FEU ~ DR. NICANOR REYES MEDICAL FOUNDATION DEPARTMENT OF CHILD HEALTH BASIC PEDIATRICS PRELIMINARY EXAMINATION (12 AUGUST 2015) Name KEY Section ___ Signature CHOOSE THE LETTEIR OF THE CORRECT ANSWER. C01. wnat advice should be given to adolescents durin Ig the time of re i rowth?- A Refrain from spending too much time on grooming poe nyneat or ompare their physical growth with others to highlight their diffe C. Get enough sleep eer 1D. Increase their food intake whatever their preferences are Cc 02. Dating during middie adolescence results in conflict between the real issue causing this conflict? Pee en ee A. Who is with the adolescent B What they do when dating C. Separation of the adolescent from his family D. Time wasted when dating In the search for their identity, teenagers can resort to: ‘A. Keeping a journal of their daily activities B. Meditaling & locking themselves in their room C. Minimizing their interaction with family members D. Researching on the internet SMR stage IV among males is characterized by the peak of: A. Height velocity C Penile growth B. Testicular growth D. All of the above The following features are true of adolescent development, EXCEPT: A. The growth pattern is from central to peripheral B. Males increase in height 2 years later than girls. C. The onset of puberty occurs earlier than in previous generations. D. There is a significant earlier onset of breast development in girls The family issue during middle adolescence centers on A. Greater degree of autonomy B. Increased need for privacy C. Bid for parental separation D. Emoticnal & physical separation from the family Which of the following statements is TRUE of the physical growth of adolescents? ‘A. Itstarts symmetrically during the early adolescent period B. Adolescents seem to fill up then stretch. C. This stage represents the fastest growth rate in a lifetime. D. Physical growth starts distally. 8 08, Which of the following statements BEST describes the psychosocial development of late adolescence? :: . They ere very self-conscious ¢ 8 They ere nove interested in their roles as adults rather than peer group activites C. They tend to compromise issues with litle resistance. D. Dating is more for physical reasons. pment of the late adolescents lead them to: ences of their actions C. Be argumentative Tike justice & patriotism _D. All of the above5 Be 2roumentative TTT N® SHICS 8 patriotism p, All of the above 10. Adolescent heatth robler it Infectious disecsee Cc et 8. Congenital Malformations Hs ee a clear grasp of their Sexuality. ¥ have learned to accept the Physical changes happening to them. C. Siblings D. Peer group C. Malnutrition D. All of the above 14. What is the fist sign of puberty in males? A. Changs in voice quality 3 C. Appear. f B. Start 0° rapid somatic growth iclacee D. Testicular enlargement 15. Menarche usually occurs 2 years after the A. Growtr ‘spurt B. Appearance of pubic hair 6 16. What causes the deepening of the voice in A. Enlargement of the vocal cords B. Increase in the size of the larynx C. Breast development D. Characteristic fat deposition adolescent males? C. Enlargement of the uvula D. Thickening of the neck muscles 17. What is the source of the conflict between adolescents & their Parents? A. Who is with the adolescent B. Risk tacing behavior C. Separation of the adolescent from his family D. Time spent for dating 8 18. What is the result of visual problems caused by the elongation of the optic globe? A. Hypertelorism C. Squint B. Myopia D. Presbyopia Cis Which of the following features is TRUE of the peak height velocity in males? A. Starts with testicular enlargement B. Occurs earlier than in females C. Occurs at SMR II D D. Coincices with the peak growth of the testicles & penis 20. The narrow-mindedness of an adolescent may stem from the fact that he: A. Is unable to predict the consequences of his decisions especially during the early stages B. Takes things less seriously than adults C. Has a tendency to indulge in risky behaviors D. Tends to be argumentative lly physically weak? 21. Why are big & muscular male adolescents initially p! | Oe rafeeritar coorainaton & not yet well devaicoae used by sleeping most of the time. pe a ia ee ee aoe not coincide with muscle bulk development. Muscles lack hormc~al control.4 c , 8 B. Uneasiness with their Physical developrnent D. Riswising behavior 23, What causes the obsey Ved trend of earl A. Increase in promiscuity of doescerie ae B. Epidemic trend of childhood obesity C. Genetic predispositi D. Exposure to environment A 24. Why do males typicall ly grow taller than f A. Longer period of linear growth ©. Eartier growth spurt B. Sturdier bone structure D, Destined 19 be taller 25. WBE of the following changes is NOT expected during early adolescence? Develooment of secondary sexual characteristics B, Beginning of the growth spurt C. Self-consciousness D. Abstract thinking with the ability to predict the consequences of their actions Cc 26. Problems during periods of turmoil is expected among adolescents who A. Develo later than their peers B. Develoo early C. Do not develop adequate interpersonal skills D. Have not decided on their possible roles as adults during their middle adolescence 7 27. Which of the following features is TRUE of SMR stage V for breast development in females? Breast & areola form a secondary mound Appearance of the breast bud Breast, areola & nipple distinct from one another Areola & nipple form one mound com> B