pediatric

100問 • 1年前

問題一覧

1. Home visit. An infant is 28 days old. The mother complains of the baby’s anxiety. Intervals between feedings are 3 hours – total 8 times a day. After each feeding, the mother expressed 20-30g of breast milk. The baby’s weight at birth is 3400g, 4000g on examination. During the control feeding, the baby suckled 100g of breast milk. What degree of hypogalactia does the mother’s milk deficiency correspond to?//

there is no milk deficiency, the feeding volume corresponds to the needs of the child//

2. A girl Nastya, 25 days old, her weight at birth is 3500g, currently she weighs 4000g. Feeding regimen is 8 times a day. During control feeding she has suckled 70 ml of milk. Specify the degree of hypogalactia://

degree II hypogalactia//

3. A girl of 11 years old complains of abdominal pain for 3 years, lancinating, localized in the left area below the ribs and epigastrium, occurring 10-15 minutes after meals. The diet and eating pattern are not followed. Examination: the skin is clean, pale pink. The abdomen is not enlarged, with superficial and deep palpation in the epigastrium and pyloroduodenal area, muscle tension and tenderness are noted, painfulness is also in Mayo-Robson point. Which of the additional diagnostic techniques is best practical to conduct first of all?//

esophagogastroduodenoskopy//

4. A girl is 11 years old. She complains of the sensation of heaviness in the epigastrium, nausea, rotten egg eructation, bloating, liquid stools. On palpation epigastric tenderness is determined. The liver is not enlarged. Supposed disease://

chronic gastritis with reduced gastric secretion//

5. A patient of 8 years old. Complains of abdominal pain occurring on empty stomach, at night, the pain stops after eating. On palpation the abdomen tensions, especially in the pyloroduodenal section, painfulness and skin hyperesthesia are not determined here. The pain irradiates in the back. Supposed disease://

duodenal bulb ulcer//

6. A child of 2 years old. Significant leukocyturia was detected in the urinalysis up to 15 per power field. The mother suffers from chronic pyelonephritis. Frequent ARVI in the child in past medical history. The condition of the child is of moderate severity due to symptoms of intoxication, temperature 38°С. Vesicular respiration in the lungs. Heart tones are clear, rhythmic. The abdomen is soft and painless. The urine is cloudy. Determine the provisional diagnosis for this child://

acute pyelonephritis//

7. A child aged 9 years after ARI developed headache, repeated vomiting, urine of “meat slops” color, increased blood pressure. Your presumptive diagnosis://

acute nephritic syndrome//

8. A girl of 13 years old. Chronic glomerulonephritis, mixed form, was diagnosed. CKD Examined: CBC – Hb-56g/l, ESR-60 mm/h; blood chemistry – urea – 38 mmol/l, residual nitrogen – 80 mmol/l. What type of anemia occurs in chronic kidney disease?//

normochromic//

9. Fever, expressed intoxication in the baby of 7 months, the child is cutting its teeth, rarely urinating. In CBC – leukocytosis, shift of the leukocyte formula to the left, ESR - 25 mm/hour; in CUA – leukocyturia, bacteriuria. What is the preliminary diagnosis?//

acute pyelonephritis//

10. Blood pressure of 120/70 mmHg in a 5-year-old child. In the urinalysis, protein – 5.6 g/l, leukocytes – 0-1 in the field of vision. Which diagnosis is most likely?//

acute glomerulonephritis//

11. The child of 4 years old complains of frequent painful urination. These complaints are related to visiting of the pool and bother for 2 days. The general state of moderate severity due to dysuric phenomena. No peripheral edema, no intoxication. The examination revealed leukocyturia. Determined the provisional diagnosis for this child://

acute cystitis//

12. A 5-year-old child was diagnosed with pyelonephritis, acute course, FPS. When is it reasonable to perform a radiopaque examination of the urinary system?//

when the process is remitting//

13. An infant of 7 months is vomiting; the temperature is 39° C. The baby is anxious, urinating a lot. Urine contains traces of protein, red blood cells – 20 in the field of vision, white blood cells – up to 80 in the field of vision. What is your preliminary diagnosis?//

pyelonephritis//

14. An infant of 4 months was diagnosed with acute pyelonephritis (leukocyturia, bacteriuria). What is needed to clarify the diagnosis?://

urine bacterial inoculation//

15. A patient Asylkhan of 12 months old. The examination revealed pallor of the skin and mucous membranes, dryness of the skin, dissection of the nails. According to the mother, the child has a taste perversion: he eats soil, chalk. For which disease are the symptoms described above the most common?//

