TEST BANK FOR:
FOR NELSON PEDIATRICS BOARD REVIEW: CERTIFICATION AND
RECERTIFICATION 1ST EDITION BY TERRY DEAN JR. MD PHD LATEST
UPDATE GRADED A+
١
,1. Injuries, Congenital Anomalies, And Malignancy Are The Three Leading Causes Of Death For Which Age Group?
A. 0 To 1 Years
B. 1 To 4 Years
C. 5 To 9 Years
D. 10 To 14 Years
E. 15 To 24 Years
2. The Three Leading Causes Of Death For 15- To 24-Year-Olds Are
A. Injuries, Malignancy, Suicide
B. Injuries, Malignancy, Homicide
C. Injuries, Anomalies, Malignancy
D. Injuries, Homicide, Suicide
E. Injuries, Malignancy, Diseases Of The Heart
3. The Sensitivity Of A Test Is Determined By
A. True Positives / (True + False Positives)
B. True Positives ´{Times} False Negatives
C. True Positives / (True + False Positives)
D. True Positives + False Negatives
E. True Positives / False Positives
4. The Ability Of A Competent 18-Year-Old Patient To Refuse Health Care, Even If The Care Will Prevent Death And
Provide Excellent Chances For A Long And Healthy Life, Is The Principle Of
A. Irrationality
B. Religious Freedom
C. Paternalism
D. Autonomy
E. Nonmaleficence
5. In Ethical Principles, Withholding Futile Medical Treatment Is No Different From
A. Homicide
B. Battery
C. Beneficence
D. Withdrawing Treatment
E. Paternalism
6. Examples Of Primary Prevention Include All Of The Following Except
A. Tetanus Immunization
B. Chlorination Of Water
C. Fluoride Treatment
D. Drug Rehabilitation
E. Locking Medicines In A Cabinet
7. Matching:
1. Measles Vaccine A. Primary Prevention
2. Lead Poisoning Screening
3. Anticipatory Guidance By A Pediatrician B. Secondary Prevention
4. Scoliosis Screening
5. Speed Limit C. Tertiary Prevention
6. Antibiotics For Exacerbations Of Cystic Fibrosis
7. Ortolani Maneuver
8. Anticipatory Guidance Includes All Of The Following Except
A. Developmentally Oriented Advice
B. Removing Small Objects From The Reach Of Toddlers
C. Explaining The Decreased Growth Rate Of 24- To 48-Month-Old Children
D. Dpt Immunization
E. None Of The Above
9. Matching: Match The Ethical Principle With The Example Given In The Statements Below.
A. Autonomy
B. Competence
C. Beneficence
D. Truth Telling
E. Confidentiality
F. Conflict Of Interest
1. A Physician Obtains A Court Order To Permit An Appendectomy On A Child Against The Religious Objections Of The
Parents.
2. Disclosure Of Biopsy Result Of A Malignant Tumor Is Withheld Because No Cure Exists.
٢
,3. A 13-Year-Old Is Asked To Consent To Chemotherapy.
4. A Physician Is Told By An Adolescent That He Is Sexually Involved With His 9-Year-Old Sister.
5. A Physician Does Not Report Suspected Abuse Because She Feels The Family Will Be Harmed.
١
, 10. A Study Is Undertaken To Identify Causes Of Diarrhea In Children Evaluated In The Emergency Department Of A
Tertiary Care Children's Hospital. Subjects Included In The Study Are A Convenience Sample Of Patients Evaluated By A
Single Investigator Whenever He Was Working. This Investigator Always Vacations In A Warm Climate From January To
April, And The Study Thus Was Interrupted During Those Months. This Study Will Have Problems With All Of The
Following Except
A. Sampling Bias
B. External Validity (Generalizability)
C. Internal Reliability
D. Precision
E. Accuracy
11. A Study Is Performed To Measure The Effectiveness Of Inexpensive, Old Reliable Drug A Versus Expensive, New Drug B
In The Treatment Of Otitis Media In Children. The Study Finds No Difference In Outcome Between The Group Of 15
Children Treated With Drug A And The 15 Treated With Drug B. Questions You Might Want To Consider When Evaluating
This Trial Include Which Of The Following?
