10 year old boy complains of recurrent cough with

breathlessness and chest tightness and wheezing, 2 year

history. Sx 1-2x during cold months precipitated by exercise.
Since ___, sx increased to 5-6x per during the day,
breathless over past the past week, daily waking up during
the night.
1. Classification of BA:
A. Intermittent
B. Mild persistent
C. Moderate persistent
D. Severe persistent
2. least helpful in diagnosing:
A. chest xray
3. best description of late phase
(hindi nalagay yung choices, basta aralin niyo yung early
and late phase of asthma, kung ano yung time frame,
nagmemediate, etc.)
10/M with ssx of cough, DOB, chest tightness. 1-2x/year
esp. during the cold months. lately, he's been having ssx 56x/day, esp after play/activity, and has been roused from
sleep daily during the past week because of cough.
4. what is the initial ER management for this patient?
A. give oxygen using face mask
B. give nebulized B2 agonist
C. Montelukast
D. request for CXR
5. Which of the following is not a controller medication?
A. salbutamol
B. montelukast
C. budesonide
D. omalizumab (anti-IgE)
3/F with severe dyspnea, productive cough, fever on the day
of consult, difficulty of breathing, dysphagia, drooling.
Immunization history is incomplete.
6. what is the most likely diagnosis?
A. acute bronchiolitis
B. acute laryngotracheobronchitis
C. pneumonia
D. acute epiglottitis
7. Etiology of Epiglottitis
A. Parainfluenza
B. RSV
C. Hib
D. Staph
8. NOT done for epiglottitis
A. O2
B. Racemic
C. antibiotics
D. tracheostomy
12/F persistent knee swelling and pain. 3 weeks PTC
moderate fever, left knee pain, followed by Right knee.
Paracetamol relived fever and swelling. Sx recurred, persists
now. Allergic to Beta lactam drugs. + CLAD, murmur, joint
swelling.
10. Based on the revised Jones criteria, ff sx that the pt
fulfilled:

A. Fever, ___, carditis

B. Fever, arthritis, pallor
C. Fever, arthritis, carditis
11. CXR revelased normal sized heart, pulmo markings.
What is the severity of carditis?
A. no
B. mild
C. moderate
D. severe
12. What regimen would the appropriate for this patient:
A. Pen and ASA
B. Erythromycin and ASA
5/F 1 month history of on/off headache
13. What diseases to consider?
A. primary headache
B. CNS infection
C. brain tumor
D. AOTA
14. Headache accompanied by vomiting but not fever, rule
out:
A. primary headache
B. CNS infection
C. brain tumor
D. NOTA
15. Neuro exam revealed bilateral papilledema and babinski
sign. What to do next:
A. give paracetamol, send home.
B. request for neuroimaging, manage as OPD
C. admit to hospital
D. any
Headache, no fever, +vomiting
16. CT scan
Pseudohypothy in infants
17. ??
Congenital hypothy
18. poor feeding, lethargy, open fontanelles
19. 10 day old neonate screened positive for congenital
hypothyroidism by Newborn screening. However, because of
Ondoy, patients family was unable to follow up. The child
was brought to clinic after 6 months. Which of the following
will support dx of Congenital Hypothyroidism?
A. sits without support
B. length of 67 cm
C. wide anterior fontanelle
D. consumes 7-8oz of milk/day
20. 4-week old female with large tongue and lethargy,
constipated and feeding poorly. Thyroid function test results
would show:
A. increased T4, decreased TSH
B. normal T4, increased TSH
C. decreased T4, increased TSH
D. decreased T4, normal TSH
21. 9month old female, good diet and a good drinker, height
and weight 50th percentile. Noted pallor, hemoglobin of 72

g/dl. PBS showed microscopic, hypochromic RBCs.

Probable etiology of disease:
A. thalassemia
B. transient viral ____ of bone marrow
C. anemia of chronic disease
D. Iron deficiency

C. encephalopathy 7 days after

D. seizures within 3 days

(Acute Post-strep GN yung mga sumusunod, ito na yung

pinakamahirap na questions nung exam.)
28. 12/M, decreased urine output. BP 170/100, periorbital
edema. Tachypnea. Which serologic titer is the best single
antibody determination done?
A. ASO
B. antinicotinamide adenine dinucleotidase (anti-NAD)
C. Streptokinase
D. antiDNAse B

40. To ensure safe complimentary foods, mothers must:

A. wash own hands
B. wash hands with soap
C. wash hands before preparing and feeding the child
D. refrigerate left over foods

29. Prognosis of APSGN in children:

A. 3% still have renal lesions after 12 years.
B. 0% recurrence rate
C. A&B
D. NOTA
30. Which of the following strep antibodies is _____ for
preventing recurrence of APSGN?
A. anti-IM protein
B. anti-streptokinase
C. anti-NAPir??
D. anti-neura___
31. WHO child growth standard states the following growth
indicator suggests normal growth: (weight for height, height
for age)
A. w h 2<-2
B. h a 2<-2
C. w h 2>+2
D. h a 2>+2
32. indicate pathologic growth:
A. w -2 crossing 2 z-score lines down and towards median
B. h -2 crossing 2 z-score lines down and towards
median
33. 5/M w-h >-2 , h for age >-2
A. wasting and stunting
B. severe wasting and stunting
C. wasting and severe stunting
D. severe wasting and severe stunting
34. True indication for BCG vaccine:
A. baby record
B. BCG scar
C. mothers knowledge
35. wt 65 kg, ht 144. BMI?
36. wt 73 kg, hg 156. BMI?
w
37. What does BCG protect against?
A. disseminated TB
B. pulmo TB
C. Kochs infection
D. ewan
38. True contraindication for DPT:
A. inconsolable crying for 3 hours
B. HHR within 48 hours

39. To encourage complimentary feeding:

A. Offer small, frequent meals

41. Complimentary foods are properly fed if given in:

A. infant feeding bottles
B. dropper
C. cup and spoon
D. AOTA
42. A child with illness would require more food during:
A. illness
B. recovery
C. illness and recovery
D. depends on the nutritional status of child
43. Process of extinction:
A. timeout
B. reinforcement
C. reward
44. Most common skin disease in babies:
A. diaper dermatitis
45. Pt 2 weeks of age brought to OPD for well-baby care. A
neonatal history if the format to fllow. The hx starts from
general data, chief complaint and should be followed by:
A. HPI
B. Birth and maternal
C. PMhx
D. perinatal
49. Injury prevention technique for a 14-day old infant:
A. smoking cessation
B. proper temperature of bathing water
C. choking.
D. AOTA
50. Expected language dev at a 14-day old neonate
A. crying
B. Cooing
C. babble
D. jargon