Iron deficiency anemia//

16. A 14-year-old girl complained to dermatologist of severe hair loss. During the examination, attention was paid to the pallor of the skin, dryness of the skin, delamination of the nails and koilonychia. The CBC revealed a decrease in Hb to 72 g/l. What is the most probable cause of the above symptoms?//

iron deficiency

17. A child of the first pregnancy, the first labor, was born at the age of 40 weeks, the weight at birth is 3800, height is 52 cm, the Apgar score is 6-8 points. Discharged from the maternity hospital on the 3rd day. During the initial patronage (day 4), the mother complains of the child’s anxiety, poor sleep, chin tremor when worried. Objective findings: anterior fontanel – 3x3 cm, at the level of the cranial bones. Nervous system – oral reflexes without pathology, motor reflexes – a reflex of support on the toes. What is the risk orientation?//

cns pathology risk//

18. An infant of 15 months. The child does not attend childcare centres, the medical history is safe, the physical, neuropsychological development corresponds to the age; over the past year, he has had 5 cases of ARVI; the level of basic functions is normal; somatically healthy on examination. Which health group can this child belong to?//

the second A//

19. The patient Jeanne of 2 years old. The mother complains that after the use of cow’s milk, the child’s body temperature increased to 38oC, and diarrhea appeared. Liquid stools up to 7 times a day for 8 days. Determine the form of diarrhoea according to the WHO classification.//

acute//

20. A boy is 21 months old. He has a fever for five days, a cough for 3 days; he can drink, he does not vomit after any meal or drink, no convulsions, he is not lethargic and is conscious. Respiratory rate is 51 breaths per minute, no chest retraction, no stridor and asthmoid respiration. The boy has no diarrhea. The boy should be classified://

pneumonia//

21. An infant of 3 months, after transfer to artificial feeding with a standard adapted infant formula, there was a bright hyperemia of the cheeks, cradle cap on the scalp and eyebrow arches, frequent regurgitation has been noted. Presumptive diagnosis://

atopic dermatitis

22. After feeding with a standard adapted infant formula, the baby developed anxiety, itchy skin and menocelis on the face, body and limbs. Tendency to flatulence, liquid stool. The mother had urticaria several times in her childhood. Changes in the skin are a manifestation of://

allergic dermatitis//

23. A child of 3 years is ill for 2 days. The disease began with a cough, runny nose, an increase in body temperature to 40oC. What type of fever is classified in the child?//

febrile//

24. An infant is 10 months old. The body temperature is 38oC. Cough is attack-like with difficulty in separating sputum. Dyspnea of expiratory nature. Breathing in the lungs is rigid, dry whistling and wet fine bubble rales throughout the fields. Percutaneously over the lungs – a hyperresonant shade of pulmonary sound. Supposed disease//

obstructive bronchitis//

25. A child is 8 years old. Whistling, frequent unproductive coughing appeared against the background of ARVI. Upon auscultation, the breath is weakened, sibilant rale on all fields. Box sound during percussion. The same symptoms are observed in contact with the cat, occasionally in physical training classes when fast running. The boy’s mother has frequent sneezing and tears in the autumn. Supposed disease in the boy//

bronchial asthma//

26. Aidar, an infant of 12 months, showed pallor of the skin and mucous membranes, dry skin, dissection of the nails. According to the mother, the child has a taste perversion: he eats soil, chalk. What is the supposed diagnosis?//

iron deficiency anemia//

27. Nurlan, 11 months. The child is on artificial feeding, mainly with cow’s milk. He doesn’t eat meat. A perversion of taste is noted: he eats chalk, soil. The examination revealed dry skin, dissection of the nails. Constipation is noted. What is the most likely clinical syndrome?//

