WISE EXAM PRACTICE EXAM-JUNE 19, 2021
NAME:____________________________
YR LEVEL______
1. Compared to adult TB, which of the following
features is TRUE of TB in children?
a. Presents more frequently with localized
disease
b. Greater risk for serious complications
c. More constitutional symptoms
d. Easier to establish the diagnosis
2. What are the pinpoint, 1mm, distinct, creamy white
papules found on the nose, chin , and cheek of an
infant, and referred to as Epstein Pearls when found in
the palate?
a. Erythema Toxicum Neonatorum
b. Transient Neonatal Pustular Melanosis
c. Sebaceous Gland Hyperplasia
d. Milia
3. A 7 year old boy with a healing laceration on his right
foot had a single exposure to wading in flood water.
What leptospirosis post-exposure prophylaxis regimen
should be given?
a. Azithromycin 10mg/kg/dose daily for 3-5 days
b. Azithromycin 10mg/kg/dose within 24-72
hours
c. Doxycycline 20mg/kg/dose daily for 3-5 days
d. Doxycycline 20mg/kg/dose within 24-72
hours
4. A 6 year old girl was noted to have pallor, poor
appetite and insomnia due to intense nocturnal perianal
itching. The worst complication of this helminthic
infection if left untreated is:
a. Genitourinary tract infection
b. Intestinal obstruction
c. Malnutrition
d. Rectal prolapse
5. A 2 year old toddler who received BCG vaccination at
birth was exposed to her grandmother who was
recently diagnosed to have pulmonary tuberculosis. The
pediatrician decided to do a tuberculin skin test with 5
TU of PPD-S. Reading of the test at 72hrs showed a
>5mm induration. How should this reading be
interpreted in the patient?
a. Strongly positive
b. Positive
c. Negative
d. Equivocal
6. Which of the following statements is TRUE regarding
anemia of prematurity?
a. Neonatal bone marrow is insensitive to
hypoxia
b. The kidneys serve as the primary site of
erythropoiesis
c. The red cell life span is prolonged beyond 120
days
d. Levels of erythropoietin are diminished in the
premature
7. How will you ensure a patient unobstructed airway in
a neonate during resuscitation?
a. Hyperextend the neck by placing a rolled
towel beneath the neck
b. Position the head in a neutral position with
the mouth slightly open
c. Apply pressure on the chin to create a wide
opening in the mouth
d. Insert a tongue guard while the baby is on
upright position
8. Which of the following APGAR components is an
indicator of long-term neurologic morbidity?
a. Apnea > 30mins till spontaneous respiration
to recover
b. Cyanotic extremities >6 hrs despite a warm
environment
c. Heart rate of >60/min noted for 20mins after
thorough drying
d. No spontaneous cry until vigorous drying and
stimulation
9. A 2-year old female had fever and loose bowel
movements. Upon history she had 8 episodes of LBM
and 7 episodes of vomiting. The last urine output was 6
hours prior to consult. She was noted to be thirsty. The
physical examination revealed an irritable child with
sunken eyeballs, absent tears, dry lips, slightly cold
extremities. HR=150/min RR=35/min, BP=80/50 and
capillary refill time <2 sec. What is the appropriate
assessment?
a. Acute gastroenteritis with no dehydration
b. Acute gastroenteritis with mild dehydration
 c. Acute gastroenteritis with moderate d. Shock-like state
dehydration
d. Acute gastroenteritis with severe dehydration 15. Which of the following statements regarding
language development and communication disorders is
10. The plan of management for a 5 year old child with TRUE?
acute gastroenteritis with mild dehydration should a. The fetus still has no capacity to respond to
include: and has no discriminatory speech capacity.
a. Zinc supplementation at 20mg/day for 2 b. At birth, the full-term newborn has functional
weeks organized neural networks for language input
b. Metronidazole 30mg/kg/day divided in 3 c. The language profile of children with autism is
doses for 5-10days different from that in children with specific
c. Vitamin A 50,000 IU language impairment (SLI)
d. IVF crystalloids at 30ml/kg in 30 minutes d. An extremely tight lingual frenulum prevents
the acquisition of language abilities.
11. Which of the following vitamins is most likely
deficient in a malnourished child with peripheral
neuritis and tenderness and cramping of the leg
muscles?
a. A
b. B1
c. B2
d. B6

12. Which of the following statements is TRUE regarding

the timing of administration of a vaccine and an
antibody
a. The oral live vaccines are not affected by the
administration of the antibody.
b. If a patient is given whole blood transfusion,
the live injectable vaccine should be postponed
by at least 6 months
c. A patient who just received a live injectable
vaccine should wait at least 2 wks before the
administration of an antibody
d. A Kawasaki disease patient who received IgG
must wait 6 months before a live injectable
vaccine can be given unless absolutely
necessary

13. At what age (in years) can the child be expected to

be toilet trained by day, but may still have nocturnal
enuresis?
a. 2
b. 3
c. 4
d. 5

14. Which of the following conditions after a pertussis

vaccine would you consider as a permanent precaution
for a child to receive further doses?
a. Fever 41C
b. Seizure without fever 3 days after
c. Persistent crying for an hour