Test your basic knowledge |

USMLE Step3 Pediatrics

Subjects : health-sciences, usmle-step-3

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. sickle cell with symmetrical swelling of hands and feet
Infection in aqueus and vitreous humors; posttraumatic - postcataract surgery;
Atopic dermatitis; strong allergic/immunologic component; incr IgE
Vaso-occlusive crisis; dx hb electrophoresis
1.5%

2. benefits of antibiotic therapy in acute pharyngitis?
Absence seizure; tx ethosuximide
Reduction of the severity of symptoms; prevention of rheumatic fever and suppurative complications
Female - breech delivery - family history; tx referral to ortho
Refeeding syndrome; edema and heart failure; severe hypophosphatemia tx iv phosophate

3. How to difference viral and bact pneumonia
Black
Prolactinoma
INH 9m if INH resistant rifampin 6m in children and 4m in adults
Bacterial: sudden onset - high fever - cxr consolidation. viral; gradual onset - diffuse bilat infhiltrate tx; bact-amoxi;

4. contraindications of DTap
Bugs; strep pneumonia - mycoplasma; give ceftriaxone and azithro
Develops in 21 dasy
Anaphylaxis or encephalopathy within 7d of administration; temporary contraindications moderate to severe illness
Bladder dysfunction; UTI and renal dysfunctoin

5. is local anesthetics be used in cellulitis to reduce pain
Prednisone/methyleprednison; IVIG - chronic ITP-spelenctomy
Injury to b/l glossopharyngeal. present in botulism
No; they are basic compound will be neutralized in an acidic environment of cellulitis
US and barlow test: attempt to dislocated unstable hip; sometimes make clunking sound;

6. difference between absence seizure and juvenyle myoclonic epilepsy (JME)
Males - weak stream - bladder distension - bladder wall thickening - vesicoureteral reflex; most common caUse of obstructive uropathy in children dx cystourethrogram
No myoclonic activity in JME
Observe for 48h; look for bacerimia - sepsis - meningitis - ventrculitis
Feeding jauding due to lack of feeding; 1st week; tx support; milk jaundice due to milk; afer 7d; lack of glucoronidase; incre unconjugate biill tx; interrupt feeding resume

7. 4m severe papulovesicular rash in genitalia - buttocks - perineum - crural folds
Between progesteron/170h progestreon adn dexoxycorticosteron/17OH corticosterone
No reticulocyte vs high reticulocyte
Candidal diapar rash; tx clotrimazol
Pho for forward bending; forward defect; common finding has no adverse physical effect

8. when bact conjunctivitis patient can go back to school
No wheezing - no feever in chlamydia
Decr calorie intake; decr calorie absorption;incr calorie demand
Wait until 6 months
After 24h of abx therapy

9. When to give hpv vaccien
No intervention; 90% foreign bodies pass without difficulty
Parvovirus B19 infection---failure of erythropoisis---no reticulocytes
11-12yrs as late as 26yrs; hpv2 and hpv4 against strains 16 and 18 which casuse 70% of cervical ca; not live vaccines; give 0 1 6
Central-increased androgen - inc GnRH; peripheral-increased androgenq(acne - growth acceleration) dec GnRH (due to feedback)

10. can women with abnormal smear or genital get vaccine
Yes; but it will be less effective
SCFE - stable-if patient can bear weight; unstable-if cannot ambulate; complications avascular necrosis; dx xray tx immediate int fixaton
Feeding prob; milk protein intolerance; errors in metabolism; infection; CF GERD; RTA
Biliary atresia; tx surgery

11. adducted internally rotated arm; forearm pronation - wrist flexion of baby after birth

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

12. anorexia nervosa got feeding now dyspnoes - nocturia - leg edema; jvd distended
Reduction of the severity of symptoms; prevention of rheumatic fever and suppurative complications
Croup; hx coughx2-3d - gradual onset; high fever; barking cough; <3y; epiglotitis; sudden onset; stridor; >3y
Refeeding syndrome; edema and heart failure; severe hypophosphatemia tx iv phosophate
After 24h of abx therapy

13. thumb sign
After 6m; breast mild provides iron until 6m.
Epiglotitis; staph - HiB tx: ceftriaxone/cefotaxime
ALL - alzheimers autism adhd depression seizure
After 24h of abx therapy

14. physiological jaundice
Order CK to r/o muscular dystrphies; duchene- defect in dystrophin gene; 10-20 times increased serum CK; LDH and aldolase also hight; dx electromyograpy and bx
<5 febrile UTI. males after first UTI - females <3yrs after first UTI - UTI unreponsive to abx - recurrent UTI
24h to 7d of birth
Anosmia and hypogonadotropic hypogonadism; genetic defect; defective migration of GnRH secreting and olfactory neurons to their final destination