sideropenic syndrome//

28. An infant is 9 months old. Breastfed + supplemental feeding with semolina. The examination revealed pallor of the skin and mucous membranes, dryness of the skin, dissection of the nails, systolic noise at the top, constipation. In the CBC, a decrease in Hb to 97 g/l was revealed. The diagnosis of “Iron deficiency anemia” was assumed. What is the most reliable laboratory indicator in iron deficiency anaemia?//

ferritin level

29. An infant of 2 months of life. The next day, after vaccination with pentavaccine, the body temperature increased to 38.3°C, the child sucks badly, sluggish, drowsy. Respiratory rate is 36 per minute, heart rate is 136 per minute. How should the course of the post-vaccination period be assessed?//

wheal reaction of moderate severity//

30. In September, the first-graders were tested with Mantoux. When shall BCG revaccination be done in children after Mantoux?//

3 days to 2 weeks//

31. On the 8th week after BCG vaccination, the child developed a dense painless enlarged lymph node in the left axillary cavity. On palpation, fluctuation is determined. In this case, you can think of://

regional lymphadenitis//

32. A child of 5 years old was waiting his turn for an appointment with the pediatrician in the polyclinic corridor. At that time the policlinic was under repair: doors of offices were painted. Suddenly the child became ill: expiratory dyspnea developed. A sense of not getting enough air, wheezes in the distance. Respiratory rate is 55 per min. Heart rate is 120 per minute. When history taking it was found out that the child had such attacks of suffocation to paint, scents of perfumes, on poplar down not for the first time. Diagnose the child?//

bronchial asthma//

33. A mother with an infant aged 6 months addressed to the general practitioner. Three days ago, the baby was transferred to artificial feeding with the “Malyutka” infant formula in connection with the mother’s return to work. Complaints of redness of the cheeks within two days. During examination: hyperemia and swelling of the cheek skin, accompanied by mild peeling, cradle cap. Organs: physically without features. The mother notes that the hyperemia increases immediately after taking the infant formula. Presumptive diagnosis://

atopic dermatitis, infantile form, initial stage, mild course//

34. When examining a child who had had an ARVI for 5 months, the district pediatrician drew attention to the pallor of the skin. The liver and spleen are not enlarged. In the complete blood count: HB – 95 g/l, erythrocytes – 3.3 x1012/l, color indicator – 0.8; polychromatophilia, anisocytosis are expressed. In the biochemical blood test: serum iron level – 9.0 μmol/l, TIBC – 85 μmol/l, ferritin – 4 μg/l, transferrin saturation with ferrum – 13%. Your diagnosis?//

iron deficiency anaemia//

35. An infant is 2 months old, due to the mother’s illness, the baby is transferred to artificial feeding with an adapted infant formula based on cow’s milk. On the third day after the formula administration, anxiety and a menocelis appeared on the face, body and limbs. The mother had urticaria several times in her childhood. Changes in the baby’s skin are related to://

food allergy//

36. Young parents were alarmed by the high RR and their arrhythmic nature in their newborn. Which of the following things, found during the child examination by the pediatrician, should be considered as a pathology?//

wet small bubble rales in the lungs

37. A child of the first pregnancy was born in asphyxia. At the age of 2 months, the first immunization with DTaP +Hib, IPV, HBV was carried out in the clinic. During the first 2 hours after vaccination, the child experienced repeated tonic-clonic muscle activity against the background of normal body temperature. The muscle activity stopped spontaneously, the child’s condition improved quickly. Make the provisional diagnosis?//

encephalopathy//

38. Home visit by pediatrician. An infant at the age of 12 months was ill with ARVI, the course was typical. On the second day after recovery the child was vaccinated against MMR. On the seventh day after the vaccination, the child’s body temperature rose to 38.0, catarrhal phenomena in the form of runny nose, conjunctivitis, dry cough, a little later – maculopapular rash appeared; the stage of rashes was not noted. Provisional diagnosis://

