Nocturnal symptoms< 1 night/month
C. No daily physical impairement
D. More than 2 exacerbations in the last 6 months
E. Short acting Beta-adrenergics necessary 1 or 2 days/week
R: A,B,C (pag. 1093)
4. *Persistent severe asthma is characterized by the following, except one:
A.
B.
C.
D.
E.
R: E (pag. 1093)
5. Allergic rhinitis has the following clinical manifestations:
A. Rhinorrhea
B. Nasal itching
C. Posterior secretions
D. Fever
E. Associated conjunctivitis
R: A,B,C,E (pag. 1093)
6. Medical treatment for allergic rhinitis includes:
A. Inhalatory corticosteroids
B. Antibiotics
C. Antihistaminics
D. Bronchodilators
E. Specific imunotherapy
R: A,C,E (pag. 1093)
7. *The next statements about persistent allergic rhinitis are true, except for:
A. Induced by chronic exposure to allergens
B. Prevalence 1-10%
C. Symptoms persist < 4 days/week, at least 4 consecutive weeks
D. Skin tests recommended
E. Ig E test recommended
R: C (pag. 1094)
8. *Severe asthma is characterised by the following, except for:
A. Expiratory dispnea and orthopnea
B. Psychomotor agitation
C.Bradicardia
D. Oxygen saturation<90%
E. PEF<60%
R: C (pag.1095)
9. Severe asthma crisis with imminent respiratory arrest include the following clinical
manifestations:
A. Altered mental status
B. Paradoxical respiration
C. Silentium to pulmonary auscultation
D. Bradycardia
E. Paradoxically pulse absent
R: A,B,C,D,E (pag. 1095)
10. *Treatment of severe asthma crisis consists in the following measures, except one:
A. Oxygen
B. Beta2 agonists
C. Oral corticotherapy
D. Continuous monitorization
E. Mechanical ventilation if needed
R: C (pag. 1097)
11. Maintenance treatment recommended in mild persistent asthma consists in:
A. High dose of inhalatory corticosteroids
B. Low/medium dose of inhalatory corticosteroids
C. No recommended maintenance treatment
D. High dose inhalatory corticosteroids plus long acting beta2 agonists
E. Ig E monoclonal antibodies
R: B (1093)
Subiectul 7. Infectiile urinare la copil. Leucocituria (pag. 1105- 1106)
1. In acute pyelonephritis in children urinary strip helps to determine:
A. Leukocyte cylinders
B. Hematuria
C. Byrefringent crystals
D. Leukocyturia
E. Nitrites
R: D,E (pag. 1105)
2.
A. Hemogram
B. Urine culture
C. Urinary strip test
D. Renal echography
E. Blood culture
R: C (pag. 1105)
3.
A. Fever
B. Vomiting
C. Altered general status
D. Generalized edema
E. Disuria, polakiuria
R: D (pag. 1105)
4. *Retrograde cystography is indicated to diagnose:
A. Chronic renal failure
B. Vesico-ureteral reflux
C. Renal ptosis
D. Renal vascular malformations
E. Renal scars
R: B (pag. 1105)
5. Attack treatment of acute pyelonephritis in children includes aminoglycoside association
in case of:
A.
B.
C.
D.
E.
Malformative uropathy
Age < 3 months
Septicemia
Immunodepression
Positive urine cultures for enterococcus
*Which one of the following statements regarding antibiotic treatment in children with
acute pyelonephritis is true:
A. Lasts 10 days
B. Lasts 5 days
C. Attack treatment for 12 hours
D. Obligatory intravenous administration
E. Ambulatory treatment
R: A (pag. 1106)
7. Oral maintenance treatment in acute pyelonephritis in children consists in:
A. Cotrimoxazole or Cefixime, according to antibiogram results
B. In case of multiple antibiotic resistance, ciprofloxacin could be used before puberty
C. Clinical re-evaluation after 10-14 days
D. Constipation prevention/treatment
E. Cotrimoxazole from birth
R: A, B,D (pag. 1106)
8.