15. difference between rubeola (measles) and rulbella
Rash distribution same; measles-3C - cough - conjunctivitis - coryza; koplik spot; rubell; LG fever. lymphadenopahty - tx; self limiting
Feeding prob; milk protein intolerance; errors in metabolism; infection; CF GERD; RTA
Observe for 48h; look for bacerimia - sepsis - meningitis - ventrculitis
Increase of progesteron/17oh progesterone

16. How long patient needs to be exposed to tick to get infected
36 hours
Wait until 6 months
9-18yrs; 1300 mg; 19-50;l 1000mg; >50 1200mng
Injury to b/l glossopharyngeal. present in botulism

17. pumonary TB
Congenital rubella syndrome
Transmits thought sneezing -coughling - singing - speaking by microscopic aerosol containg the organism; keep patient in resp isoloation until non-infectious (3 sputum acid fast smear negative)
Injury to b/l glossopharyngeal. present in botulism
Feeding prob; milk protein intolerance; errors in metabolism; infection; CF GERD; RTA

18. Tx of children constipation

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

19. rapid acceleration of height - thelarche - adrenarche - purbarche - menarche - inc estrogen - inc gronadotrophin
T for t ; thalassemia; inc serum iron and Iron binding
Bacterial: sudden onset - high fever - cxr consolidation. viral; gradual onset - diffuse bilat infhiltrate tx; bact-amoxi;
Caput crosses suture line; caput has color (echymotic); caput clears early (within weeks versus several months in cephalo)
Central isosexual precocious puberty; hypothalmaic hamartoma

20. mcCune albright`
Use of teratogenic agents like alcohol during pregnancy; reconstruction at 3m; rule of 10; 10ib - 10w and 10g hb
Absence seizure/epilepsy: normal EEG - no myoclonic activity; prognosis good if no generalized seiure
Caput crosses suture line; caput has color (echymotic); caput clears early (within weeks versus several months in cephalo)
Cafe au lait spot - fibrous dysplasia of bone; excessive production of estrogen from ovarian cysts

21. hypopigmented spots - family hx bilat deafness
Neurofibromatosis type2
T for t ; thalassemia; inc serum iron and Iron binding
URI
If aortic root reaches 45 mm

22. microcytic - hypochromic anemia - hepatospelnomegaly
Thalassemia - congenital hemolytic anemia
RSV - rhino and influenza
Erythromycin ointment - sulfa drops - polymyxin /trimethoprim drops
Central-increased androgen - inc GnRH; peripheral-increased androgenq(acne - growth acceleration) dec GnRH (due to feedback)

23. causes of FTT
Bartonella henselae; complication is suppuration of lymph node
Decr calorie intake; decr calorie absorption;incr calorie demand
No; they are basic compound will be neutralized in an acidic environment of cellulitis
No intervention; 90% foreign bodies pass without difficulty

24. barking cough - inspiratory stridor - hoarsenes - p/w few days after URI
Nocturnal increase of LH; then daytime increase of gonadotrophin/testosteron; physical exam enlargement of testes
RSV - rhino and influenza
Feeding jauding due to lack of feeding; 1st week; tx support; milk jaundice due to milk; afer 7d; lack of glucoronidase; incre unconjugate biill tx; interrupt feeding resume
Croup

25. infantile hypertrophic pyloric stenosis
Wait until 6 months
Dx US tx; correct serum electrolyte - pyloromyotom
Splenic sequestraion crisis - aplastic crisis - hyperhemolytic crisis
R/o serious disorder; Hirschprug's disease; CF - hypothyroidism; then tx MgOH

26. flexible kyphosis
R/o serious disorder; Hirschprug's disease; CF - hypothyroidism; then tx MgOH
2wk to 6 months p/w poor feeding - hypotonia - weakness - loss of DTR; soucee raw honey and soil - canned food
Iron overload from excessive transfusion and ineffective hematopoisis; many raw material but no products
Pho for forward bending; forward defect; common finding has no adverse physical effect

27. splenic infarction in sickle cell
Hypopigmented macule - glial proliferation - organ haramtomas/cysts
Faciform RBC cause vascular occlusion
After 24h of abx therapy
Age<6 - no past h/o afebrile seizure - temp>38 - no cns infection - no metabolic disturbance

28. indications of VUR
Swimmer's ear; due to decrease canal acidity and bacterial overgrowth; pseudmonas
Nocturnal increase of LH; then daytime increase of gonadotrophin/testosteron; physical exam enlargement of testes
<5 febrile UTI. males after first UTI - females <3yrs after first UTI - UTI unreponsive to abx - recurrent UTI
Feeding jauding due to lack of feeding; 1st week; tx support; milk jaundice due to milk; afer 7d; lack of glucoronidase; incre unconjugate biill tx; interrupt feeding resume