vaccine-associated measles//

39. After the second vaccination with DTaP in the polyclinic, the child’s condition worsened within 6 hours after vaccination. Convulsions with loss of consciousness appeared. Hyperthermia. Vomiting. Motor anxiety, which was replaced by lethargy. Paresis of the lower limbs appeared. Make the provisional diagnosis://

postvaccinal encephalitis//

40. A girl of three months is frightening, sweating, shivering in her sleep. On examination: the head is of the correct shape, the back of the head is bald, anterior fontanelle is 2.5x2.5 cm, the edges are pliant. The muscle tone is slightly reduced. Internal organs without pathology. The child started receiving vitamin D at the age of 2 months. Make the provisional diagnosis://

rickets I, initial period, acute form//

41. A child is 2 years and 10 months old. Physical development – degree I body weight deficit, growth deficit of 5 cm. Neuropsychic development – group III, degree I. No acute diseases during the year, hemoglobin 105 g/l, neurodermatitis in remission. Which health group will you refer this child to?//

the second group B//

42. A child of 5 years old is subject to regular medical check-up with the diagnosis: “Acute glomerulonephritis, nephrotic form, complete clinical and laboratory remission, kidney function is preserved”. How many years after remission onset can the patient be deregistered?//

after 5 years//

43. A child of 9 years old, diagnosis: chronic gastroduodenitis and chronic gastritis. The duration of observation in the outpatient clinic is//

not less than 5 years//

44. An infant of 7 months old. Complaints of lethargy, weakness, adynamy, lack of appetite. The child is lethargic, retarded. The skin is sharply pale, the turgor of skin and tissues is reduced, mucosae are pale, dry, the tongue is “bald”. Tones are rhythmic, tachycardia, apical systolic murmur. Liver +3 cm. CBC – Hemoglobin – 75 g/l, Er - 2.1 x1012, microcytosis -+++, anisocytosis++, reticulocytes 8%, segments – 24%, lymphocytes – 55%, monocytes – 10%, eosinophils – 3%. ESR – 3 mm/hour. Make the provisional diagnosis://

grade II iron deficiency anaemia//

45. An infant of 15 months. The child does not attend childcare centres, the medical history is safe, the physical, neuropsychological development corresponds to the age; over the past year, he has had 3 cases of ARD; the level of basic functions is normal; somatically healthy on examination. Which health group can this child belong to?//

the first group//

46. A child is subject to regular medical check-up with the diagnosis: “Secondary pyelonephritis, incomplete doubling of the pelvicalyceal system of both kidneys, kidney function is preserved”. When can this child be released from regular medical check-up?//

shall not be released from regular medical check-up

47. A child is 7 years old, in the process of admission to school. Historical information: the child has grew and developed according to age, is not subject to regular medical check-up, has received vaccination according to the immunizations schedule. What vaccinations will the child receive in the first grade?://

BCG revaccination//

48. It is advisable to prescribe the following supplemental feeding for a child with mild anaemia?//

vegetable puree (potatoes, courgette, pumpkin)//

49. An infant of 19 months. Body weight is 13 kg, height is 83 cm. Neuropsychic development is normal. In the last year the child suffered ARVI 5 times, pneumonia for once. Which health group will you refer the child to?//

health group II-B//

50. The plan of follow-up care with primary pyelonephritis in the phase of partial clinical and laboratory remission includes://

intermittent antibacterial therapy//

51. Dry bread crumbs or crackers are recommended to be included in the diet of a healthy baby (natural feeding) at the age of://

8 months//

52. On examination of a five-month-old child, a general practitioner diagnosed with grade 1 hypotrophy. What supplemental feeding should be given to this child?//

vegetable supplemental feeding//

53. An infant of 7 months old, of normal physical and neuropsychic development is at an appointment with a general practitioner. What kind of food should a doctor recommend to this child?//

meat puree//

54. On examination of a three-month-old child the doctor made a diagnosis of “Protein-energy insufficiency of the 2nd degree”. On the basis of which indicator is the disease severity determined?//

body weight deficiency//

55. A girl of 6 months is on artificial feeding. On examination pronounced frontal and parietal protuberances, rib rosary, bracelets are palpated. The muscle tone is reduced. Liver+1.5cm from under the costal arch. What dose of vitamin D will you prescribe to this child?//