A. Who Paid For The Study To Be Performed?
B. How Might Bias In The Selection Of Study Subjects Have Altered The Main Result?
C. How Does The Size Of The Study Sample Affect The Outcome?
D. All Of The Above
12. In A Metropolitan Area Of 1,000,000 Persons, There Is An Outbreak Of Diarrheal Illness, And The Following Data Are
Reported:
Age Age Age
<18 19-60 >60
Years Years Years Total
N 300,000 300,000 400,000 1,000,000
Diarrhea 150,000 50,000 300,000 500,000
Diarrheal 10 40 50 100
Deaths
Based On The Foregoing Data, Which Of The Following Statements Is True?
A. The Case-Fatality Rate For Diarrheal Deaths Is 100/1,000,000.
B. The Mortality Rate For Diarrheal Deaths Is 100/500,000.
C. The Relative Risk Of Diarrhea In Childhood Compared With Ages Greater Than 60 Years Is 0.67.
D. The Risk Difference Of Diarrhea In Childhood Compared With Ages 19 To 60 Years Is 100,000.
13. Of The Following Parts Of A Physical Examination, Which Portion Should Usually Be Performed First On An Infant Or
Toddler?
A. Abdominal Examination
B. Ear Examination
C. Extremity Examination
D. Cardiac Examination
E. Pharyngeal Examination
14. Taking Notes While Obtaining A Patient's History Is Controversial. Which Of The Following Statements About This
Practice Is True?
A. All Historical Data Must Be Recorded.
B. Note Taking Is Best Done Before Observation.
C. Note Taking Should Cease If Sensitive Information Is Conveyed.
D. Brief Notations Are Superior To Extensive Notes.
E. Notes Should Not Be Taken.
15. In A Child Younger Than 2 Years, Observation Is Best Done As The Child
A. Sits In The Parent's Lap
B. Walks About The Room
C. Lies On The Examining Table
D. Is Sleeping
E. Is Being Weighed And Measured
16. The Data Generated From Observational Assessment Of A Child's Overall State Of Well-Being Are Greatly
Influenced By The Child's Developmental Stage. This Is Most Importantly Shown In Which Observational Data?
A. Hydration
B. Skin Color
C. Visual Response
D. Respiratory Effort
E. Motor Tone
17. Major Portions Of The Well Child Evaluation, Nutrition, Accident Prevention, And Growth Are Best Discussed With
Parents In The Framework Of
A. Modern Pediatrics
B. Health Care Delivery
C. Social Interactions
D. Child Development
٢
FOR NELSON PEDIATRICS BOARD REVIEW: CERTIFICATION AND
RECERTIFICATION 1ST EDITION BY TERRY DEAN JR. MD PHD LATEST
UPDATE GRADED A+
١
,1. Injuries, Congenital Anomalies, And Malignancy Are The Three Leading Causes Of Death For Which Age Group?
A. 0 To 1 Years
B. 1 To 4 Years
C. 5 To 9 Years
D. 10 To 14 Years
E. 15 To 24 Years
2. The Three Leading Causes Of Death For 15- To 24-Year-Olds Are
A. Injuries, Malignancy, Suicide
B. Injuries, Malignancy, Homicide
C. Injuries, Anomalies, Malignancy
D. Injuries, Homicide, Suicide
E. Injuries, Malignancy, Diseases Of The Heart
3. The Sensitivity Of A Test Is Determined By
A. True Positives / (True + False Positives)
B. True Positives ´{Times} False Negatives
C. True Positives / (True + False Positives)
D. True Positives + False Negatives
E. True Positives / False Positives
4. The Ability Of A Competent 18-Year-Old Patient To Refuse Health Care, Even If The Care Will Prevent Death And
Provide Excellent Chances For A Long And Healthy Life, Is The Principle Of
A. Irrationality
B. Religious Freedom
C. Paternalism
D. Autonomy
E. Nonmaleficence
5. In Ethical Principles, Withholding Futile Medical Treatment Is No Different From
A. Homicide
B. Battery
C. Beneficence
D. Withdrawing Treatment
E. Paternalism
6. Examples Of Primary Prevention Include All Of The Following Except
A. Tetanus Immunization
B. Chlorination Of Water
C. Fluoride Treatment
D. Drug Rehabilitation
E. Locking Medicines In A Cabinet
7. Matching:
1. Measles Vaccine A. Primary Prevention
2. Lead Poisoning Screening
3. Anticipatory Guidance By A Pediatrician B. Secondary Prevention
4. Scoliosis Screening
5. Speed Limit C. Tertiary Prevention
6. Antibiotics For Exacerbations Of Cystic Fibrosis
7. Ortolani Maneuver
8. Anticipatory Guidance Includes All Of The Following Except
A. Developmentally Oriented Advice
B. Removing Small Objects From The Reach Of Toddlers
C. Explaining The Decreased Growth Rate Of 24- To 48-Month-Old Children
D. Dpt Immunization
E. None Of The Above
9. Matching: Match The Ethical Principle With The Example Given In The Statements Below.
A. Autonomy
B. Competence
C. Beneficence
D. Truth Telling
E. Confidentiality
F. Conflict Of Interest
1. A Physician Obtains A Court Order To Permit An Appendectomy On A Child Against The Religious Objections Of The
Parents.
