2020 (Row A)

1. Which one is not a contraindication for vaccination?

a. live vaccine during pregnancy
b. acute sickness with fever
c. severe allergy for a vaccine substance
d. stable neurological stage

2. What is the normal breathing frequency?

a. 12/min
b. 60/min
c. 30-35/min

3. What is the normal capillary refill time?

a. <2min
b. <2sec
c. >2sec
d. 10 sec

4. What is the normal umbilical cord construction?

a. 2 arteries ana 1 vein
b. 1 artery and 2 veins
c. 1 artery and 1 vein

5. True for cephalhematoma, except:

a. it respects the bone border
b. cause is trauma
c. pressure binding should be used

6. Signs of newborn respiratory failure, except:

a. Difficulty of expiration (Grunting)
b. flaring nostrils
c. chest retraction
d. breathing frequency is 25/min

7. Treatment of hyperbilirubinemia:
a. iv. immunoglobulin
b. exchange transfusion
c. blue light
d. increase total fluid and wait
e. all of them

8. True for diabetic ketoacidosis lab results:

a. HCO3 < 15 mmol/l
 b. CRT >3sec
c. pH>7,3

9. Cold stream inhalation used in:

a. laryngitis subglottica treatment
b. reflux oesophagitis
c. atopic dermatitis
d. pneumonia

10. In case of pneumothorax during percussion we notice:

a. hyperresonance
b. sharp, no tympanic resonance
c. fading
d. normal

11. They can cause trouble during expiration, except:

a. obstructive bronchitis
b. asthma
c. foreign body in bronchus
d. foreign body in larynx
e. bronchiolitis

12. Effective treatment for bronchiolitis:

a. corticosteroid
b. salbutamol
c. antibiotics
d. A and B
e. None

13. True for laryngitis subglottica treatment:

a. always give oxygen because it moistures the airways
b. inhaling the steam of camomile tea
c. epinephrin inhalation has a faster, while corticosteroid has a slower effect
d. the child has to be intubated in order to ensure clear airway

14. Which liquid can’t be used to treat shock?

a. Salsol
b. Ringer
c. Sterofundin-G

15. Which one is not a sign of shock?

a. hypotension
b. tachycardia
c. weak breathing sound
16. What can be the diagnosis in case of vomiting, periodic stomach pain, raspberry
jam like stool?
a. appendicitis
b. invagination
c. pneumonia

17. What is acute gastroenteritis?

a. having stool minimum 3 times a day or more frequent than usual, and a change
on the consistence
b. water like diarrhoea 8-10 times
c. diarrhoea for 20 days

18. Treatment of symptoms in case of diarrhoea?

a. probiotics
b. antibiotics
c. reduction of bowl motility

19. How to get sterile urine sample?

a. suprapubic puncture
b. 24-hour urine collection
c. sample from urine drainage bag

20. Glucose in the urine can mean:

a. it can be detected there normally
b. sign of carbohydrate metabolism disorder
c. sign of UTI

Also, important:
- A new-born with good spontaneous breathing should be stabilize with CPAP at
the delivery room.
- Premature baby heat protection: if the baby was born before the 28 th week, we
must cover it with a plastic bag without wiping it dry. (without removing the
vernix)
- Intubation for premature baby: it should be only used if CPAP is not effective.
(apnoea, hyperventilation, bradycardic)
- If the premature baby has to be intubated: the surface-active substance should
be given in the delivery room
- LISA (less invasive surfactant administration): should be given to premature
babies if their oxygen need is over 30% or if the work of breathing is increased.
Usual they wait 30 minutes after birth. If there is a sign of respiratory failure it
should be used within 2 hours after the birth.
- What to monitor during LISA: heart rate, oxygen saturation, (EKG). The
premature baby’s heat protection and comfort should be ensured. The baby is on
CPAP.
- Babies on CPAP for 72 hours have the best prognosis.
- risk of BPD (bronchopulmonary dysplasia) : premature, contiguous infections,
prolonged ventilation, intrauterine infections, nosocomial infection. Today the
most common one is being premature.
- When we talk about BPD? the baby still needs oxygen on its 28th day after the
birth. The severity depends on if it needs plus oxygen on the 36th postmenstrual
week and how much oxygen (%) and if the baby needs other type of ventilation.
- Prevention of BPD: aggressive weaning from assisted ventilation, so taking the
baby off the machine as soon as possible
- open ductus arteriosus: fast and difficult breathing, oliguria, diastolic pressure is
low, MAP is low.
2020 (Row B)
1. Based on the 2020 national immunization program, which vaccine is required in the 2-year old
in Hungary?
a. HBV
b. Rotavirus
c. MRR
d. HPV

2. What is the blood pressure of systoles normal in a 7-year-old child?

a. 104 mmHg
b. 84 mmHg
c. 70 mmHg

3. When does the big fontanelle close?

a. Never
b. 18 months of age
c. 9 months of age
d. Up to one year of age

4. High risk to the newborn, if

a. Twin pregnancy
b. Maternal diabetes mellitus
c. Maternal hypertension
d. Born of neglected pregnancy
e. All of them
f. None of them

5. Heart rate of a healthy newborn

a. 140 / min
b. 72 / min
c. 210 / min

6. Aged wine phenomena in infancy

a. Toxicderma neonatorum
b. Petechia
c. Suffusion
d. Icterus
e. Mulled wine (cutis marmorata)

7. Newborn monitoring by
a. Physical analysis
b. Pulse oximetry
c. Slavery analysis
d. Probe derivation
 e. Transcutaneous CO2 monitor
8. What might be the sensation of a newly recognized diabetic patient?
a. Weight loss
b. Cheyne-Stoke interval
c. Intestinal worm

9. Why do club fingers develop in cystic fibrosis? (a good answer)

a. Because of the many coughs
b. Due to the occlusion of the capillaries
c. Due to chronic tissue hypoxia
d. Due to high sweat chloride levels

10. Foreign body aspiraton causes the followings, except

a. Auscultation of different sounds over the 2 lungs
b. Weakened/faded breathing may be heard
c. Stridor heard over lungs
d. Periodic breathing

11. Main cause of respiratory distress

a. Pneumonia
b. Asthma
c. Subglottic laryngitis
d. Foreign body of the bronchioles

12. Normal breathing in infancy

a. 20-30 / min
b. 30-40 / min
c. 70-80 / min
d. 16-20 / min

13. The most likely cause of chronic organ damage and malabsorption
a. Cystic fibrosis
b. Asthma
c. Chronic heart disease
d. Immunodeficiency

14. What is the deficit in the case of 10% dehydration?

a. 100 ml/kg
b. 10 ml/kg
c. 20 ml/kg

15. How do we estimate dehydration?

a. Based on laboratories
b. Based on clinical signs and / or weight changes
 c. Based on diuresis
16. Oral rehydration is Recommended?
a. Mild diarrhoea
b. Perfused vomiting
c. Septic shock

17. What is acute gastroenteritis?

a. At least 3 or more abnormal stools per day
b. 8-10 times a day water stool
c. 20 days of existing diarrhea.

18. Treatment of symptoms in case of diarrhoea?

a. Probiotics
b. Antibiotics
c. Reduction of bowl motility

19. In case of diarrhoeal causing mild/moderate dehydration

a. Needs parenteral fluid replacement
b. Oral rehydration is recommended
c. All patients required hospitalization

20. in which sampling can sterile urine sample be obtained?

a. Suprapubic
b. 24 hours collected urine
c. Sample obtained with urine collection bag