3000 IU//

56. In case of acute respiratory infection according to IMCI, the treatment of a sick child includes://

prescription of plenty of warm drinking//

57. A 6-year-old child complains of sore throat, fever up to 38.5. On examination of the child according to the IMCI scheme, in addition to the throat examination, it is necessary to pay attention to the following condition://

cervical lymph nodes//

58. A child of 2 years old. After the use of cow’s milk, the body temperature increased to 38c, diarrhea appeared. Liquid stools up to 7 times a day for 8 days. Determine the form of diarrhoea according to the WHO classification.//

acute//

59. A girl of 6 months is on artificial feeding. On examination pronounced frontal and parietal protuberances, rib rosary, bracelets are palpated. The muscle tone is reduced. Liver+1.5cm from under the costal arch. Diagnosed with rickets II, eruptive phase, acute form. How long will the course of treatment with vitamin D last?//

30 – 45 days//

60. You are planning to perform UVI for a child receiving a therapeutic dose of vitamin D. What will you do?//

prescribe UVI after the end of the course of treatment with vitamin D//

61. The condition of a seven-month-old child worsened on the 4th day of the disease on ARVI background, a shortness of breath in the form of noisy, coarse breathing appeared. On auscultation – prolonged expiration, sibilant rage and mono wheeze on both sides. What is your presumptive diagnosis?//

obstructive bronchitis//

62. A girl of 5 years woke up at night from difficulty in breathing “with a whistle”. On examination – excited, sits, leaning on her hands. Expiration is difficult. Box sound, wheeze in the lungs. The child has food and drug allergies. Your presumptive diagnosis://

bronchial asthma//

63. An infant is 12 months old; the district doctor made a diagnosis – ARI. Treatment was assigned and recommendations for child care were given. The mother was warned that upon occurrences of one or more of the following symptoms she should seek medical attention immediately. Select the relevant sign://

rapid breathing//

64. According to the WHO program, the definition of diarrhoea: Diarrhoea is liquid stool for at least 24 hours://

more than 3 times a day//

65. When can a child discharged from hospital diagnosed with recrudescence of chronic atrophic gastritis be vaccinated?//

immediately after discharge//

66. A girl of 3.5 years old after hypothermia began to complain of pain in the suprapubic region, frequent, painful urination, small portions. In GAU: protein – 0.1 g/l, white blood cells – 15-20 in the field of vision, red blood cells – 5-8 in the field of vision (fresh) Make a provisional diagnosis://

acute cystitis//

67. A 7-year-old child is prescribed a urine test for pathological flora and antibiotic sensitivity. What method is recommended for urine collection for inoculation?//

from the middle portion to the sterile dish//

68. An infant is 10 months old, the body temperature is 38oC. Cough is attack-like with difficulty in separating sputum. Dyspnea of expiratory nature. Breathing in the lungs is rigid, dry whistling and wet fine bubble rales throughout the fields. Percutaneously over the lungs – a hyperresonant shade of pulmonary sound. Supposed disease://

obstructive bronchitis//

69. The child is 7 years old. Whistling, frequent unproductive coughing appeared against the background of ARVI. Upon auscultation, the breath is weakened, sibilant rale on all fields. Box sound during percussion. The same symptoms are observed in contact with the cat, occasionally in physical training classes when fast running. Supposed disease in the boy://

bronchial asthma//

70. The following method is used bronchial asthma diagnostics and treatment control://

peakflowmetry//

71. The decisive factor in the laboratory diagnosis of bronchial asthma is://

elevated immunoglobulins E//

72. The duration of the follow-up medical care for children who have undergone acute glomerulonephritis is://

5 years//

73. Principles of diet in acute glomerulonephritis://

salt restriction//

74. The duration of postnatal specific prophylaxis of rickets is://

24 months//

75. A child is 12 years old. He is undergoing medical care due to pneumonia. Crepitation in the lower lobe of the right lung is heard, it disappeared over time and reappeared when the condition improved. What form of pneumonia is characterized by this picture?//