2. Disclosure Of Biopsy Result Of A Malignant Tumor Is Withheld Because No Cure Exists.
٢
,3. A 13-Year-Old Is Asked To Consent To Chemotherapy.
4. A Physician Is Told By An Adolescent That He Is Sexually Involved With His 9-Year-Old Sister.
5. A Physician Does Not Report Suspected Abuse Because She Feels The Family Will Be Harmed.
١
, 10. A Study Is Undertaken To Identify Causes Of Diarrhea In Children Evaluated In The Emergency Department Of A
Tertiary Care Children's Hospital. Subjects Included In The Study Are A Convenience Sample Of Patients Evaluated By A
Single Investigator Whenever He Was Working. This Investigator Always Vacations In A Warm Climate From January To
April, And The Study Thus Was Interrupted During Those Months. This Study Will Have Problems With All Of The
Following Except
A. Sampling Bias
B. External Validity (Generalizability)
C. Internal Reliability
D. Precision
E. Accuracy
11. A Study Is Performed To Measure The Effectiveness Of Inexpensive, Old Reliable Drug A Versus Expensive, New Drug B
In The Treatment Of Otitis Media In Children. The Study Finds No Difference In Outcome Between The Group Of 15
Children Treated With Drug A And The 15 Treated With Drug B. Questions You Might Want To Consider When Evaluating
This Trial Include Which Of The Following?
A. Who Paid For The Study To Be Performed?
B. How Might Bias In The Selection Of Study Subjects Have Altered The Main Result?
C. How Does The Size Of The Study Sample Affect The Outcome?
D. All Of The Above
12. In A Metropolitan Area Of 1,000,000 Persons, There Is An Outbreak Of Diarrheal Illness, And The Following Data Are
Reported:
Age Age Age
<18 19-60 >60
Years Years Years Total
N 300,000 300,000 400,000 1,000,000
Diarrhea 150,000 50,000 300,000 500,000
Diarrheal 10 40 50 100
Deaths
Based On The Foregoing Data, Which Of The Following Statements Is True?
A. The Case-Fatality Rate For Diarrheal Deaths Is 100/1,000,000.
B. The Mortality Rate For Diarrheal Deaths Is 100/500,000.
C. The Relative Risk Of Diarrhea In Childhood Compared With Ages Greater Than 60 Years Is 0.67.
D. The Risk Difference Of Diarrhea In Childhood Compared With Ages 19 To 60 Years Is 100,000.
13. Of The Following Parts Of A Physical Examination, Which Portion Should Usually Be Performed First On An Infant Or
Toddler?
A. Abdominal Examination
B. Ear Examination
C. Extremity Examination
D. Cardiac Examination
E. Pharyngeal Examination
14. Taking Notes While Obtaining A Patient's History Is Controversial. Which Of The Following Statements About This
Practice Is True?
A. All Historical Data Must Be Recorded.
B. Note Taking Is Best Done Before Observation.
C. Note Taking Should Cease If Sensitive Information Is Conveyed.
D. Brief Notations Are Superior To Extensive Notes.
E. Notes Should Not Be Taken.
15. In A Child Younger Than 2 Years, Observation Is Best Done As The Child
A. Sits In The Parent's Lap
B. Walks About The Room
C. Lies On The Examining Table
D. Is Sleeping
E. Is Being Weighed And Measured
16. The Data Generated From Observational Assessment Of A Child's Overall State Of Well-Being Are Greatly
Influenced By The Child's Developmental Stage. This Is Most Importantly Shown In Which Observational Data?
A. Hydration
B. Skin Color
C. Visual Response
D. Respiratory Effort
E. Motor Tone
17. Major Portions Of The Well Child Evaluation, Nutrition, Accident Prevention, And Growth Are Best Discussed With
Parents In The Framework Of
A. Modern Pediatrics
B. Health Care Delivery
C. Social Interactions
D. Child Development
٢
