[PEDIA] Inara Exam - Questions and Answers (Complete Solutions) Althea, 3-year-old female was brought for consult for 2 days cough and colds with 1 day
... [Show More] fever. Her mother stated that patient was apparently well the last 4 days and attended her daytime play school and interacted with her classmates. For Althea's age, she is capable of doing this in terms of her gross motor domain: A. Run with supervision and assistance B. Climbs well C. Stands momentarily on one foot D. Walks up the stairs with one hand held Language development of a 3-year-old toddler A. Speaks 3 words (subject, verb, object) B. Tells story C. Responds to his/her name D. Speaks one word This refers to development of the patient that has better expressive vocabulary rather than receptive understanding of words A. Delay B. Dissociation C. Deviation D. Regression A 4-year-old child with unremarkable development has been recently demonstrating a subtle showing or lack of advancement in skills A. Delay B. Dissociation C. Deviation D. Regression Which of the following factors is the most emphasized in the definition of Intellectual Disorders (ID), as determined by the American Association of Intellectual and Developmental Disorders? A. Age at which ID is diagnosed B. Concomitant medical conditions C. Intelligence quotient D. Level of support required to perform daily tasks An 8-year-old girl is seen for a health maintenance visit. Her physical examination is normal. Her mother reported that her psychometric testing revealed an IQ of 60. Under DSM of mental disorders, which of the following is the appropriate classification of her intelligence? A. Normal intelligence B. Mild ID C. Moderate ID D. Severe ID What can the mother expect of the functioning of her daughter for the next few years? A. She will have delayed puberty B. Put her in a separate classroom from her peers throughout the school day C. She will have a good self-help skills D. Exercise will be difficult and is highly discouraged The hallmark in Autism Spectrum Disorder is A. Delayed expressive language B. Echolalia C. Inability to relate socially D. Stereotypy In DSM-5, to diagnosed ADHD, symptoms of inattention, hyperactivity/impulsivity should be present prior to A. 5 years old B. 7 years old C. 12 years old D. 18 years old Which of the following statements is true about Specific Learning Disability? A. It is more common in girls B. Severe type usually has mild intellectual impairments C. It is not curable even with intervention D. The most common form of impairment is expression/ spelling A case of an 18-month-old girl went to the ER due to seizures. She was born preterm at 34 weeks by pediatric aging to a 16-year-old primigravid mother, apparently with good cry and activity. Her mother has had irregular prenatal check-up which she started at 6 months old and inconsistent intake of multivitamins. The physician noted that the girl can walk independently with a wide-based gait and responded to name calling by turning her head. She can request for her needs by pulling the hand of her mother and pointing to her desired object. She was heard to utter "mamama" and other unintelligible words. She made meaningful eye contact to the clinician and responded appropriately to social overtures. PE: weight = 9kg, length = 51 cm. Her language development is estimated at? A. 5 months B. 9 months C. 12 months D. 15 months Her socio-emotional development is estimated at __ months old. A. 12 B. 15 C. 18 D. 24 What is her gross motor skill age? A. 12 months B. 15 months C. 18 months D. 24 months What is the most likely diagnosis of the child? A. Autism Spectrum Disorder B. Intellectual Disability C. Global Developmental Delay D. Specific Language Disorder Absence of this milestone is an absolute indication for immediate evaluation of speech delay A. Conversational language at 24 months B. Babbling and/or pointing at 7 months C. 2-word combination at 36 months D. Single words by 12 months The lack of "joint intention" is A. impairment of social communication B. impairment of social interaction C. example of stereotypical behavior D. expected at 3 years old
Autistic child with poor adaptive behavior and impaired social communication; even with support A. Requiring substantial support B. Requiring support C. Requiring very substantial support D. No support needed ASD is a neurobiological disorder with onset in early childhood. Its presentation can vary from one individual to another. An accurate diagnosis is based on A. presence of key features: impairment in social communication and social interaction B. positive chromosomal microarray C. mutation in MeCP2 gene D. careful review in the history and direct observation of behavior Which of the following is a strong predictor for risk of ASD? A. Unusual use of objects in early infancy B. Using less than 10 words by the age of 2 years old C. Reduced or absence of responsive social smiling D. Reduced or absence of sharing of a toy Which among the chest radiograph findings suggest a bacterial etiology in the diagnosis of pneumonia? A. Hilar adenopathy B. Hyperinflation C. Consolidation of right lower lobe D. Bilateral perihilar infiltrates TF, a 6-year-old patient was suspected to have Community Acquired Pneumonia. How long should you check her oxygen saturation at room air? A. 1-2 minutes B. 10-20 minutes C. 2-3 minutes D. 20-30 minutes KC, a 9-year-old boy has severe pneumonia. Which of the following diagnostic tests is least helpful in the diagnosis? A. Chest x-ray B. Procalcitonin C. Sputum GS D. CBC GG, a 4-year-old was brought in due to cough, fever, and difficulty breathing and was diagnosed with CAP. Which of the following parameters will classify his CAP as high risk? A. Irritable but consolable B. Mild wasting C. O2 sat of 95% at room air D. Mild dehydration KT, a 3-year-old girl, has community-acquired pneumonia. Which among the organisms is the most likely cause? A. RSV B. Streptococcus pneumoniae C. Haemophilus influenzae type b D. Mycoplasma pneumoniae CT, a 7-year-old boy has community-acquired pneumonia. Which among the organisms is the most likely cause? A. RSV B. Streptococcus pneumoniae C. Haemophilus influenzae type B D. Mycoplasma pneumoniae Advise a mom with one-week-old neonate to prevent pneumonia A. Breastfeeding B. Zinc supplements C. Flu vaccination D. Wear mask Which among these patients would have community acquired pneumonia high risk? A. 1-month-old with fever, poor suck, RR 78/min B. 2-month-old with cough, fast breathing, RR 62/min, rales both lung fields C. 3-year-old with cough, fever, RR 24/min, rales on right lower lung field D. 4-year-old with cough, diarrhea, sunken eyeballs, RR 53/min, rales both lung fields FT, 6 years old, no known drug hypersensitivity, low risk CAP. How long should FT take the first line of antimicrobial therapy? A. 3 days B. 5 days C. 7 days D. 10 days [Show Less]