lobar

76. Vitamin therapy for acute pneumonia is conducted with the following drug://

vitamin C//

77. A child of 2 years old. Body temperature is 38.5oC. Sluggish. The appetite is reduced. Coughing. Wet cough. The RR is 48 per minute. Shortening of the pulmonary sound on the right in the lower chest. There is also weakening of breathing and wet fine bubble rales. The provisional diagnosis – Pneumonia is proven. What examination should be performed to clarify the diagnosis?//

chest X-ray//

78. Which health group are grade 3 preterm infants referred to?//

group II-B//

79. Which health group is a child with grade 2 prematurity referred to?//

group II-B//

80. A newborn with asphyxia at birth belongs to the health group://

group II-B//

81. The third health group includes newborns with://

interatrial communication//

82. Who do you refer to the II-B health group?//

degree III premature infants//

83. On the 2nd day after vaccination with DTaP, a mother found an infiltrate with dermahemia of 2 cm in diameter in the injection area in the child; state of health is normal. What is the possible cause of infiltrate?//

variant of the normal course of the vaccine process//

84. An infant is seven days old. Two days ago the baby had engorged breasts. On examination, the body temperature is 38.6oC, the skin around the nipple is hyperemic, there is infiltration and pus is discharged from the excretory ducts. Clinical blood analysis shows leukocytosis, ESR – 15 mm/h. What is the most likely diagnosis?//

suppurative mastitis//

85. The girl is 6 months old. From the first normal birth. The diet is dominated by porridge. He does not sit on his own. Pronounced frontal and parietal tubercles, costal rosaries, Harrison's furrow. Muscle tone is reduced. Liver + 1.5 cm. from under the edge of the costal arch. There is no pathology on the part of the lungs and heart. How long will the course of vitamin D treatment last?

30 days

86. The child is one year old. He was born with an umbilical cord entwined, with a body weight of 4900 g. The birth was in autumn. He has been on artificial feeding since birth, eats little fruits and vegetables. Currently, the weight of the child is 9000 g. What is the primary cause of hypotrophy?

artificial feeding

87. Patient K. is 13 years old. A month ago, bronchial asthma was diagnosed, severe. The drug of choice for controlling the course of bronchial asthma, which has a pronounced anti-inflammatory effect.

inhaled glucocorticosteroids

88. The girl is 6 months old. He doesn't sit on his own. Pronounced frontal and parietal tubercles, costal rosaries, Harrison's furrow. Muscle tone is reduced. Liver + 1.5 cm. from under the edge of the costal arch. There is no pathology on the part of the lungs and heart. The diagnosis was made: Rickets III, peak period, subacute course. Vitamin D is prescribed at a dose of 5000 IU. The purpose of Vitamin D administration?

promotes absorption of Ca from the gastrointestinal tract

89. A 5–year-old child has community-acquired bilateral focal pneumonia, uncomplicated form, acute course. A history of allergy to penicillin, amoxiclav. Prescribe antibacterial therapy.

sumamed

90. The girl is 2 years old. She was born prematurely with a weight of 1000 grams. For a long time she was on a ventilator and oxygen therapy, the complication of which was the formation of bronchopulmonary dysplasia. At this period, bronchial obstruction of a recurrent nature is observed. Prescribe the optimal bronchodilator and choose the optimal method of its administration.

ventolin through а nebulizer

91. The child was treated in the hospital for 2 months. The activity of rheumatism has subsided. After discharge, it is necessary to recommend

extensillin

92. A child of 8 years is registered with a rheumatologist. In spring and autumn, he receives aspirin, physiotherapy, a complex of vitamins and year-round bicillin-5. After the next course, I began to notice stomach pains. Which of the listed drugs is the cause of this phenomenon?

aspirin

93. The child is 4 months old, according to the general urine analysis and urine analysis by Nechiporenko, a urinary tract infection (leukocyturia, bacteriuria) is suspected. Your further tactics:

bacterial urine culture

94. A 6-year-old female patient was diagnosed with nephritic syndrome. What diet is indicated?

table without salt and meat

95. The boy is 11 years old, who today has swelling of the eyelids, shins, urinates a little. Proteinuria was detected (5 g/l). What kind of diet is advisable to prescribe?