Why are teenagers not comfortable being physically close with their parents of the opposite gender? ‘A. One way of showing their independence B. A reflection of their being uncomfortable with their developing bodies C. Away {o show that they are less interested with parental activity D. Due to the emotional gap that builds up during this period Cc 29. The observed early onset of breast development is linked to A. Racial influence D. Genetics B. Promiscuity E. All of the above C. Epiderric of obesity Cc 30. What is the SMR staging of a 12-year old female with a secondary mound of the areola & nipple? ee C4 B 3 D5 31. Which ability is developed simultaneously with role adoption? A. Playing ball games C. Giving the home address __B. Extensive vocabulary D. Drawing a house elieve play, which of the following skills can be observed in a 4- ive & aggressive with playmatesWhat ability is usually obser A. Knowing several nurse, B. Beginnin, '9 to count objects C. Playing contentedly with other children What is the iG D Giving full name 3 'e age in years of ae a child teing jokes & enjoying listening to them? What is the Bee ‘ ° approximate lyrics a bit? ate age in yea ae bit: Years of a child who sings “Het It Go, Het Il Go” mangling the B.3 C4 Cc sy ; D5 A2 B.3 et ‘Junjun is verbally impertinent. He is also probably A. Sensible Aas ©. Confiding ‘ontrolled D. Independent At what age in months does vision become clear? A 2 C6 B4 D.12 39. At what age in months can object permanence be reinforced? A 4 C9 B6 D.12 40. At what age in months can children recognize themselves in the mirror? Ag C.24 B. 12 D.36 A 6 a Bid D.24 8 41. At what age in months do children start imitating? Cc 42. Pam can listen eagerly to stories. She can also be expected to: A. Give her full name, gender & age C. Count up to 10 B. Turn at sharp comers D. Name & match 4 primary colors or more f 43. Which self-relp skill is expected from a 2-year old toddler? ‘A. Verbalizes toilet needs in reasonable time C. Pulls pants down & up B. Goes on little errands D. Washes hands ¥ ilestone develops the earliest? Se tealeng sound Turing to mothers vols 5 D. Babbling in years is handedness usually ae D4B. Casting @ jergoning toname C. Shaking a rattle & pincer grasp D. Sitting alone & understanding ‘no’ & —— 47 Ha child hes Love Psy ee intelligible speech, what skill is expected by his next birthday? Bee C. Describe present activities & past experiences ft Plurals, pronouns & Prepositions D Engage in simple conversation +48. Whi ga! tee following skills is NOT expected by 12 months of age? ; oe © Jargonin, B. Understanding simple instructions D. Haeing hit objects: ed 9. x a age in years can children make efforts to keep their surroundings tidy? ag °? Die —— 50. ALS years of age, children are independent: A. But self-willed C. But controlled D B. In some aspects D. And resistive —_ 51. At what age in years are children apt to exaggerate? A 2 C4 B B3 D5 52 At what age is visual insatiability expected? A. 3 months old C. 2 years old B. 6 months old D. 3 years old 53. What is the approximate age in years of a boy who can play catch ball with his father? Al c.3 B.2 04 54. At what age in years is “I have 2 shoeses’ a typical speech? A, 2 c4 B. 3 D5 A. give their full name, age, and sex. C. act out many stories. B. listen to and tell stories. D. are able to tell their address. 56. At what age in years do children like companionship? ae & AL 55. Children 3 years of age ne BG) a2 c.4 B.3 D.5 57. At what age in years would outdoor play with playground equipment, ladders & trees around be ideal? A2 C4 B3 D5 D 58.A y/o can appreciate differences and similarities: Ain C4 B 3 D5 B 59 How many months after voluntary grasp does the pincer grasp develop? C6 A4 Bos D7 months ahead is an infant who turns to his own name at 9 months? C5 D6C. Normal bith tengin See? D. Usually treated with growth hormone. ——— 83, What is the most powerful tool in growth assessment? A. Height ‘ Weight B. Growth chart D.BMI ——*4 What is the estimated height in centimeters of a 4-year old child? A 90 ©. 120 B 100 D. 140 ——85. At what age do low birth weight infants usually show catch-up growth for weight? A. 6 months ©. 2 years B. 12 months D4 years 0 —— 66 Which of the following characteristics is NOT seen in chronically malnourished children? A. Stunted ©. Thin A B. Relativaly normal weight for height curve _D. Normal head circumference —1— 87. In which condition is a specialized growth chart used? A. Prematurity C. Constitutional growth delay B. Familial short stature D. Autism A —__ 88. Which of the following characteristics is NOT true of failure to thrive? A. Weight above the 5™ percentile C.Weight for height below the 5" percentile B. Used for children <3 years of age D. Drops > 2 major percentile lines D 69. How is an ideal body weight of 80 ~ 90% interpreted? A. Overweight C. Mild wasting Cc B. Normal D. Moderate wasting 70. What is the best clinical measure of under- & overweight? A. Skin fold thickness c. BMI B, Weight for age DD 71. whatis the approximate daily weight gain in grams of a 2-month old infant? A. 12 c.20 B15 D. 30 bo 72. At what age in years do the premolars erupt? A 6 c.9 B. 8 D111 c 73. At what age in months does the first tooth usually cue Cc. a 4 Be _74. What is the average gain in length from 6 — 9 quent of age? z ic D3 ying conditions is a possible cause of weight loss in a normal neonate? nutritional intake C. Diarrhea D. Increased urination END OF EXAMINATION eae