29. osler rendu weber syndrom
HSP - look for symmetric skin lesions
Biliary atresia; tx surgery
Multiple telangiectesia - vasular lesion in CNS
Tonsilar exudate - tender cervical nodes - fever - no cough/nasal dischr (suggest viral inf)

30. 21 hydroxylase
Sydenhams chorea - 1-8m after rheumatic fever; may not recall h/o sore throat; tx oral penicillinX10d if allergic erythromycin; prophylaxis until adulthood; if motor function severely compromised - give haloperidol - valproic - phenobarbital
Feeding jauding due to lack of feeding; 1st week; tx support; milk jaundice due to milk; afer 7d; lack of glucoronidase; incre unconjugate biill tx; interrupt feeding resume
Rash distribution same; measles-3C - cough - conjunctivitis - coryza; koplik spot; rubell; LG fever. lymphadenopahty - tx; self limiting
Between progesteron/170h progestreon adn dexoxycorticosteron/17OH corticosterone

31. Neonatal unconjugated hyperbilirubine
Decreased UGT enzyme
Wait until 6 months
Transmits thought sneezing -coughling - singing - speaking by microscopic aerosol containg the organism; keep patient in resp isoloation until non-infectious (3 sputum acid fast smear negative)
Sydenhams chorea - 1-8m after rheumatic fever; may not recall h/o sore throat; tx oral penicillinX10d if allergic erythromycin; prophylaxis until adulthood; if motor function severely compromised - give haloperidol - valproic - phenobarbital

32. Febrile seizure
<5 febrile UTI. males after first UTI - females <3yrs after first UTI - UTI unreponsive to abx - recurrent UTI
Age<6 - no past h/o afebrile seizure - temp>38 - no cns infection - no metabolic disturbance
Observe for 48h; look for bacerimia - sepsis - meningitis - ventrculitis
No; they are basic compound will be neutralized in an acidic environment of cellulitis

33. Parents can _____ vaccine
Congenital rubella syndrome
14yrs
refuse
Croup tx cool mist; racemic epi - corticosteroid

34. adenovirus
URI
Injury to b/l glossopharyngeal. present in botulism
Transmits thought sneezing -coughling - singing - speaking by microscopic aerosol containg the organism; keep patient in resp isoloation until non-infectious (3 sputum acid fast smear negative)
Decr calorie intake; decr calorie absorption;incr calorie demand

35. How to evaluate well appearing child just born in GBS pos mother?
Croup tx cool mist; racemic epi - corticosteroid
Pipercillin (zosyn) - ticarcillin
Observe for 48h; look for bacerimia - sepsis - meningitis - ventrculitis
No myoclonic activity in JME

36. infant botulism
Pipercillin (zosyn) - ticarcillin
Less than 5th percentile
Angulation in forward bending think about structural problem; will not be corrected on its own; tx milwakee brace
2wk to 6 months p/w poor feeding - hypotonia - weakness - loss of DTR; soucee raw honey and soil - canned food

37. How to investigate delayed puberty
At first imaging test to dx bone age; if normal do testing to r/o chromosomal or endocrine abnormality
Benign permature thelarche; expectant management
Between progesteron/170h progestreon adn dexoxycorticosteron/17OH corticosterone
Feeding prob; milk protein intolerance; errors in metabolism; infection; CF GERD; RTA

38. When to do surgery for undescended testes
Wait until 6 months
Rash distribution same; measles-3C - cough - conjunctivitis - coryza; koplik spot; rubell; LG fever. lymphadenopahty - tx; self limiting
Oral DMSA or EDTA IV
Atypical lymphocyte

39. horner syndrom
Dx US tx; correct serum electrolyte - pyloromyotom
Bartonella henselae; complication is suppuration of lymph node
Injury to lower roots of brachial plexus
Erythromycin ointment - sulfa drops - polymyxin /trimethoprim drops

40. How to differentiate croup vs epiglotitis
Croup; hx coughx2-3d - gradual onset; high fever; barking cough; <3y; epiglotitis; sudden onset; stridor; >3y
1.5%
Increase of pregnenolone
Current moderate of severe fever; anaphylaxis to gelatin/neomycin; immunodeficiency(hiv - chemo); thrombocytopenia; recent administration of immunoglobulin (can diminish efficacy); preganancy

41. acute otitis media-pathogen
Multiple telangiectesia - vasular lesion in CNS
Strep pneumonie; moraxella; h influenze
Absence seizure/epilepsy: normal EEG - no myoclonic activity; prognosis good if no generalized seiure
Transmits thought sneezing -coughling - singing - speaking by microscopic aerosol containg the organism; keep patient in resp isoloation until non-infectious (3 sputum acid fast smear negative)

