docnikki
Forum Guru
Topics: 93
Posts: 680
|
1)A healthy 4-year-old girl is brought for a well-child examination. A grade 2/6
systolic ejection murmur is heard along the upper left sternal border. S2 is widely
split and does not vary with respiration. A soft mid-diastolic murmur is heard along
the lower left sternal border. Examination shows no other abnormalities. Which of
the following is the most likely diagnosis?
A) Aortic stenosis
B) Atrial septal defect
C) Coarctation of the aorta
D) Mitral valve prolapse
E) Patent ductus arteriosus
F) Pulmonary stenosis
G) Tetralogy of Fallot
H) Transposition of the great arteries
I) Ventricular septal defect
J) Normal heart
2) A 7-year-old girl is brought to the physician because of a 2-day history of fever,
headache, sore throat, and swollen glands. She does not have a runny nose,
congestion, or cough. She has no allergies to medications. Her temperature is
38.6C (101.4 F), blood pressure is 100/60 mm Hg, pulse is 120/min, and
respirations are 16/min. Examination shows a swollen, erythematous oropharynx
With tonsillar exudates. The anterior cervical lymph nodes are enlarged and
tender. No other abnormalities are noted. Which of the following is the most likely
causal organism?
A) Adenovirus
B) Corynebacterium diphtheriae
C) Group A streptococcus
D) Haemophilus influenzae
E) Mycoplasma pneumoniae
3) A 2-year-old girl with tricuspid atresia has increasing respiratory distress for 2
days. She has been recovering uneventfully from an operation 10 days ago to join
systemic venous return with pulmonary arterial circulation. Over the past 4 days,
she has been weaned off mechanical ventilation, started on oral feedings, and
is receiving chest physiotherapy for atelectasis. Her temperature is 37.4 C (99.3 F),
blood pressure is 98/64 mm Hg, pulse is 120/min, and respirations are 46/min.
Examination shows nasal flaring, grunting, and intercostal retractions. An x-ray
film of the chest shows large bilateral pleural effusions. Thoracentesis yields 300
mL of whitish-yellow fluid. The supernatant remains uniformly opaque on
centrifugation. Which of the following is the most likely cause of the pleural
effusions?
A) Chylothorax
B) Congestive heart failure
C) Empyema
D) Pulmonary embolism
E) Superior vena cava obstruction
4)An 18-month-old boy is brought for a well-child examination. He was born at 37
weeks' gestation and weighed 2800 g (6 lb 3oz). There were no prenatal or
perinatal complications. Developmental history indicates that he is able to run and
walk up stairs while holding his mother's hand. He can hold a crayon but does not
Scribble spontaneously. He is at the 40th percentile for length and 50th percentile
for weight. Examination shows a crude pincer grasp. Which of the following is the
most appropriate assessment of fine and gross motor development?
Fine Motor Gross Motor
Development Development
A) Delayed normal
B) Normal delayed
C) Delayed delayed
D) Normal normal
5) A 4080-g (9-lb) male newborn is delivered at
term to a
32-year-old woman, gravida 2, para 1. Apgar scores
are 8 and 9 at 1 and 5
minutes, respectively. Examination in the delivery
room shows fracture of
the right clavicle. Which of the following is the
most likely sequela
of this condition?
A
) Correction only with casting
B
) Correction only with physical therapy
C
) Left-hand dominance
D
) Permanent nerve damage
E
) Spontaneous healing without treatment
|
| vradojc1
Forum Elite
Topics: 21
Posts: 309
|
B
C
C
E
|
| sera
Forum Senior
Topics: 14
Posts: 141
|
1. B wide split s2 so ASD
2 C not so sure
3 A whitish yellow fluid...had chest surgery...so lymphatic vessel might have been damaged
4 A
5 E
Edited by sera on 05/06/07 - 01:11 PM
___________________
syra
|
| webjeee
Forum Guru
Topics: 99
Posts: 349
|
agree, bcaae
A soft mid-diastolic murmur is heard along the lower left sternal border, tricuspid relative stenosis caused by ASD?
|
| fongch
Forum Elite
Topics: 71
Posts: 316
|
1 J
2 C
3 A
4 D
5 E
|
| mister
Forum Newbie
Topics: 0
Posts: 5
|
B
C
A
D at age 2 walk up and down steps with help....doing it at 18 mths seems normal to me
E
|
| webjeee
Forum Guru
Topics: 99
Posts: 349
|
a crude pincer grasp 9-10mon 3 finger, 12mon 2finger
should not be in 18mon, should be much earlier
|
| usmle12
Forum Senior
Topics: 19
Posts: 194
|
B
C
A
A...fine motor delayed cz pincer grasp should be there by know n should be scribbling
E
|
| gilbert
Forum Junior
Topics: 16
Posts: 45
|
BCADE
|
| coolmavs
Forum Elite
Topics: 21
Posts: 328
|
B
C
A
A
E
___________________
Yeh Zeher bhi, yoon piya hai.....Jaise sharaab ho!!!!
|
| lq2006
Forum Elite
Topics: 25
Posts: 355
|
B
C
A
A
E
|
| sherry39
Forum Junior
Topics: 3
Posts: 99
|
g
c
a
d
e
|
|
| |
| | | | | | | | | | | | |