table without salt, meat

96. A 7-month-old child who is being fed cow's milk was found to have moderate iron deficiency anemia during the examination. Your treatment tactics?

peroral iron preparations

97. A 5-year-old boy is at a doctor's appointment. Complains of vomiting, abdominal pain, loose stools up to 7 times a day. The child is restless. Pale. Body temperature 37.8 C. Drinks greedily. The skin is dry. The tongue is dry, overlaid with a white coating. The abdomen is swollen, painful in the epigastrium, along the course of the intestine. Liver + 0.5 cm . Urinates rarely. The doctor carried out the classification of the degree of dehydration according to the IMCI scheme. Moderate dehydration has been established. Choose a method of rehydration for this patient:

through the mouth

98. The child is 3 months old, the birth weight is 3100 g. During the examination, the weight of 5400 g. At the control feeding, he sucked 130 ml of milk. The functional state of organs and systems corresponds to age. The child receives with breast milk per day per 1 kg of body weight: protein – 2.0 g, fat – 6.0 g, carbohydrates -12.0 g, kcal -115. Give an assessment of the child's nutrition:

balanced nutrition, corresponds to the age of the child

99. The child is 6 months old. Born with a mass of 3000 g . At the time of inspection, the weight is 8000g. It is naturally fed, sucks 550 ml of milk, receives 2 complementary foods: vegetable puree, semolina porridge with butter, applesauce, yolk. Per day, 1 kg of body weight receives 4.0 g of protein, 6.5 g of fat; 15 g of carbohydrates. Only 130 kcal/kg. Specify the most correct conclusion:

the child receives excess nutrition

100

100. The child Ramadan is 9 months old. At a doctor's appointment with a GP. After clinical and laboratory examination, the diagnosis was made: severe iron deficiency anemia. Ferrum-lek has been appointed. What is the daily dose of the drug?

5mg/kg

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問題一覧

there is no milk deficiency, the feeding volume corresponds to the needs of the child//

degree II hypogalactia//

esophagogastroduodenoskopy//

chronic gastritis with reduced gastric secretion//

duodenal bulb ulcer//

acute pyelonephritis//

7. A child aged 9 years after ARI developed headache, repeated vomiting, urine of “meat slops” color, increased blood pressure. Your presumptive diagnosis://

acute nephritic syndrome//

normochromic//

acute pyelonephritis//

10. Blood pressure of 120/70 mmHg in a 5-year-old child. In the urinalysis, protein – 5.6 g/l, leukocytes – 0-1 in the field of vision. Which diagnosis is most likely?//

acute glomerulonephritis//

acute cystitis//

12. A 5-year-old child was diagnosed with pyelonephritis, acute course, FPS. When is it reasonable to perform a radiopaque examination of the urinary system?//

when the process is remitting//

pyelonephritis//

14. An infant of 4 months was diagnosed with acute pyelonephritis (leukocyturia, bacteriuria). What is needed to clarify the diagnosis?://

urine bacterial inoculation//

Iron deficiency anemia//

iron deficiency

cns pathology risk//

the second A//

acute//

pneumonia//

atopic dermatitis

allergic dermatitis//

23. A child of 3 years is ill for 2 days. The disease began with a cough, runny nose, an increase in body temperature to 40oC. What type of fever is classified in the child?//

febrile//

obstructive bronchitis//

bronchial asthma//

iron deficiency anemia//

sideropenic syndrome//

ferritin level

wheal reaction of moderate severity//

30. In September, the first-graders were tested with Mantoux. When shall BCG revaccination be done in children after Mantoux?//