R: A (pag. 1106)
9. Cystitis treatment in children consists in:
A. Ceftriaxone
B. Cotrimoxazole or cefixime 3-5 days
C. No necessary recurrencies prevention
D. Associated diarrhea treatment
E. Vesical instability treatment
R: B,E (pag. 1106)
10. Which of the following statements about cystitis in children are true:
A.
B.
C.
D.
E.
B.
C.
D.
E.
Sweating
Abdominal pain and nausea
Altered mental status
Global dehydration
A.
B.
C.
D.
E.
Anxiety
Fatigability
Visual impairement
Loss of equilibrium
Speech impairement
R: A (pag. 1111)
10. Diet of type I diabetes in children includes :
A. 50% carbohydrates with slow absorbtion
B. 30% fats
C. 50% carbohydrates with fast absorbtion
D. 20% proteins
E. 30% carbohydrates
R: A, B, D (pag. 1111)
11. *Severity criteria of diabetic ketoacidosis in children include the following, except one:
A. Severe hyperglycemia
B. Severe dehydration
C. Hypercapnia
D. Age < 5 years
E. Consciousness impairment
R: C (pag.1110)
12. The next statements regarding insulin administration in type I diabetes in children are true:
A.
B.
C.
D.
D. Skin color
E. Reactivity
R: B (pag 1031)
2. Maternal serology in pregnancy means the detection of the following viruses:
A.
B.
C.
D.
E.
HBV
HAV
HCV
HIV
All of the above
R: A, C, D (pag 1031)
3. *Evaluate the Apgar scale at one minute for a full term newborn with the following
parameters: cianosis of the extremities, heart rate> 100/ minute, normal respiratory movements,
flexed inferior limbs, grimase:
A.
B.
C.
D.
E.
9
6
4
7
8
R: D (pag 1031)
4. The following congenital diseases can be diagnosed in maternity:
A.
B.
C.
D.
E.
R: A, B, C (pag 1031)
5.*The following statement regarding the full term newborn are true, except one:
A. Respiratory rate of 40-50/min
B. Cappilary refill time > 3 seconds
C. Emisson of meconuiun in the first 24 hours
D. Tumefaction of breasts
E. Diuresis in first 24 h
R: B (pag 1031)
6. *The most frequently encountered germs in the etiology of maternofetal infections are the
following, except one:
A.
B.
C.
D.
E.
E. Coli
Type B streptoccocus
Staphyloccocus aureus
Enterococci
Lysteria monocitogenes
R: C (pag 1033)
7. Silverman score includes the following parameters:
A.
B.
C.
D.
E.
Nasal flaring
Paradoxical respiration
Subcostal retractions
Respiratory rate
Grunting
R: A, B, E (pag 1034)
8. *First choice treatment of the maternalfetal infection of symptomatical newborn is:
A. Ampicilline + aminoglycoside
B. Ampicilline + aminoglycoside + antistaphylococcal treatment
C. Third generation cephalosporis + ampicilline + aminoglycoside
D. Third generation cephalosporis + aminoglycoside
E. Imipenem
R: C (pag 1034)
9. *Intrauterine growth reatdation does not associate with:
A. Poor postnatal growth
B. Hypotermia
C. Hypoglycemia
D. Hyaline membrane disease
E. Hypocalcemia
R: D (pag. 1033)
10. The main fetal risks associated to gestational diabetes are:
A. Intrauterine death
B. Macrosomia
C. Neonatal hypoglycemia
D. Neonatal hyperglycemia
E. Obsterical trauma risk
R: A, B, C, E (pag.1034)
11. The main risks of prematurity are:
A.
B.
C.
D.
E.
Hypoglycemia
Hypothermia
Unsatisfactory growth
Necrotising enterocolitis
Neonatal cholestasis
R: A, B, D (pag. 1032-1033)