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1. The girl’s birth weight was 2350 g and weight-length coefficient was 55. Now she
is 4.5 months old and her weight is 5000 g. What is the diagnosis?
A. acquired hypotrophy, I stage;
B. * hypotrophy of mixed genesis, I stage;
C. congenital hypotrophy, II stage;
D. physiological loss of weight;
E. congenital hypotrophy, I stage.
2. A pediatrician performs an exam of a healthy 1-month-old child. The child is
breast-fed. Prophylaxes of what disease will the doctor recommend doing first?
A. * Rickets
B. Spasmophilia
C. Hypotrophy
D. Paratrophy
E. Anemia
3. A mother with an infant visits the pediatrician. Her baby was born with body
weight of 3.2 kg and 50 cm in length. He is 1 year old now. What is considered
A. 8 kg
B. * 10 kg
C. 21 kg
D. 6 kg
E. 12 kg
4. A mother asks the medical student when a soft spot on the baby’s head will
close. The best response by the student is which of the following responses?
A. “It will close in about a year.”
B. “There are two soft spots called the anterior and posterior fontanels, which will
close by the time the baby is about a year old.
C. “It will close in 6 months.
D. * “The soft spot you are talking about are spots called the anterior and posterior
fontanels. Anterior fontanel will close by 12 to 18 months of age. Another soft
E. “It’s not important to notice the time of its closure.”
5. A mother asks you when her baby will be able to pick up and hold toys. You
would explain her that in order to be able to willingly grasp an object such as a
A. have the ability to release the object
B. double the birth weight
C. * lose the involuntary grasp reflex
D. be able to sit up
E. be able to hold head vertically
6. The medical student in the pediatric unit is working with the recreational and
developmental specialists to plan some activities for the children. One activity is
a card game, in which the participant is required to sort into piles cards picturing
like objects. The student realizes that children of which of the following age
A. 3 years
B. 3-1/2 years
C. * 4 years
,D. 6 years
E. 12 years
7. An 8-year-old child suffers from bronchial asthma and had last attack 6 months
ago. Where should the child be referred for rehabilitation?
A. Pulmonological department of pediatric hospital;
B. Therapeutic department;
C. Sanatorium;
D. * Follow-up treatment in out-patient department;
E. Republic specialized clinics.
8. A 2-year-old infant has had an acute respiratory virus infection 7 times during
last year, pneumonia 2 times, and otitis 1 time. Consultation of which specialist
A. Pediatrician.
B. Pulmonologist.
C. ENT specialist.
D. * Immunologist.
E. Allergologist.
9. The general practitioner is presenting the mother of a preschooler with a bottle
of vitamins. The doctor most importantly needs to instruct the mother to do
A. Give the vitamins with sips of milk.
B. Give preschoolers half a vitamin and grade-school children a whole vitamin
C. * Store the vitamins in a locked cabinet that the child cannot access.
D. Teach the child how to be independent and self-administer the vitamins.
E. Give the vitamins with food.
10. A 9-year-old child was delivered to a provincial hospital. His general condition is
very serious. The child is unconscious. The level of blood glucose is 20 mmol/1.
Diabetic coma is diagnosed. The child must be admitted to:
A. therapeutic department;
B. surgical department;
C. endocrine department;
D. * intensive care department
E. neonatal department.
11. You are assessing the play of a 4-year-old. Which of the following best describes
what you would observe in the play of this age preschooler?
A. playing alongside but not with playmates, taking toys away from others, using a
pounding bench, and playing with a musical toy
B. * interactive play, obeying limits, creating an imaginary friend, and engaging in
C. engaging in group sports or games and playing with puppets
D. playing by him- or herself in the corner, engaged in putting a puzzle together
E. repeating the movements of adults while playing
12. What is the weight of a 3-month-old baby if his weight at birth was 3200 g?
A. 5000g;
B. 5200g;
C. 4800g;
D. * 5400g;
E. 2200g.
13. What is the weight and height of a 3-year-old child?
,A. 14 kg and 84 cm;
B. * 16 kg and 92 cm;
C. 18 kg and 94 cm;
D. 16 kg and 90 cm;
E. 17 kg and 96 cm.
14. The girl’s birth weight was 3100 g. Now she is 3 day old and her weight is 2910
g. What is the condition the child experiences?
