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Pediatric Board Review - Match your answers

Q. No Choice No. Correct Answer 
1 (a) Patients with Asperger disorder do not have severe language impairments that characterize autism. They have a high risk of psychiatric disorders (e.g., mood disorders, oppositional-defiant disorder).
2 (a) Group social skills training is the hallmark of intervention in patients with Asperger syndrome
3 (d) 6 years of age
4 (d) 7-14 years of age. All other sinuses (e.g., frontal, maxillary, sphenoid) reach their maximum size after puberty.
5 (e) 6 years of age
6 (b) Parents should not tell their children to be a “good girl” or “good boy”
7 (d) A rectal examination is important to document fecal impaction. The evidence of fecal retention indicates chronic constipation that should be treated effectively
8 (a) Plain abdominal X-ray should be performed in absence of fecal impaction to rule out other abnormalities. Some children have an abnormal anal sphincter physiology that is documented by electromyography or difficulty in defecating rectal balloon .
9 (a) Cataracts
10 (b) Vitamin C excess can cause oxaluria. Vitamin C deficiency can cause scurvy and poor wound healing
11 (c) HDR syndrome includes sensorineural deafness.
12 (e) Local injection of corticosteroids is not indicated.
13 (b) Seizures
14 (c) Diabetic nephropathy
15 (c) Carbohydrate counting. Each carbohydrate exchange unit is 15 grams
16 (b) 55% carbohydrate, 30% fat, and 15% protein
17 (b) Private dwellings (over 80% of cases)
18 (b) Smoke asphyxiation (60% of cases)
19 (b) Lower the water heater temperature to 125°F (51.6°C) . Community restrictions on certain types of fireworks and adult supervision of all types of fireworks can reduce injuries.
20 (a) Inositol is an idiogenic osmol that is formed during the acute phase of diabetic ketoacidosis to counteract the effects of hyperglycemia. When serum osmolality declines too rapidly, idiogenic osmoles attract water into the cells, resulting in cerebral edema
21 (e) Abdominal CT scan with intravenous contrast can detect structural and functional abnormalities of spleen, liver, and kidney.
22 (e) Menarche usually occurs about 2.3 years after the initiation of puberty.
23 (a) Mutations at the LQT1 (63%) have the highest risk of cardiac events.
24 (a) LQT1. However, patients with mutations of LQT2 and LQT3 more likely to experience cardiac events during sleep or rest, and rarely during exercise
25 (e) Horseshoe kidneys are present in 30% cases of Turner syndrome
26 (e) Rhizomelic chondrodysplasia punctuata (RCDP) patients have normal very long chain fatty acids (VLCFA) levels in plasma.
27 (d) Malrotation
28 (a) Headache is a feature of cerebral glucopenia. Release of epinephrine also produces tremor, hunger, vomiting, and angina with normal coronary arteries.
29 (d) Cerebral glucopenia may cause decreased concentration, headache, dysarthria, staring, seizures, ataxia, stroke, decerebrate or decorticate posture, and coma
30 (c) Diazoxide causes hyperuricemia, electrolyte disturbances, and rarely, hypotension with prolonged use.