WISE MOCK EXAM JULY 9, 2019 8.
A 17 year old teenager got pregnant by engaging in
NAME: ________________ YR LEVEL:_____
1. After taking antibiotics for an upper respiratory tract
infection, a 14-year old boy developed cutaneous lesions
that rapidly progressed from erythematous lesions to
vesicle, bullae, and areas of denudation on the face, trunk
and extremities. There was severe pain from mucosal
ulcerations. He had leukocytosis, elevated ERS, increased
liver transaminase, and decreased albumin. What is the
most likely diagnosis?
a. Kawasaki disease
b. Toxic Epidermal Necrolysis
c. Steven-Johnson Syndrome
d. Epidermolysis Bullosa Simplex
2. The culture of the needle aspirate in the margin of an
inflamed area of a febrile 3 year old boy revealed Group A
Streptococcus. The skin was swollen, red and very tender.
There were superficial blebs. The most characteristic
finding was a sharply defined elevated border of the skin
lesion. What is the most likely diagnosis?
a. Impetigo b. Scarlet fever
c. Erysipelas d. Necrotizing Fascitis
3. A 6 year old active school aged girl had a 5 day history of
colds then developed vesicular to pustular lesions covered
with thick, confluent, amber-colored crust which were
diffused around her nose and face. What is the most likely
gram (+) bacterial infection?
a. Furunculosis
b. Bullous Impetigo
c. Non-bullous impetigo
d. Ecthyma
4. An 8 year old boy with a history of wading in the flood 7
days prior to admission developed fever, chills, headache
progressing to myalgia of the calf and conjunctival
suffusion. A week after, he was noted to have jaundice,
hematuria and oliguria. What is the most likely
complication that developed?
a. Acute renal failure b. Hemorrhagic cystitis
c. Hepatic dysfunction d. Weil Syndrome
5. A 5 year old girl was brought to the ER due to high grade
fever associated with sore throat and rashes. PE findings
reveal an enlarged tonsils with exudates and confluent
erythematous sand paper like rash on the neck and
extremities. What is the gold standard to confirm the
diagnosis for this case?
a. CBC
b. ESR
c. Rapid antigen detection test
d. Throat swab culture
6. A 6 year old unimmunized girl developed acute onset of
trismus, dysphagia and generalized painful muscle spasms.
What is the treatment priority for this case if the patient is
brought at the ER in respiratory distress?
a. Antibiotic therapy with metronidazole
b. Control of muscle spasm
c. Neutralization of the toxin
d. Protection of the airway
7. A 7 year old boy was brought to the ER due to gum
bleeding. Five days PTA, the patient developed fever
associated with anorexia, headache and body malaise. One
day PTA, he complained of abdominal pain and developed
persistent vomiting. On PE, patient was noted to be
restless, vital signs normal for age, with minimal gum
bleeding, abdominal distention and tenderness, palpable
liver edge, full and equal pulses, warm extremities. Hct
0.49, platelet count 130,000. What is the most probable
diagnosis?
a. Dengue without warning signs
b. Dengue with warning signs
c. Severe dengue
d. Dengue shock syndrome
unprotected sex with a drug dependent boyfriend who just
tested positive for HIV. What should be the initial
diagnostic test for HIV once the baby is born?
a. Blood culture b. ELISA
c. PCR d. PCR DNA
9. A 5 year old child was brought to the ER for an
unprovoked dog bite sustaining superficial abrasions
without bleeding on the arms and face. The 9 month old
dog allegedly received 1 rabies vaccine. What should be
the complete management plan for this patient?
a. Anti-tetanus only
b. Anti tetanus + rabies vaccine
c. Anti-tetanus + rabies vaccine + Rabies Ig
d. Anti-tetanus + rabies vaccine + Rabies Ig +
Antibodies
10. A 16 year old adolescent who works in a poultry farm
developed a flu-like illness with fever, chills, myalgia and
non-productive cough. On chest x-ray, there were
calcifications noted. What is the most likely systemic
mycoses presented by the patient?
a. Blastomycosis b. Coccidiomycosis
c. Histoplasmosis d. Paracoccidiomycosis
11. An 8 month old malnourished infant from a low socio-
economic status presented with cough and colds of 2
weeks duration associated with low grade fever,
unexplained loss of appetite and weight loss. The mother
apparently has a history of productive cough of 1 month
duration. What should be the initial work-up for this
patient?
a. Blood culture b. Chest x-ray
c. Gastric aspirate culture d. PPD test
12. A 5 year old male was admitted due to dengue shock
with symptoms of encephalitis. Aside from CBC with
platelet count and blood typing, what is the cost effective
diagnostics that should be requested if the family has
financial constraints?
a. ALT, AST, Alkaline phosphatase
b. Chest x-ray PAL view
c. PT, PTT
d. Serum electrolytes
13. A 1 year old infant was brought to the ER due to
rashes. History reveals that 5 days PTA, patient developed
low grade fever, coryza, conjunctivitis with progressive
brassy cough. On PE, a maculopapular rash which blanch
on pressure was noted on the face, trunk and extremities.
What is the most common complication of this viral
exanthema?
a. Encephalitis
b. Otitis media
c. Pneumonia
d. SSPE
14. Upon birth, the term neonate is vigorous with good
tone and cry, and vital signs within normal range. After
drying the baby, what is the next step to take?
a. Stimulate further with drying
b. Suction secretions in the nose and mouth
c. Give full bath to be followed by cord care
d. Proceed to performing EINC
15. Which of the following findings will prevent you from
discharging a 24 hour full term well newborn based on the
Philippine Pediatric Society recommendations?
a. Pending newborn and hearing screening tests
b. HR 100-140, RR 40-52, temp 36.8 to 37C
c. Had 2 wet diapers but no stool output
d. Mother is capable of caring for the baby at
home