A. * physiological loss of weight;
B. acquired hypotrophy, I stage;
C. acquired hypotrophy, II stage;
D. congenital hypotrophy, III stage;
E. acquired hypotrophy, III stage.
15. What are the weight and height of a 4-year-old child?
A. 14 kg and 84 cm;
B. 16 kg and 92 cm;
C. 18 kg and 92 cm;
D. * 18 kg and 100 cm;
E. 17 kg and 100 cm.
16. The boy’s birth weight was 3200 g. Now he is 4 months old and his weight is
5410 g. What is the most probable diagnosis?
A. * acquired hypotrophy, I stage;
B. acquired hypotrophy, II stage;
C. congenital hypotrophy, III stage;
D. physiological loss of weight;
E. congenital hypotrophy, I stage.
17. What is the weight of a 5.5-month-old baby if his weight at birth was 3400 g?
A. 6450 g;
B. 6950 g;
C. 8075 g;
D. * 7375 g;
E. 7050 g.
18. The neonate’s weight is 2750 g and body length is 52 cm. Make the diagnose
(based on the weight and length).
A. normal weight;
B. acquired hypotrophy;
C. * congenital hypotrophy;
D. physiological loss of weight;
E. paratrophy.
19. What is the weight of a 4.5-month-old baby if his weight at birth was 3500 g?
A. * 6800 g;
B. 6450 g;
C. 5400 g;
D. 6000 g;
E. 5850 g.
20. What is the body length of a 5-month-old boy if his length at birth was 51 cm?
, A. 60 cm;
B. * 65 cm;
C. 50 cm;
D. 53 cm;
E. 62.5 cm.
21. You inspect the baby playing with toys. You realize that infants at which age have
just begun to to use his/her index finger and thumb in a position for a pincer
A. * 8 months
B. 12 months
C. 10 months
D. 7 months
E. 9 months
22. What is the body length of a 3-month-old girl if her length at birth was 50 cm?
A. 53 cm;
B. * 59 cm;
C. 56 cm;
D. 61.6 cm;
E. 59.5 cm.
23. The weight of the 9-month-old girl is 11.5 kg. What is the most probable
A. hypotrophy;
B. the norm for age;
C. obesity of the I stage;
D. * paratrophy;
E. obesity of the II stage.
24. A mother notices that her 6-month-old child grasps things such as a spoon in her
palms. This mother asks when her daughter will be able to grasp a spoon
between the thumb and fingers. She has been trying to teach the child this skill
A. * “The pincer grasp will be mastered at about 8 months. It would be best to let the
child grasp the spoon with the palm, as it is too early for the pincer grasp.”
B. “Have your child to play with an older child who uses the pincer grasp, and your
baby will likely pick up the skill from the other child in a short while.”
C. “Keep working and teaching. The baby will soon pick this skill up if you just keep
D. “Let’s do some developmental testing to see in what other areas your baby is
E. “The pincer grasp will be mastered at about 15 months. Don’t pay attention on
25. A mother asks the medical student to tell her what creeping is. She is expecting
her baby to crawl any day and another mother says that her baby creeps. The
A. crawls using the elbows to scoot across the floor
B. * moves on hands and knees with the abdomen off the floor
C. draws the legs up, stretches out, and repeats the process
D. stands and walks on the toes with heels off the ground
E. stands and walks with wide-base feet position
26. A 14-year-old boy has periodically complained of pain in the epigastrium on an
empty stomach, nausea and heartburn during 3 years. Gastroduodenoscopy
findings: signs of gastroduodenitis and ulcer defect of the mucous membrane of
A. infection disease
B. * gastrointestinal tract disease