42. When to do aortic root surgery in marfans to prevent dissection?
Decr calorie intake; decr calorie absorption;incr calorie demand
If aortic root reaches 45 mm
RSV - rhino and influenza
SCFE - stable-if patient can bear weight; unstable-if cannot ambulate; complications avascular necrosis; dx xray tx immediate int fixaton

43. pavlik harness
Epiglotitis; staph - HiB tx: ceftriaxone/cefotaxime
Dx US tx; correct serum electrolyte - pyloromyotom
To make hip flexed and abducted position in DDH
Splenic sequestraion crisis - aplastic crisis - hyperhemolytic crisis

44. sturge weber syndrome
Facial portwine stain
No intervention; 90% foreign bodies pass without difficulty
No; they are basic compound will be neutralized in an acidic environment of cellulitis
Multiple telangiectesia - vasular lesion in CNS

45. sudden onset of fever - difficulty in breathing
Epiglotitis by H influenze; inflammartory edema of the epiglottis that impinges airway--resp arrest; dx clinical; tx relieve obstruction - intubate
Males - weak stream - bladder distension - bladder wall thickening - vesicoureteral reflex; most common caUse of obstructive uropathy in children dx cystourethrogram
Prednisone/methyleprednison; IVIG - chronic ITP-spelenctomy
Erb's palsy; upper roots of brachial plexus injury (c5 -c6 - c7; complication diaphragmatic paralysis; 80% recovery

46. carditis and arthritis after rheumatic fever
Herpes
Develops in 21 dasy
Fifth disease; febrile syndrome
INH 9m if INH resistant rifampin 6m in children and 4m in adults

47. complication of lumbosacral meningocele
No myoclonic activity in JME
Thalassemia - congenital hemolytic anemia
Female - breech delivery - family history; tx referral to ortho
Bladder dysfunction; UTI and renal dysfunctoin

48. Tx of botulism
Hospital admission - NG feeding - purgative botulinum antitoxin - no abx (they cause lysis of spores--release more toxin) -
At first imaging test to dx bone age; if normal do testing to r/o chromosomal or endocrine abnormality
Bladder dysfunction; UTI and renal dysfunctoin
Dactylitis; 2nd common is splenic seqestration

49. down syndrome has inreased risk of developing
Use of teratogenic agents like alcohol during pregnancy; reconstruction at 3m; rule of 10; 10ib - 10w and 10g hb
Imaging study to r/o VUR
Bartonella henselae; complication is suppuration of lymph node
ALL - alzheimers autism adhd depression seizure

50. tick transmits RMSF
No reticulocyte vs high reticulocyte
11-12yrs as late as 26yrs; hpv2 and hpv4 against strains 16 and 18 which casuse 70% of cervical ca; not live vaccines; give 0 1 6
Strep pneumonie; moraxella; h influenze
Black

Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?

Major Subjects
Tests & Exams AP CLEP DSST GRE SAT GMAT	Certifications CISSP go to https://www.isc2.org/ PMP ITIL RHCE MCTS More...	IT Skills Android Programming Data Modeling Objective C Programming Basic Python Programming Adobe Illustrator More...	Business Skills Advertising Techniques Business Accounting Basics Business Strategy Human Resource Management Marketing Basics More...
Soft Skills Body Language People Skills Public Speaking Persuasion Job Hunting And Resumes More...	Vocabulary GRE Vocab SAT Vocab TOEFL Essential Vocab Basic English Words For All Global Words You Should Know Business English More...	Languages AP German Vocab AP Latin Vocab SAT Subject Test: French Italian Survival Norwegian Survival More...	Engineering Audio Engineering Computer Science Engineering Aerospace Engineering Chemical Engineering Structural Engineering More...
Health Sciences Basic Nursing Skills Health Science Language Fundamentals Veterinary Technology Medical Language Cardiology Clinical Surgery More...	English Grammar Fundamentals Literary And Rhetorical Vocab Elements Of Style Vocab Introduction To English Major Complete Advanced Sentences Literature Homonyms More...	Math Algebra Formulas Basic Arithmetic: Measurements Metric Conversions Geometric Properties Important Math Facts Number Sense Vocab Business Math More...	Other Major Subjects Science Economics History Law Performing-arts Cooking Logic & Reasoning Trivia

Test your basic knowledge |

USMLE Step3 Pediatrics

Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?

Let me suggest you:

Browse all subjects

Browse all tests

Most popular tests

Major Subjects

Tests & Exams

Certifications

IT Skills

Business Skills

Soft Skills

Vocabulary

Languages

Engineering

Health Sciences

English

Math

Other Major Subjects

Browse all subjects

Browse all tests

Most popular tests