3 days to 2 weeks//

regional lymphadenitis//

bronchial asthma//

atopic dermatitis, infantile form, initial stage, mild course//

iron deficiency anaemia//

food allergy//

wet small bubble rales in the lungs

encephalopathy//

vaccine-associated measles//

postvaccinal encephalitis//

rickets I, initial period, acute form//

the second group B//

after 5 years//

43. A child of 9 years old, diagnosis: chronic gastroduodenitis and chronic gastritis. The duration of observation in the outpatient clinic is//

not less than 5 years//

grade II iron deficiency anaemia//

the first group//

shall not be released from regular medical check-up

BCG revaccination//

48. It is advisable to prescribe the following supplemental feeding for a child with mild anaemia?//

vegetable puree (potatoes, courgette, pumpkin)//

health group II-B//

50. The plan of follow-up care with primary pyelonephritis in the phase of partial clinical and laboratory remission includes://

intermittent antibacterial therapy//

51. Dry bread crumbs or crackers are recommended to be included in the diet of a healthy baby (natural feeding) at the age of://

8 months//

52. On examination of a five-month-old child, a general practitioner diagnosed with grade 1 hypotrophy. What supplemental feeding should be given to this child?//

vegetable supplemental feeding//

53. An infant of 7 months old, of normal physical and neuropsychic development is at an appointment with a general practitioner. What kind of food should a doctor recommend to this child?//

meat puree//

body weight deficiency//

3000 IU//

56. In case of acute respiratory infection according to IMCI, the treatment of a sick child includes://

prescription of plenty of warm drinking//

cervical lymph nodes//

acute//

30 – 45 days//

60. You are planning to perform UVI for a child receiving a therapeutic dose of vitamin D. What will you do?//

prescribe UVI after the end of the course of treatment with vitamin D//

obstructive bronchitis//

bronchial asthma//

rapid breathing//

64. According to the WHO program, the definition of diarrhoea: Diarrhoea is liquid stool for at least 24 hours://

more than 3 times a day//

65. When can a child discharged from hospital diagnosed with recrudescence of chronic atrophic gastritis be vaccinated?//

immediately after discharge//

acute cystitis//

67. A 7-year-old child is prescribed a urine test for pathological flora and antibiotic sensitivity. What method is recommended for urine collection for inoculation?//

from the middle portion to the sterile dish//

obstructive bronchitis//

bronchial asthma//

70. The following method is used bronchial asthma diagnostics and treatment control://

peakflowmetry//

71. The decisive factor in the laboratory diagnosis of bronchial asthma is://

elevated immunoglobulins E//

72. The duration of the follow-up medical care for children who have undergone acute glomerulonephritis is://

5 years//

73. Principles of diet in acute glomerulonephritis://

salt restriction//

74. The duration of postnatal specific prophylaxis of rickets is://

24 months//

lobar

76. Vitamin therapy for acute pneumonia is conducted with the following drug://

vitamin C//

chest X-ray//

78. Which health group are grade 3 preterm infants referred to?//

group II-B//

79. Which health group is a child with grade 2 prematurity referred to?//

group II-B//

80. A newborn with asphyxia at birth belongs to the health group://

group II-B//

81. The third health group includes newborns with://

interatrial communication//

82. Who do you refer to the II-B health group?//

degree III premature infants//

variant of the normal course of the vaccine process//

suppurative mastitis//

30 days

artificial feeding

inhaled glucocorticosteroids

promotes absorption of Ca from the gastrointestinal tract

89. A 5–year-old child has community-acquired bilateral focal pneumonia, uncomplicated form, acute course. A history of allergy to penicillin, amoxiclav. Prescribe antibacterial therapy.

sumamed

ventolin through а nebulizer

91. The child was treated in the hospital for 2 months. The activity of rheumatism has subsided. After discharge, it is necessary to recommend

extensillin

aspirin

93. The child is 4 months old, according to the general urine analysis and urine analysis by Nechiporenko, a urinary tract infection (leukocyturia, bacteriuria) is suspected. Your further tactics:

bacterial urine culture

94. A 6-year-old female patient was diagnosed with nephritic syndrome. What diet is indicated?

table without salt and meat

95. The boy is 11 years old, who today has swelling of the eyelids, shins, urinates a little. Proteinuria was detected (5 g/l). What kind of diet is advisable to prescribe?

table without salt, meat

96. A 7-month-old child who is being fed cow's milk was found to have moderate iron deficiency anemia during the examination. Your treatment tactics?

peroral iron preparations

through the mouth

balanced nutrition, corresponds to the age of the child

the child receives excess nutrition

100

5mg/kg